Specialists aren’t entitled to patient demand.

Specialist access breaks down after a PCP visit because no one is responsible for getting the patient to the next appointment. Conflicting motivations between payers and providers along with fractured data means patients have to do the work. They are left to find in-network care, chase callbacks, guess costs, gather records, and fight paperwork just to turn a referral into a visit.

They get away with this because only 7% of patients ever switch providers, because a single successful appointment still takes 3.3 calls and 30–60 minutes to secure a visit. Moreover, the prize is an average wait time above 31 days.

This isn’t a small problem, there are ~100M new specialist visits every year, with the majority still requiring patients to do the scheduling themselves (Market ), and this just represents the referrals that actually get completed. That fragmentation hurts everyone: patients delay care, providers lose high-intent referrals and leave slots empty, and payors pay more when members default to higher-cost options.

We’re building the missing agentic infrastructure layer for care navigation beyond the PCP. Our vision is to create a Delightful care experience from transparent cost and closed-loop coordination for all patients that desperately need to see a specialist. Specialists should compete on availability, quality, and cost. Patients should win.