Genius Care: voice receptionist, day one

Genius Care's voice receptionist is in production. Calls are answered in under 800 ms, appointment intent is parsed against the practice's EMR, and any case that smells like clinical triage is routed to a human in the same call without re-asking for the patient's name.

What ships today

• 24/7 inbound call answering with low-latency synthesis (LiveKit + Cartesia).
• Live intent recognition for appointment, refill, billing, and triage flows.
• EMR-aware scheduling — slot lookup and booking happen mid-call, not after.
• Warm handoff to a clinic staffer with the call transcript context attached.

What we deliberately do not ship today

• Outbound calls. Those will land when we have a clear consent + recording-disclosure flow we are confident in.
• Marketing automations. The receptionist is a receptionist, not a sales engine.
• A "human-sounding" persona that pretends to be human. We disclose, by design, on every call.

The first hour of production was the easy part. The next several weeks are about observability — making the agent's decisions reviewable line by line, and making the hand-offs to the human side feel like one phone call, not two.