Primary care front desk
Absorbs peak-hour call volume so staff work the lobby.
An inbound voice agent that answers every scheduling call, checks availability, and writes the booking into your practice-management calendar — clearing the phone queue without voicemail.
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At peak hours the phone line is the bottleneck: callers wanting to book, reschedule, or cancel hit a queue or voicemail — each a lost appointment. This agent answers on the first ring, 24/7, checks availability in your practice-management system, offers open slots by provider and location, and writes the booking back with SMS confirmation. It warm-transfers anything it can't safely handle to staff.
A telephony-to-calendar pipeline: ASR, intent and slot extraction, a real-time availability lookup against your scheduling API, and a rules-respecting write-back.

Concrete scheduling actions on the call, not a phone tree.
Streaming ASR transcribes callers and TTS responds conversationally — no rigid IVR menu.
Classifies book, reschedule, cancel, or question, then extracts provider, visit type, and date/time.
Queries open slots by provider, appointment type, and location through your scheduling API, honoring buffers and double-book rules.
Books the slot as a FHIR R4 Appointment or native PM booking, with SMS/email confirmation and reschedule handling.
Clinical questions, new-patient complexity, or low ASR confidence warm-transfer to staff with transcript and details.
Who runs it
Absorbs peak-hour call volume so staff work the lobby.
Books by visit type and provider with the right length.
Recall and routine-visit booking across locations.
Books to the correct site on one patient-facing line.
Captures overnight and weekend calls that used to hit voicemail.
Rebooks cancellations immediately, freeing the slot.
Impact framed as burden removed, not benchmarks — validated on your own call data.
Health Insurance Portability and Accountability Act
Protect PHI with privacy-first architecture, encrypted storage and transmission, strict access controls, and traceable audit logs.
General Data Protection Regulation
Implement lawful consent flows, data minimization, retention controls, and secure processing for sensitive health data.
Fast Healthcare Interoperability Resources
Enable standardized health data exchange across apps, care teams, and systems through robust FHIR-ready APIs.
Health Level Seven International
Support enterprise-grade interoperability with HL7-based integrations for records, events, and clinical messaging workflows.
Health Information Trust Alliance
Align security programs to healthcare-specific control and risk management practices trusted by providers and ecosystem partners.
Health Information Technology for Economic and Clinical Health Act
Design with breach notification readiness, digital record safeguards, and operational controls that support regulated care programs.
FDA Software as a Medical Device
Plan software quality, traceability, and documentation pathways for products that may require SaMD review and submission.
Medical Device Regulation (European Union)
Prepare EU market-ready processes for risk classification, evidence tracking, and lifecycle governance under MDR expectations.
Substance Abuse and Mental Health Services Administration
Apply confidentiality controls and consent-aware sharing models for behavioral and mental health data experiences.
Standards
Four stages: capture the call, check availability, book, and write back to the schedule of record.
The agent answers, streams speech-to-text, and verifies caller identity before any scheduling detail.
Intent and slot extraction resolve provider, type, and timing; a live query returns bookable slots.
The caller confirms an open time and the agent reserves it, releasing the prior slot on reschedules.
The booking posts to the PM/EHR calendar as a FHIR R4 Appointment, SMS/email confirmation fires, and the call is logged.
Not this exact agent, but proof we ship compliant, AI-assisted healthcare products end to end. For Lera Health we built a privacy-first data layer and patient workflows on the same standards — HIPAA-ready infrastructure, consented data flows, audit logging.

Scheduling still touches PHI. Here's how we keep it safe.
Calls run under a signed BAA on HIPAA-ready infrastructure; recordings and transcripts encrypted, access-controlled, retained per policy.
Low-confidence turns, clinical questions, and complex bookings warm-transfer to staff, so the agent never guesses.
Every booking links to the transcript segment and availability query behind it.
Each call, identity check, and calendar write is logged in an immutable, time-stamped audit trail.
Tell us your PM/EHR and call mix. We'll return an integration scope and a pilot plan that starts read-only.
contact@agnotic.com
Partnerships
contact@agnotic.com