
VisitConfirmed is an appointment reliability platform for healthtech companies that automates patient outreach via two-way SMS, AI voice calls, and email to confirm, reschedule, or recover appointments. It integrates with EHR systems like Medplum via a one-command FHIR subscription setup, writing outcomes back as native resources. The platform reduces no-shows and staff workload through 24/7 autonomous multi-channel escalation.
Funding
Funding not disclosed
Founders
Product
Problem
Missed patient appointments lead to significant revenue loss, lower clinical outcomes, and degraded quality metrics for healthcare providers詮 no-show rates can reach as high as 41.6% in safety-net settings. Existing reminder tools, built for legacy provider systems, rely on passive one-way notifications like robocalls and texts that fail to address the actual reasons patients miss visits, such as long lead times, access barriers, or lack of engagement.
Solution
VisitConfirmed provides an appointment reliability layer for modern healthtech companies, automating the full patient conversation across SMS, AI voice calls, and email without requiring staff intervention or patient-facing portals. The platform initiates multi-channel outreach when an appointment is created, engaging patients in two-way natural conversations to confirm, reschedule, or identify at-risk visits before they become no-shows. An AI voice agent handles real phone calls with natural speech, eliminating menus and hold times. Smart escalation logic works through channels sequentially until the patient responds, and outcomes sync back to the EHR as structured FHIR resources, creating a closed loop from appointment creation to confirmed visit.
Target Audience
Primary customers are healthtech platforms including care coordination companies, virtual care and telehealth providers, and operations teams managing high-value appointments where missed visits result in lost revenue, delayed care, or wasted capacity.
Features
- Multi-channel outreach automation via two-way SMS, AI voice calls with natural language processing, and automated email campaigns
- Smart calendar invites with auto-generated events that sync to patients' phones to reduce forgotten appointments
- No-show recovery workflows that automatically re-engage patients who miss visits and help them rebook
- FHIR-native EHR integration (e.g., Medplum) using a single-command setup (`npx @visitconfirmed/medplum`) that installs a ClientApplication, least-privilege AccessPolicy, and Subscription to trigger outreach on real appointment events
- Automated retry and escalation logic that distinguishes no-answer, wrong number, voicemail, and partial confirmations, with timezone-aware quiet hours and consent management
- Idempotent FHIR write-back as Communication, Appointment, and Task resources, respecting human overrides and supporting reschedule, cancellation, language preference, and caregiver routing