Abstract: A system for creating a patient care referral, comprising a database comprising records for a plurality of users, a database comprising current procedural terminology codes, a database comprising a patient's records, a database comprising a payer's records, a processor, a memory operably coupled to the processor and storing software executable by the processor, the software including a referral creation means configured to retrieve a current procedural terminology code for a procedure from the current procedural terminology code database, a search means configured to enable a referring user to select a patient from the patient's records database, a payer payment means to enable the referring user to determine the costs to the patient for the referral, an authorization means to enable the referring user to determine authorization by the payer for the referral, a confirmation means to enable the referring user to confirm the referral with the payer, a messaging means to enable the referring user to communicate