01
Confirm flow
Multi-step confirms (7-day email, 3-day SMS, day-of text) with one-click reply-to-confirm. Confirmation states logged immutably to the audit trail.
Every SMS + email vendor does appointment reminders. Most do them at reminder-app depth — send the 24h confirm, call it a day. usdpr. treats reminders as upstream of reactivation: the confirm flow, the reschedule path, and the no-show → A1-segment handoff all feed the same engine.
Competing reminder tools treat the no-show as a loss. usdpr. treats it as a trigger. One BAA, one billing line, one audit trail, covering the reminder → no-show → reactivation loop as a single workflow.
This module is included with every Practice Pro and DSO tier at no additional cost. Not an enterprise upsell. Not a per-location surcharge. Flat SaaS, covered under the same HIPAA BAA as reactivation.