export default function Excellence() { return <Results />; }git push origin feature/next-big-thinginterface Success { quality: boolean; speed: 'fast'; }const architecture = designFirst ? 'robust' : 'brittle';import { Innovation } from '@sandbox-union/core';data.map(insight => transform(insight));deploy({ target: 'production', strategy: 'rolling' });await integration.connect(systems.legacy, systems.cloud);if (complex) return simplify(solution);const platform = new EnterpriseScale({ reliable: true });const future = await buildWhatIsNext();while (running) { optimize(); }return <FutureProof />;return <FutureProof />;data.map(insight => transform(insight));if (complex) return simplify(solution);export default function Excellence() { return <Results />; }git push origin feature/next-big-thingwhile (running) { optimize(); }const architecture = designFirst ? 'robust' : 'brittle';interface Success { quality: boolean; speed: 'fast'; }const future = await buildWhatIsNext();await integration.connect(systems.legacy, systems.cloud);import { Innovation } from '@sandbox-union/core';const platform = new EnterpriseScale({ reliable: true });deploy({ target: 'production', strategy: 'rolling' });data.map(insight => transform(insight));return <FutureProof />;await integration.connect(systems.legacy, systems.cloud);export default function Excellence() { return <Results />; }git push origin feature/next-big-thingimport { Innovation } from '@sandbox-union/core';while (running) { optimize(); }const future = await buildWhatIsNext();interface Success { quality: boolean; speed: 'fast'; }deploy({ target: 'production', strategy: 'rolling' });if (complex) return simplify(solution);const architecture = designFirst ? 'robust' : 'brittle';const platform = new EnterpriseScale({ reliable: true });while (running) { optimize(); }import { Innovation } from '@sandbox-union/core';const architecture = designFirst ? 'robust' : 'brittle';data.map(insight => transform(insight));deploy({ target: 'production', strategy: 'rolling' });return <FutureProof />;const future = await buildWhatIsNext();interface Success { quality: boolean; speed: 'fast'; }export default function Excellence() { return <Results />; }if (complex) return simplify(solution);await integration.connect(systems.legacy, systems.cloud);git push origin feature/next-big-thingconst platform = new EnterpriseScale({ reliable: true });

git push origin feature/next-big-thingreturn <FutureProof />;await integration.connect(systems.legacy, systems.cloud);const platform = new EnterpriseScale({ reliable: true });data.map(insight => transform(insight));export default function Excellence() { return <Results />; }interface Success { quality: boolean; speed: 'fast'; }const architecture = designFirst ? 'robust' : 'brittle';deploy({ target: 'production', strategy: 'rolling' });import { Innovation } from '@sandbox-union/core';while (running) { optimize(); }const future = await buildWhatIsNext();if (complex) return simplify(solution);git push origin feature/next-big-thingconst future = await buildWhatIsNext();while (running) { optimize(); }return <FutureProof />;deploy({ target: 'production', strategy: 'rolling' });import { Innovation } from '@sandbox-union/core';await integration.connect(systems.legacy, systems.cloud);if (complex) return simplify(solution);const architecture = designFirst ? 'robust' : 'brittle';const platform = new EnterpriseScale({ reliable: true });interface Success { quality: boolean; speed: 'fast'; }data.map(insight => transform(insight));export default function Excellence() { return <Results />; }git push origin feature/next-big-thingawait integration.connect(systems.legacy, systems.cloud);import { Innovation } from '@sandbox-union/core';deploy({ target: 'production', strategy: 'rolling' });interface Success { quality: boolean; speed: 'fast'; }data.map(insight => transform(insight));export default function Excellence() { return <Results />; }return <FutureProof />;if (complex) return simplify(solution);const platform = new EnterpriseScale({ reliable: true });while (running) { optimize(); }const architecture = designFirst ? 'robust' : 'brittle';const future = await buildWhatIsNext();git push origin feature/next-big-thingwhile (running) { optimize(); }await integration.connect(systems.legacy, systems.cloud);export default function Excellence() { return <Results />; }const architecture = designFirst ? 'robust' : 'brittle';data.map(insight => transform(insight));const platform = new EnterpriseScale({ reliable: true });return <FutureProof />;if (complex) return simplify(solution);import { Innovation } from '@sandbox-union/core';const future = await buildWhatIsNext();interface Success { quality: boolean; speed: 'fast'; }deploy({ target: 'production', strategy: 'rolling' });

data.map(insight => transform(insight));import { Innovation } from '@sandbox-union/core';const platform = new EnterpriseScale({ reliable: true });export default function Excellence() { return <Results />; }await integration.connect(systems.legacy, systems.cloud);const architecture = designFirst ? 'robust' : 'brittle';interface Success { quality: boolean; speed: 'fast'; }if (complex) return simplify(solution);while (running) { optimize(); }deploy({ target: 'production', strategy: 'rolling' });const future = await buildWhatIsNext();return <FutureProof />;git push origin feature/next-big-thingexport default function Excellence() { return <Results />; }interface Success { quality: boolean; speed: 'fast'; }import { Innovation } from '@sandbox-union/core';if (complex) return simplify(solution);await integration.connect(systems.legacy, systems.cloud);const architecture = designFirst ? 'robust' : 'brittle';while (running) { optimize(); }git push origin feature/next-big-thingdeploy({ target: 'production', strategy: 'rolling' });data.map(insight => transform(insight));const platform = new EnterpriseScale({ reliable: true });const future = await buildWhatIsNext();return <FutureProof />;deploy({ target: 'production', strategy: 'rolling' });const platform = new EnterpriseScale({ reliable: true });await integration.connect(systems.legacy, systems.cloud);import { Innovation } from '@sandbox-union/core';data.map(insight => transform(insight));return <FutureProof />;interface Success { quality: boolean; speed: 'fast'; }git push origin feature/next-big-thingwhile (running) { optimize(); }if (complex) return simplify(solution);const architecture = designFirst ? 'robust' : 'brittle';const future = await buildWhatIsNext();export default function Excellence() { return <Results />; }const architecture = designFirst ? 'robust' : 'brittle';deploy({ target: 'production', strategy: 'rolling' });import { Innovation } from '@sandbox-union/core';if (complex) return simplify(solution);return <FutureProof />;git push origin feature/next-big-thingconst platform = new EnterpriseScale({ reliable: true });await integration.connect(systems.legacy, systems.cloud);interface Success { quality: boolean; speed: 'fast'; }const future = await buildWhatIsNext();export default function Excellence() { return <Results />; }while (running) { optimize(); }data.map(insight => transform(insight));

Back to Work

healthcare

Closed-Loop Referral Platform for Behavioral Health Networks

The Challenge

Behavioral health referrals are uniquely complex. Agencies often rely on a mix of phone calls, faxed forms, spreadsheets, and email to coordinate care, resulting in:

Lost or delayed referrals
Limited visibility into referral status
Poor handoffs between organizations
Inconsistent patient communication
Difficulty demonstrating referral completion and follow-through

The client needed a system that could support closed-loop referrals, integrate with existing EHRs, and provide tailored experiences for patients, referring providers, and receiving providers—all while remaining scalable across multiple independent agencies.

Our Solution

The Solution

SandBox Union designed and implemented a modular referral and care coordination platform with the following components:

Closed-Loop Referral Engine

Structured referral intake with configurable eligibility and acceptance rules
Real-time referral status tracking from initiation through completion
Automated notifications and reminders to prevent stalled referrals
Full audit trails for compliance and reporting

EHR Integration Layer

Bi-directional data exchange with multiple EHR systems
Secure synchronization of demographics, referral details, and status updates
Support for varied data standards and inconsistent source systems
Architecture designed to evolve as EHR integrations expand

Patient App & Portal

Mobile and web access for patients to view referral status
Appointment coordination and task reminders
Secure messaging and document exchange
Designed with accessibility and behavioral health workflows in mind

Provider & Agency Portals

Separate portals for referring providers and receiving agencies
Referral triage and assignment tools
Capacity visibility and workload management
Role-based access controls to support multi-organization use

Architecture & Approach

The platform was built as a HIPAA-compliant, cloud-based system with a strong emphasis on security, extensibility, and operational reliability. SandBox Union focused on:

Clear separation between clinical systems and coordination logic
API-first design to support future integrations
Configurable workflows to accommodate different agency rules
Minimal disruption to existing clinical operations

Rather than forcing standardization across organizations, the system was designed to embrace variability while still providing a unified referral experience.

Results

Significantly improved visibility into referral progress and outcomes
Reduced referral delays and manual follow-ups
Better coordination between independent behavioral health providers
Improved patient engagement and clarity during the referral process
A scalable foundation that can onboard new agencies without re-architecture

The Outcome

Why It Matters

Closed-loop referrals are critical in behavioral health, where delays and missed handoffs can have serious consequences. By focusing on integration, workflow realism, and patient experience, SandBox Union delivered a platform that strengthened care coordination without disrupting existing clinical systems.

Project delivered successfully

Technology Stack

FHIR

swift

android

angular

nodejs

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