AVA · Built for outpatient practices & specialty clinics

Be there when your patients call. Even when you can't be.

42% of calls to medical practices go unanswered during business hours — and 62% of patients who hit voicemail hang up without leaving one. AVA picks up every call, schedules visits against your live calendar, and routes urgent symptoms to your on-call protocol — all within the clinical boundaries you set.
Incoming patient call
Tuesday 4:52 PM
Caller
Maria L. — existing patient · DOB on file
Reason for call
“I had my knee scope two weeks ago. The incision looks a little red and warm and I’m running a low fever — should I come in?”
Symptom triage → on-call protocol
Insurance
Aetna · PPO · verified
Preferred provider
Dr. Chen · ortho
Routed to Nurse Triage line Post-op protocol
Same-day slot held · 5:45 PM Pending RN clear
Note logged to Athenahealth Synced
Call handled in 1m 32s Today: 47 calls · 0 missed
1m 32s
Avg call handle time
−1:47
Avg hold time eliminated
24/7
Nights & weekends
23% → 5%
Missed-call rate target
Live integrations with the EHR and practice management systems your team already runs
Epic Cerner Athenahealth eClinicalWorks NextGen DrChrono Kareo Practice Fusion

Right now, two in five calls to your practice never reach a human.

Six numbers from independent healthcare research. Each one is a patient who waited too long — and a slot on your schedule that paid nothing.
AnswerNet · 7,000-call study across 22 practices
42%
of incoming calls go unanswered during business hours. Front desk teams are stretched too thin. Patients give up.
PatientBond · 2025
62%
of patients who hit voicemail hang up without leaving a message. Half of them never come back. Voicemail is not a backup — it’s a leak.
MGMA · widely-cited industry estimate
$200
average revenue cost per unused appointment slot. Multiply that by every missed booking call across the year. The number gets uncomfortable quickly.
Keona Health · 2025
60%
of patients abandon the call if left on hold more than one minute. Average hold at medical practices is 1 minute 47 seconds (MGMA 2025). The math doesn’t work.
Talkdesk · solo practice avg
30%
average missed-call rate at solo and small medical practices. Group practices average lower; the smaller you are, the harder the math becomes.
MGMA · US healthcare system
$150B
annual US healthcare system cost of missed appointments — and unanswered calls are one of the root causes upstream of every no-show.
Sources: AnswerNet · MGMA · PatientBond · Keona Health · Talkdesk Healthcare Report · AgentZap analysis
How it works

Four steps. AVA built in 7 days.

No new phone system. No new EHR. No workflow rebuild. AVA layers in front of what your practice already runs — your front desk works the same way, just without the constant interruption of an unanswerable phone.
Hours
FAQs
Routing Logic
Appointment
Workflows
Collect

Map your practice

We capture your provider schedules, visit types, insurance acceptance rules, urgent-symptom triggers, on-call protocols, and which calls escalate to a nurse vs. the front desk. Discovery, not a checklist.
Incoming Call RoutingTransfersFAQs
Collaborate

Build your AVA

We train your agent on your specialties, your providers, your common questions, and your brand voice. AVA learns what your practice does and — equally important — what it doesn’t do.
After HoursHigh Call Volume DetectedPeak HoursCoverage Continuous AutomaticallyNo voicemailReliable Support, 24/7No wait times
Test

Run real patient scenarios

New patient inquiry. Insurance question. Refill request. Post-op symptom call. Annual booking. Your staff calls in. We tune until AVA sounds like your best front-desk lead on her best day.
Launch & Optimize
TaskD1D2D3D4D5D6D7
Discovery
Integrate
Configure
Training
Testing
Alignment
Go Live
Go live

The Saturday refill call gets handled.

We turn AVA on. Your existing main line keeps ringing. AVA picks up overflow, after-hours, or 100% — you decide per shift, per line, per protocol.
Avg AVA build time: 7 days
What AVA covers

Routine volume, cleanly handled. Anything clinical, escalated.

Built for the four call types that drain a practice’s front desk: scheduling, refills, insurance questions, and the after-hours symptom call your team can’t be present for.
Appointment Scheduling

Books visits against your live calendar

AVA checks provider availability in real time, suggests times that match the visit type and patient preference, confirms insurance, and writes the appointment to your EHR with the visit reason attached. Patients walk away with a confirmation; your front desk walks in to a clean schedule.
Symptom Routing

Knows what to escalate to a human

You define the urgent-symptom triggers during onboarding — post-op fever, chest pain, severe bleeding, anything your protocol requires. AVA listens for them, captures full context, and routes to your on-call nurse or triage line. She doesn’t diagnose; she escalates correctly.
Multi-Provider Routing

One main line. Right person every time.

For practices running multiple providers, specialties, or locations from one number — AVA asks the questions your front desk would ask, routes to the right office, books with the right provider, and tags the call so staff know which clinic, specialty, or department the conversation belongs to.
After-Hours Coverage

The Saturday refill call stops going to voicemail

AVA picks up evenings, weekends, holidays — answering routine questions, queuing next-day refill requests, and following your on-call protocol for anything urgent. Monday morning your team opens to a sorted summary of every overnight call, not a wall of voicemails.

Drops into your EHR, scheduling, and phone systems.

No replatforming. AVA writes appointments, intake notes, and call summaries directly into the systems your practice already opens every morning.
EpicEHR
Cerner · Oracle HealthEHR
AthenahealthEHR · Practice Mgmt
eClinicalWorksEHR
NextGen · DrChronoEHR
Kareo · Practice FusionPractice Mgmt
RingCentral · 8x8Phone systems
Updox · SpruceSecure messaging
Patient data is never used to train our models · Encrypted in transit and at rest
Don’t see yours? We probably support it →
Where the volume actually is

The four call types that drain your front desk — and how AVA handles each.

Aggregate call mix across thousands of outpatient practices. Notice which categories AVA closes the loop on without human time, and which still need a clinician.
Call mix & resolution · typical outpatient practice
Call-mix benchmarks: Talkdesk · AnswerNet · Resolution rates: AVA modeled targets
Call type
% of volume
Currently missed
AVA closes
Avg revenue
Appointment booking
38%
~40%
95% live
$200 / slot
Refill / Rx question
22%
~35%
~98% captured
Indirect
Insurance / billing
18%
~45%
85% routed
Retention
Urgent / symptom triage
14%
~30%
Escalated by protocol
Care quality
Hours · directions · admin
8%
~25%
Live answer
Time saved
42%
Calls unanswered in business hours · industry (AnswerNet)
23% → 5%
With AVA · industry vs target miss rate
By protocol
Every urgent call routes to your on-call
Your practice · Your numbers

Every missed call is a $250 empty slot.

Multiply your monthly call volume by your missed-call rate by your booking conversion rate by $250 per slot. That’s the number leaking out of your practice every month. Run yours in under 60 seconds.
↳ Opens calculator.thanksava.com in a new tab
AVA ROI Calculator
Sample · 4-provider primary care
Monthly inbound calls Across all lines
6,000
Missed / busy / after-hours ~18%: missed + busy + after-hours
1,080
Booked visits after AVA phone 88%×35% + online 12%×15%, ×85% show
299
Revenue per appointment slot MGMA benchmark · primary care
$250
Estimated monthly revenue at risk From uncaptured booking calls alone · Annual: ~$900K
$75K
Illustrative numbers. Run yours with your real call data →
⚕ What AVA does — and doesn’t

Designed to make your practice more responsive, not less safe.

Patient safety isn’t a feature — it’s the foundation. AVA is an extension of your front desk and intake workflow, not a clinical decision-maker. The boundaries are explicit, configured during onboarding, and enforced on every call.
AVA does book and reschedule visits against your live calendar, with the right provider, visit type, and insurance verification.
AVA does listen for the urgent-symptom triggers you define — and escalate to your on-call nurse or triage line, with full context attached.
AVA does capture refill requests, insurance questions, and intake details — then queue them for the right team to action.
×
AVA doesn’t diagnose, recommend treatments, interpret labs, or give any medical advice — ever. Anything clinical routes to a human.
×
AVA doesn’t discuss PHI with anyone whose identity isn’t verified against your records, following the protocols you set.
×
AVA doesn’t retain or train on patient data. Your information stays your information, period.
Questions

What practice administrators ask first.

If yours isn’t here, ask us live on the demo. We’ve answered them before.
Patient calls are encrypted in transit and at rest, and patient data is never used to train our models. During onboarding we work with your team on what data is captured, how long it’s retained, and who can see it, and we’ll provide a full data-security and privacy overview for your IT and security review during procurement.
No — that boundary is hard-coded. AVA is trained to recognize clinical questions and escalate them to your on-call nurse, triage line, or front desk. She does not diagnose, recommend treatments, interpret symptoms, or give any medical advice. If a patient asks a clinical question, AVA collects the relevant details and routes the call to a qualified human in your practice.
During onboarding you define your urgent-symptom triggers — typically things like post-op fever, chest pain, severe bleeding, suicidal ideation, or any symptom set your specialty requires. AVA listens for those phrases (and the many ways patients actually describe them), captures the full conversation, and routes to your on-call protocol — nurse triage line, on-call physician, or 911 referral as your practice has configured. She never tries to handle clinical decisions herself.
Yes. Live integrations with Epic, Cerner (Oracle Health), Athenahealth, eClinicalWorks, NextGen, DrChrono, Kareo, and Practice Fusion. AVA writes appointments, intake notes, and call summaries directly into the patient chart. If you’re on a less common EHR, ask us — most integrations exist or can be built quickly via FHIR or API.
No. AVA takes the constant ringing off your front desk so they can focus on the patients physically in front of them — checking people in, handling forms, working with insurance, solving the things that need a person. AVA handles the routine volume: hours, directions, refill requests, basic booking, after-hours overflow. Your team does the human work; AVA covers the rest.
Yes — that’s one of the most common reasons multi-provider practices choose AVA. She asks the questions your front desk would ask to determine the right provider, the right location, the right specialty. Books with the correct provider where allowed, and tags every call so staff know exactly which clinic or office the conversation belongs to. Especially valuable for groups sharing one main line across multiple offices.
AVA speaks with patients in English or Spanish from the first word, matching the caller’s language with no handoff to front-desk staff. Additional languages available on request. For practices with large bilingual patient populations, bilingual coverage can meaningfully lift booking capture and patient experience versus an English-only line, since callers who’d otherwise hang up stay on to book.
Most AVA builds are ready in 7 days. We recommend 2–3 weeks of total runway for integration setup and any security or privacy review on your side. Map your providers, schedules, and urgent-symptom triggers up front; we handle the build and the EHR integrations.
Schedule·Triage·Route

Pick up every patient call.

Call AVA right now to hear how she handles a sample booking — or book a 20-minute walkthrough where we’ll pull a sample of your real call data and show you the gap.
Free walkthrough Built in 7 days