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Where AI suggestions appear: On the full Comms > Chat page only. They do not appear in the mini chat windows that pop up elsewhere in the platform.
Prerequisites: Your organization needs an AI texting assistant configured under Settings > Assistants > Texting. A primary patient must be set on the conversation for suggestions to appear. See Assistants Settings for setup details.
When a patient sends your clinic a text message, the AI assistant can generate a suggested response. Instead of writing every reply from scratch, you can review the suggestion, send it as-is, tweak it, or dismiss it and write your own.

What AI Suggestions Look Like

After a patient sends a message, a highlighted card appears below their message in the conversation. This card is labeled Suggested Response with an AI badge. It contains the AI’s draft reply and two buttons:
  • Use — Send the suggestion as your reply.
  • A regenerate icon — Ask the AI to rewrite the suggestion.
  • An X icon — Dismiss the suggestion and write your own reply.
The suggestion stays visible until you use it, dismiss it, or the patient sends another message.

Use a Suggestion

If the AI’s suggestion looks good, click Use. The message is sent to the patient immediately, just as if you had typed it yourself. The conversation is automatically marked as resolved.
Tip: Always read the full suggestion before clicking Use. The AI pulls from the patient’s records and your clinic’s settings, but it can occasionally get a detail wrong — especially appointment times or provider names. A quick glance takes seconds and prevents confusion.

Regenerate a Suggestion

If the suggestion is close but not quite right, click the regenerate icon. A window opens where you can tell the AI what to change. For example:
  • “Make it shorter”
  • “Include the appointment date and time”
  • “Use a warmer tone”
  • “Don’t mention the payment — just confirm the appointment”
Type your feedback and click Submit. The AI generates a new suggestion based on your instructions.
Your feedback makes the AI smarter over time. When you tell the AI what to fix, it uses that feedback to improve future suggestions — not just for this conversation, but across your clinic. The more specific your feedback, the better the results.

Dismiss a Suggestion

Click the X icon to dismiss the suggestion and write your own reply. There’s no penalty for dismissing — the AI will still suggest replies on the next incoming message.

AI Actions

The AI doesn’t just suggest text replies. It can also suggest actions — things like sending an invoice, notifying the billing team, or texting a form link to the patient. When the AI suggests an action instead of a text reply, you’ll see:
  • The action name (e.g., “Send Text Invoice” or “Notify Billing Staff”)
  • A description of what the action will do
  • An Execute button instead of a “Use” button
Click Execute to carry out the action. Once executed, the button changes to Executed and can’t be clicked again.
AI actions save your team real time. Instead of switching to the Billing page to create an invoice, the AI can handle it from right within the conversation. But always review the action description before executing — make sure the right patient, amount, or form is being referenced.

When to Trust the AI vs. Write Your Own Reply

The AI works best for common, routine messages:
  • Confirming or rescheduling appointments
  • Answering questions about office hours or location
  • Directing patients to the right department
  • Sending payment or form links
Consider writing your own reply when:
  • The patient is upset or dealing with a sensitive situation
  • The message involves a clinical decision or medical advice
  • You need to communicate something nuanced that the AI might oversimplify
  • The AI’s suggestion doesn’t sound like something your clinic would say

Configure the AI Texting Assistant

The AI assistant’s behavior is controlled by settings under Settings > Assistants > Texting:
SettingWhat It Controls
Assistant NameThe display name on AI-generated messages.
Custom PromptInstructions for tone, length, specific phrases, and what topics to avoid. This is the most powerful setting — the more specific your prompt, the better the AI matches your clinic’s voice.
AI ModelWhich AI model generates suggestions.
Phone NumberThe phone number used for outbound AI messages.
See Assistants Settings for the full setup guide.