What is the role of referral authorization in Epic Prelude?

Referral authorization plays a crucial role in the Epic Prelude system, primarily focusing on obtaining approvals for specialized care. This process is essential for healthcare providers to ensure that patients receive the necessary tests, procedures, or consultations that require external approval. When a healthcare provider identifies the need for specialized services beyond general primary care, obtaining a referral authorization helps to streamline the process and create a record of the need for those services.

By securing the proper authorizations, healthcare providers can confirm that the patient's insurance will cover the costs associated with the requested specialty services, thereby reducing potential billing disputes and improving the overall patient experience. This mechanism also ensures that patients are directed to appropriate specialists in a timely manner, facilitating better care coordination and access to necessary treatments.