Referral coordination
Referral Coordination &
Prior Authorization Support.
Keep referral work moving through intake, authorization follow-up, scheduling coordination, and documented next steps.
From intake to next action
A clear next step at every stage.
We support the referral lifecycle with structured administrative work around your defined process.
Intake
Receive and validate referral information.
Administrative review
Verify requirements, documentation and benefits.
Authorization follow-up
Submit, track and follow up with payers.
Scheduling coordination
Coordinate appointments and patient instructions.
Status follow-up
Confirm status, address barriers and communicate with all parties.
Closure or escalation
Confirm completion or escalate unresolved cases. Completion criteria are defined by your team.
Defined responsibilities
Operational support. Clinical governance retained.
We work within your organization’s systems, workflows and defined rules.
MEDICOSMOS handles
- Agreed administrative documentation
- Request and payer follow-up
- Scheduling coordination
- Status, owner and next action
- Exception routing
Your care team retains
- Clinical orders and urgency
- Medical necessity and clinical review
- Exception decisions
- Governance and permitted access
Operational visibility
Make pending work visible.
Structured tracking helps your team see what’s outstanding and what happens next.
| Case | Status | Barrier | Next action | Owner |
|---|---|---|---|---|
| REF-001 | Documentation needed | Missing note | Request missing note | Client team |
| REF-002 | Payer pending | Payer review | Follow up with payer | Operations team |
| REF-003 | Scheduled | None | Confirm next step | Operations team |
Common exceptions
Route barriers to the right owner.
We identify common issues early and route them to the appropriate team for resolution.
Missing documentation
We identify and flag missing or incomplete information.
Payer review
We track status and follow up during payer review.
Unable to reach
We document outreach attempts and route for next steps.
Clinical input needed
We escalate when clinical clarification is required.
Frequently asked questions
Do you guarantee authorization?
No. Payer decisions remain with the payer.
What counts as closure?
The agreed milestone, verified within the available systems and scope. Submitted, authorized, scheduled, completed and operationally closed are distinct statuses.
Let’s streamline referral operations
Let’s review your referral workflow.
A focused conversation can help identify opportunities and next steps for your organization.
