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HIPAA compliant

AI Agents for Medical Practices

Meeting patients where they are, 24/7

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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

Our mission

Do no harm. Expand access to care.

Built for every patient

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What is Echo

A team of agents that keeps your calendar full.

Echo's agents work together to fill empty slots, send reminders, backfill cancellations, verify insurance, and collect payments.

AI After Hours Agent

Finishes the night's work, and leaves you the rest as tasks.

When the office is closed, Echo does everything it can finish on its own: it books the visit, answers the question, and escalates a real emergency to your on-call path. The few things that genuinely need a person (a prior auth, a records request, a billing dispute) it writes up as a task, assigned and ready, so your team opens to a short list instead of a full voicemail box.

  • Books and resolves overnight calls on its own
  • Leaves a task, assigned and written up, not a message
  • Escalates true emergencies to your on-call path
See what the AI After Hours Agent does

AI Marketing Agent

Fills the schedule from your patients, your reviews, and your ads.

Echo works the recall list and the lapsed patients nobody has time to call, asks the happy ones for a Google or Yelp review and answers the reviews that come in, and runs your Google and Facebook ads, then answers the calls and messages those ads produce, and books them. Demand created and demand captured, by the same agent.

  • Works the whole recall and reactivation list, start to finish
  • Asks for Google and Yelp reviews, and replies to the ones you get
  • Runs Google and Facebook ads, then books the leads they bring in
See what the AI Marketing Agent does

Integrations

Works with your existing tools.

Echo reads your schedule, providers, and visit types, then writes every appointment, note, and recall back where your team already looks. No data export, no rebuilding around a new platform.

Open Dental logo

Dental PMS

Echo for Open Dental

Answers every call, books and confirms straight into Open Dental, works your recall list, and writes it all back to the chart.

See the integration
Dentrix logo

Dental PMS

Echo for Dentrix

Answers every call, books and confirms straight into Dentrix, works your recall list, and writes it all back to the chart.

See the integration
Dentrix Ascend logo

Cloud Dental PMS

Echo for Dentrix Ascend

Answers every call, books and confirms straight into Dentrix Ascend, works your recall list, and writes it all back to the chart.

See the integration
Eaglesoft, a Patterson Technology, logo

Dental PMS

Echo for Eaglesoft

Answers every call, books and confirms straight into Eaglesoft, works your recall list, and writes it all back to the chart.

See the integration
Curve Dental logo

Cloud Dental PMS

Echo for Curve Dental

Answers every call, books and confirms straight into Curve Dental, works your recall list, and writes it all back to the chart.

See the integration
PrognoCIS logo

Specialty EHR

Echo for PrognoCIS

Answers every call, books and confirms straight into PrognoCIS, works your recall list, and writes it all back to the chart.

See the integration
eClinicalWorks logo

Ambulatory EHR

Echo for eClinicalWorks

Answers every call, books and confirms straight into eClinicalWorks, works your recall list, and writes it all back to the chart.

See the integration
Practice Fusion from Veradigm logo

Cloud EHR

Echo for Practice Fusion

Answers every call, books and confirms straight into Practice Fusion, works your recall list, and writes it all back to the chart.

See the integration
NextGen Healthcare logo

Ambulatory EHR

Echo for NextGen Healthcare

Answers every call, books and confirms straight into NextGen Healthcare, works your recall list, and writes it all back to the chart.

See the integration
athenahealth logo

Ambulatory EHR

Echo for athenahealth

Answers every call, books and confirms straight into athenahealth, works your recall list, and writes it all back to the chart.

See the integration
Prompt logo

Rehab Therapy EMR

Echo for Prompt

Answers every call, books and confirms straight into Prompt, works your recall list, and writes it all back to the chart.

See the integration
Acuity Scheduling logo

Scheduling Platform

Echo for Acuity Scheduling

Answers every call, books and confirms straight into Acuity Scheduling, works your recall list, and writes it all back to the chart.

See the integration
Jane App logo

Allied Health EMR

Echo for Jane

Answers every call and text 24/7 for Jane practices, captures the booking, and triages after hours. Direct Jane write-back is in progress.

See the integration
WebPT logo

Rehab Therapy EMR

Echo for WebPT

Answers every call and text 24/7 for WebPT practices, captures the booking, and triages after hours. Direct WebPT write-back is in progress.

See the integration
+

And more

Don't see your system?

Echo connects to most major EHRs, EMRs, and practice management systems, and we're expanding the list. Click through to see them all and tell us what you run.

See all integrations

Omnichannel memory

One memory across every channel

Every call, text, email, and form collapses into one patient thread. Echo keeps a persistent memory of every previous conversation and knows the patient by name before it says hello.

Phone callApr 03
Asked for a cardiology referral
Siloed on this channel
Web formApr 10
Intake + consent submitted
Siloed on this channel
TextApr 15
Afternoons are hard for him
Siloed on this channel
EmailMay 02
Asked what his copay would be
Siloed on this channel
Alexander Chen
0 of 4 conversations pulled in
  • Knows each patient by name, and what they last asked for
  • Persistent memory of every prior conversation, on any channel
  • Every agent works from the same memory, so patients never repeat themselves

Case study

Hear it from our customers.

Vanguard Interventional Pain Specialists, Alhambra, CA

The voice

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

Proprietary voice AI orchestration delivering human-quality, low-latency phone conversations at scale.

Lowest Latency

Echo answers in roughly 600ms, so patients never sit through dead air. Every call moves at the pace of a real conversation.

Ultra Realistic Voice

Echo's voice is tuned on real patient calls and refined with clinician feedback, so it sounds warm, natural, and unmistakably human.

Turn taking

Echo's turn-taking model knows when to speak and when to listen, handling interruptions and pauses like your best front-desk teammate.

Try it live

Hear Echo in action.

Tell us a bit about your practice, give us your number, and Echo will call you right now.

Get a live call from Echo now.

See it in action

Watch Echo at work.

Marketplace

Your EMR missing a feature? Don't wait for them to build it.

Feature requests to your EMR vendor take months, if they ship at all. Meanwhile, another practice has probably already solved the same problem. Every workflow and agent built on Echo can be published to the marketplace, so you install what a clinic like yours already built, running the same day, and change it to fit how you work.

Marketplace
No-show prediction

Scores tomorrow's schedule and double-books the slots likely to ghost.

Workflow4.91.6k
Install
Prior-auth chaser

Calls the payer every morning and holds until the authorization lands.

AI agent4.91.5k
Install
Referral follow-up

Chases a referral out and back until the consult is on the books.

AI agent4.81.2k
Install
Chart summarizer

One paragraph on who's walking in and why, before every visit.

Workflow4.81.4k
Install
AI scribe

Writes the note from the room audio and files it in the chart.

AI agent4.92.1k
Install
Skeletal pain form

Patients tap where it hurts on a body map; it lands in the chart.

Workflow4.7740
Install
Waitlist auto-fill

Backfills a cancellation from the waitlist before the slot goes cold.

Workflow4.91.2k
Install
Overnight eligibility

Checks tomorrow's whole schedule for coverage while you sleep.

Workflow4.8940
Install
Hygiene recall

Texts patients who are overdue and rebooks them in one thread.

AI agent4.81.1k
Install
Spanish front desk

Answers and books in Spanish on the same line, no second number.

AI agent4.91.4k
Install
Balance texts

Texts the patient their share the morning the EOB posts.

Workflow4.81.3k
Install
Post-op check-in

Calls the day after a procedure and flags anything that sounds wrong.

AI agent4.7690
Install

And if nobody has built it, design it yourself.

Design the workflow and the AI agent the way you want, with the systems you already use. Fully customizable: you choose the trigger, the steps, and what each one reaches into, from your EMR and clearinghouse to payments, voice, text, and forms. No roadmap ticket, no vendor to convince, no engineer to hire.

Echo Builder
Describe the workflow or agent you want…
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How Echo Booking compares

Not just a receptionist. A practice on autopilot.

When the front desk is drowning, a practice has two obvious options: hire another person, or buy an AI healthcare receptionist that answers the phone. Echo Booking is a third thing, an agentic team of AI agents (reception, scheduling, reminders, after hours, insurance, billing, and analysis) that work from one shared patient record and run the routine work of the practice end to end. A receptionist, human or AI, hands the work back to you. Echo completes it: the calendar gets filled, the eligibility gets verified, the balance gets collected.

Echo writes into your EHR, booking and charting in the system itself, which is the only reason it can finish a task instead of describing one. Every agent shares one patient memory, so the reminder call already knows what the booking call promised. And what Echo doesn't do yet, you build yourself: describe the workflow you want and Echo ships it, integrated. The alternatives file a ticket.

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 BookingAn agentic teamHiring more staffFront desk headcountAI healthcare receptionistA single voice bot
What you actually getSpecialist agents working as one team: reception, scheduling, reminders, marketing, after hours, insurance, billing, and analysisOne employee, who can do exactly one thing at a timeOne voice bot, whose only job is to answer the phone
Who finishes the workEcho does, end to end. 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.
Filling the calendarCalls and texts the recall list, the waitlist, and every no-show, then books them into the open slot on the spotOnly once the phones go quiet, so in practice it never happensInbound only. It never calls a patient to fill an empty slot.
Depth of EHR integrationBooks, reschedules, cancels, and charts directly in your EHR or PMS system in real timeTypes it in by hand, one screen at a time, when there is timeShallow or read only. It cannot complete the booking in your system, so it passes it to a person.
Insurance and eligibilityThe AI Insurance Agent checks eligibility and benefits before the visit and flags what the patient will owePortal checks by hand, whenever someone finds a gap between callsNot handled. It can answer a question about insurance. It cannot verify it.
Outstanding balancesThe AI Billing Agent follows up by call and text and takes the paymentStatements, then uncomfortable collections calls nobody wants to makeNot handled at all
Memory between tasksEvery agent works from the same patient record, so the reminder call already knows what the booking call promisedSticky notes, EHR tasks, and whoever happens to rememberOne bot, no team. Every conversation starts from zero.
Languages70+ languages, in natural two-way conversation, on calls and texts alikeOnly the languages the person you hired happens to speakA short list, usually English and Spanish, and often on voice only
When you need something it doesn't doDescribe the workflow or the agent you want in plain English. Echo builds it and wires it into your EHR, your clearinghouse, payments, and voice, and you run it the same day.Nothing to build. You write another sticky note and hope the next hire remembers it.File a feature request and wait on the vendor's roadmap, if it ships at all
Borrowing what already worksA marketplace of workflows and agents other practices built and published: no-show prediction, prior-auth chasing, AI scribe, chart summaries. Install one in a click and customize it.Whatever your last hire happened to learn at their last jobWhatever the vendor decided to ship.
Changing how it worksYou edit the workflow yourself, in plain English, the moment the protocol changesRetrain the person, and everyone else who covers for themEmail support and wait on a prompt change you cannot see or test
Knowing why patients don't bookThe AI Analysis Agent reads every call, text, and form, and tells you where the bookings are being lost and what to changeA report someone would have to build, on top of the job they already cannot finishCall logs and transcripts. Reading them and finding the pattern is still your job.
Channels coveredCalls, texts, email, and web forms. Every one answered, 24/7.Business hours only, minus PTO, sick days, lunch, and turnoverInbound phone calls, and nothing else
Cost at scaleOne flat platform fee for the whole organization. Cost tracks call volume, not headcount.$45,000 to $75,000 plus benefits for every hire, at every locationPer-minute pricing that climbs with every call, on top of the staff you still need to finish the work
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, scheduling, reminders, marketing, after hours, 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, the AI Scheduling Agent books, the AI Reminders Agent confirms, the AI Marketing Agent brings lapsed and overdue patients back, the AI After Hours Agent covers nights and weekends, 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. 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. An after-hours agent to cover nights, weekends, and holidays. 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, Eaglesoft, Curve Dental, PrognoCIS, eClinicalWorks, Practice Fusion, NextGen Healthcare, athenahealth, Prompt, 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.

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