Case Study: Triad HealthCare Network boosts in-network referrals and recovers $2M+ in revenue with Proficient Health's PH Exchange

Helping A Leading ACO Keep Referrals In Network

Triad HealthCare Network (THN), a physician‑led accountable care organization with more than 900 practitioners in central North Carolina, faced a major revenue leak: 25–30% of specialty referrals were going out of network, costing an estimated $200 million in specialty revenues annually. With nearly 60 different EHR systems and faxing as the default referral method, THN lacked the technology to track, analyze, and manage referrals effectively — so they engaged Proficient Health to address the problem.

Proficient Health implemented its PH Exchange cloud referral‑management platform as an EHR companion to bridge incompatible systems, enable secure online referrals, and enforce in‑network provider selection and reason‑codes for exceptions. In the first six months PH Exchange onboarded 180 practices and 1,000 users and processed over 51,000 referrals, materially reducing out‑of‑network leakage and improving captured professional fees — producing over $2 million in improved keepage and measurable operational and care‑coordination benefits.

Triad HealthCare Network

Elissa Langely

Chief Operating Officer