Years ago our policy became "WE DO NOT FAX REFERRALS". Per our insurance contracts, all providers who participate must be electronically connected and access their referrals on the internet. Patients are also instructed how to access their own referrals on their insurance websites. Since it is only a payment issue for the specialist, they should be motivated to learn how to use the internet. Our patients have been highly educated by us on how the system works. If I have to pay someone to do the referral, they have to pay someone to pull it up.