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

Turn phone calls intoinsurance verified appointments

Receive a live call from 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

Run your Calendar on Autopilot

A booking isn't finished until the insurance is verified.

The integrated solution

Patients, not paperwork.

  1. Step 1Live

    Answered, captured, and scheduled

    A ringing phone, answered

    Echo picks up every call, text, email, and fax, days, nights, weekends, and holidays, captures why the patient is reaching out, pulls the right chart, and applies your scheduling rules to land the right slot.

  2. Step 2Live

    Booked directly into your system

    A patient chart in an EHR

    The appointment is written straight into your EHR or PMS in real time, with no double-entry and no task left on the front desk's list.

  3. Step 3Live

    Proactively remind, recall, and backfilled cancellations

    An appointment reminder

    Echo proactively sends the reminders, works the recall list, and backfills cancellations from the waitlist, all on its own.

  4. Step 4Beta

    Insurance verified

    An insurance card

    Echo checks eligibility and benefits before the visit and flags exactly what the patient will owe, without anyone asking.

  5. Step 5Coming soon

    Claim submitted

    A claim, sealed and sent

    After the visit, Echo files a clean claim on time, so the paperwork never piles up at the front desk.

  6. Step 6Coming soon

    Remittance reconciled

    A remittance statement

    It retrieves the EOB and ERA and reconciles what each payer actually paid against what was billed.

  7. Step 7Coming soon

    Balance collected

    A balance paid

    Echo automates the calls, texts, and emails that collect a patient's remaining balance, closing the loop it opened on the first ring.

Our mission

Do no harm. Expand access to care.

Built for every patient

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

The voice

Human-standard AI voice agent, out of the box.

Hear it for yourself. Receive a live call from Echo.

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.

Ask the questions that run your 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?

Then ask Echo to complete ad hoc tasks like calling back a specific patient or running a set of insurance checks.

Case study

Hear it from our customers.

Vanguard Interventional Pain Specialists, Alhambra, CA

How Echo Booking compares

Don't buy another tool. Buy less work.

Answering the phone is the easy part. Three things decide whether the work actually gets finished:

  • Scheduling logic: Echo doesn't take any random opening. It fills the day the way your staff would: grouped, sequenced, packed. Every rule is yours to configure.
  • Insurance verification: A booking isn't finished until the coverage is. Practices only earn on verified appointments, so Echo confirms benefits before the slot is locked.
  • Complete integration: Echo writes back into your EHR/PMS, not notes in a system beside it: appointments, insurance benefits, communication logs.
A ringing phone, answered

Turning phone calls into insurance verified appointments

  1. Takes a message and writes a todo task for your staff to follow up on

    Most tools are glorified voicemail and stop here

  2. Books directly in your EHR/PMS with custom booking preference logic

  3. Verifies insurance benefits and writes directly back to your EHR/PMS

  4. Booked on autopilot

    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 and on autopilot. 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.
Writing back to the EHR/PMSReads 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.
Custom booking preference logicEvery scheduling rule you already work by is configurable: which provider, which visit types, how blocks are grouped and sequenced, how tightly the day packs. Echo lands the slot your staff would have chosen, not whichever one is open.Knows the rules by heart, and they leave the practice when they doReads out the next open slot on the calendar. It has no way to know whether that slot is the right one.
Filling the calendarProactive, not reactive. Echo calls and texts the recall list, the waitlist, and every no-show automatically, and books them into the open slot on the spot, rather than waiting for the phone to ring.Only 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.
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, PrognoCIS, eClinicalWorks, 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.

Ready when you are

Bring the future to
your practice today.

Build AI that people actually want to talk to.

HIPAA compliant · BAA included