Best After-Hours Answering Services for Medical Practices in 2026

HIPAA compliance verified by Compliancy Group, BAA included.

MedReception AI answers calls 24/7 and books appointments.

Live EHR integrations: athenahealth, eClinicalWorks, ModMed, Tebra, Nextech, Office Ally, SimplePractice, Elation, Practice Fusion, Hint, Veracity by AllegianceMD, PatientNow, TELUS Med Access, TELUS PS Suite, Azalea Health, Amazing Charts, CharmHealth, TherapyNotes, Eye Cloud Pro. Other systems are available through secure workflow automation.

DoctorConnect's HIPAA page says it has operated as a HIPAA Business Associate since the rule's inception and signs a Business Associate Agreement with all HIPAA Covered Entities before Protected Health Information is exchanged.

DoctorConnect's MIRA page says MIRA books, reschedules, cancels and looks up appointments inside DoctorConnect while the patient is on the line, reading availability from the DoctorConnect or EHR calendar.

DoctorConnect's ARIA page describes ARIA as a 24/7 AI medical receptionist that answers calls, handles routine questions, transfers complex calls and texts patients links during the call.

VoxyHealth's homepage states that Voxy executes a BAA with every customer and describes Voxy as HIPAA compliant and SOC 2.

VoxyHealth describes Voxy as an AI voice agent that handles patient calls, books appointments and closes care gaps.

VoxyHealth's front desk page describes 24/7 call coverage, including nights, weekends, lunch breaks and after hours.

Emitrr's AI Agent page states HIPAA compliance and says a Business Associate Agreement (BAA) is available for healthcare customers.

Emitrr's AI Agent page says the voice agent creates, reschedules or cancels appointments directly in connected EHRs where write-back is supported.

Emitrr's AI Agent page says the agent can answer calls and texts 24/7 for after-hours coverage and handles two-way texting and follow-up sequences.

Luma Health describes itself as Operational AI for Healthcare and names Epic, athenahealth, eClinicalWorks, Oracle Health, MEDITECH, NextGen, Nextech and Greenway among its integrations; its site lists HITRUST, ISO 27001 and an AICPA SOC certification, and it publishes HIPAA compliance policies and a Business Associate Agreement at policy.lumahealth.io.

Assort and Luma are built for health systems and large groups and book directly in athenaOne through its APIs.

Luma Health, Phreesia, Assort Health and Prosper AI quote by request; ask for the price, implementation fee and contract term in writing.

AI voice agents that book, reschedule or cancel in the EHR 24/7, with reminder, reactivation and waitlist campaigns. States 'Reduce no-shows by 30 percent', no source cited. Describes its agents as HIPAA compliant with SOC 2 controls, and signs BAAs; 80 or more integrations; live in 3 weeks. Usage-based pricing, no figures published as of Nov 2, 2026.

Prosper AI says its agents answer every patient call 24/7 and book, reschedule or cancel in the EHR, lists more than 80 integrations including athenahealth, ModMed and eClinicalWorks, and states it is HIPAA compliant with SOC 2 controls.

Assort Health and Prosper AI build AI voice agents for patient access teams at specialty groups and health systems.

Solv's Maya page says Maya is built on Solv's HIPAA-compliant infrastructure, and the Solv provider pages reviewed do not mention a BAA.

Solv's Maya page says Maya can book a visit directly into the practice's EHR while the patient is still on the phone.

Solv's Maya page says Maya, its AI voice agent, answers patient calls 24/7 and can book visits, answer common questions, collect payments and bring in staff when needed.

CallMyDoc states on its integrations page that it signs a Business Associate Agreement with every practice.

It describes a HIPAA-compliant platform with encryption in transit and at rest, states that it signs a Business Associate Agreement with every practice, and sells a flat-rate model with no setup fees, but publishes no dollar figures.

Assort Health and CallMyDoc describe booking and write-back in athenaOne.

MAP Communications publishes HIPAA-compliant procedures and HITRUST certification.

MAP Communications describes its medical answering service as handling appointment scheduling and updates, lists Epic, athenahealth and TigerConnect among the systems it connects to, and states that its agents are United States based and HIPAA compliant, as published on Nov 2, 2026.

Live U.S.-based agents 24/7, English and Spanish, HITRUST and SOC 2. $49 to $649 per month, $1.28 to $1.37 per additional minute (Nov 2, 2026).

Nextiva publishes that it implements a BAA and disables voicemail transcription, fax to email and mobile voicemail playback on HIPAA accounts, as published on Nov 2, 2026.

Nextiva's AI receptionist, XBert, advertises booking with real-time calendar integration, confirmation texts and reschedule handling, priced at $99 per month for 100 interactions and $1.50 per conversation after that, with a HIPAA Compliant badge in its footer, as published on the same date.

Generic AI receptionist. Publishes real-time calendar booking, confirmation texts and reschedule handling. $99 per month for 100 interactions, then $1.50 per conversation, as published on Nov 2, 2026. HIPAA Compliant badge; no BAA or EHR described.

RingCentral publishes that it makes a BAA available to paying Covered Entity customers, covering RingEX and its AI Receptionist, in its RingCentral and HIPAA document dated March 2026.

Core $20, Advanced $25 (lists connecting multiple sites), Ultra $35 per user per month billed annually, as published on Nov 2, 2026. Separate AI Receptionist add-on at $49 per month with 100 minutes included, listed as HIPAA compliant. RingCentral publishes that a BAA is available to paying Covered Entity customers and covers RingEX and the AI Receptionist (March 2026 document).

RingCentral's AI Receptionist page says it can book and reschedule appointments by connecting to your calendar system and names Google and Outlook calendars, and its pricing page lists it as an add-on starting at $39, as published on Nov 2, 2026.

Ruby provides a business associate agreement at no extra charge.

Ruby is a live virtual receptionist service with 24/7 coverage that lists doctors, dentists, chiropractors and solo practitioners among the businesses it serves, offers HIPAA-compliant service as an option, and answers in English and Spanish.

Ruby describes its healthcare role as collecting intake information, answering non-medical questions and taking messages, 24/7/365, with 100 percent US-based receptionists.

MedConnectUSA states that all of its operators are based in America, that it never outsources, that it provides a BAA with every client, and that a predetermined escalation plan reaches the on-call physician by secure message, phone or pager.

All four describe HIPAA-compliant operations as of Nov 2, 2026; MedConnectUSA and PerfectServe state a BAA is included.

Live operator services, where a person answers and relays messages to your on-call provider: MAP Communications, MedConnectUSA, PerfectServe and Ambs Call Center offer medical answering programs, and Ruby serves doctors and dentists as a general business receptionist.

AnswerConnect publishes a HIPAA-compliant option that must be enabled in its portal.

AnswerConnect describes secure appointment scheduling by its receptionists, delivers call details as a message by email, SMS or its app, and lets you switch HIPAA mode on in its portal, as published on the same date.

States it is always people, not bots, with 24/7 live answering. Pricing appears only after a form; its home page makes no HIPAA statement.

Dialzara's homepage says its AI receptionist books appointments directly to the business's calendar, sends call summaries by email and works with the existing phone number.

Dialzara's homepage says every plan includes 24/7 answering, call recordings and summaries, and a 7-day free trial with no contract.

Dialzara's pricing page, as published on Nov 4, 2026, lists Business Lite at $29 a month with 60 minutes then $0.48/min, Business Pro at $99 with 220 minutes then $0.45/min, Business Plus at $199 with 500 minutes then $0.40/min, and Business Elite at $349 with 1000 minutes then $0.35/min.

Its athenahealth page, as published on Nov 2, 2026, says the integration is bidirectional: the agent reads live availability, appointment types, provider and department information and relevant patient data, then books, reschedules or cancels appointments directly in athenaOne through native APIs.

AI voice agent for healthcare; names ophthalmology, dermatology, pain management and urology; 24/7 scheduling; 15 or more platform integrations; Trust Center linked; no public pricing.

Assort calls itself an AI voice agent for healthcare, lists ophthalmology, dermatology, pain management, urology and women's health among its specialties, and cites more than 15 platform integrations led by athenahealth.

Plans from $199 per month with higher tiers by quote, as published on Nov 2, 2026. Names dental practices and multi-location support; lists Phone Hours, Call Groups, Call Queues and Phone Tree Menus. Says it is designed with features to support HIPAA compliance. Also publishes an AI Receptionist that answers calls by voice and books into qualified dental practice-management systems, offered as early access, as published on Nov 2, 2026.

Those add-ons are built for general business use, Weave's for dental and healthcare practices.

As published on Nov 2, 2026, all four state they sign one: CallMyDoc signs a BAA with every practice, MedConnectUSA provides a BAA, Ameridial executes a BAA with every healthcare client, and Magellan Solutions reports signed Business Associate Agreements in the US.

Philippines-based contact center with Manila facilities and a US office in Florida. Publishes live healthcare-trained agents, 24/7 coverage, surgery centers among supported settings, escalation against your triage criteria, and signed BAAs in the US. No published pricing (as published on Nov 2, 2026).

Human, AI or hybrid. For calls you flag (patients in distress) or when a caller asks for a person, the AI warm-transfers to a U.S.-based human receptionist or your team on the same call; 24/7 AI coverage is part of every plan; from $164 per month for 50 Abby Minutes (Nov 2, 2026). HIPAA compliance options listed for the human service only.

As published on Nov 2, 2026, Phreesia lists no VoiceAI pricing, Freed's Front Desk starts at $149 per month per block of 250 calls, Abby's AI receptionist starts at $164 per month for 50 Abby Minutes, and Retell lists $0.07 to $0.31 per minute with a BAA on its Enterprise plan.

MAP Communications and Ambs describe HIPAA-compliant operations and certifications; Ruby lists HIPAA-compliant service as an option.

Live operator services, where a person answers and relays messages to your on-call provider: MAP Communications, MedConnectUSA, PerfectServe and Ambs Call Center offer medical answering programs, and Ruby serves doctors and dentists as a general business receptionist.

MAP Communications and Ambs Call Center are general answering services with medical programs that publish monthly minute bundles and answer around the clock.

Live agents, HIPAA compliant, 24/7/365, HITRUST certified; serves ambulatory surgery centers and orthopedic surgeons. Publishes plan pricing; see the cost FAQ below.

Of the vendors on this page, as published on their sites on Nov 2, 2026: notifyMD describes live agents available 24/7/365 with HITRUST certification.

Published prices as of Nov 2, 2026: notifyMD lists $155 per month for 100 receptionist minutes, $355 for 250 and $685 for 500.

Smith.ai's virtual receptionist FAQ, as published on Nov 2, 2026, reads: 'Smith.ai is not HIPAA-compliant, so we cannot handle calls that involve protected health information (PHI).' The same answer says the company works with medical, dental and wellness practices only for non-PHI call handling such as answering FAQs, taking messages, qualifying new patient leads and transferring calls, and it recommends that practices needing HIPAA-compliant support discuss their requirements with Smith.ai before getting started.

On after-hours, Smith.ai publishes 24/7 live-staffed coverage on every virtual receptionist plan and 24/7 AI call answering on its AI receptionist plans.

AI receptionist: free tier of 25 calls, Pro $150 a month at $2.00 per call, Enterprise $500 a month at $1.67 per call. States it is not HIPAA-compliant and cannot handle PHI calls.