Secure File Upload
referral / authorization upload
Please upload a single file or multiple files to our secure site for processing
The Referral/Prior-Authorization upload portal allows referral sources 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 (HHA only):
Please download the Referral/Prior Authorization Form Here
Step Two (HHA only):
Complete the Referral/Prior Authorization Form in its entirety.
Step Three:
Below, upload the Referral/Prior Authorization Form (HHA only) 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.