Overview

RefTrak for ACMC
User Guides
Thursday, July 13, 2017
Please email your questions and comments to [email protected]
To get a copy of this document please go to http://carcu.acmedctr.org
and click on the RefTrak Use Guides.
You can also get a RefTrak Tutorial booklet and other related
documents there.
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OVERVIEW ...................................................................................................................... 4
HOW DOES IT WORK? ................................................................................................. 4
WILL I BE NOTIFIED WHEN AN APPOINTMENT IS SCHEDULED? .......................................... 5
WILL I BE NOTIFIED OF THE REFERRALS AWAITING MY ACTIONS? .................................... 5
WHAT ARE QUEUES? ....................................................................................................... 6
QUEUES BASED ON “STATUS GROUP” ............................................................................. 6
“Awaiting PCP Action” .............................................................................................. 6
“Awaiting Scheduling Office Action” ......................................................................... 6
QUEUES BASED ON “REFER TO” CLINIC OR GROUPS OF CLINICS..................................... 7
QUEUES BASED ON “SUBMIT DATE” ............................................................................... 7
QUEUES BASED ON “APPOINTMENT DATE” .................................................................... 7
QUEUES BASED ON “ACTIVITY DATE” ........................................................................... 7
CAN I “ACT” ON THE REFERRALS AND APPOINTMENTS? ................................................... 7
HOW DO I ? ...................................................................................................................... 8
… become a user ......................................................................................................... 8
... check on the status of my referral? ......................................................................... 8
... contact CARCU? ..................................................................................................... 9
… find a referral? ....................................................................................................... 9
… log on? .................................................................................................................... 9
… get to the Consultation Form?................................................................................ 9
... print a screen? ........................................................................................................ 9
... respond to CARCU requests for confirmation, changes, etc.? ............................. 10
... submit a referral? ................................................................................................. 10
WHAT IS? ....................................................................................................................... 11
…Action..................................................................................................................... 11
…Action Agent .......................................................................................................... 11
…Action History........................................................................................................ 11
…Appointment Call List and Letter .......................................................................... 11
…Attachment ............................................................................................................. 12
…Appointment Status ................................................................................................ 12
…Consultation Form ................................................................................................ 12
…Follow-Up Appointment – Pending Authorization ................................................ 12
…Request Patient Call Back to Schedule Appointment ............................................ 12
…Refer From Unit .................................................................................................... 13
…Referral Status ....................................................................................................... 13
…Refer To Specialty ................................................................................................. 13
…Refer To ................................................................................................................. 13
…Status ..................................................................................................................... 13
…Status Group .......................................................................................................... 14
…Submit Referral Wizard ......................................................................................... 14
…Tracking Number ................................................................................................... 14
…Work Flow Diagram .............................................................................................. 14
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REPORTS ........................................................................................................................ 15
CODE TABLES .............................................................................................................. 15
Sample of Status Group Table .................................................................................. 15
Sample of Action Table ............................................................................................. 17
Sample of Status Table .............................................................................................. 18
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Overview
RefTrak is a web-based application, used to track referrals from Primary Care
Providers to Specialty Clinics and from Specialty Clinics to each other.
Since it is web-based, the application can be accessed by authorized users from
anywhere with connection to the Internet.
RefTrak System’s Features include
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Electronic submission of referrals.
Tracking of referrals from the submission time to the completion of
appointment(s) and progress notes.
Online inquiry of referral status and appointment status.
Display specialty clinic’s guidelines and require the referring clinic to
acknowledge that the referral complies with guideline. If not complied, the
referring clinic is required to explain why not.
Facility for the organization administrator to post up to date news and
announcements.
Statistical Analysis made possible by reporting on statuses and data
collected over time such as: Time Out to Appointment, Referrals to
Specialty Clinics per Referring Source.
How does it work?
Here’s a simple cycle of a referral going through RefTrak.
Step1: The referring clinic submits a referral to a specialty clinic.
Step 2: The specialty clinic reviews and approves the referrals.
Step 3: The specialty clinic schedules an appointment.
Step 4: The referring clinic confirms the appointment.
Step 5: The specialty clinic records if the patient showed up for the appointment
Step 6: The specialty clinic records that the progress notes are sent.
Step 7:The referring clinic acknowledges that progress notes are received.
Step 8: After 60 days of in-activities passed the last appointment, a program run
at CARCU will turn the referral status to “closed”.
RefTrak’s actions are driven by the user’s role. If the user is from a referring
clinic, only a number of actions are available to her. For example, the referring
clinic user can submit a referral but she can not schedule her own appointment.
However, if the logged in user is from the specialty clinic such as Eastmont or
from CARCU (Central Appointment Referral Coordination Unit), she can approve,
reject, schedule etc.
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Whenever an action is executed, the action is recorded in the action history along
with who did it, when was it done, and an audit trail of any fields changed. In
addition, the the referral status and the appointment status are moved forward to
the next stage in the work flow by the system as appropriate.
Will I be notified when an appointment is scheduled?
You will not be notified by email or fax but you can find out which referrals
were scheduled.
When CARCU schedules an appointment, the referral’s status is set to
‘scheduled’. The appointment is added to the system and its status is set
to ‘scheduled’.
When you go to the Referral and Appointment Queues screen and click on
the status group drop down list box, one of the choices to select is “UnConfirmed Appointments”.
By selecting this status group, then click Search, the system will return to
you a list of scheduled appointments, not yet confirmed by the referring
clinic, and those appointments which the referring clinic requested a reschedule but CARCU has not responded with a new date.
Will I be notified of the referrals awaiting my actions?
You will not be notified by email or fax but you can find out which referrals
need your attention.
The Referral and Appointment Queues screen is where you can search for
lists of referrals and appointments meeting one or more criteria. The
system will return a list of referrals meeting the criteria you specified.
In the sample screen below, the user is asking the system to select all
referrals referred by “Asian Health Services” to “All” specialty clinics, at all
“Urgency” levels and that these referrals have an appointment scheduled
for “Tomorrow”.
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What are Queues?
Queues are lists of referrals and appointments selected based on one or
criteria. Queues are requested from the Referral and Appointment Queues
screen.
Queues Based on “Status Group”
Since each referral has a current status, it is possible to group them
together in a status group. The status groups are table driven and are preconfigured by your RefTrak administrator. Your RefTrak administrator can
show you the up to date definition of the status groups online. A sample of
the Status Group table is at the end of this document.
Here are some examples of queues based on status group:
“Awaiting PCP Action”
When asking the system to give you the “Awaiting PCP Action” status
group, you will get a list of referrals requiring the primary care provider to
act on. Included in this status group may be referrals waiting for an
acknowledgment that an appointment was scheduled and the PCP needs
to confirm it, or a referral was conditionally approved but further
documents are still required, or progress notes have been sent and the
provider need to acknowledge that the notes were received.
“Awaiting Scheduling Office Action”
When asking the system to give you the “Awaiting Scheduling Office
Action” status group, you will get a list of referrals requiring the Scheduling
Office to act on. Included in this status group may be referrals submitted
but have not been approved, referrals approved but have not been
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scheduled for an appointment, or referrals with a request for a change of
appointment date and time.
Queues Based on “Refer To” Clinic or Groups of Clinics
By selecting a Refer to clinic – such as Cardiology – you can get a list of
patients referred to that clinic. This queue is often used by CARCU to
quickly get a list of referrals assigned to a particular coordinator based on
a group of specialty clinics.
Queues Based on “Submit Date”
By specifying a date range or a particular date in the submit date box, you
can get a list of referrals submitted to the specialty clinics.
Queues Based on “Appointment Date”
By specifying a date range or a particular date in the appointment date
box, you can get a list of appointments scheduled for “tomorrow”, “this
week”, “next week” etc. or appointments scheduled for a date range you
specified.
Queues Based on “Activity Date”
By specifying a date range or a particular date in the activity date box, you
can get a list of referrals and appointments which were “touched” during
that date range. By setting it to “today”, you will include in your search
referrals “touched” today by someone, or by the system today.
Can I “act” on the referrals and appointments?
You can ‘act’ on the referrals and appointments via the Referral Action
screen.
Once you have located a referral by finding it on the Find Referrals and
Appointments screen, or the Referral and Appointment Queues screen,
click the “Select” button to next to the tracking number of the referral you
are interested in. This will bring you to the Referral Action screen.
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If the referral has appointment(s), all appointments will be listed, followed
by the Action box. By clicking on the Action drop down box, you will see a
list of actions you can take on this referral and actions you can take on the
highlighted appointment. Only appropriate actions are listed based on the
appointment you select. For example, if the appointment you selected is
“Unconfirmed”, the Action box will list “Confirm Appointment”,
“Change/Reschedule Appointment” etc. You can select one of these
actions, optionally enter a comment in the History Notes box, then press
the OK button.
How do I ?
… become a user
1. ACMC requires that you fill out a User Authorization form and submit it to
IS department.
2. An IS staff will enter your email as your user id, ‘reftrak’ will be your default
password which you are required to change when you log on the first time.
... check on the status of my referral?
1. Click on the Refer(PCP) tab.
2. If you know the referral’s tracking number, the patient name, the medical
record number, or the social security number, click on Find Referrals. This
will take you to the Find Referrals and Appointments screen
3. Otherwise, click on Referrals and Appointment Queues.
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4. Enter the search criteria. Click Search. The matching referral(s) will be
displayed.
5. Click the Select button next to the referral tracking number. The Referral
Action screen will be displayed.
6. You can print the consultation form, edit the referral, view appointment
information, post notes, and view all history.
... contact CARCU?
1. Find the referral and view the complete referral history at the bottom of the
consultation form. This referral history will show "who,what,when" at every
stage of the referral handling process.
2. If you still feel you need to contact a person in CARCU, click on the
Contacts tab for a list of CARCU staff with phone numbers.
… find a referral?
1. Click on the Refer(PCP) tab.
2. If you know the referral’s tracking number, the patient name, the medical
record number, or the social security number, click on Find Referrals. This
will take you to the Find Referrals and Appointments screen
3. Otherwise, click on Referrals and Appointment Queues.
4. Enter the search criteria. Click Search. The matching referral(s) will be
displayed.
… log on?
1. From Internet Explorer browser, enter www.reftrak.com in the address
field.
2. You need to be pre-authorized in order to submit or retrieve patient
information. When the RefTrak home page appears, enter your user
name and password. If this is the first time you log on to RefTrak you will
be asked to change your pre-assigned password to your personal
password. The password must have at least 7 characters.
… get to the Consultation Form?
1. Find the referral via the Find Referrals and Appointments screen or the
Referral and Appointment Queues screen.
2. Click on Select button next to the referral you are interested in.
3. The Referral or Appointment Actions screen will be displayed. The
Consultation Form for that referral is on the bottom of the page.
... print a screen?
1. Use your browser's File Print function to print any screen at any time.
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2. If you are in a page which has a Print icon, click on the icon to print the
report or other document without printing the rest of the screen.
... respond to CARCU requests for confirmation, changes, etc.?
1. Click on the Refer(PCP) tab. Click on Referral and Appointment Queues.
2. Choose "Awaiting PCP Action" Status. Choose your clinic(s) in Refer By.
Click Search. A list of referrals needing your action will be displayed.
3. Click on any Referral. The Referral Action screen will be displayed. You
can complete the appropriate referral or appointment actions. The "right"
action will usually be first in the list.
... submit a referral?
1. Click on the Refer(PCP) tab.
2. Click on Submit Referral. This will take you to the Referral Wizard.
3. Fill in the information in each section of the Wizard, including any
attachments which will be sent by mail or fax, then click Submit.
4. The referral is now submitted with a referral tracking number. You can
print the consultation form and use it as the cover page for any additional
faxed documents.
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What Is?
…Action
An action is executed when a user selects an item from the Action list box
or by clicking on a command such as “Add An Appointment”. If the action
was an “Edit”, the appropriate screen will open up for editing purposes. If
the action was to indicate that an event happened such as “Progress
Notes Sent”, simply click on the item on the drop down Action list box,
then click on the Update Referral button. RefTrak system will change the
referral and appointment status to the appropriate value.
Appropriate actions are driven by the current status of the referral and
appointment and by the role of the logged in user. For example: If the
logged in user is a coordinator from CARCU, the action box will include
more actions than if the user is from a referral clinic.
…Action Agent
Action agent is a program run by CARCU to change the status of referrals
and appointments en-mass. For example: the Close Referral Agent will
select referrals whose appointment dates have passed and no activities
are recorded in the last 60 days.
…Action History
Action History is a chronological log of changes made to a referral and its
appointments. For example, when a referral’s status is changed from
‘Submitted’ to ‘Oked’, the Action History shows when the action took
place, who initiated the action, what the new status is, any notes made by
the user regarding this action, and an audit trail of what happened behind
the scene if any. The Action History is displayed at the bottom of the
Consultation Form.
…Appointment Call List and Letter
The Appointment Call List lets you create a list of appointments along with
the patient’s contact information based on an appointment date range.
The Appointment Letter lets you create the letters addressed to each
patient on the selected list. Note that if the referral indicates that the
patient needed an interpreter, the letter will be printed in the requested
language automatically if the letter is available in that language.
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…Attachment
Attachment can be a document on the user computer, sent to RefTrak
along with the referral. It can also be a notation to tell the CARCU that
support documents are being sent via fax, or regular mail.
Attachments are added through the Diagnosis/History tab of the Submit
Referral Wizard.
…Appointment Status
Appointment Status is a field kept in the database to indicate which stage
the appointment is currently at. For example: When an appointment is
scheduled initially, the appointment’s status is set to ‘Scheduled Referral.
An appointment status may be changed in one of the following ways:
o An action taken by a user via the Referral Action screen.
o A program (also called an Agent) is run to change the status of all
appointments meeting some predetermined criteria. For example,
an Agent may be run to select all appointments whose appointment
date has passed and turn the status to “Show?” to indicate that it is
assumed the patient probably showed up for the appointment. This
allows a CARCU staff to only deal with the no-show cases
individually.
…Consultation Form
The Consultation Form is a summary of information regarding the referral
and its appointments. At the bottom of the form is the Action History.
Whenever a referral is selected from the Find Referrals and Appointment
screen, or the Referral and Appointment Queues, the Consultation Form is
displayed.
…Follow-Up Appointment – Pending Authorization
After seeing a patient, the specialty physician may request CARCU to
schedule follow-up appointments. Depending on the patient’s insurance
carrier’s policy, CARCU may have to get authorization from the referring
clinic for these appointments. In this situation, CARCU would schedule an
appointment pending authorization from the PCP.
…Request Patient Call Back to Schedule Appointment
After seeing a patient, the specialty physician may request CARCU to
schedule follow-up appointments, but expect the patient to call CARCU to
make confirm this request . CARCU may go ahead and reserve an
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appointment on the book for the follow up appointment but will wait for the
patient to call before finalizing the appointment.
…Refer From Unit
Refer From Unit is the primary care organization, referring the patient to
the specialty clinic.
…Referral Status
Referral Status is a field kept in the database to indicate which stage the
referral is currently at. For example: When a referral is submitted initially,
the referral status is set to “Submitted”. A referral status may be changed
in one of the following ways:
o An action taken by a user via the Referral Action screen.
o An action taken by a user on an appointment, which causes the
RefTrak system to change the referral status automatically. For
example, when an appointment is added, the RefTrak system
changes the referral status to “Scheduled Referral” automatically.
o A program (also called an Agent) is run to change the status of all
referrals meeting some predetermined criteria. For example, an
Agent may be run to select all referrals whose appointment’s time
have been passed for at least 6 months and turn the status field to
‘Closed’.
…Refer To Specialty
In the RefTrak Wizard where the user fills out the referral information to
submit a referral, Refer To Specialty is the specialty clinic the patient is
being sent to.
…Refer To
In the Referral and Appointment Queuesscreen, the Refer To drop down
list box includes the individual specialty clinics and groups of clinics
assigned to specific coordinators in CARCU. Similar to Status Group, the
Refer To groups help the users quickly select referrals sent to a group of
clinics. For example, “CARCU Ruth Primary” includes in its collection all
referrals sent to the specialty clinics Ruth is responsible for.
…Status
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Status is a field kept in the database to keep track of which stage a
referral or an appointment is in at the current time. Please see the
definition of Referral Status and Appointment Status for further details.
…Status Group
A Status Group is a collection of statuses. Status Group is used on the
Referral and Appointment Queues screen to help the users quickly select
referrals specified by a group of statuses without having to specify the
status one by one.
For example, status group “Awaiting Scheduling Office Action” will include
in its collection all referrals whose current status indicates that someone in
CARCU needs to act on in.
…Submit Referral Wizard
Submit Referral Wizard provides the step by step procedure the user
follows to submit a referral.
…Tracking Number
Tracking number is a unique number assigned to a referral when a user
submits the referral. This number is printed on the Consultation Form.
Please write this number on any support documents sent to CARCU
subsequently.
…Work Flow Diagram
There are two Work Flow Diagrams: one for referrals and one for
appointments. A Work Flow Diagram is generated by a program in
RefTrak to display the stages (hence the status) a referral and an
appointment may progress to, based on the Action taken at each stage.
The RefTrak administrator can generate a copy of the work flow diagram
by running a program listed under the Admin tab.
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Reports
Outcome Metric Reports are summary of referrals based on a number of predetermined criteria such as Referrals by Payor, Time out to Appointments,
Referrals by Specialty Clinics etc.
Code Tables
Code tables are maintained by the RefTrak Administrator. At any time, the
RefTrak Administrator can get an up to date copy online. Please refer to RefTrak
Administrator Guides for instructions pertaining to administrator actions.
Sample of Status Group Table
A Status Group includes referrals and appointments whose status is in the list.
Status Group
Status Abbrev
Cancelled/NoShow Appointments Cancelled
Cancelled/NoShow Appointments NoShoAcked
Cancelled/NoShow Appointments DeclineAcked
Cancelled Referrals
XAcked
Awaiting Scheduling Office Action Submitted
Awaiting Scheduling Office Action Held
Awaiting Scheduling Office Action EscalatedCln
Awaiting Scheduling Office Action OKedCnd
Awaiting Scheduling Office Action OKed
Awaiting Scheduling Office Action SubmittedU
Awaiting Scheduling Office Action XReqd
Awaiting Scheduling Office Action Showed?
Awaiting Scheduling Office Action ScheduledCnd
Awaiting Scheduling Office Action Delegated
Awaiting Scheduling Office Action EscalatedAdm
Awaiting Scheduling Office Action ChgReqd
Awaiting Scheduling Office Action CallBackReqd
Awaiting Scheduling Office Action New
Awaiting Scheduling Office Action Declined
Closed Referrals
Closed
Completed Appointments
RsltAcked
OK - No Action Pending
Scheduled
Awaiting Primary Care Clinic Action TempSaved
Awaiting Primary Care Clinic Action SchedPndAuth
Awaiting Primary Care Clinic Action Scheduled
Awaiting Primary Care Clinic Action RsltUnAcked
Status Descr
Cancelled Appointment
Patient No-Show Acknowledged
Follow-Up Decline Acknowledge
Cancelled Referral Acknowledged
Submitted Referral
Held Referral - Corrections Pending
Escalated Referral (Clinical)
Conditionally Approved Referral - Prereq Pend
Approved Referral
Pre-Scheduled Urgent Appointment
Cancel Appointment Requested
Appointment Passed - Show/Noshow Unknown
Conditionally Scheduled Referral
Delegated Referral
Escalated Referral (Admin/Billing)
Change Requested to Confirmed Appointment
Patient Call Back Requested
New Appointment - Unscheduled
Follow-Up Authorization Declined
Closed Referral
Completed Appointment Results Acknowledge
Scheduled Referral
Temporarily Saved Appointment Unsubmitted
Scheduled Follow-Up Appointment - Authoriza
Unconfirmed Appointment
Completed Appointment Results Unacknowled
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Awaiting Primary Care Clinic Action XUnAcked
Cancelled Referral Unacknowledged
Awaiting Primary Care Clinic Action TempSaved
Temporarily Saved Referral Unsubmitted
Awaiting Primary Care Clinic Action RejUnAcked
Rejected Referral Unacknowledged
Awaiting Primary Care Clinic Action New
New Referral Unentered
Awaiting Primary Care Clinic Action NoShoUnAcked Patient No-Show Unacknowledged
Awaiting Primary Care Clinic Action XUnAcked
Cancelled Appointment Unacknowledged
Pending Appointments
Confirmed
Confirmed Appointment
Rejected Referrals
RejectAcked
Rejected Referral Acknowledged
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Sample of Action Table
The Action table includes actions a user can take to move the referral or
appointment to another status. Only actions appropriate at the current status and
those the logged in user is authorized to do are displayed in the Action Drop
Down list box.
Appt/Ref
Appointment
Appointment
Appointment
Appointment
Appointment
Appointment
Appointment
Appointment
Appointment
Appointment
Appointment
Appointment
Appointment
Appointment
Appointment
Appointment
Appointment
Appointment
Appointment
Appointment
Appointment
Appointment
Appointment
Appointment
Appointment
Referral
Referral
Referral
Referral
Referral
Referral
Referral
Referral
Referral
Referral
Action Descr
Acknowedge No-Show
Acknowledge Appointment Cancellation
Acknowledge Decline
Authorize Follow-Up Appointment
Cancel Appointment
Change/Reschedule Appointment
Confirm Appointment
Confirm Appointment Results Received
Correct Appointment
Decline Authorization for Follow-Up Appointment
Indicate Appointment Results Sent
Indicate Appointment Time Passed
Indicate Patient No-Show
Request Cancellation of Appointment
Request Cancellation of Confirmed Appointment
Request Change/Reschedule to Confirmed Appointment
Request Patient Call Back to Schedule Follow-Up Appointment
Rescind Change Request (Never Mind)
Reverse NoShow Appointment Action
Schedule Follow-Up Appointment - Authorization Required
Schedule Appointment
Schedule Follow-Up Appointment After Patient Call Back
Schedule Urgent Appointment
Submit Urgent Appointment
Temporarily Save Appointment Without Submitting
Acknowledge Cancelled Referral
Acknowledge Rejection
Annotate History
Approve Delegated Referral
Approve Escalated Referral (Admin/Billing)
Approve Escalated Referral (Clinical)
Approve Referral
Cancel Referral
Cancel Temporarily Saved Referral
Clear Referral Prerequisites
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Referral
Referral
Referral
Referral
Referral
Referral
Referral
Referral
Referral
Referral
Referral
Referral
Referral
Referral
Referral
Referral
Referral
Referral
Close Referral
Conditionally Approve Escalated Referral (Admin/Billing)
Conditionally Approve Escalated Referral (Clinical)
Conditionally Approve Referral
Delegate Referral Coordination Responsibility
Edit Referral
Escalate Referral (Admin/Billing)
Escalate Referral (Clinical)
Reject Delegated Referral
Reject Escalated Referral (Admin/Billing)
Reject Escalated Referral Pending Correction (Clinical)
Reject Referral Pending Correction
Rejected Following 10 Day Hold
Resubmit Held Referral With Corrections
Save Without Submitting
Schedule Conditional Referral
Schedule Referral
Submit
Sample of Status Table
The Status table includes appointment statuses and referral statuses
Appt/Ref Abbrev
Appt
CallBackReqd
Appt
Cancelled
Appt
ChgReqd
Appt
Confirmed
Appt
DeclineAcked
Appt
Declined
Appt
New
Appt
NoShoAcked
Appt
NoShoUnAcked
Appt
RsltAcked
Appt
RsltUnAcked
Appt
SchedPndAuth
Appt
Scheduled
Appt
Showed?
Appt
SubmittedU
Appt
TempSaved
Appt
XReqd
Descr
Patient Call Back Requested
Cancelled Appointment
Change Requested to Confirmed Appointment
Confirmed Appointment
Follow-Up Decline Acknowledge
Follow-Up Authorization Declined
New Appointment - Unscheduled
Patient No-Show Acknowledged
Patient No-Show Unacknowledged
Completed Appointment Results Acknowledged
Completed Appointment Results Unacknowledged
Scheduled Follow-Up Appointment - Authorization Required
Unconfirmed Appointment
Appointment Passed - Show/Noshow Unknown
Pre-Scheduled Urgent Appointment
Temporarily Saved Appointment Unsubmitted
Cancel Appointment Requested
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Appt
Referral
Referral
Referral
Referral
Referral
Referral
Referral
Referral
Referral
Referral
Referral
Referral
Referral
Referral
Referral
Referral
XUnAcked
Closed
Delegated
EscalatedAdm
EscalatedCln
Held
New
OKed
OKedCnd
RejectAcked
RejUnAcked
Scheduled
ScheduledCnd
Submitted
TempSaved
XAcked
XUnAcked
Cancelled Appointment Unacknowledged
Closed Referral
Delegated Referral
Escalated Referral (Admin/Billing)
Escalated Referral (Clinical)
Held Referral - Corrections Pending
New Referral Unentered
Approved Referral
Conditionally Approved Referral - Prereq Pending
Rejected Referral Acknowledged
Rejected Referral Unacknowledged
Scheduled Referral
Conditionally Scheduled Referral
Submitted Referral
Temporarily Saved Referral Unsubmitted
Cancelled Referral Acknowledged
Cancelled Referral Unacknowledged
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