After-hours AI triage · Built for independent clinics

After-hours triage that escalates only what should escalate.

NoctuaCare is a 24/7 triage and scheduling desk for independent dental practices, medspas, and physical-therapy clinics. Inbound SMS and web requests are evaluated against the clinical escalation rules you set — true emergencies page a human; routine requests are booked automatically and written back to your existing practice management software.

  • HIPAA-aligned data handling
  • TCPA-compliant consent capture
  • Per-practitioner routing rules

How it works

Four steps between a 9 pm DM and a booked appointment.

Every inbound message is judged by the same loop — capture, score against your rules, dispatch, and write back. The loop runs all night, every night.

  1. 01

    Capture

    Inbound SMS, web form, or chat request lands in one inbox, with consent already verified.

  2. 02

    Score

    Your escalation rules — owned by you, not us — decide: human, auto, or hold for deposit.

  3. 03

    Dispatch

    Emergencies page the on-call practitioner with the transcript attached; routine requests move on.

  4. 04

    Write back

    Confirmed slots land directly in Dentrix, Jane, Mindbody, and the rest — no side database.

Escalation rules

Your rules. Your on-call rotation. Your liability boundary.

NoctuaCare ships with no shared policy across clinics. Each owner draws the escalations that should page a human — and the routine that should not.

Escalates to a human

Conditions that should never wait until morning.

  • Severe, escalating pain not managed by OTC analgesics
  • Suspected infection: facial swelling, fever, or abscess
  • Post-op complications within the window you define
  • Suspected fracture, jaw dislocation, or syncope episode
  • Suspected stroke indicators during an intake call

Magenta pulse on the inbound thread · SMS → on-call phone within 60 s · full transcript attached.

Handled automatically

The 80% of after-hours that is just scheduling.

  • Routine cleanings, follow-ups, and recall appointments
  • Reschedules and cancellations within your policy window
  • Insurance, billing, and records questions routed to next-day queue
  • Medspa intake forms collected and confirmed overnight
  • New-patient web forms scored and assigned to the right practitioner

Confirmation on the same SMS thread · appointment written back to the PMS · no after-hours paging bill.

Compliance

Compliance isn’t a footer line. It’s the architecture.

HIPAA-aligned

Per-tenant encryption keys, minimum-necessary logging, and a signed BAA on every onboarding. PHI never leaves the workspace you control.

TCPA-compliant SMS

Express written or keyword consent captured and persisted before any outbound SMS — including on reply threads. Quiet hours and STOP/HELP honored on every channel.

Per-practitioner routing

Set which messages each practitioner is paged for. Solo owners get the moon; groups route by specialty, language, or panel.

Integrations

Writes back to the practice software you already run.

Confirmed appointments, reschedules, and cancellations land in your existing PMS — no parallel calendar, no second export job at the end of the week.

PMSDentrix
PMSEaglesoft
PMSOpen Dental
PMSJane
PMSMindbody
PMSBooker

More PMS connectors added per onboarded practice. Custom exports to HL7 / FHIR endpoints available for clinics with their own EHR.

Revenue protection

High-value services used to bleed revenue to no-shows. The deposit link closes that loop on the same thread.

For services where an empty chair costs more than a confirmation prompt, NoctuaCare sends a deposit link on the same SMS thread. No second checkout page, no new tab your patient won’t open.

Step 1

Hold the slot

A high-value request, like a $1,200 treatment series, gets a held slot in your PMS.

Step 2

Send the deposit link

A single-message SMS contains the confirmation and a deposit link — no second app.

Step 3

Auto-release on timeout

If the deposit does not arrive in the window you set, the slot releases back to inventory.

FAQ

Questions owners ask in the first call.

If your situation isn’t in the list below, the fastest answer is an email — a real human at the inbox below reads every message.

Pricing

Three plans, one less 9 pm page.

Every plan ships with HIPAA-aligned storage, TCPA-compliant SMS, per-practitioner escalation rules, and a signed BAA. Pick the size that matches your team today — you can move between plans without re-onboarding.

Prices are placeholders pending final pricing review — every tier ships with the same triage engine, the same audit trail, and the same BAA.

Request a demo

Tell us about your clinic. We’ll come back within one business day.

Share the PMS you run, the clinic type, and how loud your after-hours phone is right now. A real human reads every note and replies with a rollout plan tailored to your volume and specialty mix.

  • 30-minute scoping call, no procurement gauntlet
  • Trial installation on your real PMS for two weeks
  • Rollout plan with the on-call rotation you already run
Ready when you are

Stop answering 9 pm texts. Start routing them.

Tell us your clinic type, the PMS you run, and how loud your after-hours phone is right now. We’ll come back inside one business day with a rollout plan.