AI Customer Service for Healthcare — Patient Support 24/7

Healthcare providers receive 200+ patient calls daily about appointments, insurance coverage, and billing — 60% of which are routine inquiries that don't require clinical staff. Long hold times frustrate patients and tie up front-office staff. AI customer service handles these inquiries 24/7, schedules appointments automatically, and provides instant answers about insurance and billing while maintaining HIPAA compliance.

Industry GuideUpdated: February 8, 2026

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Why Healthcare Needs This

ConvoCore's healthcare-specific AI agents integrate with your EHR and scheduling systems to answer patient questions, book appointments, verify insurance, and provide billing information. The AI is trained on HIPAA-compliant workflows and never stores sensitive health information. For clinical questions, it immediately routes to licensed staff, ensuring patients get accurate medical guidance from qualified professionals.

The Problem

High call volume during business hours overwhelms front-office staff
Patients wait 10-15 minutes on hold for simple scheduling questions
After-hours inquiries go unanswered, leading to no-shows
Insurance and billing questions require manual lookup, slowing responses

Key Features

Appointment Scheduling

AI checks provider availability, books appointments, sends confirmations, and handles rescheduling requests automatically via EHR integration.

Insurance Verification

Verifies patient insurance coverage, explains benefits, and answers coverage questions by connecting to insurance portals.

HIPAA-Compliant Workflows

Built-in HIPAA compliance with secure data handling, audit logs, and automatic escalation for clinical questions to licensed staff.

Billing & Payment Support

Answers billing questions, explains charges, and processes payment information securely without exposing sensitive data.

ROI & Results

Healthcare providers using AI support reduce front-office call volume by 50-70% and cut average hold time from 12 minutes to under 1 minute. Patient satisfaction scores improve by 20-30%.

How to Get Started

Connect ConvoCore to your EHR and scheduling system via secure APIs
Configure HIPAA-compliant workflows for appointments, insurance, and billing
Train AI on your practice policies, insurance networks, and common patient questions
Deploy phone and web chat channels, then test with sample inquiries

Provide 24/7 patient support with HIPAA-compliant AI — start free

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Related Resources

AI Receptionist for Healthcare →AI Chatbot Platform for Healthcare →ConvoCore Blog — Guides, Tips & Case Studies →

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Frequently Asked Questions

Is AI customer service HIPAA compliant?

Yes. ConvoCore is HIPAA-compliant with BAA available. The AI follows secure workflows and never stores PHI. Clinical questions are immediately routed to licensed staff.

Can AI handle urgent medical questions?

No. AI immediately escalates any clinical or urgent medical questions to licensed healthcare staff. It only handles administrative inquiries like scheduling and billing.

How does AI integrate with our EHR?

ConvoCore connects to major EHR systems (Epic, Cerner, Athenahealth) via secure APIs to access scheduling, patient records (with proper permissions), and billing data.

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