Clearfield Clinical runs those seven days for you. Every contact is timed to the patient's actual slot, every reply reaches a person, and your staff get one short list the day before naming only the people who need a call.
Five hours before a 09:40 case. A 07:30 case makes this 02:30, which is why early cases fail.
Most practices send instructions at booking and a reminder the day before. Between those two messages sit eight decisions a patient has to get right, at specific times, and a slot canceled the morning of cannot be resold.
Prep failure is not a memory problem. It is a week-long adherence problem, and reminders were never built for it.
Nothing to install, nothing to integrate. Running before your next procedure block.
From whatever you already use. A spreadsheet is fine. Six fields, nothing clinical.
Your protocol, your words. The second dose is calculated from each case, never from a template, and replies reach a person.
Only the patients who went quiet or said something worrying, with what they said and what to do. No dashboard, no login.
This is the difference between a reminder service and a prep service. The last three rows are calculated from the case.
Timing follows split-dose guidance from the US Multi-Society Task Force, ACG and ASGE. GLP-1 handling per the 2024 multi-society guidance. Your own protocol is what we would actually run.
Pick the three numbers closest to your practice. Everything else is arithmetic.
ASGE benchmarking puts endoscopy cancellations at 5.6% to 8.45%. Not all of those are same-day, so treat this as an upper bound. If you do not know yours, that is the first thing we would find out together.
Estimates only, built from your inputs and published benchmarks. Not a guarantee of any outcome. Tier and fee reflect current founding-practice pricing.
We can name both of our subprocessors. Ask any vendor to do the same.
Every tier works out to a few dollars a case. At a $600 facility fee it pays for itself on three to eight recovered cases a month.
For the first three practices: setup fee waived, your rate locked for 24 months, and cancel any time in the first 60 days with no notice and no fee. In return we ask for your prior-quarter cancellation figures before we start, one reference call, and permission to describe results anonymously with your sign-off on the wording.
No, and that is deliberate. A weekly export with six fields is all we take. Integration is the reason most of these projects take a quarter instead of a week.
Reminders tell a patient the appointment exists. This runs the seven days of decisions before it, timed to their slot, and reads their replies. Keep your reminders. This sits in the gap they leave.
Your staff. We answer logistics in your words, timing, volumes, what counts as a clear liquid. Anything clinical is routed to your designated contact the same day, and the patient is told that is what happened.
Send the export once a week and work a short list the day before each procedure day. Plan on ten to fifteen minutes.
Monthly: contacts delivered, response rates, escalations by reason, and same-day cancellations among navigated patients. We ask for your baseline first so the comparison means something. No practice results are quoted on this site because we are new, and we would rather say so than invent them.
Instantly, by replying STOP. You are told the same day so you can reach them another way. Opting out never affects their appointment.
Clearfield Clinical is new and taking on its first practices. You should know that before the call, not after it.
What that buys you is that the first few practices get me directly and get to shape how this runs. I spend my working life inside enterprise client operations for financial institutions, running escalations and root-cause work where a failed transaction has a name and a cost attached. The pattern here is the same one: a small, predictable set of process failures quietly removing revenue that nobody has been made responsible for.
I build the automation myself. If your protocol is unusual or your patients need a different cadence, that is a conversation, not a support ticket.
What share of your procedures cancel or no-show, and how many of those are prep-related? If you do not track those separately, that is the more interesting answer, and it is where we would start.