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Last modified: October 2, 2024

Authorization Network

Providers

Overview

The authorization network allows health and wellness providers to make testing available to their clients while still remaining a part of their client’s care journey. By leveraging this service, providers with limited ordering access can opt-in to recommend tests that will be reviewed and ordered by a licensed clinician.

Whether you need to use the authorization network to recommend testing depends on your ordering access. This is determined in partnership with each lab company based on your state, license, and NPI number.

  • Authorized providers are able to order any test from our catalog. 
  • Providers with limited ordering access can only recommend testing, from a limited test menu, through the authorization network.

If you have questions about your ordering access, or think you should be able to order from a lab without the use of the authorization network, please contact our labs team

How the authorization network works

  1. Send testing recommendations to your client: Choose the testing you want to recommend to your client by selecting appropriate tests from the curated catalog for providers with limited ordering access.
  2. Payment: Your client receives an email with your recommended tests and pays for the lab tests plus the authorization network fee of $12.50 per test or panel.
  3. Approval: A clinician from the authorization network reviews and approves the order. 
  4. Results: Once the lab results are ready, all parties —the authorization network, you (the recommending provider), and the client—will have access to the results. The recommending provider receives an e-mail as soon as results are available. 
  5. Client notification: Your client will be notified by email after you review and share results in your Fullscript account. 

Ensuring quality of care

The authorization network is designed to support your practice, not to replace or expand your scope of practice. When registering for labs through the authorization network, make sure to review and understand the terms of service and comply with all relevant state and ethical requirements to ensure top-quality care for your clients.

Critical lab results

If your client’s lab results show a critical result, as indicated by the lab company, the clinical team at the authorization network will attempt to reach your client by phone, up to three times to advise them on the appropriate next steps for their care. If the clinical team is unsuccessful in directly contacting the client by phone, a letter will be mailed to ensure they are directly notified of the critical results.

The clinical team at the authorization network will not provide a diagnosis or treatment recommendations. Clients will be encouraged to follow up with their practitioner. 

Note:

Abnormal results or results outside the standard reference range do not necessarily indicate a critical result. Critical results are defined by each lab company. 

Authorization network fee

There is a $12.50 fee per test or blood panel when using the authorization network. This fee is typically paid for by the patient, but depends on the billing method you’ve chosen. This fee covers the cost for the authorizing clinician to review and order the lab tests and check the results for critical results as set by each lab company. It also covers the cost for them to notify the client if a critical result is identified. 

You’ll see this fee before you send testing recommendations to your client. 

The provider’s view of the authorization network fee before sending a plan with testing.

This fee appears as a separate line item from the cost of testing in the client’s cart.

Circling the authorization network fee line item during patient checkout.
The client’s view of the authorization network fee at checkout.

Catalog access

The tests available to providers with limited ordering access are from a select catalog that’s been reviewed and approved by our authorization network partner. These focus on overall wellness—including nutrient levels, hormones, food sensitivities, digestive health, and basic blood markers. However, more complex tests, like those used to help diagnose conditions such as cancer, aren’t included in the restricted catalog. We’ve worked closely with our authorization network partner to create a catalog of testing that helps offer valuable insights about your client’s wellness journey.

If you have any questions about restricted tests or the authorization network in general, please contact our labs team.

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