Mednections LLC provides a system to track and improve referral coordination between primary-care providers and subspecialty physicians, and to provide hospitals and healthcare networks with access to referral patterns of associated providers. Utilizing functional specifications for an appointment monitoring and tracking voice recognition using Artificial Intelligent technology on an Interactive Voice Recognition computer system. or AIVR system, which is capable of being integrated with a referral system are based on business processes including, but not limited to, initiating a call to a patient, and initiating a call to a physician or specialist. It is to be noted that the AIVR is configured to understand conversational modes directed towards specific dialogues programmed into the AIVR