Patient reply
- I need to move my appointment.
- Is there anything available next week?
SMS Agent
Caesar runs two-way patient texting for appointment reminders and follow-ups. Patients can confirm or reschedule in the conversation, while your connected EMR records the outcome.

See the work
These sample conversations show how a text can update the schedule or reach a waiting patient.
The appointment change is written back to the EMR.
What SMS Agent does
A waiting patient receives an offer without staff making a round of calls.
What SMS Agent does
What it handles
A reminder starts the conversation. Caesar handles the response and carries out the next step, so staff do not have to work every reply by hand.
Patients reply in their own words to confirm, cancel, or find another appointment.
Reach patients on the waitlist when a suitable appointment becomes available.
Deliver form links and your approved preparation instructions before the appointment.
Send approved check-ins and flag replies that need a staff callback.
Fits your practice
Build a texting workflow around your schedule and patient preferences.
Use your EMR appointments to determine which messages are due.
Apply messaging permissions and remove patients who opt out.
Use approved templates and handle replies in plain language.
Write appointment changes back and send exceptions to staff.
Your practice sets message content, timing, and frequency. Clinical questions go to staff. Consent rules apply to the message being sent, and patients can opt out of the texting program.
We confirm the available connections and functions in your electronic medical record system, or EMR, before setup.
Check your EMR integration


Available functions vary by system and agent.
Before you start
What to expect from SMS Agent, and what your team controls.
Patients can opt in through the portal, at check-in or through the configured initial-message flow. Opt-outs are honored immediately, and communication preferences stay part of the record. Messaging rules separate transactional reminders from collection messages and apply the consent required for each.
Yes. Set wording, timing and frequency by appointment type, provider or location. Your practice also chooses which replies need staff review.
It sends balance reminders with secure payment links under the configured TCPA and FDCPA rules for billing communications. Transactional appointment reminders and collection messages use separate workflows and consent checks. Your team approves those rules before the program starts.
The SMS Agent uses encrypted messaging infrastructure, secure authentication and audit trails for its healthcare messaging workflow. Caesar Health executes a Business Associate Agreement (BAA) at contract signing. SOC 2 Type II is in progress.
The agent detects landlines and routes them to the voice workflow. Disconnected numbers are removed from texting campaigns so staff can correct contact information.
It connects to scheduling and lab systems including Epic, athenahealth, eClinicalWorks and NextGen. Confirmations, reschedules and accepted waitlist offers can be written back through the supported connection.
Yes. Patients reply in their own words to confirm, cancel or reschedule. Caesar checks live availability and your booking rules before saving the change. When a cancellation opens a slot, it can offer the appointment to your waitlist.
Yes. Approved workflows cover refill reminders and dosage confirmations, requests for updated insurance cards, and screening or vaccination outreach. It also sends intake links and preparation instructions. Clinical questions and concerning post-procedure replies go to staff.
Compare completed visits and no-shows against your own baseline, alongside reminder delivery and responses. Use your appointment value in the ROI calculator to estimate possible recovery. Results depend on patient mix and the workflow enabled.
SMS Agent
See how patient texting fits your appointment schedule and the way your staff handles replies.
Book a demo