
Turn every into a booked appointment
Echo AI answers and sends calls, texts, and emails 24/7 in 70+ languages to book appointments directly into your system
Trusted by leading healthcare teams












Keep a full schedule and capture missed revenue with Echo AI
- Book appointments
- Answer frequently asked questions
- Take payments
- Increase patient recall
- Follow up on referrals
- Speak your patients' language
- And much more
Our mission
Do no harm. Expand access to care.
Built for every patient
What is Echo
A team of agents that keeps your calendar full.
Echo's agents work together to answer the phone, follow up on referrals, verify insurance, and collect payments.
Call analysis
Your calls are telling you things.
Echo turns every patient conversation into intelligence. Every call gets transcribed, summarized, and analyzed, whether Echo took the call or your front desk did.
Recent call
Summary
Patient called about a balance on their statement. Melissa explained the charge, set up a payment plan, and took the first payment on the call.
Sentiment
Conversation
Resolved
No follow-up needed
Talk speed
194
Words per minute
Hold time
1:12
22% of call
Patient sentiment
- Positive78%
- Neutral17%
- Negative5%
Appointments booked per month
Practice intelligence
Run your practice on answers, not guesses.
AI listens to every patient conversation your practice has and reads back what happened: what the patient wanted, whether they booked, and where they hesitated. No one has the hours to do that by ear, so the reasons patients don't book usually stay a mystery. Echo turns them into numbers, on every call, without anyone reviewing a minute of audio.
So ask the questions that actually run the business.
- How are bookings trending against last quarter?
- Which referrals never got followed up?
- How many balances got collected, and how much is still sitting there?
- How did my staff handle the calls today?
Ask in plain English, get a number, a chart, or the transcript behind it, then hand the follow-up work straight back to the agent who owns it, from your phone.
Integrations
Works with your existing tools.
Echo reads your schedule, providers, and visit types, then writes every appointment, note, and recall back where your team already looks. No data export, no rebuilding around a new platform.
Unified memory
One memory across every channel
Echo knows each patient personally and greets them by name. It remembers every patient interaction across call, text, and email, picking up exactly where the last conversation left off.
- Greets each patient by name, and knows what they last asked for
- Persistent memory of every prior conversation, on any channel
- Every agent works from the same memory, so patients never repeat themselves
Case study
Hear it from our customers.
Vanguard Interventional Pain Specialists, Alhambra, CA
The voice
Human-standard AI voice agent, out of the box.
Proprietary voice AI orchestration delivering human-quality, low-latency phone conversations at scale.
Lowest Latency
Echo answers in roughly 600ms, so patients never sit through dead air. Every call moves at the pace of a real conversation.
Ultra Realistic Voice
Echo's voice is tuned on real patient calls and refined with clinician feedback, so it sounds warm, natural, and unmistakably human.
Turn taking
Echo's turn-taking model knows when to speak and when to listen, handling interruptions and pauses like your best front-desk teammate.
Try it live
Hear Echo in action.
Tell us a bit about your practice, give us your number, and Echo will call you right now.
Workflow builder
Your EMR missing a feature? Don't wait for them to build it.
Feature requests to your EMR vendor take months, if they ship at all. Echo hands you the builder instead. We supply the pieces already wired up, voice, text, email, your EHR, billing and payments, insurance and eligibility, forms, and you assemble them into the workflow your practice actually runs. Drag the steps into the order you want, pick what each one reaches into, and it goes live the same day.
How Echo Booking compares
Don't buy another tool. Buy less work.
Every other tool gives you work back: a pending task, a transcript, a tidy queue. They sit on top of your EHR, so a request is as far as they can take it. Echo works inside it. When something comes in, Echo uses every tool it has, your EHR, the phone, texts, eligibility checks, payments, to carry it all the way to done.
A patient asks for an appointment
Takes the request
Other tools stop here
Finds the slot in your EHR
Collects and verifies insurance
Booked, benefits confirmed
Echo finishes
A referral comes in
Logs it in a queue
Other tools stop here
Calls and texts the patient
Finds a time that works
Booked, nobody chased it
Echo finishes
A patient cancels
Flags the gap in the day
Other tools stop here
Works the waitlist and recall list
Calls the next patient in line
Backfilled, the day stays full
Echo finishes
| Capability | Echo BookingCarries the task to done | Hiring more staffFront desk headcount | AI healthcare receptionistA single voice bot |
|---|---|---|---|
| Who finishes the work | Echo does, end to end. The visit is booked, the eligibility is verified, the balance is paid. Nothing comes back to your staff. | Your staff. Every call ends with something new on their desk. | Your staff. The bot takes the request and leaves them a task, a transcript, or a callback to return. |
| What you actually get | Specialist agents working as one team: reception around the clock, scheduling, referrals, reminders, marketing, insurance, billing, and analysis | One employee, who can do exactly one thing at a time | One voice bot, whose only job is to answer the phone |
| Depth of EHR integration | Reads and writes in real time. Echo books, reschedules, cancels, and charts in the system itself, which is the only reason it can finish a task instead of describing one. | Types it in by hand, one screen at a time, when there is time | Sits on top of it, read only at best. It cannot write the booking, so the request stops at a person who can. |
| Filling the calendar | Works the recall list, the waitlist, and every no-show by call and text, and books them into the open slot on the spot | Only once the phones go quiet, so in practice it never happens | Inbound only. It waits to be called; it never calls a patient to fill a slot. |
| Insurance and eligibility | The AI Insurance Agent checks eligibility and benefits before the visit and flags what the patient will owe, without anyone asking it to | Portal checks by hand, whenever someone finds a gap between calls | Stops at the question. It can discuss insurance. It cannot verify it, so the check stays on your list. |
| Outstanding balances | The AI Billing Agent follows up by call and text and takes the payment, so the balance closes rather than ageing | Statements, then uncomfortable collections calls nobody wants to make | Not handled at all. The balance is still your problem. |
| Memory between tasks | Every agent works from the same patient record, so the reminder call already knows what the booking call promised and picks the task up where it left off | Sticky notes, EHR tasks, and whoever happens to remember | One bot, no team. Every conversation starts from zero. |
| Languages | 70+ languages, in natural two-way conversation, on calls and texts alike | Only the languages the person you hired happens to speak | A short list, usually English and Spanish, and often on voice only |
| When you need something it doesn't do | Describe the workflow or the agent you want in plain English. Echo builds it, wires it into your EHR, your clearinghouse, payments, and voice, and runs it the same day. | Nothing to build. You write another sticky note and hope the next hire remembers it. | File a feature request and wait on the vendor's roadmap, if it ships at all |
| Borrowing what already works | A marketplace of workflows and agents other practices built and published: no-show prediction, prior-auth chasing, AI scribe, chart summaries. Install one in a click and customize it. | Whatever your last hire happened to learn at their last job | Whatever the vendor decided to ship. |
| Changing how it works | You edit the workflow yourself, in plain English, the moment the protocol changes | Retrain the person, and everyone else who covers for them | Email support and wait on a prompt change you cannot see or test |
| Knowing why patients don't book | The AI Analysis Agent reads every call, text, and form, and tells you where the bookings are being lost and what to change | A report someone would have to build, on top of the job they already cannot finish | Call logs and transcripts. Reading them and finding the pattern is still your job. |
| Channels covered | Calls, texts, email, and web forms. Every one answered, 24/7. | Business hours only, minus PTO, sick days, lunch, and turnover | Inbound phone calls, and nothing else |
| Cost at scale | One flat platform fee for the whole organization. Cost tracks call volume, not headcount. | $45,000 to $75,000 plus benefits for every hire, at every location | Per-minute pricing that climbs with every call, on top of the staff you still need to finish the work |
Keep exploring
See Echo in your world.
Answers
Frequently asked questions.
No. Echo works alongside your existing EHR and phone system, not instead of them. You keep the tools you're already on. Echo sits on top and handles the communication layer: inbound calls, outbound reminders, patient texting, and digital forms. Your EHR remains the source of truth for clinical data.
You bring your scripts and protocols, whether it's 10 pages or a thousand, and our workflow builder turns them into custom AI agents that follow your exact call flows. No coding, no rigid templates.
Yes. Echo is built for healthcare from the ground up. All calls are HIPAA-compliant and automatically logged. Two-way patient texting is encrypted and HIPAA-compliant. Call recordings, transcripts, and AI summaries are stored securely. We sign a Business Associate Agreement (BAA) with every customer before they go live.
In many ways, yes. Your front desk team is talented, but they're human. Echo's AI is designed to do the parts of the job that humans shouldn't have to.
Always available
Answers every call at 3am, on holidays, and during lunch. No overtime.
Fully transparent
Every call is recorded, transcribed, and summarized. Nothing is a black box.
Speaks any language
Communicates with patients in their preferred language.
Consistent every call
Follows your scripts and protocols exactly. No fatigue, no shortcuts.
Every call is recorded, transcribed, and summarized automatically. Your team can listen to any call, review AI summaries, and take over live at any moment. Echo isn't here to replace your team. It handles the high-volume, repetitive calls so your staff can focus on the patients in front of them.
An AI healthcare receptionist is one voice bot with one job: pick up the phone. It answers, it captures the request, and then it hands the work back to your staff as a task, a transcript, or a callback to return. It usually speaks a short list of languages, and its integration is shallow enough that it cannot actually complete a booking in your system. Echo Booking is an agentic team of AI agents (reception around the clock, scheduling, referrals, reminders, marketing, insurance, billing, and analysis) that work from one shared patient record and complete the work themselves. Echo does not only answer the call that comes in. It calls the recall list, works the waitlist, rebooks no-shows, verifies eligibility before the visit, collects outstanding balances, and writes all of it directly into Open Dental, Dentrix, PrognoCIS, eClinicalWorks, athenahealth, or NextGen Healthcare in real time, in 70+ languages. A receptionist, human or AI, is inbound and reactive. Echo fills the calendar and clears the routine work off the practice entirely.
AI agents for a medical practice are specialist software workers that each own one job in the practice's routine workload and complete it end to end, rather than one general-purpose voice bot that tries to do everything and hands the rest back to staff. They coordinate with each other and share the same patient record, so work passes between them without being dropped. Echo Booking ships a team of them. The AI Receptionist Agent answers, days, nights, weekends, and holidays alike, the AI Scheduling Agent books, the AI Referrals Agent works the referrals other offices send in, the AI Reminders Agent confirms, the AI Marketing Agent brings lapsed and overdue patients back, the AI Insurance Agent checks eligibility, the AI Billing Agent collects balances, and the AI Analysis Agent watches the rest. Because they share context, the reminder call already knows what the booking call promised, and the booking already knows whether insurance cleared. That is the difference between a bot that talks to patients and a system that runs the practice.
Most practices need coverage across the same handful of jobs, and Echo Booking ships an agent for each. A reception agent to answer every call, text, and form, days, nights, weekends, and holidays alike. A scheduling agent to book and reschedule directly in the EHR. A reminders agent to confirm visits and rebook no-shows. A marketing agent to work the recall list and bring lapsed patients back. A referrals agent to work the referrals other offices fax in. An insurance agent to verify eligibility before the visit. A billing agent to collect outstanding balances. And an analysis agent to watch the rest and report what is actually happening at the front desk. Practices usually start with reception and scheduling, then turn on the rest as they go.
A new hire costs roughly $45,000 to $75,000 plus benefits, takes months to become productive, works one shift, handles one call at a time, and has to be replaced when they leave. That buys more capacity for the same reactive work: another person to answer the phone while it rings. An AI healthcare receptionist is cheaper, but it only answers inbound calls and still leaves the actual work for your staff to finish. Echo Booking costs one flat platform fee across the whole organization and scales with call volume rather than headcount. It answers every call at once, covers nights, weekends, and holidays, speaks 70+ languages, and does the outbound work that actually fills the calendar: recall lists, waitlists, no-show rebooking, eligibility checks, and balance collection. Echo is not there to replace your team. It takes the routine, repetitive work off them so the staff you already have can look after the patients standing in front of them.
No, and that is the core design decision. Most AI front desk tools generate work: a message to return, a transcript to read, a task in a queue, a callback list for the morning. Echo Booking completes the work instead. The appointment is booked in your EHR, the eligibility is verified, the reminder is confirmed, the balance is collected. The task is finished, not created. Your team keeps full oversight, since every call and text is recorded, transcribed, and summarized, and anyone can take over a live call at any moment. But nothing is waiting on them by default. Your staff supervise the practice rather than staff it.
The best AI receptionist for a healthcare practice is held to a clinical standard, not a generic chatbot one. Four things matter most: it must be HIPAA-compliant with a signed BAA; it must answer every call, text, and form 24/7 without dropping or mishearing patients; it must write back into your EHR or EMR so your team works from one source of truth; and it must hand off cleanly to a human the moment a call needs one. Echo is built to all four. It answers in under a second, speaks 70+ languages, follows your exact scripts and protocols, and has direct two-way integrations with systems like Open Dental, Dentrix, PrognoCIS, eClinicalWorks, athenahealth, and NextGen Healthcare: it reads the live schedule and writes appointments, reschedules, and notes back into the chart in real time. Every design choice follows two rules: do no harm, and expand access to care.
Echo works alongside the EHR, EMR, or practice management system you already run. It has direct two-way integrations with Open Dental, Dentrix, Dentrix Ascend, Eaglesoft, Curve Dental, PrognoCIS, eClinicalWorks, Practice Fusion, NextGen Healthcare, athenahealth, Prompt, Acuity Scheduling, and new systems are added regularly. Two-way means Echo reads your live schedule and writes appointments, reschedules, and notes back into the chart in real time, not into a separate inbox your staff has to re-key. Whatever system your practice runs, Echo answers every call and text 24/7. Echo books, confirms, reschedules, and recalls inside your system and writes every result back to the chart, so you don't switch tools or rebuild your setup to use it.
Yes. Open Dental and Prognocis are two of Echo's most deeply supported integrations. For Open Dental practices, Echo reads operatories, providers, procedure codes, fee schedules, and the recall list, then books, confirms, reschedules, and triages emergencies, all written back to Open Dental in real time. For Prognocis practices, Echo connects to provider templates, appointment types, and patient records, handling inbound and outbound calls, texts, and forms with full chart logging. If you already run on Open Dental or Prognocis, Echo is built to plug straight in. Both integrations are HIPAA-compliant.
Yes. Echo is built for multi-location healthcare organizations. All plans are priced per organization, not per location, so your entire group runs under one account with one invoice. Included voice minutes and text messages are pooled org-wide, so high-volume locations can draw from the same pool as lighter ones. For organizations with 10 or more locations, talk to us about enterprise pricing.
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