AI voice agents & chatbots for healthcare & dental clinics

HIPAA-compliant AI receptionists for dental, medical, and veterinary clinics. 100% answer rate. 28% more bookings. Self-hosted options for clinics that can't send PHI to a third party.

HIPAA-ready · BAA-covered Dentrix · Eaglesoft · Open Dental Epic · Athenahealth · NextGen Self-hosted LiveKit option

A third of inbound calls to a clinic go unanswered. Each one is a missed appointment.

Clinics lose bookings to a simple mechanical problem: the front desk is busy with the patient in chair, lunch happens, the phone rings after hours, two calls come in at the same time. Industry data and our own client baselines put the missed-call rate between 20% and 40% for a typical single-office practice. Every missed call is a patient who dials the next clinic on the list.

Voicemail doesn't solve it — most patients don't leave one. Call-center outsourcing doesn't solve it either — quality is variable, staff burn through scripts, and HIPAA compliance is a liability the clinic ends up carrying anyway. Traditional IVR trees make it worse by asking patients to "press 1 for scheduling" when they just want to talk to someone.

An AI voice receptionist answers every call, all the time, in the same voice. It handles scheduling, reschedules, basic triage, insurance questions, and after-hours intake. It escalates to the clinic or a human on-call when it should. It books directly into the PMS and writes a structured note your front desk can read in 5 seconds. And when the work is done right, patients can't tell they were talking to AI.

Three AI deployments that pay for themselves in one quarter.

Metrics below are from live clinic deployments, not pilots.

AI receptionist

24/7 HIPAA-ready AI phone receptionist

Answers every inbound call — scheduling, rescheduling, cancellations, basic FAQ, and insurance triage — with a warm, natural voice. Books directly into Dentrix, Eaglesoft, Open Dental, Epic, or Athenahealth. Escalates clinical questions to a human.

100%answer rate (CleverAnswerAI dental network)
Patient recall

Patient recall & reactivation agent

Outbound voice and WhatsApp agent for hygiene recall, treatment follow-up, and reactivation of lapsed patients. Treatment-aware recall windows (different cadence for cleanings vs. ortho vs. implant follow-ups), personalized messaging, and HIPAA-safe PHI handling.

18.7%reactivation across 23 treatment categories
Appointment capture

Appointment capture & no-show reduction

Inbound voice + WhatsApp reminder agent that confirms appointments 48 and 24 hours out, re-schedules directly with the patient when they need to move, and fills gaps from a standby list. No human time spent on reminders.

+28%new-patient booking rate post-deployment

CleverAnswerAI — HIPAA AI receptionist for a dental network.

Dental network · Multi-location · North America

Self-hosted LiveKit voice receptionist on a BAA-covered stack. Live on 20+ offices.

The dental network needed a voice AI that could answer every call, book directly into their practice management software, and keep all PHI inside a covered boundary. Most commercial voice-AI platforms failed the HIPAA review. We deployed a self-hosted LiveKit stack with BAA-covered Deepgram and ElevenLabs Enterprise, private GPT deployment, and direct API integration into Dentrix and Open Dental. Running for over a year.

100%answer rate
+28%new-patient booking
20+offices live
BAAon every vendor
Read the full dental case study →

The stack we deploy when PHI is on the line.

Every vendor signs a BAA. PHI never leaves the covered boundary. Self-hosted options for clinics that can't send audio to third parties.

Voice infra

LiveKit (self-hosted)

Our default for HIPAA-ready clinics. Self-hosted in your VPC or ours under BAA. Full control over audio routing and retention.

Speech

Deepgram · ElevenLabs Enterprise

BAA-covered STT and TTS. Deepgram for low-latency transcription with medical vocabulary tuning; ElevenLabs Enterprise for the voice patients hear.

Models

Private GPT-4o · Claude (BAA)

Either Azure OpenAI under BAA or self-hosted open-weight models (Llama 3.3, Mistral) when the clinic wants zero third-party exposure.

PMS integration

Dentrix · Eaglesoft · Open Dental · Curve

Direct API integration or gateway layer for PMS without APIs. Real-time availability lookup, booking, and rescheduling.

EHR / EMR

Epic · Athenahealth · NextGen · eCW

HL7 / FHIR integration where the EHR exposes it; official API where available; secure mirror table where the EHR is closed.

Observability

LangSmith · CloudWatch · audit logs

Every call fully traced. Retention policies configurable to HIPAA and clinic preference. Auditor-ready export.

HIPAA is a checklist, not a claim.

Four questions every clinic should ask a voice-AI vendor. Here are ours, answered honestly.

Will the vendor sign a BAA?

Yes — we sign a BAA directly with the clinic, and every sub-vendor in the stack (LiveKit host, Deepgram, ElevenLabs, model provider, cloud infra) is either BAA-covered or replaced with a self-hosted alternative. No BAA, no PHI.

Does PHI leave the covered boundary?

No. Audio, transcripts, and structured PHI stay within the BAA-covered stack. Self-hosted deployments keep everything inside the clinic's VPC — no audio ever touches a non-BAA service.

Who has access to call recordings?

Only clinic staff you name and our on-call engineer under break-glass access with full audit trail. Retention windows are configurable (default: 30 days rolling, purge on request).

What happens in a security incident?

Documented incident response: isolate, preserve logs, notify clinic within 24 hours, remediate, and provide the evidence packet required by your HIPAA policy and any state-specific breach law.

GDPR adds residency and right-to-erasure requirements for EU clinics — our default for EU deployments is EU-hosted infrastructure with GDPR DPAs on every vendor. State-level rules (CCPA, New York SHIELD, Texas HB 300) layer additional obligations we model in the discovery workshop.

Single office to 20+ location network.

Fixed project pricing. Per-call unit economics modeled in the discovery workshop so you know the monthly run-rate before you sign.

DeploymentScopePrice
Single-office AI receptionist Inbound voice, 1 PMS, scripted flows, shadow mode, staff handoff $8,000–$14,000
Multi-location rollout Multi-office deployment, shared templates, per-location configuration, analytics dashboard $18,000–$35,000
Recall & reactivation agent Outbound voice + WhatsApp, treatment-aware cadence, PMS writeback, reporting $10,000–$22,000
Self-hosted HIPAA stack Fully self-hosted LiveKit + models in clinic VPC, zero third-party PHI exposure $25,000–$50,000
Monthly retainer Ops, script tuning, new intents, reporting, PMS change management $2,500–$8,000/mo

Per-call API cost typically lands $0.09–$0.30 depending on call length and language mix. A 20-location dental network typically spends $400–$1,200/month on 2,000–6,000 handled calls.

Clinic questions we answer on every intro call.

Is your AI voice agent HIPAA compliant?
Yes. We deploy HIPAA-compliant voice agents on self-hosted LiveKit with BAA-covered STT/TTS providers (Deepgram, ElevenLabs Enterprise) and private GPT deployments. PHI never leaves the covered boundary. We sign BAAs with the clinic before any PHI touches the system.
What kind of clinics do you work with?
General and specialty dental practices, dental groups, medical primary care, small group practices, physical therapy, veterinary clinics, and medical aesthetics. Single-office through 20+ location networks.
Will the AI replace my front desk?
No — it catches what the front desk misses. The AI answers when the phone would otherwise ring through to voicemail: after hours, during lunch, and when multiple calls stack up. Your front desk still handles complex visits, insurance discussions, and any call the AI escalates.
Can the AI book into our practice management software?
Yes — Dentrix, Eaglesoft, Open Dental, Curve Hero, Practice-Web for dental; Epic, Athenahealth, NextGen, and eClinicalWorks for medical (via HL7/FHIR or official APIs where available). If your PMS has no API, we book into a shared calendar your staff syncs.
What does it cost per call?
Per-call AI cost typically lands between $0.09 and $0.30 depending on call length and language. A typical 20-location dental network sees total AI voice spend of $400–$1,200/month on 2,000–6,000 handled calls.
How long does deployment take for a clinic?
A single-location dental or medical clinic goes live in 4–6 weeks including scripting, PMS integration, shadow mode, and staff handoff. Multi-location rollouts add 1–2 weeks per PMS-integration variant.

Ready to answer 100% of inbound calls?

One 20-minute call for clinic operators. We'll look at your PMS, your call volume, your compliance posture, and tell you if an AI receptionist makes sense — and if it doesn't, we'll say so.