Inbound referrals
Post-acute referrals routed to your facilities. Review the clinical packet, then commit a bed or decline with a coded reason — the referring hospital's discharge plan updates the moment you decide.
Pending review
Referrals awaiting your decision
Referral packet · MRN-58231
Michael Johnson
72 · M · CHF exacerbation (I50.9) · Cardiology (Unit 5B)
Pending Acceptance
ALC 0d · WATCH
Awaiting facility acceptance; tracking against 7d bed-hold. · bed-hold window 7d
Requested placement
Setting
Skilled Nursing Facility (SNF)UB-04 03
Typical time to place
24–72h (bed + auth)
Routed to
Stanford Health Care Skilled Nursing · Palo Alto
Required capabilities
DIALYSIS
Coverage
Payer
BlueShield MA Advantage HMO
Plan type
MEDICARE ADVANTAGE
Eligibility (270/271)
Verified
SNF benefit / qualifying stay
100 days · 3-night met
Clinical snapshot
Comorbidities
- HFpEF (heart failure, preserved EF) · MOD
- Type 2 diabetes mellitus · MOD
- Chronic kidney disease Stage 3b (eGFR 35) · MOD
- Essential hypertension · MILD
Mobility
WALKER
Fall risk
HIGH
Dysphagia
PASS
Meds requiring PA
Sacubitril/valsartan (Entresto)
Readiness & timing
Clinical readiness
81%
Operational readiness
46%
Est. discharge
Tue, May 26
Length of stay
3 days
Review the packet, then commit a bed or decline with a coded reason.
Depth note: this demo updates shared in-memory state directly so the loop is visible in one session. In production the decision arrives as a signed webhook (POST /api/webhooks/referral-acceptance) that reconciles the audited Submission row — that server path is built and tested.