ReferWell provides a provider‑matching and scheduling platform that combines real‑time clinician availability with member eligibility data to automate referrals for health‑plan payers and provider networks. The solution delivers multi‑channel outreach, a care‑navigator console, and analytics dashboards to increase appointment adherence and close care gaps at scale.
Funding
Funding not disclosed
Founders
Product
Problem
Health plans and provider organizations struggle with fragmented scheduling processes, siloed provider information, and low appointment adherence, which create barriers to care, widen care gaps, and diminish member satisfaction.
Solution
ReferWell offers an integrated provider‑match scheduling platform combined with a proprietary member‑engagement service that equips care navigators with real‑time provider availability and member eligibility data. The system automatically aligns members with appropriate clinicians, delivers targeted outreach to encourage appointment completion, and tracks outcomes through a centralized analytics dashboard. By streamlining referrals and providing hands‑on program management, ReferWell improves member experience, raises show rates, and accelerates care‑gap closure for both payers and provider networks.
Target Audience
Primary customers are health‑plan payers and provider networks (hospitals, clinics, and health‑system groups) that need to improve referral efficiency, increase patient show rates, and close preventive‑care gaps at scale.
Features
- Algorithmic provider‑matching engine that cross‑references member health data with real‑time clinician schedules to generate optimal appointment options
- Automated, multi‑channel member outreach (email, SMS, voice) with personalized reminders and education to boost adherence
- Care navigator console that consolidates eligibility, prior authorizations, and referral status for end‑to‑end workflow visibility
- Integrated reporting suite delivering KPI dashboards on show rates, care‑gap closure, and program ROI, exportable via standard HL7/FHIR APIs
- Seamless data ingestion from payer and provider systems through secure, HIPAA‑compliant connectors, eliminating information silos
- Scalable program‑management layer that allows organizations to define custom care campaigns, track execution, and measure impact against predefined goals
- Role‑based access controls and audit logging to ensure compliance and data security across all user groups