Accelerate Healthcare with AI-Powered Referral Management
Streamline, Collaborate, and Transform Patient Outcomes
Healthcare Referral Management, on ServiceNow
Healthcare organizations lose 55%-65% of patient referrals to out-of-network providers, causing revenue loss. Inefficient manual processes like faxes and emails mean only 54% of faxed referrals lead to appointments. Healthcare Referral Management on ServiceNow automates referrals, reduces leakage, improves communication, and ensures clear, complete referral information, enhancing efficiency, collaboration, and patient care.
Addressing Critical Referral Management Challenges
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Delayed Patient Care Access
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Fragmented Communication
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Operational Bottlenecks
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Data Silos Impacting Insights
Outdated, manual processes delay appointments and create care gaps. It’s more than a scheduling issue; 20% of malpractice claims are tied to missed or delayed diagnoses from breakdowns in hand-offs.
Disconnected systems and spotty HIPAA compliance make it easy for details to slip through the cracks. No wonder 63% of referring physicians are frustrated by the lack of timely updates post-referral.
Referral teams are stuck in time-consuming workflows, costing hours daily. The impact? 46% of patients don’t receive the care they need, and providers lose revenue that should’ve been captured.
Siloed data holds back predictive analytics and better decision-making. For health systems, that can mean 55–65% in revenue leakage each year, or up to $1.54M lost per employed PCP.
Revolutionizing Referral Management with Advanced Features
Scalable Infrastructure for Growth
Built on ServiceNow, our platform adapts to evolving needs, supporting increased referral volumes and new specialties with AI-powered workflows.
Intelligent Document Processing
Document Intelligence is used to extract and structure referral details from scanned documents, emails, and faxes, reducing manual work.
Integrated Communication Channels
Centralized dashboards and HIPAA-compliant messaging enable real-time collaboration, reducing delays and keeping referrals on track.
AI-Powered Referral Orchestration
Our proprietary Now Assist referral skill intelligently validates referral completeness, assesses alignment with against referral eligibility criteria, and automatically routes referral for scheduling, clinical review or prior authorization.
Referral Timeliness Metrics
Leverage predictive analytics to monitor KPIs, reduce bottlenecks, and prioritize urgent cases for faster patient care.
User-Centric
Design
Designed for healthcare stakeholders, our AI-driven platform empowers providers, coordinators, and patients with role-specific tools, ensuring seamless workflows and healthcare operational efficiency.
How It Works
Automate and
Validate
Digitize incoming referrals through fax, email, and scanned documents, ensuring complete, accurate data.
AI-Driven
Routing
Classify and validate referral details and Referral Eligibility Criteria, then auto-assign them to workflows for Prior Authorization or Scheduling. EHRs integration ensures the referral is recorded for clinical documentation, Compliance and Billing.
Track and
Communicate
Provide patients and providers with Amazon-style tracking of referral statuses to boost satisfaction and transparency.
Analyze and
Optimize
Use dynamic insights to continuously refine workflows, reduce leakage, and improve throughput.
Tailored Benefits for Every Role
Empowers referring providers with real-time insights into referral status, ensuring patients receive timely, high-quality care while drastically reducing administrative follow-up.
Delivers faster access to specialty care, clear and actionable communication about next steps, and the confidence of knowing their healthcare journey is seamlessly managed and expertly coordinated.
Streamlines workflows with a centralized dashboard, reducing manual tracking and preventing lost or delayed referrals. By prioritizing referrals efficiently, it saves time and improves care coordination.
Built on ServiceNow for Better Results
Built on the powerful ServiceNow platform, our solution integrates seamlessly with healthcare workflows while adding value to Patient Access and Revenue Cycle teams.
Take the Next Step Towards Smarter Referrals
Experience firsthand how our solution reduces delays, improves provider collaboration, and empowers patients with real-time information.