echo
AI receptionist directly integratedwith Visage
Every call, text, and web form answered in under a second and booked straight into Visage, under the scheduling rules you already work by.
On this page
- 01What is Visage?
- 02Key takeaways
- 03What does Echo read and write in Visage?
- 04Why do Visage imaging groups miss patient calls?
- 05What does Echo do inside Visage?
- 06How does Echo connect to Visage?
- 07How Echo Booking compares
- 08How is Echo different from a generic AI receptionist?
- 09Everything on one phone
- 10Frequently asked questions
Enterprise Imaging Platform integration guide
How Echo works with Visage
Echo Booking is an AI receptionist for Visage, built for radiology groups. It answers every call 24/7, reads the schedule and registrations in Visage RIS or the RIS feeding Visage 7, checks study and report status in Visage 7, and books, reschedules, and cancels exams in real time, with prep and safety screening done on the call.
A Visage shop is two systems that the caller experiences as one. Visage 7 holds the study, every prior in the Open Archive, the reading worklist, and the signed report. The appointment lives somewhere else: in Visage RIS, with its patient registration and scheduling, or in the RIS or EHR that sends Visage 7 an HL7 order for each scheduled procedure. Every phone call at a radiology front desk crosses that seam. The patient booking the MRI her neurologist ordered is a schedule question; the referring office asking whether the CT has been read is a Visage 7 question; the surgeon's office wanting priors is both. Echo answers that phone, every call and text, day and night, reads the schedule on one side of the seam and the study and report status on the other, and books the exam into the schedule while the patient is still on the line.
Background
What is Visage?
Visage is an Enterprise Imaging Platform (picture archiving and communication system) that radiology groups, imaging centers, and hospital imaging departments use to store, view, and share medical images.
Echo is the AI receptionist that integrates directly with Visage: it answers every patient call and text 24/7, reads your the schedule and patient registrations in Visage RIS or the RIS or EHR that sends Visage 7 its HL7 orders, the scheduled procedures those orders carry, and study and report status from the Visage 7 worklist, and books, reschedules, and cancels exams in the schedule that feeds Visage 7, registers new patients, and records screening answers and call notes against the booking, writing every result back into Visage in real time.
Visage is made by its own vendor and is not affiliated with Echo. See the official Visage site for their product details.
Hear it for yourself
A real call from inquiry to booked appointment.
Echo in action
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What Visage imaging groups 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 Visage: Echo reads your the schedule and patient registrations in Visage RIS or the RIS or EHR that sends Visage 7 its HL7 orders, the scheduled procedures those orders carry, and study and report status from the Visage 7 worklist and writes appointments, reschedules, and notes back in real time, not a message queue.
- Your Visage scheduling logic is Echo's: which provider, which exam 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, 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.
- About 2 hours of your team's time to configure booking rules with Echo's team; activating the Visage connection follows your IT team's own approval process.
- HIPAA-compliant by design and covered by a signed Business Associate Agreement (BAA). Keep your number and your Visage workflows, no migration.
Depth of integration
What does Echo read and write in Visage?
Echo works inside Visage 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 Visage
- the schedule and patient registrations in Visage RIS or the RIS or EHR that sends Visage 7 its HL7 orders
- the scheduled procedures those orders carry
- study and report status from the Visage 7 worklist
Writes
What Echo does back to Visage
- books
- reschedules
- cancels exams in the schedule that feeds Visage 7
- registers new patients
- records screening answers and call notes against the booking
Stays the same. Your Visage 7 worklists, Open Archive, HL7 feeds, Visage Ease access for referrers, and RIS scheduling and registration stay exactly as they are. There is no migration and no rebuild, and patients keep calling the number you already publish.
A generic answering service takes a message when a referring office asks whether Tuesday's CT has been read. Echo reads the report status from Visage 7, confirms it within the rules you set, and, when the same office asks to add a contrast study, books it into the schedule Visage 7 already takes its orders from, with the screening questions asked.
Three ways software connects to Visage, and which one this is
- Message capture.
- The service never touches Visage. 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 Visage 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 Visage 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 Visage.
The problem
Why do Visage imaging groups miss patient calls?
The solution
What does Echo do inside Visage?
- The images moved to the server side. The phone did not.Visage 7 fixed the reading problem: one viewer, every prior assembled on the fly, studies streamed from the server so a radiologist at home reads as fast as one in the department. None of that touches the phone. A patient calling at 6:40 p.m. to ask whether she needs to fast for tomorrow's CT still reaches a voicemail box, and a referring office calling to add a contrast study to an order it already sent still reaches a queue. Faster reads on the back end do not shorten the hold time on the front.
- Answers before the second ring, 24/7Echo picks up in under a second on every call, and handles texts, emails, and web forms on the same footing. The 6:40 p.m. fasting question gets answered from the prep rules you set, the referring office adding contrast to an order gets a structured request and a note in the schedule, and neither waits for a scheduler to come off the check-in line. The phone stops capping how many ordered exams get onto a scanner in a day.
- The order lives in one system and the study in anotherA Visage 7 study begins as an HL7 order from the RIS or the EHR, matched to a scheduled procedure. Every question a caller asks lands somewhere along that chain: is the referral in, is the exam scheduled, has it been read. The person answering has to know which system holds which fact and switch between them while the caller waits. In a shop where Visage 7 is the viewer and archive and the schedule is somewhere else, the front desk is the integration.
- Reads both sides of the seam, writes to the side that owns itEcho reads the schedule and patient registration in Visage RIS, or in the RIS or EHR that sends Visage 7 its HL7 orders, and reads study and report status from Visage 7. So it can tell a caller whether the exam is scheduled and whether it has been read without anyone switching screens, and when it books, reschedules, or cancels, it writes into the schedule, which is the system Visage 7 already takes its scheduled procedures from. Nothing is written into the viewer.
- Prep and safety screening is a phone conversation with a deadlineAn MRI cannot proceed until someone has asked about implants and devices. A contrast CT needs the fasting instruction to have reached the patient, and sometimes a recent creatinine. A PET slot is lost if the patient did not follow the prep, because the tracer was ordered for that hour. Those questions get asked by phone, by a human, and when the human is busy the screening slips to the day of the exam, which is exactly when a missed answer costs a scanner slot.
- Screens by modality on the call and books only when it is safe toBefore the booking is done, Echo asks the safety and prep questions your protocol requires: implants and devices for MRI, fasting and recent labs for contrast studies, tracer prep for PET, pregnancy where it applies. The answers are recorded as a note against the booking. An answer that means the patient cannot proceed is flagged and routed to your technologist or scheduler rather than booked around, so the screening happens on day one instead of at the scanner.
- Referring offices call about status, and status is spread across two screensThe referring practice wants to know whether the exam happened and whether the report is signed. In a Visage shop the report status is visible in the worklist and to the referrer in Visage Ease, but a call comes in anyway, because the referrer's staff are not logged into anything and the patient is in front of them. Each of those calls pulls a scheduler off the booking line to look up something the system already knew.
- Answers status calls from Visage 7, within the rules you setWhen the referring office calls, Echo reads whether the study is in Visage 7 and whether the report is signed, and tells them what you have allowed it to tell them. Anything beyond that, a result, a radiologist's opinion, an amendment, is routed to the right person with the context already captured. The booking line stays open for bookings, and the referrer stops needing to log into Visage Ease to hear that the report is out.
- A cancelled scanner slot is a fixed cost with nobody in itModality time is the most expensive resource in the building and it is sold in twenty- and forty-minute blocks. A 2 p.m. MRI cancelled at 11 is a hole that a patient on a two-week wait would have taken, but working back through that list is phone time the front desk does not have between check-ins, prep calls, and the referring line. The slot goes unfilled and the utilisation number every imaging group is measured on drifts down.
- Refills the scanner slot from your wait list, in real timeThe moment a slot is released, Echo calls and texts the patients on your wait list for that modality at that site, in the order you choose, books the first who accepts straight into the schedule, and cancels the original booking. The 2 p.m. MRI cancelled at 11 is filled by noon without a scheduler working the list between check-ins.
- Priors requests and image release calls arrive at the wrong deskVisage 7 will assemble a complete record with every prior from the Open Archive in one viewer. It will not answer the patient who calls to ask how to get a copy of her mammogram for the surgeon, or the outside facility asking where to send a disc. Those calls are routed to the front desk because that is the number on the letterhead, and they are the calls most likely to be handed off twice and finished by nobody.
- Turns priors and image release calls into a finished requestEcho confirms the study exists in the patient's Visage 7 record, captures who needs the images, where they should go, and by when, records the request as a note, and routes it to the desk that actually handles release. The patient gets a confirmation instead of a second transfer, and the request reaches one person with everything they need to close it.
How it connects
How does Echo connect to Visage?
Connect to Visage
We link Echo to Visage and map your providers, exam types, and scheduling rules during onboarding.
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.
Go live
After a dry run and the signed BAA, Echo starts answering calls and texts and writing every result back into Visage.
How Echo Booking compares
Don't buy another tool. Buy less work.
One patient request
Turn calls, texts, and emails into booked appointments
Incoming call, text, email, or fax
Deep integrations, so Echo knows the patient before saying "Hello"
Custom scheduling rules, so no patient lands in the wrong slot
Booked on autopilot
Echo finishes
How does Echo handle an imaging order from fax to follow-up?
- Calls, texts, emails and faxes all land in one place
- Answered 24/7, including nights and weekends
- Speaks with each patient in their own language
- Identifies who it is and what they need
- Picks up the thread instead of leaving a message to return
Step 1 of 7
Incoming call, text, email, or fax
- Calls, texts, emails and faxes all land in one place
- Answered 24/7, including nights and weekends
- Speaks with each patient in their own language
- Identifies who it is and what they need
- Picks up the thread instead of leaving a message to return
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.
- Scheduling rules engineEcho lands the slot your front desk would have picked, inside Visage, not whichever one happens to be open.
- Deep integrationsEcho reads and writes the fields your workflow actually runs on in Visage, so the work leaves your desk instead of coming back as a task.
- Mobile firstOne light app that pings your team only when a person is genuinely needed. No dashboard to check each morning.
| Capability | Echo BookingCarries the work to done | Generic AI voice botAnswers, then hands it back | Visage on its ownThe system you already run |
|---|---|---|---|
| Custom scheduling logic | Your providers, visit types, block rules, and how tightly the day packs, inside Visage. Echo lands the slot your staff would have chosen. | Reads out any open slot, with no way to know your preference | Holds your rules; someone still has to apply them on the call |
| Books directly in Visage | Booked, moved, or cancelled in Visage in real time, under your rules. | Read-only at best, so the request stops at a person who can enter it | Staff, by hand, once someone answers |
| Proactively reminds, recalls, and backfills cancellations | Works reminders, recall, and the waitlist on a schedule and books the result on the spot. | Inbound only. It waits to be called | Report only: it lists who's due, it doesn't call them |
| 70+ languages, spoken naturally | Spanish, Mandarin, Vietnamese, Tagalog and 70+ more, on the same number, switching automatically. | Usually one or two, often a separate number | |
| Writes back without transcription errors | Structured fields into Visage: patient, visit type, provider, time. Nothing is re-typed. | Hands over a transcript for someone to key in | Only as accurate as what your staff type in |
| Verifies insurance before the visit | Checks eligibility and benefits as part of booking, and flags what the patient will owe. | Can discuss coverage, but not confirm it | A 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 Visage 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 Visage 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.
Incoming messages
Patients reach you
Booking requests
New patients and reschedules booked straight into the schedule, by your rules.
After-hours calls
Nights, weekends, lunch, and every busy moment in between, answered, never voicemail.
Patient messages
Texts, emails, and web forms answered on their own, handed to your team when it matters.
Outgoing messages
Echo reaches patients
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 MedInformatix, AbbaDox, Exa RIS, RamSoft, Karisma, Aura, Synapse RIS, Epic, Oracle Health, MEDITECH, eClinicalWorks, Athena, PrognoCIS, Practice Fusion, NextGen Office, Prompt, Acuity Scheduling, WebPT, Open Dental, Dentrix Ascend, Curve Dental, Oryx, Dentrix, Eaglesoft, and Denticon, with no separate queue to reconcile and no migration.
Questions
Frequently asked questions
Not as published. Visage Imaging documents Visage 7 as the viewer, archive, and reading workflow, and describes Visage 7 Workflow as native reading worklist management for radiologists. Scheduling, registration, and billing are documented under the separate Visage RIS product on the Pro Medicus site, so in a Visage 7 shop the appointment schedule lives in the RIS or EHR that sends Visage 7 its HL7 orders.
Visage states that Visage 7 CloudPACS is based on industry standards (DICOM, HL7, FHIR) and IHE guidelines, and that Visage 7 supports a standards-based approach across HL7, DICOM, IHE, FHIR, IOCM, and Web Services. Its HL7 Interface Specification is published as a PDF and lists the ADT, ORM, ORU, and SIU messages it accepts.
Either. Visage documents Visage 7 CloudPACS as a fully managed, SLA-backed service hosted with cloud hyperscalers, needing only redundant routers on site. Visage 7 Open Archive is documented for customer-provided infrastructure, a virtual private cloud, or a hybrid of the two, with native cloud object storage.
Pro Medicus does not state the RIS's geographic availability on the product page. The billing features it lists (DVA, TAC, HIC Online, bulk-billing, Eclipse) are Australian schemes, and the RIS architecture is documented with RESTful Web Services, an integrated workflow and rules engine, a PostgreSQL database, and CalDAV scheduling. Confirm availability with Pro Medicus directly.
Yes, and it connects to the right part of it. Echo reads the schedule and patient registrations in Visage RIS, or in the RIS or EHR that sends Visage 7 its HL7 orders, and reads study and report status from Visage 7. It books, reschedules, and cancels exams in the schedule in real time, registers new patients, and writes screening answers and call notes back. It does not write into the viewer or the archive, because Visage 7 does not schedule.
Yes. That is the common configuration outside Australia. Echo takes the schedule from the RIS or EHR that owns it, which is the same system Visage 7 already receives its scheduled procedures from, and takes study and report status from Visage 7. Where a group runs Visage RIS, Echo books into Visage RIS scheduling directly. Tell us which RIS holds your appointments and we confirm the pairing during setup.
Exactly what you allow. Echo reads from Visage 7 whether the study is in and whether the report is signed, and can confirm either to a verified referring office. It does not read results aloud or interpret anything. Requests for the result itself, a copy of the report, or a radiologist's opinion are routed to the person you name, with the caller's details already captured.
Yes. Echo speaks 70+ languages and switches automatically on the same published number, across calls, texts, emails, and forms. Prep instructions and screening questions are delivered in the patient's language, which matters because a fasting instruction that was not understood is a cancelled scanner slot on the day.
Nothing in Visage changes. Your Visage 7 worklists, Open Archive, HL7 feeds, and RIS scheduling stay exactly as they are, and patients keep calling the number you already publish. We connect Echo to your schedule and to Visage 7, map your modalities, prep rules, screening questions, and after-hours protocols, sign the BAA, and Echo starts answering. The Visage integration is currently in beta: the two-way read and write is live for beta practices, and we onboard each one with a member of our team watching the first bookings land. Echo is HIPAA-compliant throughout.
It writes. Echo reads your live Visage schedule during the call, books the appointment while the patient is still on the line, and writes it back into Visage in real time, along with the patient record and the notes from the call. Nothing lands in a queue for your team to re-key, and there is no message waiting to be deciphered in the morning.
A message-taking service never touches Visage. 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 Visage 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 Visage imaging centers as part of booking. 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 Visage. It applies which provider or room an exam type belongs to, how long that exam 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 imaging centers bring Echo in to replace the after-hours service and the daytime overflow line at once. A traditional answering service cannot see your Visage 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 Visage 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 Visage, so you capture the patients an online link never reaches.
About two hours of your team's time with Echo's, configuring your booking rules, providers, exam types, and after-hours protocols. Activating the Visage connection itself follows Visage's own vendor process, which your IT team controls, so its timing is set by your organization's approval rather than by Echo. There is no migration and no rebuild.
Echo is one flat monthly fee, from $499, with unlimited AI calls, sized by providers and locations and quoted in writing before you sign. Texting, online booking, and insurance verification come with the Pro plan, and a one-time onboarding fee covers the Visage connection and a two-week trial with real patients. See /pricing for current plans.
No. Visage stays your system of record. Echo is a layer on top that handles the calls, texts, and forms, then writes the result back into Visage. There is no migration and no rebuild, and patients keep calling the number you already publish.
Ready when you are
Bring Echo to your Visage practice.
See exactly how Echo answers every call, text, and form for a practice running on Visage.