Referral Network Management — eKlotho Nexus

In-Network

342

Active specialists

Out-of-Network

28

With exceptions

Avg Auth TAT

1.8d

Days to authorize

Referral Volume (MTD)

189

+12% vs last month

Network Providers

Name	NPI	Specialty	Network	Referral Vol.	Avg TAT
Dr. Raj Patel	1234567890	Cardiology	In-Network	42	1.2d
Dr. Susan Lee	2345678901	Orthopedics	In-Network	38	1.5d
Dr. Marco Garcia	3456789012	Neurology	In-Network	29	2.1d
Dr. Amy Chen	4567890123	Oncology	Out-of-Network	15	3.8d
Dr. Kevin Nguyen	5678901234	Endocrinology	In-Network	24	1.9d
Dr. Laura Roberts	6789012345	Rheumatology	In-Network	19	1.7d
Dr. James Kim	7890123456	Pulmonology	Out-of-Network	8	4.2d
Dr. Priya Sharma	8901234567	Nephrology	In-Network	21	2.0d

Coverage by Specialty

Cardiology22%

Orthopedics18%

Neurology15%

Oncology12%

Other33%

Out-of-Network Exception Request

Provider Name

Provider NPI

Patient / Member

Exception Reason

Clinical Justification

Page Guide

Overview

Referral Network Management shows your contracted specialist network, referral volumes, and average auth turnaround times by provider.

Network Status

In-Network: Contracted provider — standard cost-sharing applies
Out-of-Network: Non-contracted — higher member cost-share, exception required

OON Exceptions

Use the exception form to request coverage for out-of-network providers when no in-network equivalent is available or continuity of care is medically required.

Coverage Donut

The specialty coverage chart shows the distribution of referral volume by specialty, helping identify high-demand specialties for network expansion.