Don't suffer the consequences of bad data. Prevent them.
Beeline Referral Stories
New real referral story from Beeline Health, with a patient who suffered from a hidden access issue due to bad data:
A 66yo patient was referred to a surgeon to remove a cancerous breast tumor. The prior auth was approved, and the surgery center was in-network.
Only to find out the surgeon no longer practiced there.
A new prior auth had to be submitted, but there was no appropriate in-network alternative. A Letter of Agreement was required, and the next approval came 1.5 months later. The consultation with the surgeon came 3 months later.
For this patient, it’s 3 months of waiting at one of the most vulnerable times of their life, of losing trust in their insurance with a condition that isn’t standing still.
The problem was an access gap that the relevant stakeholders were unaware of. A provider who had left a facility, and a database that hadn’t caught up.
Had that information been current, the network team would’ve known a gap in surgical coverage needs to be filled. They could’ve brought a new surgeon into the network. The referral would’ve been correct from day one. No LOA. No wasted time. No avoidable cost.
Don’t suffer the consequences of bad data. Prevent them.
💛 About Beeline
Beeline helps every patient access the right specialist the first time. We provide the missing insights and decision support to ensure every patient’s access to the optimal specialist.
This post is part of an ongoing series of real Beeline data and referral stories, highlighting lessons learned and our impact on patient access.
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