Female patients of all ages can receive routine and ongoing care from one of our OB/GYN specialists — no referral needed. You’re welcome to choose a provider from our OB/GYN directory or ask your PCP for a recommendation.
If you are pregnant or become pregnant, your OB/GYN will support and care for you throughout your pregnancy and delivery.
When your PCP or specialist determines that additional care is needed, a pre-authorization, also known as a referral, request will be submitted for review. Our Authorizations team, in collaboration with a Physician Reviewer, will assess the request based on your medical condition, treatment needs, and your health plan’s coverage, including any applicable exclusions or limitations. Authorization decisions are guided by nationally recognized, evidence-based criteria. Please note that services not covered by your health plan cannot be approved.
You typically need pre-authorization for:
Your physician will submit your pre-authorization request as Routine or Urgent, which are used to prioritize medical service requests based on clinical urgency.
You’ll receive written notification once a decision has been made regarding your prior authorization request. If you have any questions about the decision or would like more details about the review process, our Member Services team is here to help—please don’t hesitate to reach out!
805-840-2524 or toll free 844-582-1307
MSRincon@Choicemg.com
Your medical services are coordinated and covered directly through Rincon or your health plan. You’re only responsible for your co-pays, co-insurance, applicable deductibles, and services not covered under your specific plan benefits.
If you happen to receive a bill from a physician or outpatient provider, don’t worry—just reach out to Rincon’s Member Services team for assistance.
At Rincon Health Network, we believe everyone deserves equal access to the care they need. When reviewing medical authorization requests, we follow strict policies to ensure fairness and non-discrimination for all patients—regardless of race, ethnicity, gender identity, sexual orientation, age, disability, veteran status, or any other protected characteristic.
We’re committed to creating an inclusive and respectful healthcare experience. If you ever feel that you’ve been treated unfairly during the authorization process, or if you have questions about how decisions are made, please contact our Member Services team. We’re here to support you.
Rincon Health Network partners exclusively with Quest Diagnostics for routine laboratory testing. Your physician can submit lab orders directly to Quest — no prior authorization is required for most routine services, making the process fast and convenient.
Quest offers numerous locations throughout Ventura County, along with flexible scheduling options:
To find a nearby location or schedule your lab visit, call (866) 697-8378 or visit www.QuestDiagnostics.com.
Rincon Health Network partners exclusively with Rolling Oaks Radiology, a trusted member of the RadNet family, to provide high-quality imaging services for our patients.
Your physician can easily request routine X-rays through RadNet — no prior authorization is needed for most standard imaging. For advanced procedures such as CT scans or MRIs, your provider will handle any necessary authorizations to ensure a smooth experience.
With multiple locations across Ventura County, Rolling Oaks Radiology offers:
To find a location near you or to book an appointment, call (805) 778-1513 or visit www.RollingOaksRadiology.com.