Nelva.Automated lead and referral management for oral surgery.
She vets every new enquiry, keeps your reputation clean, and carries referred
patients from the referring office all the way to your chair — so your schedule fills on your own
terms instead of waiting on someone else's referral pad. Anything clinical goes to a named person
on your team.
Marketing Nelva · lead vetting & reputationReferral Nelva · referring officesOn the four skills that run your practice
Built by OMS, for OMS. $695 per provider a month · No hardware to buy · All four skills included
9:41
Cascade Oral SurgeryNelva · AI
Today 2:15 PM
Is this much swelling normal?
I can't assess symptoms. I've sent your message to the clinical team, with the information you provided. They have it now.
Sent to a named person
Tue 10:02 AM
Hi, this is Nelva from Cascade Oral Surgery. I'm an AI, and I can help you get ready for your visit.
Here's what's left before your visit: your paperwork and your ride home. Want me to send the form now?
Yes please
Text message
Appointment reminders
18on today's list15confirmed3no reply yet
Nelva is callingAppointment reminder · Cascade Oral Surgery
Under 1%dry socket & infection
74%fewer post-op phone calls
+9%case acceptance
Measured at two practices, one of them a Nelva partner, before and after. Results vary.
Lead management and referrals · the two skills the practice grows on
Your next patient shouldn't depend on someone else's referral pad.
Most oral surgery practices are one referring office away from a bad
quarter. Nelva works both ends of that: the enquiries coming to you directly, and the referrals
coming through the offices who send you work.
Marketing Nelva
Money in, patients out.
She picks up the traffic your advertising already pays for and turns it into consults that are
ready to sit down. She vets each enquiry, answers it, and moves it along — so you can see what a
campaign actually bought instead of counting clicks.
Vets every new enquiry and sorts the real ones from the rest
Answers by call, text and email, and keeps answering until they reply
Sends the paperwork and the procedure videos — the 2 a.m. browser can finish everything without you
Watches your reputation and flags what needs a human
Referral Nelva
Referred, and actually in the chair.
The gap every OMS practice lives with is between the patient a referring office sent and the
patient who turns up. She closes it — and she gives the referring office its own way in, so the
referral stops being a fax and a hope.
Your own practice URL, so a referring office refers in seconds on a short form
New offices onboard by QR code, link or a direct invitation
Chases the referred patient who has gone quiet, by call, text and email
Tells the referring office what happened to the patient they sent you
Marketing Nelva and Referral Nelva are the skills we are rolling out
next, and they are what your demo will cover. The four skills below are live on day one and are
where every practice starts — your onboarding lead will not switch these two on until the
foundation underneath them is running.
Book thirty minutes with our team. We set Nelva up with your practice before the call, so you
see your own name and your own schedule rather than a sample account. You will work in the portal your team
would use, run her skills yourself, and she will call your phone.
Thirty minutes, nothing to install
Your practice, set up before we meet
She calls your phone during the call
Book before December 5 and the $1,500 setup fee is waived
The work between consult and recovery
1:40AM
A worried patient calls. Today, that call wakes your on-call surgeon, or it goes to voicemail.
The reminder calls nobody gets to
Reminders, day-3 check-ins, pre-visit paperwork. It slips when the schedule is full, which is every day.
Paperwork chased on surgery day
Forms and videos left to the last minute take the chair time you booked for the patient.
The front desk as a help desk
App logins, forms, video links. None of it needs a person, and all of it takes one.
Your team gives the instructions. Nelva does the follow-up.
She says she's AI in her first sentence, stops at clinical judgment, and reports every result back to your team.
7:00 AM · Appointment reminders
Thursday's reminders go out.
Every patient can confirm, reschedule or cancel. Changes go to your team. She never finalizes them.
John D.Thu 9:00 AM · LocalConfirmed
Maria S.Thu 10:30 AM · IV sedationReschedule
Alex R.Fri 8:00 AM · Consult (virtual)No answer
Priya K.Fri 1:00 PM · Post-opCallback requested
Day 3 · Post-op recovery
Check-ins on your own protocol.
Concerns escalate. Nothing is minimized.
Is this much swelling normal?
I can't assess symptoms. I've sent your message to the clinical team, with the information you provided. They have it now.
Escalated to a named person on your team
Before the visit · Education & paperwork
Videos watched. Paperwork done.
Your approved videos and forms go out, and you see who has finished.
What to expectWatched
IV sedation and your escortWatched
Recovery, day by dayWatched
Forms signedWatched
9:30 AM · Onboarding
A new patient, set up.
The app link, registration and forms, without a call to your front desk.
RegistrationDone
ProfileDone
Required formsDone
1:40 AM · After hours
A worried patient calls. She answers.
No voicemail, no pager. The details go to your clinical team, and the patient hears that the team has it.
Cascade Oral SurgeryAnswered by Nelva · AI
Four skills. One price. One dashboard.
The routine follow-up goes to Nelva. Clinical judgment stays with your team.
The foundation · live on day one · what lead and referral management runs on
None of that works if the practice underneath it doesn't.
Winning a lead you then lose to a missed reminder or a bad recovery costs more
than never winning it. So every practice starts here, on the four skills that are live on day one, and
your onboarding lead switches lead and referral management on once they are running. The order below is
our suggested plan, not a fixed one — your onboarding lead works with your practice's point person, your
implementation czar, to build the rollout that fits you. Her skills go live one at a time, so your team
is never learning four things at once.
She reads your schedule, even a screenshot, then calls and texts every patient so they confirm, reschedule or cancel. Changes come back to your team. She never finalizes them.
What your team seesConfirmedRescheduleNo answerCallback requested
Check-ins on your own protocol, in the app or by text. Anything concerning goes to a named person with the details, logged as received. Every conversation is kept in your portal, downloadable as an MP3.
What your team seesReviewedEscalatedUnreviewed
Your approved videos and forms go out before the visit, and each one is marked complete by the patient. The playlist, the video titles and the completion time are recorded in the chart. This one skill runs in two parts: consult education before the visit, and your pre-surgery paperwork before surgery.
What your team seesWatchedSentNot started
New patients get their app invitation and forms, and anyone who stalls shows up on your list.
What your team seesRegisteredIn progress
NelvaAI
Remind Thursday's extractions.
I've got 14 patients on Thursday. Shall I confirm all of them?
Yes
Appointment reminders · Thursday
John D.9:00 AM · LocalConfirmed
Maria S.10:30 AM · IV sedationReschedule
Alex R.Fri 8:00 AM · ConsultNo answer
9:41
Cascade Oral SurgeryNelva · AI
Today 2:15 PM
Is this much swelling normal?
I can't assess symptoms. I've sent your message to the clinical team, with the information you provided. They have it now.
Text message
Escalatedto a named person on your team
9:41
Cascade Oral SurgeryNelva · AI
Tue 10:02 AM
Hi, this is Nelva from Cascade Oral Surgery. I'm an AI, and I can help you get ready for your visit.
Here's what's left before your visit: your paperwork and your ride home. Want me to send the form now?
Yes please
Text message
Paperwork doneVideos watched: 3 of 3
9:41
Cascade Oral Surgery
Your patient app
Registration
Profile
Required forms
RegisteredNo front-desk call
Your side of it
Hand her a task three ways. She reports back on one list.
Most efficientShow itScreenshot the schedule
Say itOut loud, like a colleague
Type itIn the Ask Nelva bar
Nelva
Home
Patients
Providers
Messages
Video Library
Staff
Practice
Hi, Admin.
Your daily overview.
Appointment Reminders
18on today's list
15confirmed
3no reply yet
Pre-Surgery Education
6consults this week
4forms complete
2not started
Post-Op Recovery
9past 2 weeks
2unreviewed
Appointment reminders
NameAppointmentSMSCall status
John D.Thu · 9:00 AM · LocalDeliveredConfirmed
Maria S.Thu · 10:30 AM · IV sedationDeliveredReschedule
Confirmed is done. Only Needs attention reaches your team. She restates every request and waits for your OK: nothing reaches a patient on a guess.
Train her your way
Teach her once. She remembers.
Nelva isn't a script you buy. She learns how your practice does things and keeps it, so she sounds like your office, not like software.
Leave a noteOn a patient or on the practice. She uses it from then on.
Correct herTell her what to do differently. She takes the feedback.
Set standing instructionsHours, closures, how you word things. Taken in nightly.
Note on the practice
We call it a consult, not an appointment.
Nelva will use this from now on
Correction
Text Mrs. K before calling. She prefers it.
Feedback taken
Standing instruction
The office is closed on Fridays.
Taken in tonight
A day with Nelva
The routine follow-up goes to Nelva. Clinical judgment stays with your team.
Thursday's reminders go out
Each patient can confirm, reschedule or cancel. Changes go to your team. She never finalizes them on her own.
A new patient gets set up
The app link, registration and forms, without a call to your front desk.
Tomorrow's consults get prepared
Each receives their procedure's videos and forms. You see who has finished.
Today's surgical patients start their virtual coach
Every patient operated on today is enrolled the same day, on your practice's own protocol, without anyone on your team starting it by hand.
A referring office uses your referral link
Your best referrer sends a patient, and the patient has already started onboarding before your front desk hears about it.
Day-3 recovery check-ins
On your practice's own protocol. Concerns escalate. Nothing is minimized.
A worried patient reaches out after hours. She answers.
By phone, text or email, whichever the patient chose. No voicemail, no pager. She never assesses symptoms: the details go to your clinical team, the patient hears that the team has it, and nobody wakes you. It is waiting for your review at 6 AM.
1:40
After-hours line
Cascade Oral Surgery
Answered by Nelva · AI
00:00
NelvaHi, this is Nelva at Cascade Oral Surgery. I'm an AI, and this call is recorded.
PatientThe swelling is worse tonight, and I'm not sure whether that's normal.
NelvaI can't assess symptoms. I've sent your message to the clinical team, with the information you provided. They have it now.
In the app, by text, or on her phone line. Around the clock, never past her boundary.
Her own phone line
Put her on your phones.
Her own numberShe comes with one. Patients can call her directly.
On your phone tree"Press 5 for post-op," and she answers first.
After hoursYour after-hours line, answered.
Your FAQsHours, directions, closures, from your instructions.
A person when neededShe transfers the call, or flags it for your team.
Measured, not modeled
Measured in real OMS practices, not modeled.
Built inside a working oral and maxillofacial surgery practice, by OMS, for OMS.
Under 1%Dry socket and infection
74%Fewer post-op phone calls
+9%Case acceptance
Measured at two practices, one of them a Nelva partner, before and after. Results vary.
Your team
She does not replace anyone. Every hour she takes is an hour your team spends with the patient in front of them.
What she will never do
DiagnosePrescribeGuessPretend to be human
She says she is AI on every call, message and screen. Every action is on the record.
One price per provider · all four skills included · no per-skill pricing
$695 per provider, per month.
All four skills, her own phone line and after-hours cover are in that price.
Add a provider, add $695.
Month to month
Nelva, per provider
$695per provider a month
No term. All four skills included.
Unlimited calls, texts and emails.
Your minutes are pooled across the practice: 500 a month for every provider you have, shared between them. Practices over their pooled allowance move to Enterprise pricing.
Appointment reminders
Post-op recovery
Pre-surgery education
Onboarding
Her own phone line & after-hours cover
Trained on your practice
A named person on every clinical question
$695 a month1 provider × $695
Billed monthly, and it renews every month until you tell us to stop.
Work it out for your practice
Start from a practice your size.
This is your plan priced out, not a projection: it multiplies the published
per-provider price by the number of providers you set above. Nothing here is a promise about your
own results.
Prices in USD, per provider. Unlimited calls, texts and emails.
Minutes of her time are pooled across the practice at 500 per provider a month and shared between
your providers; practices over their pooled allowance move to Enterprise pricing. A one-time $1,500
setup fee applies per practice. It is waived for practices that book a demo before
December 5, 2026 and sign up within 14 days of that demo, using the code our team gives them on
the call, and for 2026 AAOMS Annual Meeting attendees who use the code from our booth. The $500 deposit is
fully refundable any time before go-live and is deducted from your first month.
Those send reminders. Nelva finishes tasks: she runs your recovery protocol, chases and documents your pre-visit forms, and educates before the consult, then stops at the line where a person has to decide.
Does it integrate with my practice management software?
Yes. It starts with a discovery call with your office admin, so we understand how your practice runs, and then you get an implementation roadmap that fits it. From the first day, she can also read your schedule from a screenshot, the way your staff does.
Will she replace my staff?
No. She takes the routine follow-up so your team gets those hours back for the patients in front of them.
What does she cost, and what is included?
$695 per provider a month, with all four skills included. Unlimited calls, texts and emails. Her minutes are pooled across the practice — 500 a month for every provider you have, shared between them — and practices over their pooled allowance move to Enterprise pricing.
My patients won't talk to AI.
She says she's AI in her first sentence, every time. What patients react to is getting an answer at 1:40 in the morning instead of a voicemail box.
What happens in an emergency?
She never assesses symptoms. The message goes to a named person on your team with the details, it's logged as received, and the patient hears that the team has it.
Can we customize her?
You train her with notes, corrections and standing instructions. What you don't get is a forked version of the product, which is why the numbers above still mean something.
How fast can we start?
Our suggested plan: post-op recovery and appointment reminders run from your first week, and your onboarding lead sets up pre-surgery education and onboarding with you over the following weeks, using your own protocols and forms. That plan can change. Your onboarding lead works with your practice's point person, your implementation czar, to build the rollout plan that fits your practice. You pick your start date when you register.
Give Nelva the routine follow-up. Keep clinical judgment with your team.