ReferralMD
clinical decision support

Referral Management

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 platform also automates high-volume workflows for specialties like Dermatology, ensuring biopsies and consults are scheduled instantly.

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

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.

How does ReferralMD process inbound faxes automatically?2025-09-29T09:18:07-07:00

ReferralMD uses AI to scan incoming faxes, rotate pages, split documents, and identify the sender, receiver, patient, and document type. Faxed referrals are inserted into the referral workflow, while other faxed documents can be routed to the EHR and attached directly to patient charts.

How to effectively integrate with EHRs?2025-06-17T08:31:47-07:00

ReferralMD offers flexible, standards-based integrations with leading EHR systems to streamline referral management directly within your clinical workflow. Whether you’re using Epic, Cerner, athenahealth, or another platform, ReferralMD can connect seamlessly to reduce double data entry and improve efficiency.

With ReferralMD, you can:

  • Integrate using HL7, FHIR, or API connections for secure, real-time data exchange

  • Send and receive referrals without leaving your EHR

  • Auto-populate referral forms with patient and provider data

  • Track referral status and outcomes from within your native system

  • Reduce IT burden with flexible deployment options and dedicated integration support

Our team works closely with your IT and clinical staff to ensure smooth, secure EHR integration that fits your existing workflows and boosts adoption.

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.

Can ReferralMD automatically update referral statuses?2025-09-29T09:17:22-07:00

Yes. ReferralMD can move referrals to specific workflow statuses based on customizable rules, reducing manual updates and keeping teams aligned.

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.

SmartEXCHANGE®

Integrates with the tools you already use

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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