Automated referral management for healthcare

Keep patients in-network. Reduce leakage by 40%. Get specialist appointments scheduled 60% faster with automated referral management software.

OSCAR Pro logo
OSCAR Pro
PS Suite logo
PS Suite
Accuro logo
Accuro
Med Access logo
Med Access
OceanMD logo
OceanMD
eReferral Network

AI handles 90%+. You handle exceptions

Human-in-the-loop workflow. AI automates intake to closure. Coordinators focus on high-value tasks.

AI Heavy Lifting

Intelligent Intake

AI automatically ingests referrals from EHR, fax, or email and extracts structured data. Coordinators only review exceptions.

Zero manual data entry
Auto-extract from any source
Review exceptions only
OCR Extraction
Fax
EHR
Email
Scanned Document
Extracted Data
Patient
Sarah Johnson
Dx
Chest pain
Insurance
Blue Cross
Referring
Dr. Thompson
Fields extracted12/12
OCR confidence97.4%
47 processed today
Auto-extracted
AI Copilot

Smart Routing

AI instantly recommends specialty, urgency, and best-fit facility based on insurance, location, and capacity. 90%+ flow straight through.

90%+ auto-approved
Real-time capacity checks
Auto-fetch missing labs
Routing Decision
Incoming ReferralREF-2847
Sarah Johnson, 38F
Chest pain, SOB, abnormal ECG
SpecialtyCardiology
UrgencyUrgent
Routed toDr. A. Chen
Confidence92%
143 of 156 auto-routed
Auto-approved
AI Automated

Voice AI Assistant

Voice AI handles patient calls, SMS, and email. Auto-follows up with specialists and patients until scheduled. Human escalation only when needed.

Voice + SMS + Email
Auto-retries until response
Natural conversations
Outreach Log
Sarah Johnson
Voice
Appointment confirmed
Patient
2:04 PM
SMS
Confirmation link sent
Patient
2:01 PM
Email
Referral packet delivered
Dr. Chen
1:58 PM
Fax
Lab results requested
Records
1:55 PM
89 conversations today0 escalations
AI Orchestration

Auto-Scheduling

AI books appointments directly into specialist calendars. Detects conflicts and queues fallback tasks for coordinators.

Direct calendar booking
Conflict detection
Fallback to human only
Scheduling
Nov 3 – 9, 2025
Mon
3
Tue
4
Wed
5
Thu
6
Fri
7
Sat
8
Sun
9
Dr. Chen
Tue 2:00 PM
Booked
Dr. Smith
Conflict
Queued
Dr. Lee
Searching...
Pending
124 booked today3 pending
AI Driven

Auto-Closure

AI requests consult notes, parses them, and routes back to referring provider. Marks referrals complete automatically.

Auto-fetch consult notes
Parse & route results
Zero manual closure
Closure Pipeline
REF-2847
Request consult note
Sent to Dr. Chen
Receive & parse note
AI extracting findings
Route to referring provider
Waiting
Mark referral complete
Waiting
98 closed todayAvg 4.2 hrs
Coordinator Cockpit

Exception Queue

Real-time dashboard shows completed, in-progress, and exception cases. Coordinators review only the flagged 5-10% of referrals.

5-10% need human review
Real-time status tracking
Focus on high-value tasks
Today's Overview
142
Completed
11
In Progress
3
Exceptions
156 total referrals91.0% complete
Missing insurance info
REF-2851
Specialist unavailable
REF-2849
Incomplete lab results
REF-2844
Only 1.9% need review3 pending

How it works

Five seamless steps. Fully automated. Human oversight only when needed.

STEP 01Multi-Channel Capture

Referral Intake

Referrals flow in from EHR, fax, email, or API. AI automatically extracts patient demographics, insurance information, and clinical notes—no manual entry required.

Auto-extract from any source
Validate demographics & insurance
Flag incomplete records instantly

Measurable outcomes

Data-backed improvements across every metric that matters.

+40%

Referral Completion Rate

Percentage of referrals that result in scheduled and completed appointments.

Higher completion = better access, lower leakage, more revenue captured.

-40%

Time to Schedule

Average time from referral submission to appointment scheduling.

Faster scheduling reduces patient drop-off and improves access to care.

-65%

Referral Leakage Rate

Percentage of referred patients who never see a provider in-network.

Prevents lost revenue and maintains patient continuity.

40-60%

Coordinator Time Saved

Reduction in manual admin hours spent on referrals.

Time redirected to higher-value patient tasks.

+55%

Referral Loop Closure

Percent of referrals with completed consult notes sent back to referring provider.

Essential for quality tracking, value-based care, and patient safety.

+25-35%

Patient Engagement Rate

Response rates to AI-driven outreach via SMS, email, and voice.

High engagement reduces friction and improves patient satisfaction.

-30%

Cost Per Referral

Administrative cost required to fully process one referral.

Quantifies ROI of automation and eliminates manual triage.

Results backed by peer-reviewed research and real-world implementations.

Consultation Available

Ready to transform referrals?

See how AI can automate 90% of your referral workflow. Free consultation. No commitment.

45min consultation
2-3 week deployment
ROI guaranteed