Case Study · Gastroenterology
A 767-patient referral backlog,
cleared in two weeks.
A multi-provider GI practice on eClinicalWorks came to TriFetch with 767 unique patients sitting in its referral backlog. Two weeks after go-live, Linda had contacted every patient, documented every interaction in ECW, and moved 37 patients directly toward procedures, with no added headcount.
767
backlogged referrals worked, now down to ~70–80 incoming
37
patients advanced to scheduling or physician review
~18,000
automated record updates written to eClinicalWorks
5.4–6.6×
ROI in the first two weeks, projected 8–10× at steady state
The Challenge
Referrals were arriving faster than staff could work them.
Hundreds of faxed referrals had stacked up: unsorted, unverified, and unscheduled. Every week of delay meant urgent cases sitting next to routine ones and procedure revenue leaking to practices that simply called patients back first.
How TriFetch Cleared It
Classified and validated every referral at intake
Urgency routing separated stat cases from symptomatic and screening referrals. Incomplete files were faxed back to the referring provider before staff ever touched them.
Verified eligibility and submitted prior auths same-day
Carrier rules applied automatically, ineligible cases filtered early, and qualifying procedures submitted for authorization without staff involvement.
Linda called every patient
TriFetch's AI voice agent completed structured pre-procedure intake: cardiac history, high-risk medications, driver confirmation, and booked or queued each patient for scheduling.
Logged everything to the chart
Every call, outcome, and patient response was written to ECW automatically. Roughly 18,000 record updates, zero manual data entry.
The Best Case
37 patients, procedure-ready.
From a single backlog pass, Linda surfaced every patient who was ready to move:
Surgery-ready patients
QueuedVerified, authorized, and queued for staff scheduling
Scheduled by Linda
BookedBooked end to end, pre-screened, and confirmed with no staff touch
Physician follow-ups
MD ReviewClinical questions flagged and routed to the right provider
Every contacted patient documented in eClinicalWorks · ~18,000 automated record updates
At the practice's own $600–750 net per colonoscopy, the 29 patients queued or booked represent $17.4K–$21.8K in procedure revenue, before any of the 8 physician-review patients convert.
The Value Stack · First Two Weeks
Procedure revenue locked
29 patients at the practice's own $600–750 net per colonoscopy
$17.4K–$21.8K
Staff hours returned
~380 hours to work 767 referrals manually, at $25–30/hr loaded
$9.5K–$11.5K
Total value against a $5,000/month contract
$27K–$33K
5.4–6.6×
Monthly ROI · First Two Weeks
Throughput of 1–2 full-time referral coordinators, live in days, not hiring cycles.
See how TriFetch works for your GI practice.
trifetch.ai/specialties/gastroenterology