For pain management clinics

Recover the referral revenue you’re losing — with controlled-substance screening and an audit-ready decision trail.

Kodap turns faxed pain‑management referrals into one worklist: eligibility, PMP and OMMA checks, missing‑document outreach, and a clear accept or decline recommendation — with the reason behind every decision kept on file. Your coordinators see what is ready, what is missing, and what needs review.

An estimated $3K–$8K of lifetime revenue per missed referral. Industry figure for typical pain‑clinic volumes — you do not have to recover many before the math starts to work.

Oklahoma first. Texas next. Then national. We are starting where PMP and OMMA create real daily friction.

Sits alongside, does not replace. NextGen, your phone system, fax, and payer portals stay in place.

Most referrals are lost before the first visit.

They stall between the fax inbox, payer portals, state checks, EHR notes, and patient callbacks.

Organized referral documents, cards, and clinic intake paperwork on a muted modern desk
FaxNew PDFs pile up while staff are working yesterday’s list.
PayersEligibility checks pull people out of the intake queue.
OklahomaPMP and OMMA checks live outside the EHR.
OutreachMissing cards and records become another round of calls.

What gets handled before your team has to chase it.

Each referral gets organized, checked, and routed to the next best step. Your coordinator still makes the call.

One queue. Five clear next steps.

Ready to schedule, patient outreach, provider outreach, clinical review, or recommend decline. Your clinic approves the outcome.

A muted referral board showing recommendations, outreach, review, and staff approval

Keep the tools you use. Stop bouncing between them.

Kodap sits next to your current stack and brings the important intake details back into one place.

Existing clinic systems feeding one intake workspace and sending actions back to the clinic stack
EHR

NextGen

Copy-ready packets and clean notes.

Outreach

Patient SMS & email

Document requests and reminders sent and tracked, built in.

Payers

Availity & pVerify

Eligibility and payer details in plain view.

Compliance

PMP

Checked once a clinic prescriber is credentialed; findings kept with the referral.

Oklahoma

OMMA

Coordinator‑verified, kept with the file.

Human work

Documents

Cards, IDs, prior records, imaging, and demographics.

Patient information stays on a need-to-know basis.

Staff see what they need for intake. Texts and emails stay simple and careful.

HIPAA posture

Built for protected clinic work

Minimal PHI, role-based access, audit logs, and encrypted secrets.

Audit trail

The reason is kept

Eligibility, PMP, OMMA, documents, decisions, and overrides stay with the record.

Every decision comes with its reason attached.

If a medical board or a payer ever questions an acceptance, the answer already exists — recorded the moment the decision was made, not reconstructed months later.

Frozen at decision time

The exact rules and data behind the call

When a coordinator approves or declines, Kodap saves a snapshot of the recommendation, the rule version, and the findings it was based on — so the record reflects what was known at the moment of the decision.

Exportable

Hand over the whole file

A clinic can export its referrals, rules, and decision history when it needs to answer a question or move its own data — the defensible record travels with you.

Start with one controlled queue.

No rip-and-replace project. We map the rules, connect the basics, and work from real referrals.

Day 0

Map your rules

Payers, distance, diagnoses, required documents, and escalation rules.

Day 1

Connect your systems

EHR, payer, PMP, and OMMA requirements set up together.

Day 2

Load your scripts

Outreach language, roles, locations, and approvals in your clinic’s voice.

Week 1

Go live

Watch real referrals move, tune the rules, then add more volume.

Simple pricing for a front-office problem.

One number per clinic. No seat counting. No penalty for having more than one coordinator using it.

Core clinic plan

Standard

$2,200/mo
Single-location clinic.
  • Full intake queue and acceptance rules
  • PMP, OMMA, and eligibility checks (Oklahoma at launch)
  • NextGen, Athena, or eCW copy-paste outputs, plus built-in patient SMS & email outreach
  • Owner dashboard, activity log, override analytics
Multi-site

Multi-location clinic

$1,200/mo · location
3-location minimum ($3,600/mo floor).
  • Rules shared across locations or configured per site
  • Separate queues by location, with owner visibility across all sites
  • Built for regional groups and growing clinic networks

Coming later — Managed intake, $2,500/mo. Kodap plus a reviewer looking at each referral. Your coordinator still approves or declines. We will offer this once the process is proven with early clinics.

Run the numbers for your week.

Adjust the volume, payer mix, and manual touches. If it looks close to your clinic, send us a note.

37
Staff hours saved / week
$68K
Potential revenue recovered / month
9
Referrals found sooner

Estimates based on typical pain‑clinic volumes — not yet validated across paying clinics. Treat these as a planning model, not measured results.

Talk with a founder.

Tell us how to reach you. We'll follow up within one business day to set up 15 minutes and run a real referral through Kodap live.

Or reach out directly: info@kodap.ai · (405) 874-6968

Where we are right now.

We are starting narrow on purpose. Pain management intake changes by state, and we want the details right.

Now

Oklahoma

OMMA and local pain management intake are where we are starting.

Next

Texas

Texas clinics come next as payer and compliance mapping expands.

After proof

National

More states follow once the verification and rule patterns are repeatable.

See a real referral run, start to finish.

Book 15 minutes with a founder. We’ll take a referral through Kodap live — faxed PDF to eligibility, screening, document outreach, and a recommendation your coordinator would approve — so you can judge it on what it actually does, not a slide.

← Back home Patient document upload — preview Demo only

Patient document link

What are you sending?

This is the simple upload link a coordinator can text when a referral is missing an insurance card, ID, prior notes, imaging, or another file.

This is the document upload flow currently wired in the intake app. It is separate from a longer patient intake interview.

← Back home Operator console — preview Demo only

Tuesday morning, 9:14

Six referrals need a person. The rest are waiting on documents, payer responses, or coordinator approval.

New referrals this week
52
+4 vs. last week
Ready to schedule
18
Matched clinic rules
Waiting on documents
9
Average 1.4 days
Needs a person
6
None stale yet

Needs a person

Newest first
R. Alvarez · new patient
Eligibility came back partial; secondary policy may have lapsed.
Review 12 min ago
D. Whitehorse · established
PMP returned a flagged finding outside the acceptance rule.
Clinical 41 min ago
J. Park · new patient
Imaging request acknowledged, file has not arrived.
Waiting 1h 12m
Oklahoma depth

PMP and OMMA stay in the worklist.

Coordinators can see what is clear, pending, failed, or ready for review.

Approval

The clinic still decides.

Kodap recommends the next step. Your team approves, overrides, or routes it for review.