Healthcare

Patient referral

Automate patient referrals across all channels with AI agents, reducing referral leakage and speeding time-to-appointment.

Capabilities

Streamline patient referral workflows

Automate referral intake across fax, voice, and EDI with AI agents that receive, validate, and route referral data in real time.

Data harmonization

Multichannel referral intake

Receive referral data and documentation via fax, voice, or EDI, with AI normalizing inputs across all formats and initiating the intake workflow for each submission.

Custom parsing

Document extraction

Extract patient details, clinical documentation, and referral source and validate completeness against the provider's acceptance criteria.

Human in the loop

Acceptance decision routing

Confirm referrals criteria automatically and escalate cases requiring clinical review to the appropriate staff member with the full referral package assembled.

Structured entry

Patient record creation

Store accepted referral data in structured format in the provider system, with all documentation indexed and linked to the patient record for immediate clinical staff access.

Automated next steps

Follow-on action triggering

Trigger scheduling outreach, intake form distribution, and care team notification automatically upon acceptance, so no accepted patient waits on a manual handoff.

Audit-ready

Referral audit & logging

Log every referral with channel source, documentation status, decision, and timestamp for compliance requirements and referral performance reporting.

Outcomes

Faster intake, no referrals lost

Process inbound referrals across all channels without manual handling

80-90%

reduction in referral processing time

20-40%

reduction in referral leakage

Related use cases

Complete the patient access journey

Ready to automate patient referral intake?

See how Kore.ai processes inbound referrals with zero manual handling and full audit logging.