Referral partners & contracting
A preventive care conversation for your Medicare population.
For medical groups, independent practice associations (IPAs), and senior organizations seeking a wellness visit referral option, Harmony Wellness & Health offers a starting point for discussing California telehealth and Inland Empire appointments. Explore a referral relationship built around eligibility review, patient preparation, and a clear prevention-focused visit.
Define the right referral pathway.
- Discuss patients who may be due for an AWV, how prior wellness visit dates will be verified, and how patients will understand the difference between preventive care and treatment visits.
- For senior organizations, discuss how staff or caregivers can help with appointment preparation and technology without taking on clinical decisions or sending member lists through general email.
- For medical groups and IPAs, agree on responsibility for outreach, eligibility verification, any required authorization, and how the prevention plan or visit information would reach the referring clinician with appropriate permission.
An AWV is a preventive service. Separate evaluation or treatment, including hospital follow-up or chronic condition management, requires its own clinical and coverage review. An AWV referral does not establish enrollment in TCM or CCM.
Start a contracting conversation.
Tell us your organization’s name, your role, a business contact number, the population and service area you support, the service you are interested in, and your expected referral volume and timeline. We can use that conversation to assess fit and discuss the next steps. Please send business details only in an initial email.
Before launching a relationship, confirm the clinical scope, available capacity, referral acceptance process, scheduling expectations, and each team’s responsibilities. Discuss the credentials and documentation your organization requires for its review, including applicable licensure, provider identifiers, insurance, and payer participation. Any network status, authorization requirements, rates, payment arrangements, or contract terms must be verified and agreed directly.
Agree on communication before the first referral.
Discuss a designated contact on each side, how appointment status and visit information would be shared, the records-transfer method, and the patient permissions or organizational agreements needed. If your organization needs particular reporting or follow-up notifications, agree on the details and feasibility before starting. No reporting integration, turnaround time, or reserved appointment volume is implied by an inquiry.
For an individual patient referral, call to confirm the appropriate visit, current availability, coverage review, and secure intake instructions. Do not send patient names, Medicare numbers, discharge records, or other protected health information through general email or the website’s general contact form. A partnership inquiry does not establish a contract or guarantee acceptance of a patient or plan.
Business inquiries: info@harmonywellnessandhealth.com · 951-293-4166
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