Eleanor Whitfield
Age 72Transit gap
Transportation
Travel times and transit gaps keep her from getting to the clinic.
Resolved by EnsureCare
Ride arranged
EnsureCare found the transit gap, checked her benefit, and booked a round-trip ride.
Care access & continuity
Fewer missed visits.
More care delivered.
Our agent Cary
finds the visits likely to be missed, learns the reason, and resolves it before the slot goes empty. When a patient truly cannot come, the slot goes to someone who can.
Carlos M.Cardiology · Thu 10:30 AM
Text message
- CaryHola Carlos, ¿podrá llegar a su cita de cardiología el jueves a las 10:30 a. m.?Can you make your cardiology visit Thursday at 10:30 AM?
- No tengo cómo llegar.I don’t have a way to get there.
- Benefit checked: ride covered
- CarySu plan cubre el transporte. ¿Le reservo un viaje a las 9:45 a. m.?Your plan covers a ride. Shall I book a 9:45 AM pickup?
- Sí, por favor.Yes, please.
- Ride booked · care team updated
Why visits are missed
Reminders help patients remember.
Most missed visits have another reason.
78%of reported reasons go beyond forgetting.
Patient survey, File et al., 2026.
How it works
From no-show risk
to resolved.
Patients miss visits because of transportation, language, work schedules, and cost. A reminder does not change any of them.
EnsureCare|No-show risk engine · Thursday scheduleWaitlist backfill
When a patient cannot come,
the slot still gets used.
Some visits cannot be saved. When a patient cancels, Cary offers the time to patients on your waitlist and books the first one who accepts, so the provider’s time is not lost.
What is different
A reminder is a message.
Cary gets the patient there.
| A typical reminder | Cary | |
|---|---|---|
| Who gets attention | Every patient gets the same message. | Visits likely to be missed are scored, with the reasons. |
| When the patient says no | The visit is marked as cancelled. | It asks why, then works the barrier: a ride, a new time, or a telehealth visit. |
| Language | One template. | The patient’s preferred language, by text or voice. |
| Your care team | Finds out at check-in. | Sees the barrier and the action in the EHR. |
| An open slot | Stays empty. | Goes to a patient on the waitlist. |
| What counts as done | The message was sent. | The patient came to the visit. |
An outreach attempt is activity. A kept visit is closure.
What it is worth
Kept visits,
in your numbers.
Pick what matters to you and adjust
the numbers to match your organization.
Capture no-shows
See what no-shows cost you each month, and how many of those visits EnsureCare can keep.
- Visits kept per month
- 176
- Monthly revenue increase
- $35,100
- Annual revenue increase
- $421,200
Illustrative estimate.
Recover $421,200: Book a DemoOur simulations show that by automating the 48‑hour outreach window, we can recover nearly half of previously lost slots without increasing front-desk headcount.
VP of Clinical OperationsTier 1 Health System · modeled outcomes (pre-deployment)
Built with clinicians, advisors & engineers from
Safety
Your team
stays in control.
No clinical decisions
Our agents cannot diagnose symptoms or give treatment advice.
Your team handles exceptions
Clinical questions, edge cases, and frustrated patients go to your staff, with the context already gathered.
Every step in the chart
Barriers, actions, and outcomes are written back to the EHR, logged, and reversible.
What is Cary?
Cary is an AI care coordination agent that predicts which patients are likely to miss appointments and automatically intervenes. The agent identifies the real reason a patient’s appointment is at risk and intervenes by personalized outreach to resolve the barrier, such as arranging a non-emergency medical transportation (NEMT) ride for a transportation barrier. Cary works inside a health system’s existing EHR, so care teams and staff do not have to learn a new tool.
What does CAIR stand for?
CAIR stands for Care Adherence Intelligence & Recovery, EnsureCare’s underlying system for predicting and preventing missed care. Cary is the patient-facing AI agent built on top of CAIR.
Is Cary a chatbot?
No. Cary is an autonomous agent that predicts risk and takes action. It does not wait for a patient to initiate a conversation. Traditional chatbots are reactive. Cary identifies at-risk patients proactively and runs the outreach itself.
How is this different from the reminders our EHR already sends?
Reminders help patients who forget, which was 22% of reported reasons in one clinic survey. EnsureCare scores which visits are likely to be missed, asks the patient what is in the way, and works the barrier, such as a covered ride or a new time. If the patient still cannot come, the slot is offered to your waitlist.
Which channels and languages does it use?
Two-way text and voice, in the patient’s preferred language. Patients reply in their own words. They do not need to install an app or log in to a portal.
Does it work with our EHR?
Yes. EnsureCare connects over SMART on FHIR with EHRs including Epic, Oracle Health, athenahealth, MEDITECH, and eClinicalWorks. Barriers, actions, and outcomes are written back to the chart, so your staff sees them where they already work.
Who handles clinical questions from patients?
Your team does. Our agents cannot diagnose symptoms or give treatment advice. Clinical questions, edge cases, and frustrated patients are routed to your staff, and every action is logged, auditable, and reversible.
What happens when a patient cannot come?
EnsureCare offers a new time that works for the patient and releases the original slot. The open slot is offered to patients on your waitlist, and the first one who accepts is booked.
How do you measure results?
Against your own baseline, from your EHR data: no-show rate, recovered visits, waitlist fill time, and staff hours spent on outreach.
Is patient data secure?
EnsureCare is HIPAA compliant and signs a BAA on day one. SOC 2 certification is underway. SMART on FHIR OAuth2 connects your EHR with scoped tokens, and every action is logged.
Integrates with your existing stack
Bring us your no-shows.
Let’s fill those slots.
Show us where visits go empty. In a 30-minute walkthrough, we will map the barriers behind your missed visits and how EnsureCare recovers them.