Manage referral master data

Trigger: A request is submitted to add a new referring provider, update existing facility details, or change network participation rules.

1. Receive request to add or modify referring provider data
2. Verify provider NPI, credentials, and network status
3. Input demographics, specialty codes, and contact details
4. Configure referral routing rules and prior authorization requirements
5. Audit entered data against master data governance standards
6. Synchronize referral master data with EHR and billing platforms

Outcome: Standardized referring provider and routing data is verified, active, and synchronized across clinical and billing systems.