Prevent
Smart reminders, and rescheduling patients can do themselves.
Guacamole turns your written no-show policy into collected revenue, and fills the slots patients give back.
Early access · Free to use · 1.9% per payment
Your team cares for these people. Sending a bill for a missed visit feels like the opposite of care, so the policy on the wall is never applied.
Guacamole does the asking. You stay the one they like.
Smart reminders, and rescheduling patients can do themselves.
Every visit is secured with a card at booking. Nothing is charged upfront.
No-show or late cancel? The fee in your policy is collected and paid to you.
Freed slots are offered to patients waiting for an earlier visit.
Set to typical numbers for medical practices. Change them to yours.
Lost per year
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Fees you could collect at your policy
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Estimate from your inputs. Prevented no-shows and refilled slots come on top.
Copy it, change the bracketed numbers, and post it. Then let Guacamole make sure it actually gets paid.
No-Show and Late Cancellation Policy We hold each appointment for you and turn other patients away to keep it. Please give us at least 24 hours' notice if you need to cancel or reschedule. A "no-show" is any appointment where the patient: • does not arrive, • arrives more than 15 minutes late and cannot be seen, or • cancels with less than 24 hours' notice. Fees: $[25] for the first no-show and $[50] for each one after that. Three no-shows within 12 months may lead to discharge from the practice. This policy applies to all patients equally. The office manager may waive a fee in genuine emergencies. A card is kept on file to secure your appointment and is only charged under this policy.
Medicare guidance allows a missed-appointment charge only if you charge non-Medicare patients the same way. Apply one policy to everyone.4
Patients accept the policy when they book. Most offices also post it in the waiting area.
Messages contain no clinical information. Only time, policy and amount.
Example figures at an average price of $150. Prevented and refilled visits are revenue you keep that would otherwise be lost.
Free to use. 1.9% per payment, only when money moves. Refund a payment and our fee comes back. No contract. See pricing
In short
Guacamole is revenue recovery for medical offices. Patients accept your no-show policy when they book and secure the visit with a card. Reminders reduce missed visits, the fee is collected only after a no-show or late cancel, and freed slots go to patients who need an earlier visit. Free to use, 1.9% per payment.
In most places, yes, when patients agree to the policy beforehand. For Medicare patients, the charge must match what you charge everyone else.
Medicare guidance allows it only when the same policy and fee apply to all patients. The charge is billed to the patient, not to Medicare.
The notice window, what counts as a no-show, the fee, how repeat no-shows are handled, and emergency exceptions. Use the free template on this page.
No. Guacamole handles booking, reminders and payments for appointments. Your clinical records stay where they are.
Free to use. 1.9% per payment, only when money moves. Refund a payment and our fee comes back. No contract.
Early access is opening for medical practices.
Free to use · 1.9% per payment