Go-live and safety
How Clinivocx works, week by week
What happens between signing and the first patient call, and what happens when that call is an emergency.
Clinivocx goes live in three moves: a kickoff call where escalation rules and on-call routing are configured, a first week of knowledge base setup, greeting approval, and your own test calls, then forwarding your practice line to the AI. Emergencies escalate to a human by rule, not by judgment.
Gboyega OfiFounder, ClinivocxUpdated
Go-live
Nothing is forwarded until you have tested it
Switching your phone line is the scary part. Here is the exact order it happens in.
Day 1
Kickoff and escalation rules
We configure your red-flag list, on-call routing order, fallback contacts, and the topics that must go to staff.
First week
Knowledge base, greeting, test calls
Hours, providers, insurances, and booking rules go in. You approve the greeting, then call the number yourself.
Then
Line forwarding goes live
You forward the line: after hours only, overflow only, or everything. Narrow the scope any time.
[PLACEHOLDER: confirm exact onboarding day counts for each stage before launch, including how many business days from kickoff to first test call and from test call to forwarding.]
Why it is fast
There is no integration project in the way
Days, not quarters, because nothing has to be wired into your EHR.
Clinivocx does not read from or write to an EHR or EMR. It keeps its own schedule, and pushes call and appointment events to your systems through HMAC-signed webhooks. That means no vendor security review of a database connection, no interface build, and no waiting on your EHR vendor's roadmap.
The trade is real and we state it plainly: appointments the AI books live in the Clinivocx dashboard, not in your chart system. Practices that need native write-back should buy a product that offers it.
Escalation protocol
What happens when the call is an emergency
The AI never gives medical advice. It recognizes named triggers and hands the call to a person.
The named red flags
These triggers are configured at kickoff and fire regardless of what else the caller is asking for:
- Chest pain
- Difficulty breathing
- Stroke symptoms
- Severe bleeding
- Suicidal ideation
- Post-operative complications
Your practice can add its own. A dental office adds facial swelling and avulsed teeth; an OB practice adds bleeding in pregnancy and reduced fetal movement.
My husband is having chest pain and it's going down his left arm.
If this is an emergency, please hang up and call 911 now. Stay on the line and I am connecting you to the on-call clinician at the same time.
Okay, please hurry.
Connecting you now. If nobody picks up within the protocol window, the call moves to the backup contact and the practice is notified immediately.
Warm transfer, not a message
The caller stays on the line while the AI dials your on-call clinician and hands over context.
On-call routing you control
Primary, backup, then practice emergency contact. The order can change by day, hour, and escalation type.
Never medical advice
The AI does not triage, assess severity, or suggest treatment. It routes to a human and says so.
When nobody answers the escalation
[PLACEHOLDER: confirm fallback behavior before launch. Needed: the retry window per contact, how many contacts are attempted in sequence, whether the caller is held or called back, what the AI says when the chain is exhausted, and how the practice is notified.]
Test it yourself
Four calls that tell you everything
Make these calls in week one. If any answer bothers you, the rules change before you forward the line.
| Test scenario | What Clinivocx does |
|---|---|
| After-hours urgent call | A caller at 11 PM reports chest pain. The AI stops collecting details, tells the caller to hang up and dial 911 if this is an emergency, and simultaneously runs your escalation protocol: warm transfer to the on-call clinician, then the fallback contact if that line is not answered. The call is flagged urgent in the dashboard and in the morning handoff. |
| New-patient scheduling | The AI confirms this is a new patient, asks the reason for the visit, routes it to the longer intake slot your rules require, offers real available times, and books. Insurance and intake questions it cannot answer from your knowledge base become action items rather than guesses. |
| Refill request | The AI captures the medication, dose, pharmacy, and prescriber, confirms the spelling back to the caller, and routes a refill action item to the staff member you nominate. It does not approve, deny, or advise on the medication. |
| Distressed caller | Tone and content are treated as signals, not noise. The AI slows down, does not argue, and offers a human. Any mention of self-harm triggers immediate escalation under the same protocol as a physical red flag, and the call is marked urgent. |
Every one of these calls produces a transcript, a summary, sentiment, and action items, so you can review exactly what was said rather than take our word for it.
After the call
Your team gets the work, not the phone
Transcripts, summaries, and action items land where staff already look.
Overnight calls arrive as a morning handoff: what came in, what was booked, what escalated, and what still needs a human. Urgent calls are flagged at the time, not in the morning. The security controls behind all of this, including the signed BAA, mandatory MFA, PHI masking, and audit logging, are documented on our HIPAA page.
Pricing is public and flat by practice size: $799 to $4,999 per month. See what the AI does with everyday calls on the medical answering service page and AI appointment scheduling.
Escalation and setup questions
The five questions every clinician asks before forwarding the line.
Test the escalation before you buy
We'll run all four scenarios live on the demo, including the chest-pain call.