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What is ReferWell?

Provider networks and payers managing care for more than 10 million patients have effectively facilitated 200,000 care transitions through ReferWell. This innovative platform not only strengthens Medicare Advantage programs but also increases member satisfaction and addresses care gaps to promote quality enhancements. It plays a critical role in improving network adequacy across various electronic medical records (EMRs) while reducing costly transitions and preventing potential revenue losses. By improving access to care and revealing new revenue streams via the 340B program, ReferWell actively contributes to community health efforts. Furthermore, it reinforces collaborations with local providers, ensuring that patient referrals are appropriately channeled to specialist hospitals, thereby minimizing financial setbacks. With adherence to HIPAA standards, ReferWell integrates smoothly with top EMRs and scheduling systems, facilitating efficient clinical data sharing among healthcare providers and enhancing care coordination without the typical delays of traditional communication approaches. Supporting all integration protocols, the ReferWell system equips provider networks to proficiently oversee patient and member care transitions while retaining a detailed view of interactions between patients and providers. This cutting-edge method not only streamlines operational processes but also significantly elevates the quality of care received by patients, fostering a healthier community overall. Ultimately, ReferWell represents a pivotal advancement in the healthcare landscape, aiming to transform how care is delivered and managed.

What is CareCost Estimate?

CareCost Estimate delivers a comprehensive solution tailored for infusion centers and specialized medical practices, addressing a frequent question from patients: what is the expected cost of treatment? By inputting details such as medication, dosage, and insurance information, staff members can quickly calculate the patient's out-of-pocket expenses, often in under 90 seconds. This estimate takes into account various elements, including Medicare Part B coinsurance, any secondary insurance, Medigap coverage, weight-based dosing, and potential vial waste considerations (JW/JZ). Additionally, it factors in any available manufacturer copay assistance programs and foundation grants that the patient might qualify for, ensuring that the provided estimate accurately reflects the patient's financial responsibility. Beyond just cost calculations, the platform also offers valuable insights into payer requirements, outlining necessary prior authorizations, step therapy guidelines, and site-of-care conditions, all derived directly from the payer's policy documents with relevant links for easy access. The pricing data is based on the CMS Average Sales Price files, which are updated quarterly, and importantly, since the estimates are generated within the browser, patient information remains confidential and is not sent to outside servers. Furthermore, CareCost enhances its offering by providing free resources on billing and coding practices, including infusion CPT codes, J-codes, and modifiers, as well as a quarterly Infusion Reimbursement Index that aids healthcare providers in optimizing reimbursement processes. This comprehensive approach not only streamlines cost estimation but also supports healthcare professionals in navigating the complexities of patient billing.

Media

Media

No images available

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

API Availability

API Availability

Pricing Information

Pricing not provided

Pricing Information

$189/month (first seat), $89/m
Free Trial Offered?

Supported Platforms

SaaS

Supported Platforms

SaaS

Customer Service / Support

Standard Support
Web-Based Support

Customer Service / Support

Web-Based Support

Training Options

Documentation Hub
On-Site Training

Training Options

Documentation Hub

Company Facts

Organization Name

ReferWell

Company Location

United States

Company Website

public.referwell.com

Company Facts

Organization Name

CareCost

Date Founded

2026

Company Location

United States

Company Website

carecostestimate.com

Categories and Features

Healthcare

Not specified

Categories and Features

Medical Billing

Not specified

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