Secure File Upload
referral / authorization upload
referral sources
(Hospitals, Inpatient Rehab Facilities, Physician Offices)
tango is excited to announce a new way for referral sources to submit referrals for home health. By clicking here, you’ll no longer need to download and complete tango’s (formerly PHCN’s) pdf referral form. The online form will make sure your patient request will flow through the tango process smoothly and efficiently.
home health agencies
Please upload a single file or multiple files to our secure site for processing.
The Referral/Prior-Authorization upload portal allows referral sources not using the above link and home health agencies to initiate a new referral or authorization request with tango for skilled home health care services. If you are a home health agency and are initiating a new authorization request, please be sure to include our Initial Authorization Form which can be found via our website.
Step One:
Please download the Referral/Prior Authorization Form Here
Step Two:
Complete the Referral/Prior Authorization Form in its entirety.
Step Three:
Below, upload the Referral/Prior Authorization Form and supporting documentation, to include a signed order, inpatient discharge summary (if applicable), H&P and therapy notes as applicable.
Step Four:
Once the Referral/Prior Authorization Form and supporting documents have been uploaded, a Contact Form will populate. Please complete the form to ensure follow-up accessibility.