No-shows drain the schedule
Empty slots burn provider time and push downstream patients further out. Every missed visit is revenue that does not come back.
Appointment reminders, prescription adherence, post-visit follow-up, billing alerts, and telehealth links. BAA on request, PHI-safe routing, EHR-integrated. Cut no-shows, lift adherence, hit value-based-care targets.
The problem
No-shows cost healthcare billions a year. Medication non-adherence costs more. Email and voicemail are not where patients live, and call-center capacity ceilings cap your outreach long before the panel is covered. Compliant, two-way SMS closes those gaps, with a BAA and PHI-safe routing underneath.
Empty slots burn provider time and push downstream patients further out. Every missed visit is revenue that does not come back.
Patients pick up the first fill and then drift. Refill prompts, dose reminders, and adherence check-ins keep therapy on track without a clinician chasing every call.
Annual physicals, post-discharge check-ins, and screening recalls live in the EHR but never reach the patient. Manual outreach skips the ones that matter most.
A consumer texting tool has no BAA, no PHI-safe routing, no audit retention. Healthcare requires the compliance layer to be part of the platform, not bolted on.
The path
The sequence we run with clinics, health systems, and payers. Sign the BAA, connect the EHR, define the lanes, then measure the outcomes that move value-based-care performance.
Standard Business Associate Agreement executed before any PHI flows. Your compliance team gets the document the same day, signed and on file.
Pre-built integrations with Epic, Cerner, Athena, and eClinicalWorks. Patient identifiers stay in the EHR. Tells works off de-identified outbound payloads with PHI-safe routing. See integrations for the supported stacks.
Appointment, prescription, billing, recall, telehealth. Each lane gets its own consent posture, language template, and escalation rule so the right message ships through the right path.
No-show rate, adherence, NPS, value-based-care quality metrics. Dashboards roll up by clinic, provider, and service line so the impact lands in the right operations review.
Where it shows up
Six recurring patient-outreach use cases that cover most of the SMS volume in clinics, multi-specialty groups, and health systems. Each one ships with PHI-safe templates and the right consent lane wired in.
Two-way reschedule and auto-confirm, plus day-of arrival instructions, parking, and check-in links. Patients confirm by text, the calendar updates without staff touching it.
Refill-ready alerts, dose reminders, and adherence check-ins for chronic-care patients. Replies route to the pharmacy or care manager when the patient asks a question.
Recovery check-ins after a procedure, satisfaction surveys, and prompts to book the next-step visit. Captures CAHPS and HCAHPS-aligned feedback by text instead of mailers.
Secure pre-visit intake forms, telehealth-link delivery, and pre-call reminders. The patient lands in the video session on time with the intake already on the chart.
Bill-ready pings with one-tap pay links, payment-plan offers, and financial-assistance referrals. Cuts statement-print cost and pulls revenue forward without a collections handoff.
Annual physical, vaccine, mammogram, colonoscopy, A1C, and other screening recalls scheduled to the right interval per patient. Closes care-gap quality measures with minimal staff lift.
Why Tells
Healthcare-grade messaging requires the BAA, the PHI-safe routing, the EHR integration, and the audit trail to be in place from day one. Tells brings all four to the table, on the carrier-direct infrastructure that powers our high-volume programs.
Business Associate Agreement on request. Encrypted in transit and at rest, US-based operations, tamper-evident audit log per send. Outbound payloads stay PHI-minimized so the message body never carries diagnosis data.
Pre-built bidirectional connectors to Epic, Cerner, Athena, and eClinicalWorks. Patient identifiers stay on the EHR side. See integrations for the supported stacks and the available data lanes.
Patients reply by text to reschedule, ask a question, or confirm a refill. The AI agent handles routine FAQ, and a clinician or front-desk staffer takes the edge cases with the full thread already on screen.
No-show rate, adherence, NPS, and value-based-care quality metrics rolled up by clinic, provider, and service line. Plug into high-volume SMS for system-wide recall and population-health campaigns.
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Read more →Pilot in two weeks. We will execute the BAA, wire one EHR lane (appointments or refills), and report the first no-show, adherence, and NPS reads before the second pilot cycle ships.