Abstract: A method comprises enabling a patient to book an appointment via an online service with a particular hospital, the online service providing appointment choices for a number of hospitals, the choices being based on attributes including time, insurance, insurance type, patient concern or geography; sending reminder information to the patient; sending patient information to the particular hospital; sending follow-up questions to the patient after the appointment; providing loyalty points to the patient for completing the follow-up questions; and charging the patient an amount based on various factors for the online service, the various factors including the number of loyalty points the patient has. The method may further comprise using responses to follow-up questions to rate doctors or hospitals.