Our advanced artificial intelligence models have the highest performance in the market, building on our patented machine learning system for predicting risk.

PulseData is advancing healthcare with data-driven actionable clinical insights giving payers, providers and other value-based care organizations the power to improve clinical and financial outcomes, close care gaps, and improve HEDIS and CAHPS scores. PulseData leverages large, diverse datasets and deep clinical expertise to effectively identify patients with chronic conditions. Using cutting-edge machine learning and AI models, PulseData enables early intervention, equipping healthcare teams with informed, data-driven insights precisely when they matter most – at the point of care.

PulseData’s thoughtful model development avoids machine learning biases, prioritizes model explainability and ensures optimal model performance. Our tailored collaborative approach with our valued clients creates meaningful, impactful, and relevant workflows. The resulting actionable insights can be viewed on our platform and seamlessly integrated into clinical workflows to enhance and support care management workflows.

At the nexus of technology and healthcare, PulseData empowers providers to make well-informed decisions, which improve patient outcomes, reduce costs, and improve program performance. Learn More at pulsedata.ai.

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. 

Actionable insights integrated into clinical workflow

PulseData’s thoughtful model development avoids machine learning biases, prioritizes model explainability and ensures optimal model performance. Our tailored collaborative approach with our valued clients creates meaningful, impactful, and relevant workflows. The resulting actionable insights can be viewed on our platform and seamlessly integrated into clinical workflows to enhance and support care management workflows.

Unlike our competitors, 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