Coordinate care with a smart referral management solution

Reduce patient leakage and keep care within the network through preferred provider registries and superior workflows. Customizable dashboards and easily deployed e-consults help you improve health outcomes, grow your market share, and manage your network with less effort.

America’s largest healthcare organizations are connecting their care ecosystems on the Innovaccer Health Cloud

The Innovaccer Health Cloud for

Referral Management

Address patient leakage

Gain real-time performance insights to increase in-network patient
volumes with our comprehensive library of network management
dashboards.

Manage Network Performance

Monitor real-time activity to quickly identify and address out-of-network referral causes. Track referral patterns, optimize utilization, and fill recruitment gaps to drive in-network revenues.

Use Advanced Analytics

Harness the power of AI to reduce leakage and identify cost-saving opportunities. Improve on shared savings by redirecting specialty care to high-value providers with our sophisticated predictive analytics.

Network
leakage analysis

Intuitive measure
builder

In-network and out-of-
network provider views

Improve care quality

A solution that meets the needs of your patients, providers and network. Improve outcomes by encouraging patient adherence to care plans, closing referral loops, and ensuring care stays within preferred networks.

Preferred Specialist Network

Customize networks based on measures such as patient proximity, network status, cost and quality rankings, patient satisfaction scores, and more to ensure high-quality outcomes.

Custom Specialty Prioritization

Refer patients to the best possible specialist using our physician tiering platform, prioritizing physicians based on criteria like predicted cost.

High-Quality Referrals

Ensure appointment adherence and a seamless flow of clinical information to empower specialists to deliver high-quality care.

Seamless information
sharing

Intuitive physician
tiering

Custom provider
lists

Enhanced patient engagement

Increase patient loyalty by scheduling and executing referrals through efficient workflows. Keep patients engaged and informed through open communication.

e-Consults Through RubiconMD

Redirect patients to e-consults to avoid costly in-person visits while improving provider satisfaction with faster turnaround times between specialists. Increase patient satisfaction with bidirectional communication with specialists.

Close Referral Loops

Improve adherence by allowing patients to book appointments and stay engaged through automated texts, reminders, and voice updates.

HIPAA-compliant bidirectional communication

Integrated E-consults
service

PHI-secured
reminders

Increase team efficiency

Support digital and physical document-based referral workflows,
perform Optical Character Recognition to prefill forms, track prior
authorization, and receive new referrals electronically.

Quick Referral Processing

Process new referrals digitally and automatically route them based on predefined business rules. Send referrals to specialists directly from the point of care or through a centralized referral system.

Easy Insurance Verification

Improve efficiency with real-time patient insurance verification and automatic optical character recognition to prefill referral forms. Integrate prior authorization approval within workflows for seamless appointment booking.

Centralized Referral Teams

Process referrals received through phone, fax, and electronic medical records; coordinate and book appointments; and assign worklist items to your referral team members with simple workflows.

Centralized referral
management system

Digital referral
processing

Point-of-care
alerts

“With Innovaccer’s solution, we are not only transforming patient care, but also driving significant savings in our IT operating expenses.”

Read the case study

“The Innovaccer Health Cloud gives us a platform to align with many disparate EHRs and provide clinical insights that help our physicians improve population health.”

Read the case study

Activate your vision for a healthier world

Join other healthcare leaders in building the future of
health on the Innovaccer Health Cloud.