Healthcare organizations often face significant referral leakage, with 55%-65% of patient referrals directed to out-of-network providers, resulting in revenue loss. Manual processes like faxes and emails further reduce efficiency, as only 54% of faxed referrals lead to scheduled appointments.

Our AI-powered Healthcare Referral Management, built on ServiceNow, automates referral processes, reduces leakage, enhances provider communication, and ensures clarity and completeness in referral information. The result: streamlined operations, better coordination, and improved patient care.

- Specialized referral workflow automation built on ServiceNow capabilities to complete the following: 
- A preliminary review of inbound referrals to determine if they are administratively complete.  
- Determine if the inbound referral is associated with an existing patient record in the system, or if a new patient record needs to be created.  

- Real-time visibility for referring coordinators into referral status. 
- Integration with ServiceNow Document Intelligence to extract referral information from inbound referral forms. 
- Integration with ServiceNow’s Now Assist to analyze referral completeness against applicable Referral Protocol Knowledge Articles and determine if referral requirements have been met or not based on the referral type.  
- A Referral Coordinator Dasboard to capture the following metrics: 
- Total Referrals by Medical Specialty  
- Incomplete Referrals Queue 
- Average Processing Time from “New” to “Approved” 
- Total Referrals Approved 
- Open/Active Referrals 
- Total Referrals Submitted for New Patients