A recent (personal) example:
Case referred to hospital X by dentist, with (printed) x-ray taken at hospital Y. Paper form, sent by external post.
Post received at hospital X, probably looked at (no proper record kept), posted second class to hospital Y for data entry, as apparently nobody at hospital X could enter data.
Two weeks pass, ring up both hospital X and hospital Y. Neither can say where the paperwork might be, or even be certain whether they ever received it.
Only option was to get a new form from dentist, and hand deliver it in person.
The original x-ray was digital.
I'm not sure this is down to money...