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The referral pathway

What happens to a case after you send it, who is holding it at each point, and what is asked of you along the way.

Stage by stage

Each stage ends with something you can see. There is no point at which a case is in progress with nothing to show for it.

  1. 1 · Scoping

    You describe the case in a few lines — indication, prior lines of therapy, and what you are looking for. We tell you which pathways are currently open for that indication and which are not, before you gather a single record.

  2. 2 · Consent

    Your patient's consent to share their records across a border is recorded before any record moves. It names the receiving hospital, is scoped to this referral, and can be withdrawn.

  3. 3 · Assembly and translation

    We compile the case to the receiving hospital's intake format — imaging, pathology, treatment history, current medications — and translate it. Certified translation is used where the hospital requires it.

  4. 4 · Your approval

    You see the assembled packet, in English, exactly as it will be sent. Nothing goes to a hospital that you have not read.

  5. 5 · Hospital review

    A licensed physician at the treating hospital reviews the case against their own admission criteria. They may accept, decline, or come back with questions for you.

  6. 6 · Written response

    You receive their decision in writing, translated, with the proposed approach, its regulatory basis, and a cost estimate that states what it excludes.

  7. 7 · The patient decides

    You and your patient review the response together. If they proceed, coordination begins. If they do not, the case closes and the records stop being shared.

Who holds the case

From submission to hospital response, the case sits with a coordinator who is responsible for it end to end — not a queue. You have one named contact rather than a support address.

The coordinator handles documents, translation and scheduling. They do not summarise clinical content for the hospital, and they do not summarise the hospital's response for you. Both sides read the same translated source.

If the receiving physician has questions about the case, they come to you. We pass the question; we do not answer it on your behalf.

What happens if a case is declined

Declines are common and are not a failure of the referral. A hospital may decline because the indication falls outside a protocol, because prior therapy makes a patient ineligible, or because a pathway has closed since it was last confirmed.

You receive the decline in writing with the stated reason. Where another open pathway exists for the same indication, we say so. Where none does, we say that instead of keeping the case open.

Common questions

Do I remain the treating physician?
Until your patient is admitted abroad, yes. During treatment, clinical responsibility sits with the treating hospital's physicians. Their reports are translated back to you so you can resume care on return.
Am I being asked to endorse the treatment?
No. Referring a case for review is a request for an assessment, not an endorsement of what the hospital may propose. You are free to advise your patient against proceeding after reading the response.
What is your relationship with the hospitals?
We coordinate access to them. Any commercial arrangement that exists between us and a treating hospital is disclosed on that hospital's page, so you can weigh it.
Can I speak to the reviewing physician directly?
Where the hospital permits it, yes, with an interpreter present. We arrange it; we do not sit between you.
What does this cost my patient before a decision?
Case assembly, translation and hospital review are quoted to your patient before any of it starts. They see the figure before committing, and again in the hospital's own estimate.

Look up a treatment first

Scoping a case needs no patient information at all — we confirm which pathways are open for the indication before anyone gathers a record.

Look up a treatment first

MedAccess.care coordinates access and does not diagnose, treat, or decide eligibility. Every treatment has different evidence, regulatory status, risks, and eligibility requirements. Final treatment decisions are made by participating hospitals and their licensed physicians.