What practices ask us.

That's the signature — vanished referrals are silent on both ends: the patient assumes you weren't interested, the referrer assumes the patient flaked, and your schedule just shows the ones who made it. The only test is a ledger: everything that arrived versus everything that scheduled. The free score takes three minutes; "we don't have a complete list of what arrived" is itself the most common finding.

That's the model referral volume quietly dies under. Some patients call; the measured pattern says waits kill — and a referred patient waiting on themselves is the longest wait there is. Practices that contact same-day capture patients that wait-for-the-call practices never see, from the same referral stream.

Because the referrer chooses where the NEXT hundred patients go. Every referral is two relationships: this patient's care, and the sending office's confidence that patients they send to you get handled. The loop-close — "scheduled," "seen, report attached" — is the entire currency of that second relationship, and it's scored on this door's assessment.

A full schedule means the referrals that survived intake filled it. The question is the denominator: what arrived and didn't survive. At typical case values, even a small vanish rate is five figures monthly — invisible precisely because the schedule looks healthy.

Referral-fed practices: imaging and radiology, physical therapy, specialty medicine, oral surgery, behavioral health. If other providers send you patients and revenue depends on those patients arriving, it fits.

Portals move the arrival problem, not the contact problem: the worklist still needs same-day working, patients still need reaching and re-reaching, and loops still need closing. The first fix's baseline tests your full chain, portal included — portal practices usually leak at contact, not arrival.

No. Test referrals use personas we control, clearly marked in your system and removed after the window. We measure your flow, never your patients, and the assessment asks about operations only.

The mechanics matter more, not less: a referred client who isn't reached gently and promptly often doesn't try again anywhere. Same measurement, extra care in probe design, and everything stays operations-side — no clinical content ever.

Ten questions: practice type, referral volume, arrival channels, what honestly happens on arrival, contact speed, referrer loop-closing, attempt persistence, ownership, case value. You get a 0–100 score, four axis scores worst-first, and a written report with a monthly vanished-referral estimate from your own numbers.

The written analysis is produced by Claude, an AI model, from your answers and computed scores only — every claim traces to something you said. The scoring is published, deterministic math. We name the AI because it's true.

One week, three parts. Days one and two: your intake baselined — with your written permission, tracked test referrals enter through your real channels, and we log when each was noticed, when the patient persona was contacted, how many attempts ran, and what the "referrer" heard back, timestamped at the source. Days three and four: ONE fix from the menu built and running — the loop-close, the same-day contact, or the reach ladder, whichever your worst axis picked. Day five: the before/after in writing, with a 30-day re-check included.

They're clearly marked, never occupy real appointment slots, and are removed after the window. Your team works them like any referral — measuring the flow as it really runs is the point.

Free audits are sales calls in costume, and they end in a finding. The $500 ends in a fix — baselined, built, and proven by a party with no product to sell you. If your intake holds, "confirmed watertight, here's proof" is a deliverable we can afford to hand you, and it's worth showing your top referrers.

The first fix is $500, flat, from the published menu. Full builds start at $2,500, quoted in writing from your first fix's before/after, scoped to your actual gap — which sometimes means finishing the EHR module you already own. The floor is published because hidden prices waste everyone's time.

You have the report and the estimate. Strong score — keep it, you're done. Leaking score — the report's next step is the $500 first fix, booked and prepaid online in one step. No sales sequence.

The first fix leaves something installed either way, so "your intake holds" is a finding we can afford to hand you. Every finding carries timestamps you can check. Estimates and measurements are labeled separately in writing — padding would show.

Don't — verify. The score is free and shows its work. The $500 first fix is measured against timestamps you can inspect — baseline and after. Every step is sized so you're never trusting us past the evidence in hand. Who we are: about page.