Infusion Therapy Referrals
When your patient needs infusion therapy, the last thing you want is a referral process that creates delays, generates callbacks, or leaves your staff chasing paperwork. You need a specialty pharmacy partner that accepts the referral, takes ownership of the process, and gets your patient to their first infusion as quickly and smoothly as possible.
At River’s Edge Specialty Pharmacy, that’s exactly how we work. From the moment we receive a referral, our team manages benefits investigation, prior authorization, financial assistance, medication preparation, and scheduling — keeping your office informed without burdening your staff.
This guide outlines our referral process step by step, explains what information we need from your office, and shows how we keep you updated on your patient’s care.
| Ready to Submit a Referral? Our intake team makes the process fast and simple. Send a referral and we’ll take it from there.→ Submit a Referral: repharmacy.com/referrals |
How to Refer a Patient to River’s Edge
We’ve designed our intake process to minimize the time and effort required from your office. Here’s how it works:
Step 1: Submit the Referral
You can submit a referral through any of the following channels:
- Online referral form: Available at repharmacy.com/referrals — the fastest option
- Fax: Send the prescription and clinical documentation to our dedicated intake fax line
- Phone: Call our provider line directly to speak with an intake coordinator
- E-prescribe: Send the prescription electronically through your EHR system
Step 2: We Acknowledge Receipt
Within one business day of receiving your referral, our intake team will confirm receipt and reach out if any additional information is needed. You’ll receive confirmation via your preferred communication method (fax, phone, email, or portal).
Step 3: We Handle Everything Else
Once we have the referral, our team takes full ownership of the downstream process:
- Benefits investigation — we verify the patient’s insurance coverage and identify their financial responsibility
- Prior authorization — we submit and track the PA, coordinating with your office only if additional clinical documentation is needed
- Financial assistance — we research co-pay programs, foundations, and manufacturer assistance to minimize the patient’s out-of-pocket cost
- Patient outreach — we contact the patient directly to coordinate medication delivery or schedule their infusion appointment
- Medication preparation and delivery — we prepare the medication and arrange delivery to the patient’s home or one of our infusion centers
What Information Do We Need From Your Office?
The more complete the initial referral, the faster we can get your patient started. Here’s a checklist of what to include:
| Required Information | Details |
| Prescription | Medication name, dose, route, frequency, and duration |
| Diagnosis | ICD-10 code(s) and clinical indication for the prescribed therapy |
| Patient demographics | Full name, date of birth, address, phone number |
| Insurance information | Primary and secondary insurance (copy of card preferred) |
| Clinical documentation | Recent office notes, lab results, and any relevant imaging or test results |
| Prior authorization history | Any existing PA approvals, reference numbers, or denial letters |
| Preferred treatment setting | Infusion center or home infusion (if the patient has a preference) |
| Allergies and current medications | Complete medication list and documented allergies |
| 💡 Pro Tip: Don’t have everything on the list? Submit what you have. Our team will reach out for anything missing — a partial referral is always better than a delayed one. |
How Quickly Can a Patient Start Treatment After Referral?
Our goal is to get every patient from referral to first infusion as quickly as possible. Here’s what the typical timeline looks like:
| Milestone | Typical Turnaround |
| Referral acknowledgment | Within 1 business day |
| Benefits investigation complete | 1–2 business days |
| Prior authorization submitted | Within 48 hours of receiving complete documentation |
| PA approval (standard) | 5–15 business days (insurer-dependent) |
| PA approval (urgent) | 24–72 hours |
| Patient contact and scheduling | Same day as PA approval |
| First infusion | Within 1–3 business days of scheduling |
For urgent referrals, let us know at the time of submission. We can expedite the intake process and request urgent prior authorization to accelerate the timeline.
Do You Handle Benefits Investigation and Prior Authorization?
Yes — completely. This is one of the core services we provide and a major reason providers choose to partner with River’s Edge.
Our prior authorization specialists work exclusively with specialty medications and know exactly what each payer requires. We submit prior authorization requests with thorough clinical documentation, actively track the status, and manage denials and appeals if needed. Your office is only contacted if we need additional clinical information that isn’t in the original referral.
We also handle the full benefits investigation upfront, so both you and the patient know the insurance landscape before treatment begins — including what the patient’s financial responsibility will be and what assistance programs are available.
How Do We Keep You Updated on Your Patient’s Progress?
Maintaining clear communication with referring providers is a priority. Here’s how we keep you in the loop:
- Referral status updates: You’ll receive updates at key milestones — referral received, PA submitted, PA approved, first infusion scheduled, and first infusion completed.
- Clinical reporting: After each infusion, we provide documentation of the treatment administered, including any adverse events, vitals, and clinical observations. Reports are sent to your office via your preferred method.
- Adherence monitoring: We track your patient’s treatment adherence and will notify you if a patient misses an appointment or requests to discontinue therapy.
- Direct pharmacist access: Our clinical pharmacists are available for provider consultations regarding medication management, dose adjustments, or therapy changes.
| ✅ Key Takeaway: Our approach is simple: you focus on the clinical decision-making, and we handle the operational complexity of getting your patient from prescription to treatment. Your office stays informed without being burdened. |
Why Providers Choose River’s Edge
- URAC and ACHC accredited — held to the highest standards for specialty pharmacy and infusion services
- Licensed in 24 states — broad geographic reach for patients across the country
- Infusion centers in Irvine and Beverly Hills — plus nationwide home infusion services
- Dedicated provider relations team — a single point of contact for your office
- Full-service prior authorization and financial advocacy — reducing administrative burden on your staff
- Transparent communication — proactive updates at every stage of the process
Provider FAQs
How do I refer a patient to River’s Edge?
Submit a referral online at repharmacy.com/referrals, by fax, by phone, or via e-prescribe. Our team will confirm receipt within one business day.
What therapies do you support?
We specialize in IVIG/SCIG, biologic infusions (Remicade, Inflectra, Renflexis, Rituxan, Orencia, Actemra), iron infusions (Injectafer, Feraheme), chemotherapy, TPN, hemophilia factor, and other specialty infusion therapies.
Do you handle prior authorization?
Yes. Our team manages the entire prior authorization process, including submission, tracking, peer-to-peer reviews, and appeals.
How do I get updates on my patient?
We provide updates at key milestones and post-infusion clinical reports via your preferred communication channel. You can also contact our provider line directly at any time.
One Referral. We Handle the Rest.
At River’s Edge, we believe the referral process should be as simple as possible for your office and as seamless as possible for your patient. You make the clinical decision. We manage the logistics, the insurance, the financial advocacy, and the infusion — and we keep you informed every step of the way.
If you’re looking for a specialty pharmacy partner that takes the administrative burden off your plate and treats your patients with the same care you do, we’d welcome the opportunity to work with you.
| Submit a Referral in Minutes River’s Edge makes infusion therapy referrals fast and simple. Send us a referral and our team handles benefits, PA, financial assistance, and scheduling.→ Submit a Referral: repharmacy.com/referrals |