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An emerging area of liability for negligent referrals may come from the myriad of doctor rating services. "Millions of Americans use these online services to select their doctors," said Sacopulos. "Perhaps doctors should check them out as well before making a referral, particularly if they don't know the specialist.

"I haven't heard of any cases filed against primary doctors for negligent referral based on doctor ratings, but I believe they are going to happen," says Sacopulos. "These ratings can be very subjective. But if 90% of a specialist's ratings are negative, that's a tip-off. I can see a plaintiff making a case that you should have checked it out.