Specialty medical practices face a paradox: they deliver the most complex, high-value care — but operate with intake infrastructure designed for a different era. The referral arrives via fax. The patient calls and reaches a phone tree. The scheduling coordinator juggles three providers across two locations. The patient intake form requires information the patient does not have on hand (prior authorization numbers, referring physician NPI, imaging facility details).

Each friction point in this process is a Silent Walkaway opportunity. The patient with chronic knee pain who encounters a 20-minute phone tree abandons the call and searches for the next orthopedist on their insurance list. The dermatology patient who cannot complete the online intake form gives up and decides the mole “probably isn't that serious.” The cardiology referral that sits in a fax queue for 48 hours before being processed represents a patient who has already been seen by the competing practice down the street.

For a specialty practice generating $3M–$8M in annual revenue, our diagnostic framework identifies 60–150 Silent Walkaways per month across intake channels. At a conservative lifetime value of $85,000 per patient, the addressable revenue gap is staggering: $612,000 to $1.5M in lifetime patient value lost annually to intake friction alone.

The Protocol installs intelligent intake infrastructure that simplifies the patient journey: AI-powered phone response that pre-qualifies, collects insurance information conversationally, schedules across providers and locations, and follows up with patients who abandon the process mid-intake. The technology adapts to each specialty's unique workflow.