Concierge & DPC

AI receptionist that qualifies new member prospects and captures enrollment details during the call

Convert inquiries into memberships. AI captures prospect eligibility, interest, and enrollment information during the initial call—then hands qualified leads to your enrollment team with all context pre-loaded.

How it pays back

No prospect inquiry falls through the cracks

Every new-member inquiry is captured with full context (insurance, interest, timing). Your enrollment team sees a pre-qualified lead, not just a name and number.

Membership tier explained before the first provider call

Prospects understand membership structure, pricing, and benefits during intake. Fewer objections or confusions during the enrollment conversation with your staff.

Insurance details captured upfront

The AI collects insurance information and employer details on the call. Your enrollment team has this in the summary, reducing follow-up calls and form requests.

Shorter conversion cycle

Prospects feel heard and understood by the AI intake. By the time your enrollment team reaches out, the prospect is warm and ready to discuss next steps, not being re-introduced to the practice.

Prospect qualified before enrollment contact

Health status, insurance, and residency verified on intake call

Membership tier interest captured and noted

Prospect informed of tiers before enrollment discussion

Insurance information collected and structured

Returned as summary for enrollment team to verify and file

New prospect record created in EMR

Name, phone, date of birth, and contact preferences written to EMR; structured intake summary provided for staff review and filing

Frequently asked questions

How does the AI explain membership tiers without sounding scripted?

Your membership structure is loaded into the AI system, and it delivers tier information conversationally—asking what matters to the prospect (e.g., number of visits, urgent-access window, preventive benefits) and matching them to the right tier. If the prospect is undecided, the AI schedules a call with your enrollment team.

Can the AI verify insurance eligibility during the call?

The AI captures insurance details (carrier, group number, member ID) and asks verification questions. This is returned as a summary for your enrollment team to verify against the carrier—insurance verification is not automated, but the information is pre-captured and ready.

What if a prospect doesn't meet your enrollment criteria?

The AI can be configured to ask qualifying questions early (e.g., 'Are you currently a resident of [state]?' or 'Do you have active insurance?'). If they don't meet criteria, the AI can offer an alternative (waitlist, referral to a non-concierge provider) and log them for follow-up.

Does the new prospect record appear in our EMR automatically?

Yes. After the call, a new prospect record is created in your EMR with name, phone, date of birth, and contact preferences. The structured intake summary is provided for your enrollment team to review and file in your practice management system.

Related reading

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New Member Conversion Calls for Concierge Practices | Medreception AI