Core Capabilities for Referral Management Healthcare
Swift Referral Identification
HealOS analyzes scheduled appointments, diagnoses, and insurance rules to determine referral requirements before visits, ensuring compliance, reducing delays, and improving care coordination.
Pre-Filled Referral Documentation
HealOS automatically populates referral forms with patient, provider, and clinical data from the EHR, eliminating manual entry errors and preventing incomplete referral submissions.
Payer-Specific Referral Rule Checks
HealOS verifies payer referral requirements, network rules, and policy limitations to ensure referrals are compliant, in-network, and protected from avoidable denials.
Real-Time Referral Submission
HealOS submits referrals instantly via fax, direct messaging, or EHR integrations, ensuring timely delivery, confirmation of receipt, and faster referral processing.
Referral Status Tracking & Alerts
HealOS tracks referral status from submission through acceptance and completion, sending alerts when action is required to prevent bottlenecks and delays.
Denied Referral Handling & Resubmission
HealOS identifies referral denial reasons, guides corrective actions, and prepares resubmissions automatically to accelerate resolution and minimize delays in patient care.
