Referral Guidance

Referral guidance refers to the process of making recommendations or providing information on when and to whom a patient should be referred for specialized medical care.

Referral guidance is typically provided by a primary care physician to ensure that a patient receives the best possible care for their specific needs. The decision to refer a patient may be based on a variety of factors, such as the patient’s symptoms, medical history, test results, or the complexity of a medical condition.

Referral guidance may also include information on what type of specialist a patient should see, such as a cardiologist for heart-related issues or an oncologist for cancer treatment.

The goal of referral guidance is to ensure that patients receive timely and appropriate care, improve health outcomes, and reduce unnecessary healthcare costs. Vim’s Prior Authorization solution helps care teams in the referral guidance process.  

Vim’s Prior Authorization application provides an end-to-end prior authorization workflow without the phone-fax-portal push. Prior authorization information is delivered when it’s most relevant during the point of care.

Instead of a start-stop workflow that delays action, Vim’s solution drives the process forward from required authorization to case submission with the ability to check on the status of a submission and update it from a single view.