ReferralMD
clinical decision support

Referral Management

Connect Every Referral, Every Provider, Every Patient. Gain end-to-end visibility into referral activity, eliminate leakage, and strengthen network alignment—all from a single, intelligent platform that turns coordination into measurable growth.

Benefits of referral management

Reduce leakage, accelerate access, and strengthen relationships to keep patients in your network and grow referrals.

Workflow Automation

Automates referral processes, reducing administrative burdens and allowing staff to focus more on patient care.

Reduce Leakage

Seamless referral tracking minimizes patient leakage by keeping referrals within the network.

Reduce Processing Time

Our HIPAA-compliant platform automates referral tracking, simplifying workflows, reducing processing time, and improving accuracy.

Referral Management with ReferralMD

Centralized Referral Dashboard

  • Receive, review, and respond to electronic and faxed referrals from any browser.

  • Route referrals received by phone and assign them to specific departments/ specialties.

  • Send, monitor, and track outbound referrals and receive appointment notifications in real-time.

SmartMATCH Decision Support

  • Match patients with the most appropriate in-network providers before sending referrals

  • Providers ranked based on scores generated by customizable algorithm

  • Scoring based on provider’s network tier, accepted insurance plans, proximity to patient, wait times and other inputs

Referral Management with ReferralMD
Patient Referral Workflow

Patient Journey Tracking

  • We replace inefficient, paper-based workflows with scalable digital referral workflows.

  • Flag referral ‘status’ within each journey stage and see in real-time where referral bottlenecks are occurring.

  • Customizable workflows for multiple care settings, a unique one for each specialty, or standardized depending on your requirements.

Automated Feedback Loop

  • Track the approval process in real-time as the sender or receiver of a referral.

  • Flag referral ‘status’ within each journey stage and see in real-time where referral bottlenecks are occurring.

  • After the referral, “If this, then that” rules will send communications back to patient or referrers to update or request information as needed (including diagnosis information).

Patient Referral Feedback Loop
Message Providers

Message & Exchange Files with Providers

Send messages  to providers and exchange patient files (x-rays, labs, dicoms) in real-time, regardless of the format or size.

Discuss patient wellness plans with other physicians

Task Management

Task Management

Assign tasks to yourself, others, or a department and receive notifications when tasks are due, overdue, or completed.

Task Management

Alert Notifications

Alert Notifications

Define and manage customized alert rules.
Receive notifications when activities are not completed in a timely fashion.
Manage work queues by exception more effectively.

Alert Notifications

Audit Log

Audit Log

Full accountability for every patient, every referral, and every change made in the referral system.

Audit Log

Why you should improve your referral process

46%

46% of the time, patients do not receive the care they need and destination providers do not realize the revenue they could have.

55-65%

The revenue impact of leakage can be significant, an average of 55-65% is lost annually costing a health system up to $1.54M per employed PCP.

20%

20% of malpractice claims involve missed or delayed diagnoses due to deficits in hand-offs between providers.

63%

63% of referring physicians are dissatisfied with the lack of timely progress updates post referral.

Referral Management FAQ

Does ReferralMD have custom intake forms?2024-02-21T20:52:31-08:00

Online consult and referral form templates ensure that all the information is captured when the consult or referral is sent. The system includes templates by specialty which serve as clinical guidelines for consults and referrals. The system form builder allows administrators to easily customize templates using a drag and drop approach with conditional logic to ensure that all the required information is entered and all the files are attached.

How to reduce patient referral leakage rate?2025-06-17T08:24:50-07:00

ReferralMD helps reduce referral leakage by giving your organization complete visibility and control over the referral process. Our platform tracks every referral from start to finish—so nothing falls through the cracks.

With ReferralMD, you can:

  • Centralize and digitize referrals across fax, email, EHR, and web forms

  • Automatically route referrals to in-network or preferred providers

  • Monitor referral status with real-time tracking and alerts

  • Engage patients with automated reminders and follow-ups

  • Identify bottlenecks with referral analytics and reporting tools

By ensuring referrals are sent, received, scheduled, and completed within your network, ReferralMD minimizes leakage and keeps patients in your care ecosystem.

How to automate patient intake?2025-06-17T08:43:58-07:00

ReferralMD streamlines and automates patient intake by digitizing forms, centralizing information, and triggering workflows based on referral data—all without manual follow-up.

With ReferralMD, you can:

  • Send digital intake forms to patients automatically after a referral is received

  • Pre-fill forms with referral data to reduce patient effort and improve accuracy

  • Route completed forms directly to the appropriate provider or department

  • Trigger alerts and tasks for missing information or incomplete submissions

  • Integrate intake data into your EHR or scheduling system in real time

By replacing paper forms and phone calls with automated digital tools, ReferralMD reduces delays, improves data accuracy, and helps get patients scheduled faster.

Can we get alerts for specific events in the referral workflow?2025-09-29T09:21:07-07:00

Yes. Event-based alerts notify the right staff when key actions or exceptions occur (e.g., missing documents, denials, or completed scheduling), all driven by configurable rules.

How does ReferralMD alert coordinators about stalled referrals?2025-09-29T09:20:13-07:00

ReferralMD triggers alerts when referrals don’t advance within predefined timeframes, based on your workflow rules. This helps teams intervene before cases fall behind.

What notifications do coordinators and managers receive when they’re not logged in?2025-09-29T09:28:48-07:00

ReferralMD can send automated email notifications to coordinators and managers for important events, ensuring they stay informed even when they’re off the platform.

SmartEXCHANGE®

Bidirectional Integrations

ReferralMD integrates with most electronic health records (EHR) systems, practice management systems (PMS), and radiology information systems (RIS) using APIs, HL7, FHIR, or Direct, and we also seamlessly connect with other HIPAA-compliant third-party systems and business intelligence tools.

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See how ReferralMD transforms your referral workflow—streamlining operations, boosting revenue, improving care team communication, and delivering exceptional patient experiences.

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