The caller ID gets swapped.
Forward your office line to an AI and many phone systems replace the patient's number with your own. Every text-back then goes to your front desk instead of the patient.
Cost: the booking link nobody receives.
For outpatient and behavioral healthThe steady voice behind your practice.
Every patient call answered. Every text proven.
Pilar is the AI front desk for multi-location practices. It answers on your own numbers, routes each caller to the right location and team, texts from the numbers your patients already know, and only calls a text delivered when the carrier says it was.
- $499a month, published
- Unlimitedstaff seats
- No setup feeto get started
- Month-to-monthno annual contract
New call · Riverside2:14 pm
AI summaryWants to move Thursday's follow-up to next week.
- Caller ID
- Patient's own mobile
- Date read back
- Confirmed at 0:51
- Booking link
- Texted from your office number
- Queued2:15:02
- Sent2:15:03
- Deliveredcarrier · 2:15:07
- Clickedwaiting
Assigned to Jordan · front deskWaiting 3 min
Why practices switch
Most answering tools fail a practice in the same three places.
Each one looks fine in a demo. Each one means a patient who never got called back.
There is no line left to transfer to.
When every office number forwards to the AI, sending a caller back to a person can loop straight into the AI again.
Cost: a patient who asked for a person and got a robot twice.
Texts fail without a sound.
An AI says “I've texted you the link” while the message was blocked, never sent, or never delivered, and nothing on your screen says so.
Cost: a promise made in your practice's name that nobody kept.
Where Pilar fits
Built for the practice in the middle.
Enterprise AI agents are built for health systems. Texting inboxes are built for single offices. A practice with three locations and a psychiatry team falls between them.
Enterprise AI agents
- Priced by quote
- Weeks of IT project before a call is answered
- Built around the AI, not your staff
Pilar
An AI that answers, and an inbox your team runs.
- Routing by location, service line and hour
- One owner for every call and text
- Texting on your own numbers, with proof
- Behavioral-health safety built in
- Published pricing, unlimited seats
Texting inboxes
- A shared inbox, but a thin AI
- Routing left to your phone system
- Little for crisis calls
How it works
Four parts, each one you can check.
Your numbers come to Pilar, and the caller ID survives.
Your main office numbers move to Pilar, so the patient's own number reaches your team, not your office line. Desk phones stay on your phone system; lines you want left alone, like fax, stay put.
Check it: call from your own mobile and watch your number, not ours, appear in the inbox.
It answers per location, per service line, per hour.
Hours, holidays and a transfer order for each location. A caller asks for a person and rings the right desk, then the next one, and never loops back into the AI.
Check it: Pilar refuses to save a transfer target that points back at a front-door number.
Every call lands in an inbox with one owner.
A one-sentence reason, the facts the caller confirmed, and a person it is assigned to. Your team works it from My assignments, Unassigned and Urgent, grouped by location.
Check it: every summary cites what the caller said, with the moment in the call.
Texts go out from your numbers, with receipts.
Each text climbs a ladder: queued, sent, delivered by the carrier, clicked. If the carrier has not confirmed it in ten minutes, your team sees “No confirmation”, not a green tick.
Check it: “Delivered” appears only when the carrier's receipt arrives.
Behavioral-health safety
Built for the calls that matter most.
A psychiatry practice cannot run on a script someone can edit on a Friday afternoon. The safety parts of Pilar are locked, reviewed and tested before they reach a patient.
Crisis guidance is a fixed recording.
The 988 and 911 guidance plays from a clinician-approved recording in English or Spanish, never from generated speech. The call is marked urgent for your team.
Proof you can ask for: the log line naming the exact clip played.
Safety wording is locked.
Settings changes cannot remove the crisis line or the recording notice. Changing them needs your clinician approver, and every change is versioned and reversible.
Proof you can ask for: the version history and its diff.
Sensitive teams stay private.
Psychiatry, therapy and ketamine conversations are visible only to members of that team, whatever their role. Emergency access covers one conversation, for an hour, with a reason on record.
Proof you can ask for: the access log.
Changes are tested before patients hear them.
A new version answers a test number first and runs a scripted test pack, including a deliberately broken configuration that must fail. Safety checks pass three times out of three, or it does not ship.
Proof you can ask for: the test results for the version you run.
Proof over claims
We publish what others keep in a sales deck.
We are onboarding our first practice now, so there is no wall of logos here. There are receipts instead.
- Published pricing.From $499 a month, on the pricing page, with every overage rate.
- Delivery from the carrier, not from us.A text is “delivered” only when the carrier's receipt says so.
- Unknown means unknown.When Pilar cannot prove something happened, it shows “unknown”, never green.
- Emails that carry no patient details.“New call · Riverside: open Pilar” is the whole message. The details stay behind your sign-in, where every view is logged.
- A BAA register you can read.Which vendors have signed, which have not, and the date.
BAA register
BAAs in progress| Vendor role | Status |
|---|---|
| Phone and texting carrier | BAA not signed yet |
| Voice engine | BAA not signed yet |
| Database | BAA not signed yet |
| Call recording storage | BAA not signed yet |
| Application hosting | No BAA offered, disclosed to you in writing |
| Pilar with your practice | Not offered yet |
Pilar handles no patient data for any practice until we have signed a BAA with you and every vendor that touches patient data has signed one with us, except application hosting, which does not offer one; we disclose that to you in writing before you sign. 4 of 4 vendor BAAs are still unsigned today, and this register says so.
As of September 25, 2026.
See it on your own numbers, with your locations and your hours.
Book a walkthroughPricing
One price per practice, not per person.
Pick the plan by how many locations you run. Everyone on your team gets a seat. Compare every detail.
- Unlimited staff seats
- No setup fee
- Month-to-month
Essentials
One office and one front desk.
$499per month
- Locations
- 1
- AI minutes
- 1,200
- Texts
- 2,000
- Over plan, per minute
- $0.20
- Over plan, per text
- $0.025
Practice
A multi-location practice with shared staff.
$999per month
- Locations
- 3
- AI minutes
- 3,000
- Texts
- 6,000
- Over plan, per minute
- $0.20
- Over plan, per text
- $0.02
Group
A group with several service lines and sites.
$1,999per month
- Locations
- 8
- AI minutes
- 6,000
- Texts
- 15,000
- Over plan, per minute
- $0.18
- Over plan, per text
- By quote
Each location beyond your plan is $199 a month. Staff seats are never counted.
Questions
What practices ask before they switch.
Will patients know they are talking to an AI?
Yes. Pilar introduces itself as your practice's AI assistant and never pretends to be a person. You choose its name; a patient can ask for a person at any point, and the call goes to the team you set for that location and hour.
Do we have to change our phone system?
Your desk phones stay where they are. Your main office numbers move to Pilar so the patient's own caller ID reaches you, and Pilar rings each location's desk phones when a person is needed. Numbers you want left alone, like a fax line or a call-tracking number, stay put.
What happens when a caller is in crisis?
Crisis guidance plays from a fixed, clinician-approved recording in English or Spanish, never from generated speech, and the call is marked urgent for your team. Settings changes cannot remove it: the safety segments are locked, and changing them needs your clinician approver.
Is Pilar HIPAA ready?
Not yet, and we will not put a compliance label on the product before the paperwork backs it. Pilar handles no patient data for a practice until we have signed a Business Associate Agreement with you and every vendor that touches patient data (phone and texting carrier, voice engine, database, call recording storage and application hosting) has signed one with us, except application hosting, which does not offer one; we disclose that to you in writing before you sign. The register on our home page shows which are signed today.
What does it cost beyond the plan?
Nothing for seats or setup. Minutes over your plan are $0.20 or $0.18 each, texts over your plan are priced on the pricing page, and each location beyond your plan is $199 a month. We do not bill overage until your usage meter is live in your dashboard, so you can see every minute before it is invoiced.
How fast can we go live?
Pilar can answer on a test number the day you set it up, so your team hears it before any patient does. Your real lines go live when three things are done: signed BAAs, carrier registration for texting, and your number port date. We show you each one as it moves.
Book a walkthrough
Hear Pilar answer your practice's calls.
Twenty minutes with the people who build it. Bring your locations, your hours and the calls that go wrong today; we will show you how Pilar would handle each one, and what it would cost.