Carebrain Transitions

Hospital-to-SNF referrals,
reviewed in minutes

Carebrain Transitions reads every referral document, summarizes the clinical and financial picture, and prioritizes your admissions queue — so your team accepts the right patients faster, with a full audit trail.

Live, interactive demo

The care transitions management hub for the world's best admissions teams

This is the real Transitions interface. Open a referral, read the AI summary, resolve pending items, run eligibility, and accept — everything is clickable. No patient data is real.

Inbox

14Open referrals20In queue3Need action3Ready to accept
Eleanor WhitfieldNTA3

84 yrs · ESBL urinary tract infection

Central Valley Medical Center · Meridian Medicare Advantage

P1OpenNot placed
Paul JohnsonNTA4

71 yrs · CHF exacerbation

Summit Regional Hospital · Meridian Medicare Advantage

P2OpenNot placed
David MooreNTA3

66 yrs · COPD exacerbation

Summit Regional Hospital · Meridian Medicare Advantage

P2OpenNot placed
Ashley WalkerNTA2

59 yrs · Sepsis recovery

Lakeside General Hospital · Meridian Medicare Advantage

P1AcceptPlacement pending
Joshua NguyenNTA4

74 yrs · Diabetic foot ulcer

Central Valley Medical Center · Meridian Medicare Advantage

P2InterestedNot placed
Jennifer LeeNTA4

81 yrs · Hip fracture

Central Valley Medical Center · Meridian Medicare Advantage

P2OpenNot placed
Robert CastilloNTA2

69 yrs · Stroke recovery

Grove Memorial Hospital · Meridian Medicare Advantage

P3OpenNot placed
Margaret FosterNTA2

78 yrs · Osteomyelitis

Lakeside General Hospital · Meridian Medicare Advantage

P1OpenNot placed

Tip: start with the highlighted referral in the Inbox, then explore Reporting, Rules, and Facilities.

How it works

From referral to bed, without the chaos

Carebrain Transitions turns a pile of faxes and PDFs into a prioritized, decision-ready workspace for your admissions team.

01

Referral lands in one inbox

CarePort, fax, and email referrals flow into a single queue. Carebrain reads every attached document the moment it arrives.

02

AI summarizes and scores

A plain-language summary, PDPM/NTA estimate, drug-interaction checks, and rule-based priority — each finding linked back to its source document.

03

Your team resolves the gaps

Pending items, insurance verification, and screening sit in one place. Messages to the hospital are tracked so nothing stalls a placement.

04

Accept with confidence

Every decision is backed by source evidence and a clear audit trail. Carebrain assists — your team makes the call.

What's inside

Everything admissions needs, in one workspace

Transitions replaces the spreadsheet-and-fax workflow with a single, auditable system built for skilled nursing intake.

Document intelligence

Discharge summaries, H&Ps, med lists, and face sheets parsed automatically with findings linked to the page they came from.

PDPM & NTA estimates

See clinical category and NTA points up front so you can assess reimbursement fit before you commit a bed.

Drug-interaction safety

High-risk medication pairs are surfaced for clinician review — bleeding risk, duplicate therapy, and high-cost flags.

Configurable rules engine

Encode your acceptance criteria — wounds, tube feeding, behavioral, payer — and let every referral get scored the same way.

Eligibility & screening

Insurance verification and registry screening live alongside the clinical picture, so financial and compliance gaps never get missed.

Multi-facility visibility

Bed availability, throughput, and review times across every building in your network — with per-facility filtering.

Minutes, not hours

Referral review collapses from a stack of PDFs to a single decision-ready summary the moment it lands.

One queue

Every referral source — CarePort, fax, email — flows into the same prioritized inbox so nothing slips.

Source-linked

Every AI finding traces back to the exact document and page, keeping your team in control of the decision.

Audit-ready

A clear trail of who reviewed what, when, and why — across every facility in your network.

Stop chasing faxes.
Start placing patients.

See how Carebrain Transitions turns your referral pile into a prioritized, decision-ready workspace.