Referral management solution for
smart network management

Achieve improved outcomes by ensuring care stays within preferred networks.
With superior referral workflows, e-consults, preferred provider registries,
and curated dashboards, the solution provides the technology needed to
reduce network leakage.

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20-30%

reduction in network leakage

20-30%

improvement in appointment adherence

30-50%

improvement in patient satisfaction

65-160

physician hours saved a year

Technology committed to driving superior
outcomes through integrated referral workflows

20-30%

reduction in
network leakage

20-30%

improvement in
appointment adherence

30-50%

improvement in
patient satisfaction

65-160

physician hours
saved a year

Technology committed to driving superior
outcomes through integrated referral workflows

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Centralized Referral
Management
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Network Management
Dashboards
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Insurance
Eligibility and Prior
Authorization check
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Support for eFax and
Optical Character
Recognition
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Integrated E-Consult
Service

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Reduce network leakage with curated dashboards

Curate your network management dashboard to reduce leakage and highlight physician recruitment gaps to drive in-network patient volumes and revenues.
  • Encourage in-network provider selection with clear distinction between employed, affiliate, and out-of-network providers.

  • Use interactive referral dashboards to track utilization, identify physician recruitment gaps and monitor in-network revenue.

  • Identify physicians with higher out-of-network referrals and diagnose underlying reasons.

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Improve care outcomes by choosing the right specialist

Refer to the best possible specialist with a physician-tiering platform and ensure patient adherence to appointments.
  • Create custom preferred specialist networks.

  • Identify and sort specialists based on various measures, such as distance from patient, network status, cost/quality rankings and more.

  • Ensure provision of high-quality care through referral to high performing specialists and seamless sharing of clinical information, such as notes and test results.

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Enhance patient engagement and ensure continuity of care

Effectively close referral loops for your patients. Schedule and execute referrals through efficient workflows and keep patients engaged and informed through open communication.
  • Schedule appointments based on a patient’s availability and ensure they are prepared for their upcoming specialist visits.

  • Allow patients to book appointments themselves, ensure adherence to appointments with automated text and voice updates, as well as PHI-secured reminders.

  • Leverage e-consults from RubiconMD to avoid costly specialist visits and improve patient satisfaction by enabling rapid bi-directional informational flow with specialists.

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Improve operational efficiency with advanced workflow support

Support fax-based referral workflows, perform OCR to pre-fill referral information forms, track prior-authorization and receive new referrals digitally.
  • Receive and process new referrals digitally and through eFax.

  • Leverage automatic routing of referrals based on predefined business rules.

  • Send referrals to specialists directly from point-of-care or through a centralized referral system.

  • Improve efficiency by automatically running optical character recognition to pre-fill referral forms and enabling real-time patient insurance eligibility check.

  • Integrate prior authorization approval functionality within workflows for seamless appointment booking.

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The leading referral management solution that cares for your patients, providers and network

Point-of-Care and Central Referral
Team workflows

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RubiconMD’s eConsults service connects primary care clinicians to same-day insights from top specialists
  • Discuss patient cases with top specialists

  • Improve provider satisfaction with low turnaround time of specialists

  • Improve patient satisfaction with the convenience of in-person visits

Our Superhero Customers

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