Referral Agent
VBC depends on patients visiting high-quality, lower-cost specialists and imaging facilities. Human referral agents struggle to minimize referral leakage to out-of-network, high-cost specialists. First Outcomes handles end-to-end referral workflows, including PCMH.
Referral order
In-network specialist
Appointment coordination
Follow-up
Completion
Problem it solves
- High referral leakage and lost specialty revenue.
- Difficulty finding open specialist slots.
- Inconsistent transition-of-care appointment completion.
What the agent does
- Coordinates patient scheduling and specialist office follow-up.
- Ensures that visits are scheduled in network.
- Supports pre-exit follow-up scheduling before discharge or visit completion.
Expected outcomes
- Faster referrals.
- Higher in-network retention.
- Better TOC appointment completion.