Every missed call is a patient booked somewhere else.
NP Echo answers every call in two rings — while you’re in session, with a patient, or off the clock. It screens, schedules straight into your EHR, and hands you the transcript. BAA signed. Done.
Sample call · tap a specialty to preview
Books into the tools NP practices already run
See what unanswered calls cost you.
Most solo practices don’t realize how many new patients slip away on voicemail. Move the sliders to match your practice.
Calls that go to voicemail or ring out while you’re busy.
The rest are existing patients, vendors, and wrong numbers.
First-year revenue from a booked patient — visits, follow-ups, or a program.
Estimates only — a planning tool, not a guarantee. Industry studies consistently find that a large share of unanswered healthcare calls are never returned and that most callers won’t leave a voicemail. Your actual numbers depend on your call mix, payers, and follow-up.
Answers. Screens. Books. You just see the result.
No new software to learn. Front Desk sits in front of your existing practice number and works with the tools you already run.
Answers every call
In-session, after hours, weekends. A natural voice greets patients by your practice name — no phone tree, no “press 1.”
→Screens and triages
Checks insurance or self-pay fit, answers your FAQs, routes refills to the right queue — and escalates anything urgent to you or your crisis protocol instantly.
→Books the appointment
Reads your real availability and books into your calendar — direct with Healthie, IntakeQ, Tebra, athenahealth and more; secure booking-link and calendar-sync options for SimplePractice and TherapyNotes.
Works with the platforms you’re already on.
Whether you run your own calendar or live on the big networks, Front Desk speaks your stack’s language.
Headway · Grow · Alma · Rula
These networks don’t answer your phone — we do. Front Desk asks the caller’s insurance, routes to the right booking link (Headway for one payer, Grow for another), texts it, and coaches them through booking live on the call. On multiple networks? That routing alone captures patients who’d otherwise give up.
SimplePractice · TherapyNotes
Closed systems, handled honestly. Day one, Front Desk captures the request and texts the caller your secure booking link so they schedule themselves — or, with calendar sync enabled, we offer genuinely open times, hold the slot, and your office confirms with one tap.
Healthie · IntakeQ · Tebra · GoHighLevel + more
Full real-time booking. The agent reads your calendar before the caller hangs up — with deposit links routed for cash-pay, insurance screening for behavioral health, plus athenahealth, DrChrono, Elation, Cal.com, Google Calendar.
Every booking comes with confirmation texts plus 24-hour and 1-hour reminders — with the correct video link guidance for your platform. Fewer no-shows, zero “where’s my link?” calls.
Not a generic bot. Not a $1-a-minute answering service.
The other options either can’t book, aren’t compliant, or cost more than the revenue they save. Here’s the honest comparison.
| NP Echo | Generic AI receptionist | Human answering service | Voicemail | |
|---|---|---|---|---|
| Answers 24/7 in two rings | Yes | Yes | Business hours | Never |
| Books straight into your EHR | Yes | Takes messages | Takes messages | No |
| HIPAA-compliant, BAA included | Day one | Rarely | Extra fee | Depends |
| Crisis / 988 protocol | Built in | No | No | No |
| Knows behavioral-health workflows | Yes | Built for plumbers | Reads a script | No |
| Typical monthly cost | $99 founding | $$ + per-call | $300–900+ | Free (and empty) |
Everyone else takes a message. Front Desk books the patient.
Human answering services often bill ~$1/minute and still just take a message. Front Desk books the patient — for $99 a month.
One front desk. Tuned to your specialty.
For PMHNPs and therapy practices
Book the intake while you’re in session.
- New patients calling from Psychology Today get a live answer, insurance screening, and a booked intake — and if you're on Headway or Grow, they're routed to the right network by their insurance.
- Crisis-aware routing: detects risk language and immediately connects callers to 988 or your emergency protocol. Built for behavioral health, not adapted to it.
- Refill requests and reschedules handled without interrupting a session.
“I'm in back-to-back sessions from 9 to 5. I physically cannot answer the phone — and that's exactly when new patients call.”
ROI: one retained patient ≈ $2,400–4,800/yr. Front Desk pays for itself with the first intake it books.
Representative of what PMHNPs tell us in discovery calls.
You get the outcome — not the interruption.
No listening back to voicemails, no calling people back. Front Desk hands you a clean summary of exactly what happened and what’s already done.
- Structured summary of who called, why, and what was booked — in plain English.
- Full transcript and recording attached, with PHI handled under your BAA.
- Action already taken: appointment on the calendar, paperwork texted, deposit collected.
- Only what needs you is flagged — a callback, a clinical question, an escalation.
Your collaborating physician. Your compliance stack. Now your front desk.
Generic AI receptionists were built for plumbers and bolted onto healthcare. Front Desk comes from NP Collaborator — compliance infrastructure is what we do.
BAA, signed on day one
A Business Associate Agreement is included with every plan — one BAA chain through NPC, not a stack of vendor agreements you have to police.
HIPAA · SOC 2 TYPE II INFRASTRUCTURE
Encrypted end to end
Call audio, transcripts, and PHI encrypted in transit and at rest, with PII redaction and configurable retention.
ENCRYPTION · REDACTION · AUDIT LOGS
Crisis protocol built in
Risk-language detection with instant 988 and emergency routing, designed with behavioral health clinicians — and every call discloses it’s an AI assistant, per state requirements.
988 ROUTING · AI DISCLOSURE · STATE RULES
Less than one hour of a human answering service.
- 24/7 answering on your existing practice number
- 500 minutes included — plenty for a solo practice
- EHR booking, transcripts, and call summaries
- BAA + crisis routing + AI disclosure included
- White-glove setup: your greeting, your rules, your calendar — live in under a week
No setup fee · cancel anytime · no per-call fees
Compare: a human answering service runs $300–900+/month and still just takes a message. Front Desk books the patient — for $99 a month.
A complete EHR, free with NP Flow.
Meet NPStream — the electronic health record built to pair with your AI front desk. NP Flow books the patient; NPStream charts the visit. It's included at no extra cost with every NP Flow subscription.
- Charting, scheduling, and patient records in one place
- Appointments booked by NP Echo land straight in the chart
- $0 per month · no per-seat fees · one BAA through NPC
NPStreamFree with every NP Echo plan
$0/mo
No per-seat fees · same BAA · subscribe to NP Echo and NP Stream is included.
The fine print, up front.
Will patients know they're talking to an AI?
Yes — every call opens with a brief, natural disclosure that they've reached your practice's AI assistant. Several states now require this, and in our testing it doesn't hurt booking rates: patients care that they got an answer, an appointment, and a human when they need one.
What happens if a caller is in crisis?
Front Desk monitors for risk language throughout the call. If detected, it immediately stops normal scripting, provides 988 and emergency guidance, and executes your escalation protocol — text alert to you, warm transfer to your on-call line, or both. You configure the protocol during setup and can change it anytime.
Does it work with my EHR?
Yes — in the way that's honest for your system. Direct real-time booking works with Healthie, IntakeQ, Tebra, athenahealth, DrChrono, GoHighLevel, and any connected calendar (Cal.com, Google). SimplePractice and TherapyNotes don't allow outside software to book directly, so from day one Front Desk captures the request and texts your secure booking link so the caller schedules themselves — and where you enable calendar sync, it offers your genuinely open times, holds the slot, and your office confirms with one tap. We tell you exactly which setup you'll have before you pay anything.
I'm on Headway, Grow, Alma, or Rula — does this help me?
Especially you. Front Desk answers the calls those platforms don’t, asks the caller which insurance they have, and routes them to the right booking link — your Headway link for one payer, your Grow link for another — then texts it and stays on the line while they book. If you’re on multiple networks, that insurance-aware routing alone captures patients who would otherwise give up.
Can it handle "where’s my video link?" calls?
Yes — it knows where every platform hides the link. Headway and Grow email it and keep it on the client portal; Rula’s link only activates 30 minutes before the session; solo practices often use one permanent room link, which we text with every reminder. Those calls stop reaching you entirely.
Do I have to change my phone number?
No. Front Desk sits behind your existing number via call forwarding — always-on, after-hours only, or overflow-only (it picks up when you don’t by ring four). You choose the mode and can switch anytime.
What if a caller needs a human?
Any caller can ask for a person at any time. Front Desk warm-transfers to you or your staff with the full context of the call, or takes a detailed message with a promised callback window — your choice by call type.
Built for NPs, by an NP.
Chris Caulfield · RN, FNP-BC · Founder & CEO
Co-founder & Chief Nursing Officer of IntelyCare, the 50,000-nurse care-delivery platform he helped grow from three people to a $1B+ company. EY Entrepreneur Of The Year 2022 New England award winner and a Boston Business Journal 40 Under 40 honoree. Built and ran a 200+ representative healthcare contact center. Now co-founder & CEO of NP Collaborator — the compliance and physician-collaboration company trusted by 1,700+ NP practices.
Your next patient is about to call.
Founding pricing is limited to the first 100 practices. Setup takes under a week — your greeting, your rules, your calendar.
HIPAA-compliant · BAA included · cancel anytime · either way, the same compliance review before your number forwards