Your Care Team handles specialist coordination — so referrals don’t disappear.

Every referral your practice sends is a patient who could fall through the cracks. ElderberryMD’s Care Team contacts the specialist, books the appointment, transfers records, and follows up until the loop is closed.

Referrals sent are not referrals completed.

Most practices lose visibility the moment a referral leaves the building. Patients are left to navigate a system that wasn’t designed for them.

Referral black holes

You send a referral and hope for the best. Days pass. The patient hasn’t called the specialist. The specialist hasn’t received the records. No one is following up. The referral disappears.

Record transfer friction

Specialist offices require specific records formats, prior-auth approvals, or demographic forms before they’ll book. Patients don’t know how to navigate this. Your staff doesn’t have bandwidth for it.

Loop never closes

Even when appointments happen, the results rarely make it back. You see the patient at the next visit with no specialist notes, incomplete labs, and an unresolved care gap that’s now yours to resolve.

How specialist coordination works

Your Care Team handles every step between referral and results — no dropped balls, no patient confusion.

Referral flagged

When your practice generates a referral, the ElderberryMD Care Team is notified. A dedicated care coordinator picks it up within one business day.

Specialist contacted

The Care Team contacts the specialist’s office directly — confirms availability, explains the clinical context, and identifies any records or authorizations required before booking.

Appointment booked

The Care Team books the appointment on the patient’s behalf, transfers the required records, and confirms with the patient that they know when, where, and what to bring.

Loop closed

After the specialist appointment, the Care Team follows up to obtain notes and results, then routes them back to your practice so the chart is complete and nothing is missed.

Real people doing real coordination work

This is not an automated fax. ElderberryMD’s Care Team is made up of medical assistants, care coordinators, and administrative staff who know how specialist offices work.

Your Care Team, not an algorithm

Every referral is handled by a named care coordinator from our MA and CS staff. They make real phone calls, navigate real specialist workflows, and advocate for your patients when offices push back.

Your practice stays in control

You set the parameters. If a patient should only see in-network specialists, if certain record types require your sign-off before transfer, if you want a summary before the appointment — we follow your protocols.

Patients freed from coordination burden

Patients don’t have to be their own care coordinators. We remove the friction — scheduling, record transfers, reminders, and follow-up — so patients actually make it to their specialist appointments.

Built for practices that send referrals and want to know they landed

Primary care practices

PCPs refer to 8–12 specialties on average. Each referral is a hand-off with real liability. Our Care Team gives you visibility and follow-through you don’t currently have.

Complex chronic care

Patients with multiple chronic conditions often need coordinated specialist involvement. The Care Team manages the sequencing — who sees the patient in what order, and what information flows between them.

Medicare & CCM patients

Specialist coordination is a core component of Chronic Care Management. Our Care Team work counts toward your CCM documentation requirements — giving you both better care outcomes and proper billing support.

Under-resourced practices

You’re not going to hire a dedicated referral coordinator. We give you the capacity without the headcount — integrated alongside your existing staff and workflows.

Ready to stop losing referrals?

Tell us about your practice and how referrals work today. We’ll explain how the Care Team fits in — no commitment, no phone calls.

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