Connected capability

Referral Management

Track referral requirements, documents, visits, expirations and closed-loop communication.

Connected to Celeris OSProvider · Organization · Location · Relationship · Workflow
CELERIS / CINEMATIC STATE 02Revenue NetworkRevenue Network · interactive operating model
Revenue NetworkPatient AccessReferral ManagementConnected outcome

Complete operating model

Referral Management is more than a task.

A production-grade capability must coordinate information, people, rules, systems, evidence and downstream consequences.

01

Complete financial context

See the patient, provider, payer, encounter, contract and claim relationships behind every task.

Referral Management
02

Rules before rework

Apply coverage, coding, payer, contract and filing logic at the earliest useful moment.

Referral Management
03

Prioritized work

Route action by value, urgency, deadline, cause, skill and probability of resolution.

Referral Management
04

Closed-loop resolution

Preserve every correction, response, follow-up and outcome in the same operational story.

Referral Management
05

Learning revenue cycle

Feed exceptions and results back into prevention, forecasting and next-best action.

Referral Management

End-to-end workflow

From initiation to measurable outcome.

01AccessInitiate referral management
02VerifyPreserve context and advance work
03DocumentPreserve context and advance work
04CodePreserve context and advance work
05SubmitPreserve context and advance work
06AdjudicatePreserve context and advance work
07PayPreserve context and advance work
08ImproveFeed results into intelligence

Information model

Every decision needs context.

Referral Management operates with the same master healthcare entities as the rest of Celeris. That means work never loses the organization, provider, location, payer, patient, team or relationship that gives it meaning.

Referral ManagementProviderOrganizationLocationPayerRelationshipWorkflow

Connected before and after

No dead-end workflows.

Designed across healthcare

One capability, different operating realities.

01Independent practices

Celeris adapts referral management to this organization’s scale, relationships and workflow requirements.

02Multi-specialty groups

Celeris adapts referral management to this organization’s scale, relationships and workflow requirements.

03Facilities

Celeris adapts referral management to this organization’s scale, relationships and workflow requirements.

04RCM organizations

Celeris adapts referral management to this organization’s scale, relationships and workflow requirements.

05Enterprise care networks

Celeris adapts referral management to this organization’s scale, relationships and workflow requirements.

Referral Management

Design this capability around the whole operation.