Your intake either holds sent patients or it doesn't. That's measurable.

The four axes

• Contact speed (30%). From referral arrival to the first attempt to reach the patient. Same-day scores best; "we mostly wait for the patient to call us" scores what it deserves.
• Patient-contact persistence (30%). How many attempts, across how many channels, before a sent patient is given up on — and whether the referrer is told when contact fails. One call is a coin flip.
• Intake coverage (25%). Whether arrivals are systematically caught and logged — a ledger with statuses versus a pile with intentions. Includes the loop-close: does the referring office hear back?
• Channel coverage (15%). Whether every road referrals travel — fax, portal, phone, email, walk-in scripts — is watched, against how your referrers actually send.

The free score vs. the $500 first fix

The free score is what you tell us, labeled as that. The first fix is a week that ends with your ledger actually balancing. Days one and two: your intake baselined — with your written permission, tracked test referrals enter through your real channels, and we log every step each one experiences: when it was noticed, when the patient persona was first contacted, how many attempts, what the "referrer" heard back. Timestamped at the source. Days three and four: ONE fix from the menu below, built and running. Day five: the before/after in writing.

The menu (your report's worst axis picks)

• The Loop-Close Install (intake coverage worst — most common). Every arriving referral lands in one owned ledger with a status — arrived, contacted, scheduled, seen, reported — and the loop-close messages to referring offices start running: "received," "scheduled," "seen, report sent." The sending office stops wondering.
• The Same-Day Contact Install (speed worst). An arriving referral triggers a same-day text in the referrer's name — the one name the patient already trusts — with a scheduling path and a promised call time. The unknown-number problem, solved in one message.
• The Reach Ladder (persistence worst). Scheduled attempts across text and phone until the patient is reached or genuinely declines — with the referrer escalation ("can you nudge them?") when nothing gets through.
• The ledger, always included in some form — statuses beat piles, and none of the fixes above stick to a pile.

One fix per $500, from this menu — the cap is what keeps the price honest. Scope beyond the menu is the full build, quoted in writing.

What we don't do

• No patient data, ever — test referrals use personas we control, clearly marked in your system and removed after the window.
• No probes on channels you exclude. Permission is written and explicit.
• No padded findings. "Your intake holds" is a deliverable we're glad to hand you, in writing — and worth showing your top referrers.

Prices on the page, where they belong

The first fix is prepaid and scheduled online in one step. If your baseline shows your intake holds, we install the menu item you pick anyway or hand you that finding in writing — worth showing your top referrers either way.