AI-assisted referral management for specialty care

Reduce referral bottlenecks. Create capacity for care.

Elvra reads incoming referrals, recommends what happens next, and manages the approved action across your team.

Elvra referral work queue showing structured referral information

Incoming referrals, ownership and status in one view.

  • One referral workflowFrom intake through approval
  • Human review built inYour team controls each decision
  • Connected to the sourceCheck the original referral as you review
  • Privacy by designHIPAA, PIPEDA and PHIPA compliant

How Elvra works

From referral documents to a clear next action.

Elvra reads the referral documents, surfaces the clinically relevant information and recommends the next action with source-linked reasoning. Your team reviews and approves. Elvra manages the handoff.

See how intake, triage, review and tracking work together in the product overview →

01

Intake

Elvra receives referral documents—typed documents, handwritten notes and later-arriving information—by upload, e-fax or EHR as they arrive.

02

Triage

Elvra applies specialist medical knowledge to find relevant information and recommend the next action—whether that means urgent or routine booking, a request to identify missing tests or information, or routing to another service or physician.

03

Human review

A source-linked triage draft shows the findings and reasoning behind the recommendation for authorized review.

04

Follow-through

Your team approves the action while Elvra keeps its owner, status and discussion visible through booking, follow-up or routing.

See the product

See the recommendation and the evidence behind it.

See how Elvra finds relevant information, supports source review and keeps the approved action visible.

See incoming work

Give reviewers visibility into referral status, ownership and what needs attention.

Verify the evidence

Review the information and source pages supporting the suggested action.

Approve what happens next

Keep the recommendation, approved action, owner and status visible.

Who Elvra serves

For specialty practices and health systems.

Specialty practices and programs

Start quickly with a low-friction referral workflow.

Onboard your team in minutes, then connect e-fax or your EHR whenever it suits your workflow.

For specialty practices

Health systems

Coordinate referral review across teams and sites.

Bring clinical, operational and technical stakeholders into a referral workflow designed for complex programs.

  • EHR, SMART on FHIR and e-fax integration
  • Human review and approval
  • Security and implementation support
For health systems

Works with your environment

Connect with the systems your team already uses.

Elvra supports e-fax, EHR and SMART on FHIR integration across leading healthcare systems.

EpicOracle HealthMEDITECHathenahealtheClinicalWorksAccuroTELUS Health

From specialty care teams

What clinicians and clinic teams say about Elvra.

“Elvra dramatically cut the time we spend triaging our referral queue. The urgency flags are accurate, the summaries are genuinely useful — and Elvra regularly picks up small clinical details buried in the referral that I might have otherwise missed. It's changed how our clinic runs.”

Dr. Mihaly KisNeurosurgeon — Trillium Health Partners · Mississauga, Ontario

“Referrals that used to sit for weeks are now triaged within a day. When something needs attention, the whole team can see the notes and discuss a specific referral right in Elvra — no more chasing people down or losing context in email threads. Everyone stays on the same page, patients get booked faster, and we hear it from them. The difference in satisfaction has been noticeable.”

Prabhjot SaraClinic Manager — Trillium Neurosurgery Clinic

Security and control

Built for responsible use in healthcare.

Common questions

Know what the first step actually involves.

Can Elvra work without an EHR integration?

Yes. Direct intake is the fastest way to start. A clinic can be onboarded in minutes without waiting for an EHR or e-fax integration.

Does Elvra make autonomous triage decisions?

No. Elvra suggests what should happen next and presents the supporting information in an editable, source-linked draft. Authorized people verify the evidence and approve the action.

How quickly can a team get started?

The direct intake option can be set up and users onboarded in minutes.

Can Elvra connect to an EHR or e-fax workflow?

Yes. Elvra supports e-fax and EHR integration, including SMART on FHIR where supported by the customer’s environment.

See Elvra in action.

Watch the product walkthrough or book a demo to talk through your referral workflow.

Book a demo