Establish Networks
Our data ingestion platform can consume internal and external claims, quality data, and other relevant insights such as patient access or provider loyalty data that allow you to then rank specialists and facilities using a custom weighting method by service line. Our clients leverage this intelligence to build custom referral networks. Examples include a network for value-based care, an owned provider network, an affiliated network, or building networks for community-based resources.

Auto IdealMATCH
Leverage Network Intelligence data at the time of referral. Coordinators are prompted to select the most appropriate specialist for the patient based on insurance, quality outcomes, costs, location, and patient preferences. IdealMATCH is integrated into Epic so it doesn’t disrupt the existing workflow.

Auto Prior Authorizations & Scheduling
ReferralPoint is able to automate a large portion of the referral notification and prior authorization process then enables automated scheduling capabilities based on the workflow of the practice (by patient, by staff, in real-time).

Auto Closing the Loop
ReferralPoint supports closing the patient care loop between the primary care provider and specialist while tracking each step from referral order to a closed loop regardless of the referred-to providers EHR. Once a referral option is selected, ReferralPoint automates communication (SARA) with the patient to guide them along the journey then updates the status of each referral - including automated reminders, follow up, and even feedback surveys which can be used to update the scores of each provider. Because our solution is built on a data ingestion engine, we can close the referral loop a number of ways including engaging the patient, faxing the specialist, analyzing claims or receiving ADT feeds.

ReferralPoint is the leading expert in referral management solutions for health systems, medical groups, and payers looking to reduce leakage, increase revenue and savings, improve efficiency, and enhance patient satisfaction. ReferralPoint uses data and automation to alleviate staffing challenges while supporting fee-for-service and value-based care initiatives. ------------------------------ Beyond a tech vendor, we're a data-driven network management and closed-loop referral solution, delivering quantifiable financial impact insights, revenue maximization, and streamlined workflows. From reducing leakage to automating communications, we prioritize efficiency, patient satisfaction, and building high-valued Preferred Networks. Our one-click EHR-integrated solution ensures seamless workflows, including insurance verification, IdealMATCH selection, authorizations, scheduling, and real-time tracking. 

Loyal Data Management is the only data management platform in the market that allows health systems to easily enable digital touchpoints across the patient journey acting as one source of truth for a fully digitized patient experience.

Benefits:

• Control and manage your data (provider, locations, services, and taxonomy) with one tool across the entire digital front door (websites, search, scheduling, referrals, and provider outreach).
• Automate the analysis, use, and application of data while managing accuracy.
• Work from a comprehensive clinical taxonomy library that aligns with current standards and is customizable for your needs.
• Automatically map specialties, conditions, treatments, and helpful synonyms to each provider’s specialty, enhancing the physician’s online profile and making care more easily searchable.

Results:

• Increased provider matching and patient satisfaction.
• Establishes data governance and enables controlled access to data.
• Reduces errors and identifies gaps in data.
• Improved operational efficiency and increased savings.

Founded in 2015 in Atlanta, Georgia, Loyal is a healthcare technology company dedicated to enabling a healthier life for all by making care more clear, accessible, efficient, and consistent for patients and the providers they rely on. 

We do this by combining our deep understanding of healthcare consumer intent and clinical taxonomy with a suite of best-in-class patient engagement products, helping patients choose your organization, find your doctors, schedule appointments and re-engage when the time is right. . Beyond that, we can help optimize your systems and improve your relationships with patients, providers, payors, employers, and the broader community, so you can better understand your patients and be able to reach them at the right time in their care journey. Fully implemented, Loyal becomes a central part of your operations,providing actionable insights for the enterprise, supporting a deeper understanding of patient demand, visit inventory, consumer preference and even physician staffing needs. . 

As the preferred platform for improved care utilization, Loyal is used by the nation’s leading healthcare organizations, partnering with 37+ health systems, 490+ hospitals, and 55+ providers from across the U.S. 

We ingest your patients, claims, and 3rd party data

More than just a referral app...we're a Data Driven, Fully Automated, Referral Strategy Platform that allows you to:  

1. Analyze Referral Trends over three year look-back to reduce leakage, cost, improve care quality and patient experience

2. Optimize Preferred Networks with provider scoring, patient-provider matching, and actionable insights into gaps and opportunities

3. Automate Referral Workflows with provider selection, scheduling, patient communication, and closing the loop all from within your existing EHR workflow