ProviderPulse

Specialists and PCPs: A Delicate Balance

Workers' Comp Coordination

May 2011

Pinnacol’s SelectNet specialists and Primary Care Providers (PCPs) have important, mutually-dependent roles in the workers’ compensation process.

Within SelectNet, here are their roles:

SelectNet PCP SelectNet Specialist
Chooses the specialists Required to communicate directly with the PCP by telephone or fax within 24 hours of the initial exam and follow up with a narrative report within five (5) business days after each visit
Schedules the initial specialist appointment Required to see the injured worker within five (5) business days of the referring PCP provider’s visit

It’s important that the PCP contacts the specialist the same day the physician makes the referral for scheduling AND that the specialist provides timely medical records to the PCP.

Please remember to do your part in this delicate balancing act!