Problem Statement

Referrals must be received, validated, and acted on before a specialist visit, because many payers require an authorized referral on file or the visit denies. Newly diagnosed diabetic patients need to be seen by nutrition services, but the referral first has to be signed by the PCP, and a request that goes unsigned stalls the patient's access to needed care. Chasing each signature manually is slow, so the request and its follow-up reminder are easy to let slip.

Automation Solution

This automation identifies newly diagnosed diabetic patients needing nutrition services, sends the PCP a referral signature request, and sends one reminder a week later if the referral remains unsigned.