It's because my insurance plan will only pay if I see a pdoc/t within the hospital system where I work. Obviously for psych care that is SUPER SUPER AWKWARD, so I told my pdoc it was okay to call the boss and ask her who I could see within the hospital system (like have her recommend someone who is good but who I was unlikely to interact with directly as a part of my job).

The awkward thing is that he and I definitely already have some shared patients (though he is managing their psych stuff and I am managing the stuff I specialize in).