Close the loop
on every
referral.

Half of specialist referrals never close. Tether writes the clinical referral from the chart, routes it, tracks every stage, and returns the consult note, so the loop closes on its own.

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Works with your EHRHIPAA compliantLoop closed automatically
tether · referral
1/4
A.K. · 67FNeurology referral
tracking
Patient chartStep 01
Reason for referralnumbness, B/L hands
From chartHbA1c 7.8 · meds · history
SpecialtyNeurology
writing the clinical referral from chart context…
PCP
chart
Neuro
specialist
Insuranceverified · accepted ✓
RoutingGeorgetown Neurology · 2.1 mi
Transmitted9:42 AM
Sentreferral transmitted
9:42 AM
Acknowledgedspecialty office received
10:18 AM
~
Scheduledvisit booked · awaiting
Apr 28
Visit completeconsult note pending
Loop closed · consult note returned to the chart
DiagnosisCarpal tunnel, bilateral
PlanNight splints · EMG ordered
Follow-upPCP visit · 6 weeks
A.K. chart updated
The broken loop

A referral leaves the practice and disappears.

It gets faxed. No confirmation comes back. The staff chase it by phone, the patient calls in confused, and the consult note rarely finds its way back. Roughly half of referrals never close. Tether is built to close them.

~0%
of PCP referrals never close the loop
~0min
of staff coordination time, per referral
$0B
US specialty market this workflow runs inside
How the loop closes

One workflow. Zero phone calls.

Each stage runs on its own once the last one lands. Your staff reviews and approves; Tether does the chasing.

01 · WRITE

From the chart

Tether pulls patient context from the chart and drafts the complete clinical referral, ready for a quick physician review.

02 · ROUTE

Out the door

Insurance is checked against the specialist's accepted plans, then the referral routes to the right office. No fax hunting.

03 · CLOSE

Back to the chart

Every stage is tracked automatically. When the consult note returns, it lands back in the patient's chart.

Staff time per referral: ~25 min~7 minagainst our design-partner baseline.
Ask Tether

A coordinator that never sleeps.

Ask a question, get an action. Tether watches every referral around the clock and answers from your live data.

Answers from your dataWhich loops are stuck, what a specialist needs, why a patient hasn't been seen.
Acts, doesn't just suggestSends the follow-up. Finds the alternate. Flags the broken loop.
Learns your networkOver time it knows which specialists actually close the loop.
Ask Tetherlive
Tetheranswered in 0.6s
3 referrals need attention today.
› J.M. → Cardiology · sent 6d ago, no response
› A.K. → Neurology · specialist not accepting
↳ follow-up sent · alternate found for A.K.
Fits your practice

No rip-and-replace. Ever.

Tether runs alongside whatever you already use. It connects directly to athenahealth and ModMed, and works for any practice through fax and a shared inbox. Over time it does more of the work and asks less of your staff.

TodayLive

Runs alongside your tools

A clean app your staff opens to work referrals, with a direct line into athenahealth and ModMed. Practices on other systems join through fax and a shared inbox, no integration required.

NextThis year

One click from the chart

For connected EHRs, launch Tether from inside the chart, already signed in, patient context carried over. No second login.

AheadOn the roadmap

A panel inside the chart

Tether renders right in the record so staff never leave it. Built to an open standard, so the same surface extends to new EHRs without a rebuild.

The goalWhere this leads

Quietly automatic

Staff create the referral the way they always have. Tether runs the rest in the background and returns the result. Nothing extra to open.

One platform

Referrals are the start.

Each release removes another piece of manual coordination. The first is live; the rest follow in order.

RELEASE 01

Referrals

AI-written clinical referral and full lifecycle tracking, with the consult note returned to the chart.

Live
RELEASE 02

Eligibility

Insurance checked against the specialist's accepted plans before the referral leaves.

Next
RELEASE 03

Voice

A voice agent calls specialist offices with no portal: confirmations, reminders, follow-up.

Later
RELEASE 04

Network

More EHRs and network-level insight into which specialists deliver and which payers perform.

Later

Close the loop on every referral.

Works alongside the tools you already run. No long onboarding.

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Built for concierge and independent primary care