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Rehab Therapy EMR integration guide

How Echo works with Prompt

By Alex Le, Echo product teamUpdated August 2026

Echo Booking is an AI receptionist for Prompt practices. Every call and text is answered at any hour. Echo reads therapist schedules and the plan of care, books the whole series of visits at the cadence that plan calls for, and tracks the authorized visit count.

Rehab does not schedule one appointment. It schedules a course of care. The plan of care says three visits a week for six weeks, the payer authorizes a specific number of visits, and Prompt holds every one of them against a therapist's schedule at a specific visit type and duration. That is eighteen chances for something to go wrong, and it usually starts with a patient who misses a Tuesday and never calls back. Echo answers the phone for that patient before anyone at the desk has time to notice: it reads your therapist schedules and live openings in Prompt, books the whole series, and chases the visit that fell out of it.

Background

What is Prompt?

Prompt is a Rehab Therapy EMR (electronic medical record system) that healthcare practices use to manage patient records, scheduling, and billing.

Echo is the AI receptionist that integrates directly with Prompt: it answers every patient call and text 24/7, reads your therapist schedules, visit types with their durations, the plan of care and its visit cadence, and authorized visit counts, and books the whole series of visits at the cadence the plan of care calls for, rebooks a missed visit into the next valid slot, and keeps the schedule aligned to the authorization, writing every result back into Prompt in real time.

Prompt is made by its own vendor and is not affiliated with Echo. See the official Prompt site for their product details.

What Prompt practices see

Fewer front desk labor hours
50–80%Fewer front desk labor hours
More appointments booked
20–30%More appointments booked
To full ROI
1 monthTo full ROI
After-hours calls answered
100%After-hours calls answered
Pickup time
< 1 secPickup time
Always answering
24/7Always answering

In a live practice, Vanguard Interventional Pain Specialists runs reminders, intake forms, and after-hours calls through Echo across three locations, in English, Spanish, Mandarin, and Cantonese.

In short

Key takeaways

  • A direct, 100% two-way integration with Prompt: Echo reads your therapist schedules, visit types with their durations, the plan of care and its visit cadence, and authorized visit counts and writes appointments, reschedules, and notes back in real time, not a message queue.
  • Your Prompt scheduling logic is Echo's: which provider, which visit types, how blocks are grouped and sequenced, how tightly the day packs. It books the slot your staff would have chosen, not simply the next open one.
  • Insurance eligibility and benefits are checked before the visit (beta), so patients arrive verified rather than surprised at check-in.
  • Practices book 20–30% more appointments and cut front desk labor hours by 50–80%, and most reach full ROI within the first month.
  • 100% of after-hours calls are answered, triaged against your protocols, and booked or escalated, nothing goes to voicemail.
  • Up to 80% of inbound referrals are booked automatically, so referrals stop expiring in a fax tray while the patient books elsewhere.
  • Live in about 2 hours: roughly 30 minutes to enable the Prompt API, then up to 2 hours configuring your booking rules with Echo's team.
  • HIPAA-compliant by design and covered by a signed Business Associate Agreement (BAA). Keep your number and your Prompt workflows, no migration.

Depth of integration

What does Echo read and write in Prompt?

Echo works inside Prompt rather than alongside it. It reads the schedule before it answers, books while the patient is still on the line, and writes the result back to the chart in real time. Nothing waits in a queue for your front desk to re-key in the morning.

Reads

What Echo can see in Prompt

  • therapist schedules
  • visit types with their durations
  • the plan of care and its visit cadence
  • authorized visit counts

Writes

What Echo does back to Prompt

  • books the whole series of visits at the cadence the plan of care calls for
  • rebooks a missed visit into the next valid slot
  • keeps the schedule aligned to the authorization

Stays the same. Your Prompt therapist schedules, visit types, plans of care, and authorization rules stay exactly as they are. There is no migration and no rebuild, and patients keep calling the number you already publish.

In rehab a patient books a course of care, not an appointment. A missed Tuesday is not one empty slot, it is a break in a plan of care that burns capacity, puts the authorization at risk, and is the first sign the patient will never finish. Echo rebooks the series, not just the visit.

Three ways software connects to Prompt, and which one this is

Message capture.
The service never touches Prompt. It collects the patient’s details and hands your team a message to enter. The work is recorded, not removed, and the appointment does not exist until somebody types it.
Scheduled sync.
Data moves between Prompt and the tool on an interval. It is a real integration, but the tool is quoting a schedule as it stood at the last sync, so two callers can be offered the same slot and double-bookings surface after the fact.
Real-time read and write.
The tool queries Prompt live during the call and writes back before the call ends. The slot it offers is open at that moment, and the booking is in the chart by the time the patient hangs up. This is how Echo connects to Prompt.

The problem

Why do Prompt practices miss patient calls?

The solution

What does Echo do inside Prompt?

  • Booking the series is the job, and it takes twenty minutes on the phoneA new patient does not want a time. They want twelve times, spread three a week, that all fit around a job and a therapist who has to be the same person each visit. Building that in Prompt while the patient waits on the line is genuinely slow work, and every minute of it is a minute the desk is not checking anyone in. So it gets shortened: book the first two, promise to sort the rest later, and later never comes.
  • Books the whole series, not one visitEcho takes the cadence your plan of care prescribes (three a week for six weeks, twice a week for four) and writes every visit into Prompt against the same therapist, at the right visit type and duration, in one conversation. The patient hangs up with the full course of care on the calendar.
  • A missed visit is a break in the plan of care, not an empty hourSomebody skips Tuesday. On the schedule it looks like one gap. In reality the plan of care is now behind, the authorization has a clock on it, and the patient has just learned that missing a visit carries no consequence. Research and every front desk in rehab agree on what happens next: the patient who misses one visit is the patient who quietly stops coming. Catching them takes a phone call the same day, and the same day is exactly when nobody has ten free minutes.
  • Chases the missed visit the same dayWhen a patient misses a visit, Echo reaches them by call and by text, in the language they speak, and rebooks them back onto the cadence before the plan of care drifts. The follow-up happens on the day it matters instead of whenever someone finds a quiet afternoon.
  • A cancelled slot and a waiting patient never find each otherSomebody drops Thursday at four. Elsewhere on the list is a patient who would take it gladly and is currently waiting two weeks. Putting the two together means working the waitlist by phone between treatments, so most of the time nobody does, and the clinic runs a therapist under capacity while patients wait.
  • Fills the cancellation from your waitlistA late cancellation opens an hour on a therapist's schedule. Echo works down your waitlist, offers the slot, books the first patient who accepts, and writes it into Prompt. The hour gets used, and a patient who was waiting for care moves up.
  • Authorized visits expire whether or not they get usedThe payer approved a set number of visits inside a window. Prompt tracks them. Nobody has time to work the report. Visits that were approved and never scheduled do not roll over, they simply evaporate, and the patient reaches the end of the authorization still in pain and still short of the plan. Then the clinic gets to re-authorize, which is more paperwork for care that was already paid for.
  • Works the recall list on a schedulePatients who dropped off mid-plan, patients with authorized visits still unscheduled, patients due to come back: Echo contacts them by phone and text and books them into a real opening in Prompt. The list gets worked every week instead of never.
  • Multiple clinics, one phone line, and no shared view of who is freeA rehab group with four locations has therapists whose schedules only make sense to the person sitting at that location. A caller who could easily be seen at the clinic ten minutes further out gets told there is nothing this week, because the person answering was reading one schedule. Meanwhile a therapist across town is sitting with an open slot at that exact hour.
  • Books across all your locations from one numberEcho answers the number you already publish and sees every clinic behind it. If the caller's own location is full this week, it can offer a genuine opening at another site rather than sending them away with nothing.
  • The calls come after the clinic closes and in other languagesPatients in pain, and the people arranging care for them, ring in the evening and at weekends, and a fair number of them are more comfortable in a language nobody at the desk speaks. Both problems end the same way: a voicemail, a delay, and a patient who starts their plan of care a week later than they should have.
  • Triages and books after hours, in 70+ languagesThe calls come in at 6 p.m. and on Saturday, when the clinic is closed and the patient has finally sat down. Echo answers, handles rescheduling and new-patient intake against your live Prompt schedule, and escalates anything urgent to your on-call contact with the details already gathered.

How it connects

How does Echo connect to Prompt?

  1. Connect to Prompt

    We link Echo to Prompt and map your providers, visit types, and scheduling rules during onboarding.

  2. Configure your front desk

    Tell Echo how you greet patients, book, work recall, and handle after-hours. It learns your setup, so you don't rebuild around it.

  3. Go live

    After a dry run and the signed BAA, Echo starts answering calls and texts and writing every result back into Prompt.

Why practices choose Echo

How is Echo different from a generic AI receptionist?

Only three things matter: whether it knows your booking logic, whether it completes the work inside your system, and what it costs your front desk to adopt.

  1. Scheduling rules engineEcho lands the slot your front desk would have picked, inside Prompt, not whichever one happens to be open.
  2. Deep integrationsEcho reads and writes the fields your workflow actually runs on in Prompt, so the work leaves your desk instead of coming back as a task.
  3. Mobile firstOne light app that pings your team only when a person is genuinely needed. No dashboard to check each morning.
How Echo Booking compares with a generic AI receptionist and with running Prompt on its own.
CapabilityEcho BookingCarries the work to doneGeneric AI receptionistAnswers, then hands it backPrompt on its ownThe system you already run
Custom scheduling logicYour providers, visit types, block rules, and how tightly the day packs, inside Prompt. Echo lands the slot your staff would have chosen.Reads out any open slot, with no way to know your preferenceHolds your rules; someone still has to apply them on the call
Books directly in PromptBooked, moved, or cancelled in Prompt in real time, under your rules.Read-only at best, so the request stops at a person who can enter itStaff, by hand, once someone answers
Proactively reminds, recalls, and backfills cancellationsWorks reminders, recall, and the waitlist on a schedule and books the result on the spot.Inbound only. It waits to be calledReport only: it lists who's due, it doesn't call them
70+ languages, spoken naturallySpanish, Mandarin, Vietnamese, Tagalog and 70+ more, on the same number, switching automatically.Usually one or two, often a separate number
Writes back without transcription errorsStructured fields into Prompt: patient, visit type, provider, time. Nothing is re-typed.Hands over a transcript for someone to key inOnly as accurate as what your staff type in
Verifies insurance before the visitBetaChecks eligibility and benefits as part of booking, and flags what the patient will owe.Can discuss coverage, but not confirm itA place to record coverage, not a way to check it

Done, start to finishPartly. Someone at the practice still finishes itDoesn’t do it at all

Mobile first, light by design

AI receptionist, in the palm of your hands.

Everything Echo does inside Prompt reaches you the same way: one app, on the phone already in your pocket. There is no second dashboard to watch and no queue to work through in the morning, because the work is finished in Prompt before it would have reached one.

Ask an Echo a question or complete an outstanding task

  • Ask it to call a patient back, from your palm.
  • Pull today's numbers without opening a report.
  • No extra tab to monitor or workflow to change.
  • Built to stay hidden and work for you.
  • Get push notification when a human needs to step in.

Related reading

Keep exploring

Runs on another system? Echo reads and writes in real time, verifying insurance and booking, confirming, and logging every result directly in Open Dental, Dentrix, Dentrix Ascend, Eaglesoft, Curve Dental, Oryx, Denticon, PrognoCIS, eClinicalWorks, Practice Fusion, NextGen Healthcare, Athena, Acuity Scheduling, and WebPT, with no separate queue to reconcile and no migration.

Weighing us against someone else? Read Echo Booking vs NexHealth, and the best dental AI receptionist, compared vendor by vendor. Every vendor claim on those pages is sourced to that vendor's own site.

Questions

Frequently asked questions

Not publicly. Prompt documents named partner integrations and automated BI data extracts rather than a self-serve developer portal or endpoint reference, so the route for any new integration is worth confirming with Prompt directly.

Prompt names Kno2 for clinical data exchange with hospitals and referring providers, an integrated clearinghouse handling EDI and ERA, integrated card processing, telehealth, fax, and online scheduling, alongside automated data extracts for reporting.

It writes in. The integration is direct and two-way: Echo reads your therapist schedules, visit types with their durations, and real openings from Prompt, then books, reschedules, or cancels while the patient is still on the phone. It creates new patients, and it writes a full recurring series, not one appointment at a time. Nothing sits in a queue for your front desk to re-enter the next morning.

Yes, and it is the main reason rehab clinics bring us in. Echo books the cadence your plan of care calls for as a real series in Prompt, held with the same therapist at the correct visit type and duration, working around the times the patient tells us they cannot come. The patient leaves the call with the whole course of care scheduled rather than the first two visits and a promise.

It goes after them the same day. Echo calls and texts the patient, in whatever language they speak, gets them back onto the cadence, and books the replacement visit into a real opening on their therapist's schedule in Prompt. That single same-day contact is the difference between a patient who finishes their plan of care and a patient who was never heard from again.

Yes. Echo is configured to your specific therapists and clinicians, the visit types you actually use, and the durations you have set on them. An evaluation gets the block it needs and a follow-up gets its own, and Echo books only into openings that are genuinely available on that therapist's schedule in Prompt.

Very little. Prompt stays your system of record, and your therapist schedules, visit types, and scheduling rules stay exactly as you have them. Patients keep calling the same number you already publish. We configure Echo to your locations and after-hours protocols, dry-run against your live schedule, and sign the BAA before the first call is answered. Echo is HIPAA-compliant, and there is no migration.

A message-taking service never touches Prompt. It collects the patient's details and hands your team something to enter, so the appointment does not exist until somebody types it. A scheduled sync moves data on an interval, so it quotes the schedule as of the last sync and two callers can be offered the same slot. Echo queries Prompt live during the call and writes back before the call ends, so the time it offers is genuinely open at that moment and the booking is in the chart by the time the patient hangs up.

Echo verifies insurance for Prompt practices as part of booking, currently in beta. It checks the patient's eligibility and benefits before the visit and flags what they are likely to owe, so the appointment is confirmed with coverage already established rather than leaving a verification task on your front desk's list. Most AI receptionists can discuss insurance but cannot check it.

Echo books to the scheduling rules you configure, not to the next open gap in Prompt. It applies which provider a visit type belongs to, how long that visit really takes, how appointments are grouped and sequenced through the day, and how tightly the day should pack, so the slot it lands is the one your staff would have chosen.

Yes, and most practices bring Echo in to replace the after-hours service and the daytime overflow line at once. A traditional answering service cannot see your Prompt schedule, so the best it can do is take a message your front desk re-keys the next morning, and it usually only picks up after hours. Echo answers every call and text in under a second, day or night, reads your live Prompt schedule, and books, reschedules, and confirms directly in it. Out of hours it triages against your protocols and escalates true emergencies to your on-call contact with the patient's details already attached. The patient leaves the call with a real appointment rather than a callback.

Yes. A self-service booking link only reaches the patients who go to your website, already know what they need, and never abandon the form, which is a small slice of demand. Most patients call, and they call to check insurance, reschedule, or describe a problem before they will book. Echo answers every one of those calls and texts, handles the questions and exceptions a form cannot, and books straight into Prompt, so you capture the patients an online link never reaches.

About two hours of your time. Enabling the Prompt API integration takes roughly 30 minutes, and configuring your specific booking rules, providers, visit types, and after-hours protocols takes up to two hours with Echo's team walking you through it. There is no migration and no rebuild, so most practices are live within days, not weeks.

Echo Booking uses simple usage-based pricing that scales with how much your front desk hands off, so you pay for the calls, texts, and tasks Echo actually handles rather than a fixed per-seat fee. The right number depends on your call volume and which workflows you turn on. Book a 30-minute demo for a quote tailored to your Prompt practice.

No. Prompt stays your system of record. Echo is a layer on top that handles the calls, texts, and forms, then writes the result back into Prompt. There is no migration and no rebuild, and patients keep calling the number you already publish.

HIPAA compliant · BAA included

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