She answers on the first ring, day or night, in English and Spanish — and books the appointment straight into your practice system. You are not buying software. You are buying a receptionist.
Books, moves and cancels in your own systemThrough NexHealth, checking what is already on the schedule.
Knows your patients and your emergenciesGreets returning callers by first name; takes the bracket-off call at nine at night.
A written record of every callWhat was asked, what she did, the outcome — and a weekly summary that comes to you.
You see it working on your own data in the first week. The order below is the same every time.
Step 01
Discovery
Thirty free minutes on how a request really travels through your business today, including the parts nobody has written down.
Step 02
Map and quote
The map of your process, three named automations ranked by what they give back first, and a fixed monthly number. Yours to keep either way.
Step 03
Build in a sandbox
Assembled against your real workflow in an isolated copy, where every decision it makes can be inspected and nothing it does can reach a customer.
Step 04
Pilot on live traffic
Switched on with the human gate up: it drafts, you approve, we tune on the real cases it gets wrong until you stop finding any.
Step 05
Handover
Plain-English documentation for every workflow, the off switch, and a person to call. No black box and no hostage situation.
Under the hood
What it is actually built out of
No proprietary platform, no seat licenses for software only we can operate. These are ordinary, inspectable, widely used parts, assembled with the brakes wired in first.
n8n runs the workflows
Every step is a node you can open and read. When you want to know what happened to a request at 4:11pm, there is a run log, not a shrug.
Airtable holds the records
Jobs, vendors, documents and invoices in structured tables your team can read, filter and export without asking us for permission.
Claude does the reading
Classifying a request, reading a photo, drafting an email. The model proposes; the workflow decides what it is allowed to do with that.
Carrier-registered SMS
Every texting program is A2P 10DLC registered with the carriers, consent-gated in code, and carries STOP and HELP. We have been through those reviews the hard way.
HIPAA-eligible AWS for PHI
Regulated workloads run on HIPAA-eligible AWS services under a signed BAA, and we sign a BAA with your practice. Nothing regulated rides on a service that is not covered.
A human gate on what matters
Money and outbound messages wait for a person. That constraint shapes every build, and it is the reason this is safe to hand the keys to.
Documentation in plain English ships with every delivery — what each workflow does, what it touches, and how to turn it off. If you ever want to run it without us, you can. Who builds it
Questions we get
The things everybody asks
It depends entirely on how many of them you take and how tangled the current process is, so we put real dates in the written quote rather than a guess on a web page. What is fixed is the shape: discovery first, then a sandbox build against your real workflow, then a supervised pilot on live traffic, then handover. You see something working on your own data long before you are asked to trust it with a customer.
No. Your practice management system, your accounting software, your inbox and your spreadsheets stay exactly where they are. We automate the gaps between the tools you already pay for, because a migration is a second project nobody asked for and the one most likely to get abandoned halfway.
It gets caught at the gate, because money and outbound messages wait for a person before they move. A misread request is an edit, not an incident. When something upstream breaks, the work queues and a human is told rather than the request quietly disappearing — silence is the one failure mode we do not allow. Real misses become test cases, and the system is tuned against them.
No. Your data is not used to train models, and nothing from one client's system is ever reused in another client's build. Records live in your accounts, regulated workloads run on HIPAA-eligible AWS services under a signed BAA, and every SMS program is carrier-registered and consent-gated in code.
There is no published price, because there is no standard operation. We spend thirty minutes on your actual workflow, then quote the build we would do: a fixed monthly number for the systems you picked, no setup fee, no per-seat math. You keep the map and the three named automations from that call whether or not you hire us.
Then you take one. Most operations have a single process that hurts most, and starting there is the sane way to find out whether we are any good. The systems are built to stand alone and to snap together later, so adding a second one is a scoping conversation, not a rebuild.
Still deciding which one to start with? That is exactly what the discovery call is for — or read the field notes to see how we think about this work before you spend thirty minutes on it.
Next step
Pick the one that hurts most
Thirty minutes, no pitch deck. We map your operation and name the three things worth automating first — and the map is yours to keep either way.