Care coordination infrastructure

No patient should get lost between departments.

Relay uses AI agents to track every important healthcare handoff — from diagnostic results and referrals to specialist intake and scheduling — until the right team takes ownership and the patient knows what happens next.

Built for specialty practices, care teams, and health systems managing complex patient handoffs.

MC

Maria Chen

Biopsy follow-up

Routing corrected
  1. Biopsy completed

    Sep 14 · 9:08 AM

  2. Pathology finalized

    Sep 17 · 8:42 AM

  3. Physician reviewed

    Sep 17 · 10:04 AM

  4. Routing discrepancy detected

    Intended: GI Oncology · Received: General GI

  5. Correction initiated

    Sep 17 · 10:22 AM

  6. Current location

    GI Oncology Intake

Current owner

Oncology Referral Team

Current status

Clinical review

Next expected step

Scheduling outreach

Expected by

Tomorrow · 4:00 PM

Last verified 11:42 AM

Agent activity

  • 10:18 AM

    Routing mismatch detected

  • 10:22 AM

    Transfer request created

  • 10:47 AM

    GI Oncology confirmed receipt

  • 10:49 AM

    Patient status updated

The problem

Healthcare still loses patients in the handoff.

A report can be finalized.

A referral can be sent.

A department can receive it.

And the patient can still have no idea where their case is, who owns it, or what is supposed to happen next.

Ordering physician
Pathology
Referral
Wrong department
Specialist intake
Scheduling
Patient

01

Sent does not mean received.

A referral can leave one system without anyone confirming the correct destination took ownership.

02

Received does not mean acted on.

Cases can sit in queues while each team assumes another team is handling the next step.

03

Patients become the tracking system.

When coordination breaks down, patients and families are often forced to call multiple departments just to understand what is happening.

Closed-loop handoffs

Every case has a location, an owner, a next action, and a deadline.

Relay turns fragmented referrals and diagnostic follow-up into a continuously tracked workflow.

Know where it is

See the current department, queue, team, and workflow state instead of a generic “processing” status.

Know who owns it

Make responsibility visible so every handoff has a clear accountable team.

Know what happens next

Track the expected next action, required documents, acknowledgment status, and timing.

Verify that it happened

AI agents confirm outcomes rather than assuming a handoff succeeded because something was sent.

How it works

AI agents that follow the workflow all the way through.

  1. Step 1

    Observe

    Relay watches referral events, diagnostic results, documents, and workflow updates.

  2. Step 2

    Reconcile

    The system compares intended destination, actual destination, current ownership, and expected next steps.

  3. Step 3

    Verify

    Agents confirm whether the receiving team acknowledged the case and whether required actions occurred.

  4. Step 4

    Escalate

    If a case stalls, routes incorrectly, or misses an expected handoff, Relay surfaces it for action.

  5. Step 5

    Update

    Providers and patients see a clear, current status instead of having to chase information manually.

Case detail

From “referral sent” to a complete chain of custody.

relay / cases / RF-20931

Daniel Carter

Post-pathology GI Oncology Consultation

Mismatch detected

Intended destination

GI Oncology

Actual destination

General Gastroenterology

Origin

Primary Care

Current owner

General GI Referral Queue

Next action

Transfer to GI Oncology

SLA

1h 42m remaining

Chain of custody

  1. 9:08 AM

    Referral created

  2. 9:11 AM

    Documents attached

  3. 9:18 AM

    General GI received referral

  4. 9:19 AM

    Destination mismatch detected

  5. 9:21 AM

    Transfer initiated

  6. 9:44 AM

    GI Oncology acknowledged receipt

  7. 9:46 AM

    Patient updated

Provider view

One operational view for the care team.

See every active case, handoff, exception, and pending action without relying on fragmented inboxes and manual follow-up.

12

referrals need attention

4

routing mismatches

7

awaiting acknowledgment

1

overdue escalation

Patient view

A clear answer for the patient.

Instead of calling multiple departments, patients can understand where their case currently is and what happens next.

Your referral

  1. Pathology completed
  2. Physician reviewed
  3. Referral submitted
  4. Routing corrected
  5. GI Oncology Intake

Current status

Clinical review

Next step

Scheduling will contact you

Expected

By tomorrow

Nothing is required from you right now.

More than status tracking

The difference is verification.

Traditional workflow

  • Referral sent
  • Status: Processing
  • Manual phone calls
  • Unclear ownership
  • Problems found late

Relay

  • Referral sent
  • Destination verified
  • Owner identified
  • Next action tracked
  • Patient updated
  • Exceptions escalated

The goal is not to create another dashboard.

The goal is to make every important handoff observable and accountable until the loop is closed.

Use cases

Start with the highest-stakes transitions.

01

Biopsy follow-up

Track pathology-to-specialist handoffs and prevent referrals from disappearing between departments.

02

Abnormal imaging

Make sure findings requiring follow-up reach the correct care pathway.

03

Specialist referrals

Track intake, document completeness, acknowledgment, and scheduling.

04

Post-discharge care

Keep follow-up tasks visible across teams after a patient leaves the hospital.

Planned interoperability

Designed to work with existing healthcare workflows.

Relay is being designed as a coordination layer around the systems care teams already use — not a replacement for the EHR.

Designed to support

EHRFHIRHL7Direct MessagingFaxReferral queuesPathology systemsPatient communication

Our principle

Healthcare should not require an unusually persistent patient to prevent an administrative mistake from becoming a medical delay.

Relay is being built around one principle:

No important patient handoff should disappear into a queue without a clear owner, next action, and path to resolution.

Help us build the coordination layer healthcare is missing.

We are speaking with specialty practices, care teams, and health systems that manage complex referrals and diagnostic follow-up.

Early design partners will help shape the workflows, integrations, and operational model.