Referral Process

To refer a patient, complete the requisition form and fax to our scheduling department at 781-271-0601 or 866-799-0601 (toll free).

Please include a copy of the patient’s History & Physical or most recent consult note; and, if your patient has had a previous sleep study at another facility, please include those results, as well.

If you are referring a pediatric patient, a Pediatric Needs Assessment also must be completed and faxed along with the most recent consult note.

If you are referring a Blue Cross, Medicare or Tufts patient, please see additional criteria below.

Our staff will contact the patient within 24-36 hours to schedule the appointment and obtain any additional information we may need. Once the appointment is scheduled, we will send confirmation with the date and time via fax to your office. Should the patient change or cancel their appointment you will also be notified.

Unless you request a specific location, we will attempt to schedule appointments at the facility that is most convenient for your patient.

We are happy to answer any questions you or your patients may have about scheduling an appointment. Sleep HealthCenters provides referral assistance Monday through Friday from 8:30 – 5:00 PM. The toll-free phone number for all patient scheduling and inquiries is 877-SLEEPHC (877-753-3742).

If you have any questions about how to read your patient’s sleep study results or the terms that are used on the report, please refer to our Key to Terms.

Blue Cross Patient Referrals

All requisitions must include either a patient’s HISTORY and PHYSICIAL (H&P) or CONSULT NOTES indicating specific symptoms that can be attributed to a sleep disorder in order to support the need for a sleep study. 

Medicare Patient Referrals

Pre-Sleep Study

Medicare requires a FACE-TO-FACE SLEEP EVALUATION prior to a patient’s sleep study in order to provide CPAP or Bi-Level PAP treatment for obstructive sleep apnea.  Please click here to download the Medicare Pre-Sleep Study Compliance Form.

Post-PAP Setup

Medicare requires DOCUMENTATION OF PAP THERAPY COMPLIANCE within 90 days of PAP initiation in order for them to continue paying for your patient’s CPAP or Bi-level PAP treatment for obstructive sleep apnea. Please click here to download the Medicare Post-PAP Set Up Compliance Form.

Tufts Patient Referrals

For patients being referred for sleep studies, a HISTORY and PHYSICAL (H&P) must accompany the requisition form. This is required in order to pre-certify these services. Sleep HealthCenters will then obtain the necessary pre-certification from Tufts.

Fallon Patient Referrals

To comply with new Fallon Community Health Plan regulations, all requisitions referring patients to Sleep HealthCenters MUST INCLUDE an authorization of services issued directly to the referring PCP by Fallon.

Sleep HealthCenters cannot obtain or complete the pre-authorization requests. And we cannot schedule any patients unless the authorization is sent to our Scheduling Office. Upon receipt of the authorization, we will schedule the patient as soon as possible for the requested services.

If you have questions about these new regulations, please contact Fallon Community Health Plan at 888-693-3211.