NewSee how Vanguard transformed its multi-location front desk with Echo
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HIPAA compliant

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

Call
Text
Email
Fax
Forms
Referrals
Listen to Echo

Trusted by leading healthcare teams

Avicena Clinics
Vanguard
GOPT
Avicena Clinics
Vanguard
GOPT
Avicena Clinics
Vanguard
GOPT
Avicena Clinics
Vanguard
GOPT
Avicena Clinics
Vanguard
GOPT
Avicena Clinics
Vanguard
GOPT

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

VoiceTextEmailFormsReferrals
24/7
Available
70+
Languages
< 1 sec
Pickup

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

MelissaFront desk5:34

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

PatientNeutral
OfficePositive

Conversation

Resolved

No follow-up needed

Talk speed

194

Words per minute

Hold time

1:12

22% of call

Patient sentiment

0%Positive
  • Positive78%
  • Neutral17%
  • Negative5%

Appointments booked per month

0booked in the last 12 months
0200400600800Aug '25Jul '26Echo agentFront desk
Transcribed, summarized, and written back to the patient record.

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.

Open Dental logo

Dental PMS

Echo for Open Dental

Two-way integration

Echo AI books appointments directly into Open Dental, a practice management system for dental offices.

See the integration
Dentrix logo

Dental PMS

Echo for Dentrix

Two-way integration

Echo AI books appointments directly into Dentrix, a practice management system for dental offices.

See the integration
Dentrix Ascend logo

Cloud Dental PMS

Echo for Dentrix Ascend

Two-way integration

Echo AI books appointments directly into Dentrix Ascend, a cloud practice management system for dental offices.

See the integration
Eaglesoft, a Patterson Technology, logo

Dental PMS

Echo for Eaglesoft

Two-way integration

Echo AI books appointments directly into Eaglesoft, a practice management system for dental offices.

See the integration
Curve Dental logo

Cloud Dental PMS

Echo for Curve Dental

Two-way integration

Echo AI books appointments directly into Curve Dental, a cloud practice management system for dental offices.

See the integration
PrognoCIS logo

Specialty EHR

Echo for PrognoCIS

Two-way integration

Echo AI books appointments directly into PrognoCIS, a specialty EHR for multi-specialty clinics.

See the integration
eClinicalWorks logo

Ambulatory EHR

Echo for eClinicalWorks

Two-way integration

Echo AI books appointments directly into eClinicalWorks, a cloud EHR for outpatient medical practices.

See the integration
Practice Fusion from Veradigm logo

Cloud EHR

Echo for Practice Fusion

Two-way integration

Echo AI books appointments directly into Practice Fusion, a cloud EHR for independent medical practices.

See the integration
NextGen Healthcare logo

Ambulatory EHR

Echo for NextGen Healthcare

Two-way integration

Echo AI books appointments directly into NextGen Healthcare, an ambulatory EHR for specialty practices.

See the integration
athenahealth logo

Ambulatory EHR

Echo for athenahealth

Two-way integration

Echo AI books appointments directly into athenahealth, a cloud EHR for medical practices.

See the integration
Prompt logo

Rehab Therapy EMR

Echo for Prompt

Two-way integration

Echo AI books appointments directly into Prompt, a rehab therapy EMR for physical therapy clinics.

See the integration
Acuity Scheduling logo

Scheduling Platform

Echo for Acuity Scheduling

Two-way integration

Echo AI books appointments directly into Acuity Scheduling, a scheduling platform for appointment-based practices.

See the integration
WebPT logo

Rehab Therapy EMR

Echo for WebPT

Integration in progress

WebPT is a rehab therapy EMR for physical therapy clinics.

See the integration
+

And more

Don't see your system?

More systems supported, with new ones added often. See them all and tell us what you run.

See all integrations

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.

Phone callApr 03
Asked for a cardiology referral
Siloed on this channel
Web formApr 10
Intake + consent submitted
Siloed on this channel
TextApr 15
Afternoons are hard for him
Siloed on this channel
EmailMay 02
Asked what his copay would be
Siloed on this channel
Alexander Chen
0 of 4 conversations pulled in
  • 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.

Get a live call from Echo 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.

Echo Builder
Describe the workflow or agent you want…
PreviewCode
Waiting for your first message…

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

  1. Takes the request

    Other tools stop here

  2. Finds the slot in your EHR

  3. Collects and verifies insurance

  4. Booked, benefits confirmed

    Echo finishes

A referral comes in

  1. Logs it in a queue

    Other tools stop here

  2. Calls and texts the patient

  3. Finds a time that works

  4. Booked, nobody chased it

    Echo finishes

A patient cancels

  1. Flags the gap in the day

    Other tools stop here

  2. Works the waitlist and recall list

  3. Calls the next patient in line

  4. Backfilled, the day stays full

    Echo finishes

Echo Booking, an agentic team of AI agents, compared with hiring more front desk staff and with an AI healthcare receptionist, across the work a medical practice actually needs done.
CapabilityEcho BookingCarries the task to doneHiring more staffFront desk headcountAI healthcare receptionistA single voice bot
Who finishes the workEcho 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 getSpecialist agents working as one team: reception around the clock, scheduling, referrals, reminders, marketing, insurance, billing, and analysisOne employee, who can do exactly one thing at a timeOne voice bot, whose only job is to answer the phone
Depth of EHR integrationReads 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 timeSits on top of it, read only at best. It cannot write the booking, so the request stops at a person who can.
Filling the calendarWorks the recall list, the waitlist, and every no-show by call and text, and books them into the open slot on the spotOnly once the phones go quiet, so in practice it never happensInbound only. It waits to be called; it never calls a patient to fill a slot.
Insurance and eligibilityThe AI Insurance Agent checks eligibility and benefits before the visit and flags what the patient will owe, without anyone asking it toPortal checks by hand, whenever someone finds a gap between callsStops at the question. It can discuss insurance. It cannot verify it, so the check stays on your list.
Outstanding balancesThe AI Billing Agent follows up by call and text and takes the payment, so the balance closes rather than ageingStatements, then uncomfortable collections calls nobody wants to makeNot handled at all. The balance is still your problem.
Memory between tasksEvery 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 offSticky notes, EHR tasks, and whoever happens to rememberOne bot, no team. Every conversation starts from zero.
Languages70+ languages, in natural two-way conversation, on calls and texts alikeOnly the languages the person you hired happens to speakA short list, usually English and Spanish, and often on voice only
When you need something it doesn't doDescribe 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 worksA 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 jobWhatever the vendor decided to ship.
Changing how it worksYou edit the workflow yourself, in plain English, the moment the protocol changesRetrain the person, and everyone else who covers for themEmail support and wait on a prompt change you cannot see or test
Knowing why patients don't bookThe AI Analysis Agent reads every call, text, and form, and tells you where the bookings are being lost and what to changeA report someone would have to build, on top of the job they already cannot finishCall logs and transcripts. Reading them and finding the pattern is still your job.
Channels coveredCalls, texts, email, and web forms. Every one answered, 24/7.Business hours only, minus PTO, sick days, lunch, and turnoverInbound phone calls, and nothing else
Cost at scaleOne 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 locationPer-minute pricing that climbs with every call, on top of the staff you still need to finish the work
Done, start to finishPossible, but only when someone has the timeNot on the table

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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HIPAA compliant · BAA included