Specialty Pharmacy & Infusion · Referral Intake

Referral Intake Orchestration
Received is not the same as ready.

Most referral delays aren't caused by volume. They come from cases that look received but aren't ready to move.

WRA designs how referrals move from arrival to an accepted handoff: case association, readiness, missing evidence and ownership. Then we implement it inside the systems your team already uses.

Received is not the same as operationally ready

A referral can arrive by fax, portal, e-prescription or phone and look complete. Whether it can move depends on questions most intake teams answer by hand, one case at a time.

Case association

Is this a new patient, a new therapy for an existing patient, or a duplicate of a case already in progress?

Readiness

Are demographics, clinicals, orders and coverage information complete enough for the next team to act?

Missing evidence

What exactly is missing, who has been asked for it, and when was the last follow-up?

Ownership

Who owns the next step right now, and does everyone else know it?

Accepted handoff

Has the benefits/PA team actually accepted the case, or has it only been sent?

Referral intake automation that starts with the workflow

Automation only helps once the workflow and readiness criteria are clear. WRA designs those first, then applies automation and Applied AI where they remove manual work or improve visibility.

  • Agreed readiness criteria for your referral sources and therapies, visible for every case.
  • Case association and duplicate checks that flag for staff review instead of silently merging.
  • Missing-evidence tracking with owner, next action and elapsed time for each open item.
  • Exception queues that show which referrals are stalled and why.
  • An explicit, accepted handoff to benefits and prior authorization, not just a status change.
  • Received-to-ready timing, where your systems capture the timestamps to support it.

Your systems stay authoritative. Your staff stays in control.

  • Your EHR, pharmacy system and intake tools remain the systems of record.
  • Staff review and approve where judgment is required; automation prepares, routes and flags.
  • No rip-and-replace. The orchestration layer works alongside what you already run.
  • Every operation differs by referral source, therapy and payer mix, so WRA scopes your intake workflow before recommending anything.

From a conversation to a scoped decision

  1. Discuss a healthcare workflow. A short qualification conversation about one workflow: where cases stall, who owns them, and which systems are involved. No cost, no commitment, and not an assessment.
  2. Operational Systems Assessment. If there's a fit, WRA's fixed-scope assessment maps one case type as it actually runs (data, handoffs, ownership, exceptions) and ends with a written recommendation. Scope, timeline and price →
  3. Bounded pilot, only if warranted. Success criteria and the end decision (stop, adjust, expand or operate) are agreed before anything is instrumented.