Your AI receptionist answers every patient call — at 2am, on Saturdays, Christmas Day. Books appointments live, screens emergencies, escalates to on-call when it matters, sends a transcript to your front desk before they unlock the door in the morning.
Included on every MedSiteAI plan from $149/mo. HIPAA compliant. No per-call fees.
Four ways every after-hours call gets handled — without anyone on staff picking up.
Checks your live EHR availability, confirms with the patient, drops the appointment onto your schedule, sends an SMS confirmation. By morning it's already on the books.
Recognizes urgent symptoms (chest pain, head injury, severe bleeding, suicidal ideation), instructs the caller to call 911 or go to the nearest ER, and routes the call to your on-call provider in parallel.
Knows your on-call rotation by day and hour. SMS + phone alerts your provider when a patient needs them. Includes the transcript, callback number, and severity tag so the on-call has context before they call back.
Every call gets a transcript emailed to your front desk by 7am — appointment booked, callback requested, refill request, billing question. Staff arrives with a clean morning queue, not a voicemail backlog.
The average medical practice gets 8-15 calls per night and another 20-40 over a weekend. The default plan: voicemail, with a script that says “please call back during business hours.” About 60% of those callers never call back. They Google “urgent care near me,” book at the first practice that picks up, and your front desk never knows the call happened.
The next-best option is a traditional answering service — a person at a call center who reads from a script, takes a message, can't see your schedule, and charges $0.85-$1.50 per minute (typical bill: $400-$1,200/mo for a busy practice). The patient gets a human voice but still doesn't get an appointment booked. Your staff still has a backlog in the morning.
The MedSiteAI AI receptionist is the third option: 24/7 coverage, books directly into your EHR, recognizes urgent calls, costs a flat monthly fee, and never goes to lunch. Most practices that switch from a paid answering service save $400-$800/mo.
On-call rotations are configured in the MedSiteAI dashboard — by day-of-week, time slot, provider, contact method (SMS, phone, or both), and escalation thresholds. The AI checks the current schedule before routing any urgent call. When you change the rotation, the next call uses the new schedule. No carrier handoffs to update, no paper schedules.
Escalation thresholds let you control what reaches the on-call. Common patterns: urgent-symptom keywords always escalate, callback requests for specific reasons (severe pain, post-op concerns, pediatric symptoms) escalate, routine requests (refills, billing, appointment changes) get queued for the morning. You set the rules; we enforce them consistently every time.
Every escalation includes a structured handoff: caller name, callback number, reason for the call, transcript, and a severity tag. The on-call provider knows the situation before they pick up the phone. No “please hold while I figure out why you're calling.”
Every plan includes a Business Associate Agreement signed before your AI receptionist goes live. Call audio is processed in HIPAA-compliant infrastructure with TLS 1.3 in transit and AES-256 at rest. Transcripts are stored encrypted with role-based access control. Audit logs capture every read and write event with timestamp, user ID, and IP address for the full HIPAA-required retention period.
We do not use patient call data to train AI models. We do not sell or share transcripts with third parties. The full security model — including SOC 2 Type II mapping to HIPAA Security Rule safeguards — is documented at /security.
Patients can opt out of recording at any point during a call; the AI honors that request and continues with transcription only. Recording retention is configurable per practice (default 90 days, max 7 years).
Included on every MedSiteAI DFY plan. Higher tiers add capacity:
No per-call fees. No per-minute fees. Unlimited inbound call volume on every tier.
The AI receptionist answers within 2 rings, identifies the caller, asks why they're calling, and either books a routine appointment for the next available time, sends a callback request to your front desk for the morning, or escalates to your on-call provider via SMS+phone if the symptoms suggest urgent care. Every call gets a transcript emailed to staff before they unlock the door in the morning.
You set the rules. The default flow is: any caller who reports chest pain, difficulty breathing, severe bleeding, head injury, stroke symptoms, suicidal ideation, or pediatric emergencies gets a clear "call 911 now or go to the nearest ER" instruction, then routes the call to your on-call provider in parallel. We don't triage clinically — we recognize patterns, route fast, and never tell a patient "wait until morning" for anything that sounds time-sensitive.
Yes — directly into your existing EHR. The AI checks real-time availability against your scheduler, confirms with the patient, books the slot, and sends an SMS confirmation. By the time you log in the next morning, the appointment is on the schedule, the patient has a confirmation in their phone, and you have a transcript of the conversation.
English and Spanish out of the box. We also support Mandarin, Vietnamese, Tagalog, Korean, French Creole, Portuguese, and Arabic on request — common requests in U.S. medical markets. Language is detected automatically from the caller's first sentence; no menu trees.
Traditional answering services charge per minute or per call (typically $0.85-$1.50/min, $400-$1,200/mo for a busy practice), don't book appointments, don't integrate with your EHR, and read scripts. Our AI receptionist is a flat fee included in your MedSiteAI plan, books appointments live, integrates with 30+ EHRs, and handles unlimited calls. Most practices that switch save $400-$800/mo.
It transfers cleanly. If a caller asks something off-script, the AI says "Let me get a human to help you" and either (a) transfers to your on-call line during your designated escalation hours, (b) takes a detailed callback request and sends it to your front desk for first-thing-tomorrow, or (c) connects to your existing voicemail. No hangups, no dead ends.
Yes. BAA included on every plan. Call audio is processed in HIPAA-compliant infrastructure (TLS in transit, AES-256 at rest), transcripts are stored encrypted with role-based access, and we never share or sell data. The full security model is documented at /security.
You configure on-call schedules in your MedSiteAI dashboard — by day-of-week, time, provider, contact method (SMS, phone, both), and escalation thresholds. The AI checks the current schedule before routing any urgent call. If your on-call rotation changes, you update it in one place and the AI uses the new schedule on the next call.
See how the AI receptionist handles a real after-hours call. 15-minute demo.
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