Specialist Consult Infrastructure

Your pager
system is
broken.

Pager replaces the on-call workflow entirely. AI-powered specialist routing connects rural ER physicians to the right consultant in under 60 seconds. Automatic documentation. No missed pages. No unanswered calls.

● Live Consult14:32:08
Cardiology
57M · Chest pain, SOB · BP 182/108 · Troponin pending
▲ Routing14:31:21
Neurology
68F · Acute onset facial droop · NIHSS 12 · Last known well 2h
✓ Complete13:55:44
Orthopedics
34M · Femur fracture · Transfer avoided — managed locally
AI Charting — auto-generated
HPI: 34-year-old male presenting with right femur fracture following MVC at low speed. Patient hemodynamically stable. Pain 8/10. No neurovascular compromise on exam. Plan for non-operative management and outpatient ortho follow-up within 72 hours...
$12K
Average cost of an air transfer a rural hospital is trying to avoid
1,300
Critical Access Hospitals in the US without adequate consult infrastructure
<60s
Average time from consult request to specialist connection on Pager
$0
Per-call fees. Flat monthly rate, unlimited consults, unlimited AI charting.
The Problem

Care coordination in 2026 still runs on a beeper

Rural ER physicians consult specialists by calling a cell number, leaving a voicemail, calling the answering service, and waiting. No accountability. No audit trail. No data. Transfers happen that shouldn't.

📟
No accountability
Specialists miss pages with no consequence. No record that the page was sent, received, or ignored. Department heads have zero visibility into on-call response rates.
📋
Documentation burden
Rural ER physicians spend 2 to 3 hours per shift on documentation. Dictation tools cost $400/month per provider. Most rural hospitals can't afford them.
🚁
Unnecessary transfers
Patients are transferred because the consult connection failed — not because local care wasn't possible. Every prevented transfer saves $8,000 to $15,000.
📊
Zero visibility
Hospital administrators cannot see consult volume, response times, transfer avoidance rates, or patient outcomes. There is no data to act on.
The Platform

Six things that replace
your current workflow

Pager is not a new app sitting next to your broken process. It replaces the process.

Core
AI Consult Routing
Enter the chief complaint and key vitals. Pager identifies the right specialty, checks on-call availability, and connects in under 60 seconds. No directory. No guesswork.
01
Included Free
Ambient AI Charting
Tap record. See the patient. Pager listens and generates a structured SOAP note automatically. HPI, assessment, plan documented without typing. Pushes to your EHR.
02
Accountability
Specialist Enforcement
Every request is logged. Read receipts track delivery. Non-responses auto-escalate in 90 seconds. Monthly reports surface each specialist's response rate to their department head.
03
Reporting
Transfer Avoidance ROI
Every disposition is tracked. The administrator dashboard shows consults completed, transfers avoided, estimated dollar savings, and trending volume by specialty.
04
Pre-Call
AI Patient Brief
Before the video connects, the specialist receives a 30-second AI-generated summary of the patient presentation. They arrive informed. Consults are faster and more useful.
05
Compliance
Automatic Documentation
Every consult generates a structured clinical note pushed via FHIR to your EHR. Joint Commission documentation requirements met automatically. No forms. No gaps.
06
For Hub Hospitals

Your brand.
Your specialists.
Full accountability.

Regional hospitals deploy Pager under their own brand. Your specialist network, your on-call schedule, your reporting — enforced automatically.

When rural hospitals connect to your specialist network through Pager, your on-call physicians are accountable to a system, not a voicemail. Department heads see response rates. CMOs see consult volume.

Pager also functions as your internal care coordination layer. ED to cardiology. Night float to attending. Consult requests that currently happen by cell phone happen through a documented, accountable channel.

Talk to us about white label
Department Monthly Report
Cardiology · April 2026 · Visible to CMO and department head
Dr. Okafor94% response
Dr. Reyes88% response
Dr. Kim71% response
Dr. Patel52% response
AI Charting

Two hours of
documentation.
Automatic.

✓ Free — included with every plan

Rural ER physicians spend 2 to 3 hours per shift documenting. Pager listens to every encounter and generates a structured clinical note automatically.

HPI. Physical exam findings. Assessment. Disposition plan. Formatted to your EHR's requirements. The physician reviews, signs. Total time: 90 seconds.

No prescriptive recommendations. No diagnostic claims. Pure documentation of the clinical encounter, structured exactly the way your medical records department needs it.

Recording encounter · 00:04:38
Right lower quadrant abdominal pain, acute onset, 6-hour duration
34-year-old female presenting with sharp, constant RLQ pain rated 7/10, onset approximately 6 hours prior. Associated with nausea and one emesis. No fever, no dysuria. LMP 3 weeks ago.
Abdomen: RLQ tenderness with guarding. McBurney's point positive. Rovsing sign equivocal. No rebound. Bowel sounds normal.
Presentation consistent with acute appendicitis. CBC, CMP, UA ordered. CT abdomen/pelvis with contrast ordered. Surgical consult via Pager — Dr. H. Torres responding.
Pricing

Simple pricing.
Infinite consults.

Flat monthly rate. No per-call fees. No per-provider seats. AI charting free on every plan.

Rural CAH · Small
Foundation
Under 6,000 ER visits/year. Smaller CAHs with 2 to 4 ER physicians.
$1,500/month
  • Unlimited specialist consults
  • AI consult routing
  • Ambient AI charting — all encounters
  • Transfer avoidance reporting
  • EHR documentation push
  • HIPAA BAA included
Request Demo
Hub Hospital · White Label
Enterprise
Regional hospitals deploying Pager for internal coordination and rural network management.
$3,500/month
  • Everything in Standard
  • White-label branding
  • Specialist accountability dashboard
  • CMO reporting suite
  • Internal consult coordination
  • Multi-department rollout support
Talk to Sales
🏛️
Grant Funding Available
Your hospital may qualify for grants that cover the full cost of Pager
HRSA Telehealth Resource Centers, USDA Distance Learning and Telemedicine grants (up to $1M), and FCC Connected Care Pilot funds are actively available for rural telehealth infrastructure. We help qualifying hospitals apply. Ask about grant eligibility when you request a demo.
Get Started

Ready to replace
your pager system?

We do a 30-minute demo scoped to your hospital's specific consult volume and transfer data. You'll see exactly what Pager would do for your facility.

Request a Demo Ask a question