Outbound Referral Coordination

Automateoutboundreferralcoordinationforprimarycaregroups

Submit prior auths automatically, match in-network specialists, and track referrals to completion—reducing cycle time from 45 days to 20 days while eliminating 80% of manual work.

The Problem

Your coordinators are drowning in outbound referral hell

Primary care groups generate 500+ specialist referrals monthly, but coordinators can't keep up. Prior auths sit in payer portals for weeks. Patients don't schedule specialist appointments. 40% of referrals never complete—creating care gaps that hurt your value-based care metrics.

01

Prior auth requests take 5-7 days (payer portal hell)

Delayed care

02

Manual specialist matching wastes hours per referral

Inefficient workflows

03

Patients don't schedule when referred ('I'll call them later')

Care gaps

04

Coordinators chase patients and specialists for weeks

Burnout

05

40% of referrals never complete—care gaps explode

Lost VBC bonuses

The Hidden Cost

At $13 per referral to process manually, 500 referrals/month. Plus lost value-based care bonuses from incomplete referrals.

$6,500/mo

in wasted resources

The Solution

AI-powered outbound referral coordination—PCP order to completed specialist visit

Linear Health automates your entire outbound referral workflow. AI submits prior auths, matches in-network specialists, contacts patients until they book, and tracks referrals to completion.

1

Order created

PCP creates referral order in EHR. AI detects it immediately and begins workflow.

2

PA submitted

AI files prior authorization to payer portal automatically with all required documentation.

3

Specialist matched

AI finds in-network, available, appropriate specialist based on patient needs and insurance.

4

Patient booked

Multi-channel outreach via SMS, email, and voice AI until patient schedules appointment.

5

Visit complete

Patient completes specialist visit. Consult notes sent back to PCP automatically.

Key Benefits

Transform your outbound referral process with measurable results

Eliminate 80% of manual work

Process 3x more referrals with the same team. Save $7 per referral. On 500 referrals/month, that's $3,500 saved monthly ($42,000/year).

Prior auth in 2 days, not 7

AI submits PA requests to payer portals and monitors approval status automatically. No more portal hell.

Close 60% more referrals

Persistent patient engagement via SMS, email, voice AI ensures patients actually schedule specialist appointments.

Track every referral

Real-time dashboard shows referral status. No more Excel trackers or manual follow-up.

Live in 4 weeks

EHR integration, payer portal setup, staff training—done in 4 weeks with zero disruption.

The Transformation

Before Linear Health

  • 45-day referral cycle time
  • 7-day prior auth turnaround
  • 40% referrals incomplete
  • Manual specialist matching
  • Excel-based tracking

After Linear Health

  • 20-day referral cycle time
  • 2-day prior auth turnaround
  • 60% more completions
  • AI-powered matching
  • Real-time dashboard

ROI: 3:1

$42,000

Annual savings + improved VBC metrics

100%integrated
Linear Health completely changed how we engage patients. Texting, intake, registration, and documents are now fully integrated with Athena. Our response rates went up immediately, and our team stopped chasing patients. It scales without adding headcount.
Bill Cahoon

Bill Cahoon

SVP Operations, Frontier Psychiatry

Frequently Asked Questions

AI automatically submits PA requests to payer portals with all required clinical documentation, then monitors status and alerts your team when approval comes through or if additional info is needed.

AI considers insurance network, specialist availability, clinical appropriateness, patient location, and appointment urgency to find the best match automatically.

AI persists with multi-channel outreach (SMS, email, voice) for 2 weeks. If no response, the referral is flagged for coordinator follow-up with full context.

When patients complete specialist visits, consult notes are automatically routed back to the referring PCP. PCPs also receive status updates throughout the referral lifecycle.

4 weeks from contract signature to live, including EHR integration, payer portal setup, and staff training.

Still have questions?

Get started today

Ready to eliminate your referral backlog?

Every month without automation means hundreds of incomplete referrals, lost value-based care bonuses, and burned-out coordinators. Book a 15-minute demo to calculate your ROI.

Live in 4 Weeks
Works in your EHR
3:1 ROI
HIPAA & SOC 2 compliant