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Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Awards
Differentiators
Health equity
Keywords
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Company details
Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Awards
Differentiators
Health equity
Keywords
Media
Company details
Health System 365
Health System 365

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Categories

Solutions

Description

Product Description:

Health System 365 from Skypoint AI is a complete AI workforce designed for regional and rural health systems, delivering secure, scalable productivity gains across clinical and operational workflows. Built on a HITRUST r2-certified platform, it acts as a 24/7 extension of your care team by unifying data, automating routine processes, and surfacing actionable insights directly within existing systems.

With integrations into more than 50 EHR, ERP, RPM, SDoH, and payer platforms, Health System 365 brings together clinical, financial, and operational data into a unified view. The low-code AI studio allows organizations to design and deploy custom workflows, while prebuilt applications address critical use cases. Care management agents like Lia provide real-time insights, personalized care plans, and gap closure directly within the EHR. Risk adjustment workflows improve coding accuracy and optimize reimbursement, while eligibility and benefit verification eliminate billing errors and speed up onboarding. Population health and operational analytics empower teams with real-time dashboards, predictive models, and data-driven decision-making.

The impact is measurable. Regional and rural health systems typically:

  • Reduce administrative and care management costs by 10-15%.
  • Decrease uncompensated care by 20-30%.
  • Cut manual reporting time in half.

Deployments often deliver 1-2 FTE savings for every 50 care managers, while also driving up to 5% annual increases in captured revenue through faster reimbursement and optimized coding.

Health System 365 offers transparent, predictable pricing on a per-patient, per-month basis, with enterprise options that include platform, modules, integrations, and full support. To explore how it can transform your organization, request a custom demo at sales@skypoint.ai or visit skypoint.ai.

About Skypoint AI:

Skypoint’s HITRUST r2-certified, EHR-agnostic AI agents enhance productivity, lower administrative cost, improve outcomes, and reduce provider burnout.

Product Description:

ReferralMD delivers AI-powered solutions for Referral Management, eConsults, Appointment Management, Fax Management, Patient Scheduling, Intake and Communications, Marketing CRM and Analytics. Our solutions help hospitals, health systems, networks, and payers streamline the referral process, decrease patient leakage, and improve communication between providers and patients. The enterprise platform’s powerful workflow automation tools help healthcare providers drive operational efficiencies, increase revenue, and improve customer service. To learn more about ReferralMD, please visit www.getreferralmd.com..

>>> HOW WE HELP <<<

Digital Front Door

  • Patient Access Tools
  • Patient Direct Scheduling
  • SmartCHAT Patient Intake
  • Patient Communications

Operations

  • Consult Management
  • Referral Management
  • Appointments and Scheduling
  • AI Fax Management

Marketing & Services

  • Marketing CRM
  • Advanced Analytics
  • Professional Services
  • SmartEXCHANGE Integrations

>>> WHO WE HELP <<<

Health Systems/ACOs/DSRIPs/CINs

  • Reducing patient leakage through SmartMatch decision support and real-time analytics
  • Standardizing and streamlining the referral management process across the organization
  • Driving operational efficiencies and allowing referral teams to scale more efficiently

PCPs/FQHCs/Dental Practices

  • Matching patients with appropriate providers using SmartMatch decision support
  • Closing the feedback loop with specialists and reducing phone calls and faxes
  • Increasing patients LTV to ensure they are not lost to competitors after referrals are sent

Specialty Care Organizations

  • Increasing referral volume and capturing more revenue using CRM and marketing tools
  • Improving customer service with referring providers through automated status reports
  • Managing referral network and gaining insight into referral patterns using analytics 
About ReferralMD:

ReferralMD delivers AI-powered solutions for Referral Management, eConsults, Appointment Management, Fax Management, Patient Scheduling, Intake and Communications, Marketing CRM and Analytics. Our solutions help hospitals, health systems, networks, and payers streamline the referral process, decrease patient leakage, and improve communication between providers and patients. The enterprise platform’s powerful workflow automation tools help healthcare providers drive operational efficiencies, increase revenue, and improve customer service. To learn more about ReferralMD, please visit www.getreferralmd.com.

Compatibility level

Select which hospital or health system you work at and see a personalized compatibility level.

Clients

Select which hospital or health system you work at and see the client list

Use Cases

Description:

1. Care Gap Closure & Population Health

Automatically identifies patients who are overdue for preventive services (screenings, vaccines, chronic care visits) and guides outreach and follow-up—helping improve quality scores, avoid penalties, and meet value-based care targets.

2. Prior Authorization & Denial Management

Uses AI agents to automate the entire prior-auth lifecycle—from intake and documentation to status tracking and appeals—reducing delays, administrative cost, and claim denials.

3. Medicaid Re-determination & Uncompensated Care Reduction

Flags patients at risk of losing coverage, assists them through re-enrollment, and minimizes lapses that drive bad debt or charity care—directly protecting revenue.

4. Referral Management & Network Leakage Prevention

Optimizes specialist referrals and ensures patients stay within network, improving continuity of care and capturing downstream revenue.

5. Scheduling & Capacity Optimization

Analyzes real-time demand and provider availability to maximize clinic and inpatient throughput, cut no-shows, and improve staff utilization.

6. AI-Driven Clinical & Operational Command Center

Unifies data across 50+ systems and layers predictive/agentic AI for service-line performance, quality reporting, and population risk insights—empowering leaders with a single source of truth for strategic decisions.

Pediatric use cases:

None provided

Users:
  • Executive Leadership
  • Clinical and Medical leaders
  • Revenue Cycle and Financial Operations
  • IT, Data, and Digital Health Teams
  • Care Management and Population Health staff
  • Front-Line Clinical Staff
Description:
  • Improve patient access through online provider directory and scheduling
  • Improve visibility of provider affiliations across the network and reduce leakage
  • Close the feedback loop, improve loyalty, and increase revenue from referring providers
  • Triage and match patients with the best providers with clinical decision support checklists
  • Communicate with online messages and consults versus fax or phone calls on hold
  • Reduce lost referrals due to improper handling, poor workflow, or antiquated e-fax technology
  • Acquire and retain patients with provider relationship management software (CRM)
  • Reduce no-show rates and improve engagement through automated patient communications
  • Connect different EMRs using ReferralMD as the bridge for interoperability
Pediatric use cases:
  • Pediatric providers can send or receive referrals and communicate with referral partners and patients via the platform.
Users:
  • Care coordinators, referral coordinators, authorization processors, schedulers, marketing representatives, physician liaisons and managers log into ReferralMD. 
  • Clinicians stay within their respective EHR systems since data is exchanged via EHR integrations.

EHR Integrations

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, ERP system, Patient portal, Pop health platform, Community based organizations, Access +/or revenue cycle

EMR Integration & Relevant Hardware:

Use case dependent

EMRs Supported:

Point Click Care, Epic, Cerner, Meditech, Athenahealth, Allscripts, CPSI

Hardware Compatibility:

Desktop, Mobile / Tablet (web optimized)

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, ERP system, Pop health platform, Home health, Community based organizations, ADT, Access +/or revenue cycle, Credentialing, Website / public online sources, Other

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, NextGen, athena, GE, eClinicalWorks, Other, Allscripts/Eclipsys, Athenahealth, Azalea Health/Prognosis

Hardware Compatibility:

Desktop, Mobile / Tablet (web optimized)

Client Types

Awards

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Differentiators

Differentiators vs EHR Functionality:
  • Predictive / proactive insight & real-time alerts
  • Administrative burden & staff capacity gains
  • Unified Data Platform across sources
  • AI Agents / Agentic Architecture
  • Overlay integration with EHR workflows
  • Handling unstructured external inputs
  • Security, compliance, auditability
Differentiators vs Competitors:
  • HITRUST r2 certification
  • Healthcare-native / EHR-agnostic AI agents
  • Unified Data Platform (Lakehouse + Lakebase)
  • Master Data Management & Entity Resolution
  • AI Agents / Agentic Apps
Differentiators vs EHR Functionality:
  • Online Scheduling – new patients can book appointments from your website without setting up an EHR patient portal account
  • Referral Management – website portal for receiving referrals, customized workflow, automated alerts when referrals need attention
  • Patient Communications – automated text/email messages sent to patients triggered at specific steps in the consult or referral journey
  • Provider Communications – automated consult and referral status updates sent to sending providers to close the loop between PCPs and specialists
  • Fax Management – manage all inbound faxes and push faxed referrals into the referral workflow, ability to split faxes into multiple documents
  • Marketing CRM – physician liaisons can document outreach and compare outreach activity with referral volume from their partners
  • Market Research – over 7 million providers pre-loaded which allows you to identify new potential referral partners in your target markets
  • Referral Analytics – comprehensive suite of analytics to report on all your referral metrics (trends, volume, leakage, service levels, outreach, etc.)

Differentiators vs Competitors:

Differentiator 1: All-In-One Platform

  • Some vendors offer patient access, referral management, e-consults or CRMs. Our cloud-based platform offers them all plus the following features.
  • Real-time analytics across the platform
  • Automated workflow and decision support tools
  • Automated feedback loop with referring providers
  • Automated patient communications via text or email
  • Integrated fax management system (port over existing fax numbers)
  • Integrated Customer/Partner Relationship Management (CRM/PRM)
  • Marketing research tools based on a directory of over 7 million providers

Differentiator 2: Rapid Integration Capabilities

  • Our integration engine allows our Integrations Team to quickly deploy system interfaces using APIs, FHIR, HL7, Direct, etc. which is important when implementing the platform for health systems, ACOs and CINs with many EHRs, data warehouses and other third-party systems across their networks.  
  • In addition, we comply with the third-party system’s specifications rather than asking the vendor to follow our requirements which streamlines the integration process and reduces cost for the client. 

Differentiator 3: All Healthcare Referrals Supported

  • The system is highly configurable and can support all healthcare referral types such as medical, specialty care, therapy, imaging, dental, behavioral health, hospice, home care, etc.  
  • The customization in the system allows clients to define their own workflows, referral forms, patient communication templates, and other settings that can be standardized across the organization.

Health Equity

Keywords

Images

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Skypoint AI Platform

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Videos

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Care Management Agent - EHR Overlay

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ReferralMD - Referral Management Solution.mp4

Downloads

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Health System 365 by Skypoint AI
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Company Details

Founded in 2011

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