AI-Powered Dental Practice Communication

Every Patient Call Answered,

Nirvani integrates directly with Dentrix, Eaglesoft, Open Dental, and Carestream Dental to handle inbound calls, qualify treatment needs, and book appointments around the clock. HIPAA-compliant by design, Nirvani is built for general practices, DSOs, orthodontic groups, and specialty dental offices that want a full front-desk AI without adding headcount.

HIPAA-Compliant by Design Built for Front-Desk Workflows Twelve Languages, Native Fluency Dentrix · Eaglesoft · Open Dental · Carestream
42%
of new client calls go to voicemail at the average solo or small firm. The caller hires the next firm that picks up.
Industry intake studies, Clio Legal Trends Report, Hennessey Digital intake benchmarks
The Real Cost of Missed Calls

Unanswered Phones Drain Your Schedule and Revenue

Front-desk teams handle an average of 35 to 60 inbound calls per day. When even a fraction go unanswered during lunch, between patients, or after hours, the compounding revenue loss across lifetime patient value is significant for every dental segment.

General Dentistry
$2,400
avg patient lifetime value
Ten unanswered calls per week at a 35% conversion rate represents three new patients monthly. $7,200 in lifetime value lost each month.
Orthodontic Practices
$6,800
avg full treatment contract
Two missed consult inquiries per week, each representing a potential treatment start. $13,600 in contracted revenue lost weekly.
Cosmetic Dentistry
$4,200
avg cosmetic case value
After-hours callers researching veneers or whitening rarely call back the next morning. $8,400 in case revenue forfeited weekly from two missed calls.
Pediatric Dentistry
$1,900
avg family lifetime value
Families with two or more children represent multi-patient household accounts. Five missed calls per week compounds to $9,500 in family value lost monthly.
Periodontists
$3,100
avg periodontal treatment value
Referral patients who reach voicemail frequently route to a competing specialist. $6,200 lost per week from two converted referrals.
Endodontists
$1,600
avg endodontic case value
Emergency root canal patients decide within minutes. Missing four calls per week at full case value totals $6,400 in weekly lost production.
Oral Surgeons
$5,500
avg surgical case value
Implant and wisdom-tooth consultations involve high-value referrals. Three missed consult calls weekly represents $16,500 in surgical revenue lost each week.
Dental Service Organizations
$2,200
avg new patient value per location
Across a 15-location DSO, five missed calls per location weekly equals 75 lost opportunities. $165,000 in monthly new-patient revenue at risk.
Run Your Numbers

Your Firm's Recovered Revenue

Slide your monthly inquiries, your average signed matter, and your current sign rate. The number on the right is what Nirvani recovers from the calls you're already losing.

Monthly New-Client Inquiries 120
Average Signed Matter Value $8,500
Current Intake Conversion 22%
$0
Recovered Revenue / Month
$0 per year
Pressure-Test This Number
Live Intake Samples

What Nirvani Sounds Like at 11:47 PM

Every transcript below is a redacted, representative intake handled end to end. Conflict screening, jurisdiction check, statute posture, calendar booking, retainer dispatch. No human touched the call.

After-Hours Personal Injury Intake
23:47 · 4m 12s
AI
Thank you for calling Hartwell & Associates. You've reached our intake desk. I can help you start your case tonight or schedule you for first thing tomorrow. May I have your name and a callback number?
YOU
Marcus Reed. 555-0142. I was rear-ended on the 405 about an hour ago.
AI
I'm sorry that happened to you, Marcus. Are you safe right now and have you been evaluated by paramedics or a hospital?
YOU
Yeah, EMTs cleared me but my neck is starting to hurt.
AI
Got it. I'm going to capture the basics so the attorney has what they need at the consultation. Did the other driver give you their insurance info, and is there a police report number?
YOU
Yes to both. Report number is 2026-0481.
AI
Perfect. I have you booked with Attorney Hartwell at 9:30 AM. You'll get a confirmation text in 60 seconds with the intake form and our PI questionnaire. If your symptoms worsen tonight, please go to an ER and call us back when you can.
Consult booked · Conflict cleared · Posted to Clio
Spanish-Language Intake
02:14 · 5m 38s
AI
Hartwell y Asociados, buenas noches. Soy el asistente de admisión. ¿Cómo le puedo ayudar?
YOU
Mi esposo tuvo un accidente en el trabajo. Le cayó algo encima.
AI
Lo siento mucho. ¿Se encuentra estable ahora? ¿Lo evaluaron en un hospital?
YOU
Sí, está en el hospital. Lo van a operar mañana.
AI
Esto suena como un caso de compensación laboral. Voy a tomar la información básica y agendar una consulta gratuita con la abogada Martínez para mañana a las 10:00 AM. ¿Me confirma su nombre completo y un número dónde llamarla?
Bilingual transcript delivered · Workers comp routing · Posted to MyCase
Conflict Detected · Auto-Quarantine
14:22 · 2m 04s
AI
Hartwell & Associates. I can help you start a new matter today. May I have your name and the name of the other party involved in your matter?
YOU
Linda Cho. The other party is Westridge Property Group.
AI
Thank you, Linda. Before we go any further, I need to flag this with our attorney. We may have a prior relationship that prevents us from representing you in a matter against this party. I'm not going to ask for any details about your case until we clear that. Is the best callback number 555-0117?
YOU
Yes.
AI
Perfect. Attorney Hartwell or her conflicts coordinator will be in touch within two business hours either to confirm we can take the matter or to provide a referral to a firm that can. Thank you for calling.
Substantive details withheld · Conflicts coordinator notified · Rule 1.18 maintained
Family Law · Sensitive Triage
09:18 · 6m 22s
AI
Hartwell & Associates Family Law. I'm here to help you take the next step. May I have your first name?
YOU
It's Sarah. I think I need to file for divorce. I don't even know where to start.
AI
Sarah, I understand. You don't need to have everything figured out to talk to an attorney. To make sure I get you to the right person, can I ask: are there minor children involved, and is your safety or your children's safety a concern right now?
YOU
Two kids, ages six and nine. We're safe.
AI
Thank you. Attorney Hartwell handles cases just like yours every week and the consultation is confidential. I have an opening at 2:00 PM today or 10:30 AM tomorrow. Which works for you?
Consult booked · Trauma-aware tone · Posted to PracticePanther
Criminal Defense · Urgent Custody
03:08 · 3m 41s
YOU
My brother just got arrested. He's at the county jail. I need a lawyer right now.
AI
I hear you. I'm going to get this in front of an on-call attorney immediately. What's the charge if you know it, and which county facility?
YOU
DUI. Maricopa County, Fourth Avenue Jail.
AI
Got it. I'm paging the on-call attorney now. While I do that, what's your brother's full legal name and date of birth so the attorney can pull jail records before they call you back?
Custodial matter · On-call attorney paged in 47 seconds · Posted to Smokeball
Estate Planning · Cold Inquiry
19:42 · 4m 50s
AI
Thanks for calling Hartwell Estate Planning. How can I help you tonight?
YOU
My dad passed away last week. He had a will but I don't know if there's a trust. I don't know what I'm supposed to do.
AI
I'm so sorry for your loss. I can take you through this gently. There's a probate process, and the first step is usually just gathering documents. Was your father a resident of Arizona at the time of his passing?
YOU
Yes, Scottsdale.
AI
Good. Maricopa County probate is something we handle every week. The consultation is no cost and you don't need to bring anything other than a copy of the will if you have it. Can I book you for tomorrow at 11:00 AM?
Probate consult booked · Empathy-tuned script · Posted to Clio
IP · Trademark Discovery
11:03 · 5m 12s
AI
Hartwell IP Group. May I have the name of your business and what you're looking to protect?
YOU
Vertex Coffee. We just got a cease and desist from a roaster in Oregon claiming we infringed their mark.
AI
Got it. C&D matters move quickly. Do you have a deadline on the letter, and have you responded to the sender in any form?
YOU
Fourteen days. We haven't responded.
AI
Smart. Don't respond until you've talked to counsel. Attorney Park has a slot tomorrow at 1:00 PM. Please email a copy of the letter and any prior trademark filings to intake@hartwellip.com so she can review before the call.
Consult booked · Document request issued · Posted to Filevine
Bankruptcy · Chapter 7 Inquiry
17:55 · 4m 28s
YOU
I think I need to file bankruptcy. I'm getting calls from collectors every day.
AI
I can help you figure out the right path. There are a few options and the right one depends on your income, your assets, and what kind of debt you have. Are you working full time right now, and is most of your debt credit card or medical?
YOU
Yes I'm working. Mostly credit card debt.
AI
Got it. Attorney Daniels offers a free 30-minute consultation to walk through your options. Would Wednesday at 4:30 PM work for you? I'll send the means-test pre-questionnaire so you can fill it out in advance and get the most out of the call.
Consult booked · Means-test form dispatched · Posted to MyCase
Practice-Type Tuning

One Platform. Eight Dental Specialties. Native to Each.

Nirvani's intake scripts, triage logic, and scheduling flows are pre-configured for each dental specialty. The AI qualifies the caller's need, confirms insurance eligibility where applicable, and books directly into your practice management system.

General Dentistry

Captures hygiene recall, new patient intake, emergency triage, and crown or filling inquiries. Verifies Delta Dental, Cigna, and Aetna PPO eligibility in real time and drops confirmed appointments into Dentrix or Open Dental's scheduler.

Sample line "Welcome to Riverside Family Dental. Are you calling about a scheduled appointment, a dental concern, or are you a new patient looking to get started?"

Orthodontic Practices

Qualifies free consultation requests, collects age and chief complaint for Invisalign versus braces conversations, confirms referral source, and books the consult slot directly into Dolphin Management or OrthoTrac with treatment coordinator assigned.

Sample line "We offer complimentary smile consultations for both teens and adults. Are you calling for yourself or for your child, and has a dentist referred you to us?"

Pediatric Dentistry

Collects child's age, insurance carrier, and chief complaint, applies age-appropriate appointment type logic, and confirms a parent or guardian is the authorizing party before dropping the appointment into Eaglesoft's pediatric schedule.

Sample line "Hi, thanks for calling Sunshine Pediatric Dental. How old is the child you are scheduling for, and are they an existing patient with us?"

Endodontics

Handles urgent pain-related intake using a structured triage script that identifies tooth location, swelling presence, and pain duration. Routes true emergencies to same-day hold slots and collects referring dentist information for case coordination in Dentrix Enterprise.

Sample line "I can help get you in for an emergency evaluation today. On a scale from one to ten, how would you rate your pain right now, and is there any swelling near the tooth?"

Periodontics

Captures referral source, perio charting history, and chief complaint for scaling, grafting, or implant placement consultations. Confirms whether the caller has a recent full-mouth series and logs the referral relationship inside the practice's Carestream or Eaglesoft workflow.

Sample line "Dr. Martinez referred you to us today. Do you have a recent set of X-rays we can request from her office, or would you like us to take new ones at your visit?"

Oral Surgery

Manages wisdom-tooth, implant, and bone grafting consult intake. Collects CBCT availability, medical history flags such as bisphosphonate use or anticoagulant therapy, and surgical consent pre-screening before scheduling in SurgiCase or Dentrix.

Sample line "Before we schedule your implant consultation, I want to note a couple of health questions. Are you currently taking any blood thinners or medications for bone density?"

Cosmetic Dentistry

Qualifies interest in veneers, whitening, smile design, or Invisalign, collects timeline and budget sensitivity signals, and books a smile consultation with the cosmetic lead dentist. Logs caller intent and source inside the CRM layer connected to Weave or Birdeye.

Sample line "We offer a complimentary smile design consultation where Dr. Patel walks you through the full range of options. Are you thinking more about whitening, veneers, or a complete smile makeover?"

Dental Service Organizations

Routes callers to the correct location based on ZIP code or insurance network, applies each location's individual scheduling rules within a single AI instance, and surfaces location-level analytics to the DSO operations dashboard synced with Dentrix Enterprise or Carestream Corporate.

Sample line "You have reached the Apex Dental Group. I can connect you with the location closest to you. What ZIP code or city are you calling from today?"
AI Agent Suite

Your Practice's 24/7/365 AI Workforce

From voice-first patient intake and after-hours scheduling to treatment plan document generation, AR collections, and real-time intelligence across your practice management system, Nirvani deploys a full-spectrum AI workforce across every operational layer of your practice. Click any tile to see the role.

AI Executive Assistant

Manages your calendar, preps your morning huddle summaries from Dentrix or Eaglesoft data, drafts provider communications, coordinates lab case follow-ups, and keeps your daily schedule optimized so your clinical hours stay focused on chair time, not administrative overhead.

AI Receptionist

Answers every inbound call, text, and after-hours inquiry, books and confirms appointments directly in Dentrix, Eaglesoft, or Open Dental, handles multilingual patient conversations, provides treatment status updates, and routes urgent dental emergencies to on-call staff. Replaces Ruby Receptionists, Weave, and NexHealth front-desk automation in a single agent.

AI Insurance Verification Agent

Runs automated eligibility checks across Delta Dental, Cigna, MetLife, and all major carriers before each appointment, flags coverage gaps and missing pre-auth requirements, and posts verified benefit summaries directly to the patient record in Dentrix or Eaglesoft. Eliminates the manual verification bottleneck that stalls morning huddles across every practice type.

AI Treatment Plan Presenter

Generates personalized treatment plan documents from your practice templates, translates clinical findings into patient-friendly language, attaches insurance breakdown estimates, and delivers the plan via SMS or email with an embedded e-signature link. Replaces standalone patient communication tools like RevenueWell and Lighthouse 360 for case presentation workflows.

AI Document Collection Concierge

Chases incomplete new-patient paperwork, medical history updates, HIPAA consent forms, and referral documentation across SMS, email, and voice reminders until every required form is collected before the appointment. Connects directly to your intake forms in Dentrix or Open Dental, ending the clipboard scramble at check-in.

AI Billing and Collections Agent

Generates and sends patient statements, automates overdue balance reminders via text and email in HIPAA-compliant workflows, processes card-on-file payments, and escalates aged AR balances with graduated outreach sequences. Outperforms standalone AR tools like Dental Intelligence and Collectiv by combining billing communication, payment capture, and reporting in one agent.

AI Recall and Reactivation Agent

Identifies overdue hygiene patients from Dentrix or Eaglesoft recall lists, launches personalized multi-touch SMS and email reactivation campaigns, books appointments in real time when patients respond, and tracks fill rates against your unscheduled treatment queue. Replaces Weave recall campaigns and Dental Intelligence recare modules with a single autonomous agent.

AI Reputation and Referral Agent

Triggers Google and Healthgrades review requests via SMS within minutes of checkout for satisfied patients, flags low-sentiment responses for immediate doctor follow-up, and launches referral ask sequences for high-satisfaction cases. Manages your Google Business Profile update cadence and outperforms Birdeye and Podium on dental-specific timing and segmentation.

AI Compliance and Audit Agent

Monitors HIPAA consent status, OSHA training deadlines, DEA controlled-substance log completeness, and state dental board CE requirements for every provider. Surfaces compliance gaps in a dashboard, generates audit-ready documentation, and sends deadline alerts to practice administrators before any regulatory window closes.

AI Marketing and Content Agent

Writes SEO-optimized service pages for implants, Invisalign, and cosmetic procedures, generates Google Business Profile posts on a weekly cadence, builds email nurture sequences for unscheduled treatment leads, and produces before-and-after case copy for social. Replaces BentoBox-style dental marketing retainers with a continuously running content engine tuned to your practice's service mix.

AI Practice Intelligence Agent

Aggregates production, collection, case acceptance, new-patient volume, and hygiene utilization data from Dentrix or Eaglesoft into a live KPI dashboard, generates provider-level and location-level performance summaries for DSO leadership, and benchmarks your metrics against industry standards. Replaces Dental Intelligence and Jarvis Analytics subscriptions with deeper, practice-specific insight.

Custom AI Agent

Whatever workflow you can describe, Nirvani builds. Enterprise access to multiple AI labs, Make and Zapier orchestration, embedded automated prompted workflows, and a senior implementation team. If your Dental Practice has a recurring task that costs your Office Manager or Treatment Coordinator hours, we engineer the agent that owns it.

HIPAA Compliance

Nirvani Holds HIPAA Standards Across Every Patient Interaction

Every inbound call handled by Nirvani touches protected health information. The platform is architected to satisfy HIPAA Privacy Rule and Security Rule requirements so dental practices can deploy AI-assisted intake without exposing PHI or creating audit exposure.

PHI Stays Inside Your Covered Stack

Nirvani operates as a Business Associate under a signed BAA and transmits appointment data, insurance details, and chief-complaint notes only to your designated covered entity systems: Dentrix, Eaglesoft, Open Dental, or Carestream. PHI is never stored in a third-party consumer database or used for model training. All data in transit uses TLS 1.3 and data at rest uses AES-256 encryption aligned with the HIPAA Security Rule, 45 CFR 164.312.

Minimum Necessary Standard Enforced

The AI collects only the fields required to complete the scheduling or triage action in progress: name, date of birth, insurance carrier, tooth number, and pain description when clinically relevant. It does not prompt callers for Social Security numbers, full financial account details, or medical history items beyond what the encounter type requires under 45 CFR 164.502(b).

Call Recording Consent and Retention Controls

Nirvani announces AI-assisted call recording at the start of every interaction to satisfy state wiretapping laws and HIPAA consent best practices. Practice administrators set retention windows inside the Nirvani dashboard, and recordings are purged on schedule with a tamper-evident deletion log available for compliance audits.

Role-Based Access for Transcript Review

Call transcripts and intake summaries are accessible only to staff members whose roles are permissioned inside the Nirvani admin portal. Front-desk coordinators see scheduling data, while clinical leads and compliance officers can view full transcripts. Access logs with timestamps are retained for six years in line with HIPAA Documentation Rule requirements at 45 CFR 164.530(j).

Breach Notification Readiness

In the event of a security incident involving PHI, Nirvani provides the practice with a timestamped incident report within 24 hours, supporting the practice's obligation to notify affected individuals within 60 days under the HIPAA Breach Notification Rule at 45 CFR 164.400-414. The platform maintains a full audit trail of which PHI fields were accessed, by which system, and at what time.

Conflict Pre-Screen

How a Caller Gets Cleared in Under Two Minutes

Five steps. Every one logged. Every one auditable. Every disqualifying detail stays out of the case file.

01

Identify Parties

Caller name, opposing party, and entity affiliation captured before any case detail is requested.

02

Match Against Database

Real-time scan against your existing client and adverse-party records in your case management system.

03

Hold or Continue

If clean, intake proceeds. If matched, conversation pauses. No substantive details requested past this point.

04

Notify Counsel

Conflicts coordinator paged. Caller given a callback window. Disqualifying scope logged for attorney review.

05

Clear or Refer

Attorney clears the matter and intake resumes, or a curated referral is offered to a non-conflicted firm.

Native Fluency, Twelve Languages

Your Multilingual Callers Stop Getting Voicemail

Twelve languages with native-speaker fluency. The assigning attorney gets the original transcript plus a clean English translation in the matter file before the consultation, so nothing gets lost in coordination.

EnglishEnglish
EspañolSpanish
العربيةArabic
한국어Korean
中文Mandarin
FrançaisFrench
PortuguêsPortuguese
РусскийRussian
Tiếng ViệtVietnamese
TagalogTagalog
हिन्दीHindi
KreyòlHaitian Creole

The competitive delta: Smith.ai, Ruby, Posh, and Answering Legal route most non-English calls to a Spanish-only line, then transfer or take a message. Nirvani handles all twelve languages directly, conducts the full intake natively, and posts the matter to your case management with an English translation so your attorney never waits on a translator.

Immigration Intake · Español
20:15 · 6m 04s
AI
Bufete de Inmigración Hartwell. Buenas noches. ¿En qué le puedo ayudar?
YOU
Mi papá recibió una notificación de la corte de inmigración. Tiene una audiencia en treinta días.
AI
Entiendo. Esto es urgente. ¿Tiene la notificación a la mano? Necesitamos saber el tipo de audiencia y el número de caso.
YOU
Sí, dice "Master Calendar Hearing". El número es A-205-XXX-XXX.
AI
Perfecto. Voy a agendar una consulta urgente con el Abogado Reyes para mañana a las 9:00 AM. Por favor traiga la notificación original y cualquier documento de USCIS que tenga. La consulta es confidencial.
Bilingual transcript · English copy delivered to attorney · Posted to Filevine
IP Trademark Intake · 中文
14:32 · 5m 47s
AI
您好,这里是哈特韦尔知识产权律师事务所。请问需要什么帮助?
YOU
我有一个茶叶品牌在中国注册了商标,想在美国申请注册。
AI
明白。请问您在美国是否已经有实际销售?商标局通常要求实际使用证明。
YOU
已经在亚马逊上销售三个月了。
AI
很好。我帮您预约朴律师明天下午两点。请准备好中国注册证书、亚马逊销售记录,以及品牌在美国使用的图片。
Mandarin transcript · English summary delivered · Posted to Filevine
Family Law Intake · Tiếng Việt
19:08 · 6m 22s
AI
Văn phòng Luật Hartwell. Xin chào, tôi có thể giúp gì cho bạn?
YOU
Tôi muốn ly hôn nhưng không biết bắt đầu từ đâu. Tôi có hai đứa con nhỏ.
AI
Tôi hiểu. Cuộc tư vấn này hoàn toàn bí mật. Trước tiên, bạn và các con có an toàn không?
YOU
Chúng tôi an toàn.
AI
Tốt. Luật sư Tran có lịch trống ngày mai lúc 10 giờ sáng. Cuộc tư vấn miễn phí và bảo mật. Tôi sẽ gửi tin nhắn xác nhận trong ít phút nữa.
Vietnamese transcript · English summary delivered · Posted to MyCase
Business Litigation Intake · Русский
11:46 · 4m 58s
AI
Юридическая фирма Хартвелл. Здравствуйте, чем могу помочь?
YOU
У меня партнёрский спор. Совладелец нашего ООО в Бруклине вывел деньги без моего согласия.
AI
Понятно. Чтобы направить дело нужному адвокату, скажите: какая сумма в споре и есть ли у вас операционное соглашение ООО?
YOU
Около двухсот тысяч. Соглашение есть, но только базовое.
AI
Передаю дело адвокату Сильверу, специалист по корпоративным спорам. Завтра в 11:00. Пожалуйста, отправьте соглашение и банковские выписки заранее.
Russian transcript · English summary delivered · Posted to Smokeball
Native Integrations

Nirvani Plugs Into the Software Your Practice Already Runs

Nirvani connects with practice management systems, patient communication platforms, CRMs, and billing tools across the dental stack. Appointments, intake data, and follow-up tasks flow automatically without manual re-entry.

Dentrix

Writes new patient records, appointment blocks, and treatment reason codes directly into Dentrix G6 and Dentrix Enterprise via the Dentrix API connector. Sync is bidirectional so existing schedule holes are surfaced to the AI in real time.

Eaglesoft

Pushes confirmed appointments into Eaglesoft's schedule, creates patient ledger entries for new callers, and pulls existing patient records to confirm insurance eligibility and upcoming recall dates before the AI offers available time slots.

Open Dental

Leverages Open Dental's open-source API to write appointment data, procedure codes, and referral source tags. Supports multi-location Open Dental deployments common in regional DSO groups with per-operatory scheduling logic.

Carestream Dental

Integrates with CS SoftDent and CS OrthoTrac to handle specialty appointment intake for orthodontic and general practices on the Carestream stack. Procedure type, provider assignment, and chair time are all written on confirmation.

Weave

After a call, Nirvani pushes a structured intake summary into Weave's patient communication thread so the front desk sees context before the next touchpoint. Automated review requests and recall reminders continue seamlessly through Weave's existing workflows.

Birdeye

Triggers post-appointment review request sequences inside Birdeye based on appointment type and outcome logged during the Nirvani-handled call. Connects call source data to Birdeye's location reputation dashboard for DSO-level visibility.

Dental Intel

Passes call outcome data, appointment type, and new versus returning patient flags into Dental Intel's analytics engine so production forecasts and hygiene reactivation reports reflect AI-booked appointments alongside front-desk-booked ones.

Dolphin Management

Writes orthodontic consult appointments, referral source data, and treatment interest category directly into Dolphin's patient and scheduling modules. Supports Dolphin Imaging linkage so consult prep workflows trigger automatically on booking confirmation.

Compared

Nirvani Replaces Four-Tool Stacks With One Integrated Platform

Dental practices currently patch together answering services, call tracking tools, chatbots, and scheduling add-ons. Nirvani consolidates all of it with deeper practice management integration and full HIPAA accountability.

ReachOut Suite Weave Phone PatientPop Ruby Receptionist
Direct write to Dentrix or Eaglesoft Yes, bidirectional sync Limited export only Weave-native only PatientPop calendar only Manual handoff
HIPAA BAA included at all tiers Yes, all tiers Enterprise tier only Yes, included Add-on fee Yes, included
After-hours AI scheduling, fully autonomous Yes, 24/7 autonomous Voicemail fallback Voicemail only Web widget only Live agent, +8h delay
Multilingual caller support 12 languages, native English only Spanish add-on English only Spanish, limited
Emergency triage scripting by specialty Yes, per specialty Generic script only Generic Form-based only Agent discretion
Multi-location DSO routing logic Yes, ZIP and network Single location only Multi-loc, manual config Per-location instances Single location
Real-time insurance eligibility check Yes, during call Post-call batch only Manual lookup Clearinghouse add-on Agent-assisted only
Per-call pricing model Flat monthly, unlimited Per-call tiered Flat, limited volume Per-lead fee Per-minute billing
Deployment

Live in Seven Business Days

Standard solo and small-firm deployments. Multi-office or multi-jurisdiction engagements are scoped on the diagnostic call.

Day 1 to 2

Discovery & Script Build

Practice areas mapped. Intake questions tuned to your firm's positioning. Conflict database loaded. Disclosure posture chosen.

Day 3 to 4

Integrations & Trust

Case management connected. Calendar synced. LawPay or Headnote wired into the IOLTA flow. Retainer templates uploaded.

Day 5

Dry-Run Testing

Your team places test calls across every practice area. Compliance team reviews transcripts. Final tuning to your voice.

Day 6 to 7

Go Live, Parallel-Run

Nirvani takes primary intake. Your existing answering service stays warm for 14 days. Daily review with your firm contact.

FAQ

Common Questions From Dental Teams Evaluating Nirvani

Does Nirvani write appointments directly into Dentrix, or does it create a task for the front desk to complete?+
Nirvani writes the confirmed appointment directly into Dentrix G6 or Dentrix Enterprise using the Dentrix API, including appointment type, provider assignment, operatory, and reason for visit. The front desk receives a notification inside Dentrix and a call summary in their configured communication platform, Weave or similar, but manual re-entry is eliminated. If the practice uses a hold-slot workflow rather than live booking, Nirvani can be configured to request a hold and alert the coordinator instead, giving practices full control over the booking handoff.
How does Nirvani handle a caller who is in acute dental pain and needs a same-day emergency slot?+
Nirvani's emergency triage script activates when a caller describes acute pain, swelling, trauma, or a lost crown. The AI collects tooth location, pain severity on a one-to-ten scale, presence of swelling, and duration. It then checks the practice's designated emergency hold slots in real time. If a same-day slot exists, it books directly. If the schedule is full, Nirvani provides the practice's on-call instruction and, if configured, sends an SMS alert to the on-call provider with the caller's name, callback number, and triage summary.
Is a Business Associate Agreement included, and at which pricing tier?+
A fully executed Business Associate Agreement is included with every Nirvani subscription at every tier, including the entry-level plan. The BAA covers Nirvani's role as a Business Associate under 45 CFR 164.504(e), documents the permitted uses of PHI, and outlines breach notification obligations. Practices receive the signed BAA at onboarding and can access the current version at any time through the Nirvani compliance portal. There is no premium tier gate on HIPAA documentation.
Can Nirvani handle callers speaking Spanish, Mandarin, or other languages without transferring to a human?+
Nirvani supports twelve languages with native-fluency AI, including Spanish, Mandarin, Cantonese, Vietnamese, Portuguese, Korean, Tagalog, Arabic, French, Hindi, Russian, and English. The system detects the caller's language in the first exchange and switches automatically. Appointment data, intake notes, and call summaries are generated in English inside the practice management system regardless of the call language, so the clinical and administrative record remains consistent. There is no add-on fee for non-English call handling.
How does Nirvani verify insurance eligibility during a call, and which carriers does it connect to?+
Nirvani connects to a dental eligibility clearinghouse during the live call, submitting a real-time 270 eligibility inquiry using the caller's name, date of birth, and carrier information. It surfaces in-network status, remaining annual maximum, and deductible balance to the caller and logs the response in the appointment record. Supported carriers include Delta Dental, Cigna DPPO, Aetna Dental, United Concordia, Guardian, MetLife, Humana, and Anthem, covering the majority of PPO volume for most general and specialty practices. Medicaid and state CHIP eligibility routing is available as a configuration option.
Our DSO has 18 locations with different scheduling rules and providers. Can one Nirvani instance handle all of them?+
Yes. Nirvani's DSO configuration layer allows each location to maintain its own scheduling rules, provider rosters, operatory counts, emergency hold policies, and insurance network settings inside a single Nirvani account. Callers are routed by ZIP code, spoken city name, or direct-dial number. The DSO operations team accesses a centralized dashboard showing call volume, booking rate, and missed-call metrics per location, with drill-down to individual call recordings and transcripts. Dentrix Enterprise and Carestream Corporate deployments are supported for group-level practice management integration.
What happens when a caller asks a clinical question, like whether they need a root canal or how long Invisalign takes?+
Nirvani is designed to qualify and route, and it holds a clear boundary around clinical advice. When a caller asks a clinical question, the AI acknowledges the question, explains that the treating dentist or specialist will provide a full answer at the appointment, and offers to schedule the consultation or exam where the clinical question can be properly addressed. For questions that have factual, non-diagnostic answers such as typical Invisalign treatment timelines or general post-operative care instructions, the practice can configure approved FAQ responses that the AI is permitted to deliver.
How long does onboarding take, and does the practice need IT resources to get started?+
Standard onboarding for a single-location practice takes five to seven business days. The Nirvani implementation team handles the Dentrix, Eaglesoft, or Open Dental API connection, configures the scheduling logic and triage scripts, and sets up call routing from the practice's existing phone number. The practice does not need in-house IT resources. For DSOs with ten or more locations, phased onboarding typically runs three to four weeks with a dedicated implementation manager. Training for front-desk coordinators is delivered as a 45-minute recorded walkthrough plus a live Q-and-A session.
Can Nirvani send appointment reminders and recall notices, or is it only for inbound calls?+
Nirvani's core capability is inbound call handling and real-time scheduling. Outbound reminder and recall sequences are delivered through integrations with Weave, Dental Intel, or Birdeye rather than natively inside Nirvani. When Nirvani books an appointment, it passes the appointment record and patient contact data to the connected communication platform, which triggers that platform's existing reminder workflow. This approach avoids duplication with the tools practices already use for outbound messaging while ensuring every AI-booked appointment enters the reminder queue automatically.
Does Nirvani record calls, and how are those recordings stored and accessed?+
Every call handled by Nirvani is recorded and transcribed. Recordings are stored in encrypted form using AES-256 at rest and are accessible only to staff with permissioned roles inside the Nirvani admin portal. Retention periods are configurable by the practice administrator, with a default of 24 months. Deletion is logged with a tamper-evident audit trail. State-specific consent announcements are played at the start of each call to satisfy two-party consent requirements in states such as California, Florida, and Illinois. Full call logs are available for export for compliance audits.
How does Nirvani handle a caller who wants to cancel or reschedule an existing appointment?+
Nirvani manages cancellation and reschedule requests by pulling the caller's appointment record from Dentrix, Eaglesoft, or Open Dental using the caller's name and date of birth. It confirms the existing appointment, processes the cancellation or reschedule, and offers an alternative time slot from the live schedule. Canceled slots are immediately released in the practice management system, and if the practice has a cancellation waitlist configured, Nirvani can trigger a Weave or Dental Intel notification to the next patient on the waitlist. A cancellation reason is logged in the patient record for reporting.
What does pricing look like, and are there per-call or per-minute fees that add up during a busy month?+
Nirvani is priced on a flat monthly subscription with unlimited call volume, so busy months with high call volume carry the same cost as slower ones. There are no per-call, per-minute, or per-booking fees. Pricing tiers are based on number of locations and level of integration depth, with a single-location general practice starting at a lower tier and DSO multi-location deployments on a custom enterprise agreement. A detailed pricing sheet is provided during the diagnostic call, and the onboarding team builds a side-by-side cost comparison against the practice's current answering service, call tracking, and scheduling software stack.

See Nirvani Running on Your Schedule

Book a 30-minute diagnostic call and the Nirvani team will map your current call volume, identify the specific gaps in your inbound workflow, and demonstrate a live integration with your practice management system. You will leave with a concrete estimate of monthly recovered production.