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Referral Management

High-Quality Referrals 

Criterion, reference based recommendations drive transparency and cost efficiencies when selecting the appropriate provider or service.

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  • Electronic referrals with notes and pertinent records  

  • Document patient requirements  before, during, and after a visit 

  • Receive reminders for accountability 

  • Document rationale

  • Cost and service factor transparency

  • Earn Quality Improvement status  

Prior Authorizations
Referral Management
Tests and Assessments

Link people to program resources 

Quick action with prompts for next steps  

Monitor and report incremental progress

Increase Network Access

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In Network
Services
Qualified Gold Star Providers
Seamless Communication 
 Specialty
Networks
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