Referral NR-48214 — Renee Thompson

Received 85h ago · portal · Dr. L. Tran, Metro Urgent Care

Reason for referral (as received)

Headache after minor fall, no red flags, normal exam per referring. Routine evaluation. DOB 09/22/1980. Phone on file. Humana.

Extracted fields are AI-suggested from the de-identified text and require clinician confirmation · 1 identifiers tokenized before AI · OCR/source: portal

Recommended destination

Headache clinic

Routing confidence

90%

Missing to complete triage

Imaging report referenced or attachedInsurance / authorization infoCurrent medication list

Status

Status changes are staff actions — the referring office sees them, ending the fax black hole.

DRAFT — AWAITING STAFF APPROVAL BEFORE SEND

Missing-information request to referring office

Re: Referral NR-48214 — additional records needed to complete triage We received your neurology referral. To complete clinical triage and route this to the correct headache clinic slot, please provide: • Imaging report referenced or attached • Insurance / authorization info • Current medication list Once received, we expect to confirm the appointment within 2 business days. If symptoms worsen before then, please direct the patient to the nearest emergency department. — Referral Coordination