Get patients to the right specialist—faster
CareFlow automates referrals and prior authorizations for primary care teams.
Wins: faster referrals • fewer reworks • happier patients
How clinician teams use CareFlow
Refer in seconds, verify coverage instantly, and book the next‑available specialist before the patient leaves the room.
Wins: Faster referrals • Fewer reworks • Happier patients
One organized queue instead of phone/fax chaos. CareFlow assembles required docs, suggests CPT/ICD codes, submits e‑PAs/e‑referrals, and tracks status with alerts.
Wins: First‑pass approvals ↑ • Time saved ↑ • No missing paperwork
See the flow of care and the ROI. Monitor cycle time, first‑pass rate, days‑to‑appointment, and leakage to coach teams and steer in‑network.
Wins: Operational clarity • Network retention • Audit‑ready compliance
How it works
Bring every referral into one queue—no re-keying.
- Drag & drop PDFs: Upload packets from anywhere; we parse and index them.
- Auto-read faxes: OCR + AI extracts patient, coverage, and clinical details.
- EHR extracts: Pull structured referrals and attachments from your EMR.
Outcome: A clean, normalized case with patient, coverage, referrer, and documents ready to go.
Catch issues before they cause rework.
- Member & plan: Verify eligibility and plan recognition in real time.
- In-network: Detect network status for the target specialist/facility.
- Auth rules & missing docs: Apply payer-specific criteria; flag gaps (codes, notes, labs, imaging).
Outcome: Requirements met the first time—fewer denials, fewer callbacks.
Move the case forward automatically.
- Assemble packet: Demographics, CPT/HCPCS, progress notes, labs, imaging—packaged to spec.
- Submit & route: E-submit across payers or route internally; start live tracking instantly.
- Find & book: Surface next-available in-network appointments and book in one click.
Outcome: Fast, trackable completion—referral closed with patient scheduled.
Why teams choose CareFlow
Four pillars make referrals move—backed by outcomes teams care about
“CareFlow cut our referral cycle time in half and gave our team one source of truth.”
ROI snapshot
Illustrative calculator: tune your numbers in a demo.
Illustrative; depends on volume, wages, write‑offs, and margin. Walk through a live calculator in the demo.
Privacy with CareFlow
We safeguard PHI by design.
HIPAA-aligned controls: encryption in transit and at rest, least-privilege access, audit logs.
Data isolation: each organization’s data is segregated.
You control retention: configurable data-lifecycle policies.
BAA available: we’ll sign one before handling PHI.