One or more of the embodiments of the present invention provide a rules-based system for routing medical reports based on processing report data. Certain embodiments of the invention provide a medical report routing system including a report acquisition component, a language processing component, a routing rule component, and a report transmitting component. The report acquisition component is adapted to receive a medical report. The language processing component adapted to apply natural language processing techniques to the medical report. The routing rule component is adapted to apply at least one routing rule to said medical report