Authorization & Eligibility Automation

Stop referrals before they stall.

ReferralMD automatically verifies patient insurance eligibility during intake or referral creation. Coverage details are validated early, ensuring referrals are actionable before scheduling begins.

• Automated eligibility checks
• Early identification of coverage issues
• Fewer cancellations and reschedules

Remove manual work from complex authorization processes.

ReferralMD identifies when prior authorization is required and helps collect the necessary information to support approval. Authorization status is tracked throughout the referral lifecycle.

• Detect authorization requirements automatically
• Capture required clinical and administrative details
• Track approvals, denials, and pending requests

Incomplete authorizations cost time and revenue.

By ensuring referrals meet payer requirements upfront, ReferralMD helps practices reduce denied claims, minimize resubmissions, and avoid unnecessary follow-ups.

• Improve first-pass approval rates
• Reduce back-and-forth with payers
• Protect revenue and patient access to care

No more guessing or chasing updates.

ReferralMD provides real-time visibility into eligibility and authorization status so teams know exactly where referrals stand and when intervention is needed.

• Clear authorization status tracking
• Identify stalled or delayed approvals
• Keep staff and providers informed

Let automation handle insurance complexity.

ReferralMD reduces the manual workload associated with eligibility verification and prior authorizations—allowing staff to focus on patients, not paperwork.

• Fewer phone calls and faxes
• Less manual data entry
• Scalable workflows without added headcount

ReferralMD’s Authorization & Eligibility Automation removes friction from insurance workflows so referrals move efficiently from intake to care.