Intake & Engagement

BH Predictive Engagement Agent

hitl

Scores BH appointment no-show risk, delivers tiered reminders calibrated to risk, handles cancellations and reschedules conversationally, and re-engages patients at risk of dropping out—routing clinical decisions to humans.

Patient ServicesCare ManagerPractice Administrator
35–48%
Reduction in no-show rate
62%
At-risk patients re-engaged within 14 days
8 min
Median reschedule time vs. 24-hr phone tag
Use Case 1

Predictive No-Show Prevention

Trigger: Next-day appointment panel assembled

1.Score each appointment on no-show probability
2.Assign reminder track (intensive, standard, light) by risk tier
3.Execute reminders in patient's preferred channel and language
4.Track confirmations and route reschedule requests into conversational flow
5.Surface unconfirmed high-risk slots to staff for personal call
6.Update model with attendance outcomes

Front desks work a short, prioritized call list instead of cold-calling every appointment.

Use Case 2

Conversational Reschedule Handling

Trigger: Patient requests reschedule or cancel

1.Acknowledge warmly and offer reschedule first
2.Pull provider availability within treatment-appropriate window
3.Apply clinical guardrails (no more than X days drift for active treatment)
4.Present options to patient and book selection
5.Send confirmation
6.Route cancellations-without-reschedule to care manager for outreach

Reschedules happen in minutes; clinical-judgment cases (cancel without reschedule) reach a human.

Use Case 3

At-Risk Drop-Out Re-Engagement

Trigger: Patient meets drop-out risk criteria

1.Identify drop-out signals (lapse, repeat no-shows, self-cancel)
2.Stratify by clinical acuity
3.Route high-acuity to clinician outreach (never automated alone)
4.For lower-acuity: draft personalized re-engagement messages in patient's language
5.Route to care manager for approval before send
6.Track re-engagement outcomes

Drop-out gets caught early and addressed with the right human or automated touch.

Integrations

EHR / Practice Management Scheduling
Patient Messaging (SMS, voice, app — multilingual)
No-Show Model Training Data
Care Management Platform
Calendar Systems (Google, Outlook, EHR-native)
Approval Workflow (AskUserQuestion)

Industries

healthcare

See It In Action

A sample conversation with this agent

Score tomorrow's BH appointments for no-show risk.
Tomorrow's panel: 84 appointments across 12 providers. Scoring on history (prior no-shows, last-attended-visit date, lifetime show rate), clinical (diagnosis category, treatment phase, recent assessment trajectory), and contextual (day of week, time of day, weather, distance to clinic for in-person). Risk distribution: 14 high-risk (>40% no-show probability), 28 moderate, 42 low. High-risk patients get the intensive reminder track: T-48h personal-touch SMS in preferred language, T-24h call from staff, T-2h text confirmation. Low-risk gets standard reminders. The model improves with each cycle.
Patient just texted 'i cant come tomorrow something came up'.
Acknowledging warmly and offering reschedule: 'No problem—life happens. Want me to find you the next open time with Dr. Reyes?' Pulling Dr. Reyes's calendar. Patient is in active CBT for GAD, so I'm not letting the appointment drift more than 7 days without flagging—lapse beyond that risks treatment momentum. Three options offered within the next 7 days. Patient picks one. Booking; sending confirmation. If she'd asked to cancel entirely with no reschedule, that's a clinical-judgment moment I do not handle—routing to her care manager for an outreach call within 24 hours.
Who's at risk of dropping out of treatment right now?
Drop-out risk model flagged 38 patients. Criteria: 14+ days since last attended session despite scheduled cadence, 2+ no-shows in last 30 days, or self-cancelled without reschedule. Stratifying by acuity: 11 are in active treatment for moderate-to-severe conditions—these need a clinician outreach call, not an automated nudge. 27 are in lower-acuity maintenance—drafting personalized re-engagement SMS in their preferred language and surfacing to care manager for review before send. Care manager approves the batch, I send.