Referring a client into WWC for diagnostics is a unique type of referral:
- A WWC diagnostic referral occurs when a client has screening procedures paid using non-WWC funds and is subsequently enrolled in WWC for coverage of her diagnostic work-up.
- When referring a client in for WWC diagnostics, select “Referred in for Diagnostic Evaluation” in the Current Pap Reason or Current Mammogram Reason field in the Medical History Section.
- The date of Mamm or Pap referral should match the date of the first WWC funded diagnostic procedure.
- Enter all screen procedures. Note that they must be non-WWC funded. If your organization is requesting reimbursement for screening procedures, change the Current Mam/Pap reason from “Referred in for Diagnostic Evaluation” to a more appropriate selection.
- After entering the screening procedures funded by a source other than WWC, enter the WWC-funded diagnostic procedures.
- Entering a Final Diagnosis is required for all clients referred into WWC for diagnostics.
