Approach

Three moves, none of them performed by a person.

DetectThe cancellation lands in your PMS.Brightloom sees it within 60 seconds. No import, no refresh, no one watching a screen.
RankYour waitlist is ordered by your rules.Clinical urgency first, then provider match, travel time, and past reliability. Dr. Lau sets the guardrails.
BookThe best-matched patient is texted and booked.Slot held 20 minutes, confirmed by reply, written back to the PMS with an audit trail.

Median cancellation to confirmed replacement across 63 clinics: 3 min 48 s.