Recall and no-show, handled before the front desk has to.

Recall and no-show are the two highest-ROI front-desk jobs in any practice. The patient due for their six-month visit. The patient who booked and didn't come. Both are work the front desk knows how to do; both get dropped when the lobby is full. This runs the sequences instead. SMS goes out first, email the next day, an optional voice call on day three. Patients reply by tapping a slot, and the PMS or EHR updates without anyone retyping. Each morning the front desk gets a short exception list, the handful of patients who actually need a human call. That's it. Everyone else got handled overnight.

What you get

• Recall flow: trigger fires when a patient becomes due (configurable thresholds). SMS, email, calendar slot offer. Logged.
• No-show flow: trigger fires when a confirmed appointment status flips to Missed or No-Show. Same-day SMS, next-day email, day-3 optional voice agent call. Re-booking slot offered.
• Daily 7am email to the practice manager: who's been contacted, who responded, who needs a human follow-up
• A re-tune session at week 4 once you have real data on what is converting
• HIPAA-aware build: BAA-eligible vendors, no PHI sent to third-party LLMs without justification, audit logging
• Full documentation and a 60-minute training session for the front desk

What's not included

• Replacing your PMS or EHR (Dentrix, Eaglesoft, Open Dental, athenahealth, Greenway, Kareo, etc. We connect via their API or scheduled export.)
• Drafting your patient communication policies. Your office manager or compliance officer owns the words; we wire the delivery.
• Integrations with systems whose vendor doesn't expose API access. We'll flag these in discovery.

Best for

Dental practices, specialty clinics, wellness clinics, small medical groups. Built for the practice where the front desk is already maxed and a 5% drop in no-shows pays for the build inside the first two months.

Compliance

Built compliance-aware. We sign a BAA before kickoff and document the data flows. Final HIPAA program sign-off, including your BAAs with Twilio, the LLM provider, and any other vendor in the chain, is your compliance officer's call. We wire it; you approve it.