Referral Management Agent: Complete Loop Closure
Manages the entire referral process—finding specialists, scheduling appointments, tracking referral completion, and ensuring results are communicated back to referring provider.
Key Capabilities
- Specialist Matching - Finds in-network specialists based on patient insurance and location
- Appointment Scheduling - Books specialist appointment on patient's behalf
- Referral Tracking - Monitors whether patient attended specialist visit
- Results Retrieval - Requests specialist notes and test results
- Provider Notification - Alerts referring provider when results are received
- Loop Closure - Ensures continuity of care between primary and specialty care
- Network Optimization - Keeps referrals in-network to reduce leakage
- Patient Communication - Keeps patients informed throughout the process
Impact
Referral Leakage
-70%
Completion Rate
+50%
Patient Satisfaction
+55%
Loop Closure
95%+
Technical Details
Integration & Features
- Integration
- Provider directories and health information exchanges
- Submission
- Fax and electronic referral systems
- Tracking
- Real-time referral status dashboard
- Workflows
- Automated follow-up and escalation
Security & Compliance
- HIPAA Compliant
- SOC 2 Type II Certified
- Real-time processing and logging
- End-to-end encryption
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