1 in 4 inbound calls goes unanswered.
Missed calls = lost demand. Most never call back. Your marketing spend pays for traffic that the front desk drops on the floor.
Operating layer for cash-pay practices
The practice that runs itself.
Viridian operates your front desk, schedule, follow-ups, billing, and content — 24/7. Three AI agents, three human operators, one weekly cell. Owner hours come back. Patients keep showing up.
12+ hrs
Owner time / week
24 / 7
Coverage
60 days
Audit → live
Built by the team behind Biohackr Health — longevity clinic, SF + Palo Alto. 18 months of production agents before Viridian existed.
Built for
Longevity
Functional medicine
Med spa
Aesthetics
Plastic
Cosmetic derm
Concierge / DPC
Regen + sports
I.
Diagnostic
Where cash-pay practices quietly leak revenue.
The patterns are remarkably consistent across longevity, med spa, and concierge. Four leaks compound silently until the owner becomes the system.
Open slots stay open.
No-shows don't get rebooked. Manual waitlists are theater. Capacity looks worse than it is and the schedule becomes the bottleneck.
Cards on file expire silently.
Package balances drift. Receivables sit until someone happens to remember. Real money moves only when staff have a quiet afternoon.
The founder catches everything.
That's why it works. That's also why you can't take a real weekend, hire your way out, or grow past your own attention span.
II.
Operating layer
Not a dashboard. A weekly operating cell.
Six operating lanes. Each has an AI agent that runs the volume work, a human operator who catches the edge cases, and a weekly review where the founder sees what moved.
The point is not to show software. The point is to remove recurring work from the founder's nervous system — permanently.
Lane 01
Front desk defense
Every call picked up within 3 rings — including Saturdays and after-hours. Books, confirms, reschedules, fills cancellations, and routes the messy ones to a human owner with full context.
Lane 02
Cash-pay revenue ops
Catches every card decline. Tracks package balances. Posts payments. Follows up on receivables without nagging your team. The owner sees a clean weekly cash-flow rollup, not a stack of past-due notices.
Lane 03
Patient operations
Sends prep instructions, results explainers, and follow-ups in your voice. Routes anything urgent — symptom flags, payment issues, complaints — to your team within 5 minutes.
Lane 04
Acquisition + content
Two posts a week in your actual voice. Weekly paid-ad review with cuts and scales recommended. Reactivation sequences that don't sound like robots wrote them.
Lane 05
Documentation support
Drafts visit notes during the appointment. You review and sign. Closeout prompts and chart-completion checks shorten the documentation tail — without removing clinician judgment from the loop.
Lane 06
Compliance memory
Every action logged. Every access reviewed. Audit-ready at any moment. The evidence trail your team can actually find when an auditor asks — without anyone going looking.
III.
Why this is not software
We don't sell a tool. We run the practice with you.
Software that "automates your operations" assumes the work is clean enough to automate. In real practices it isn't. Calls have context. Schedules have politics. Patients have stories. Receivables have history.
Viridian runs the volume with agents. Humans take the messy 8%. The owner sees a weekly briefing — not a dashboard to babysit.
Software doesn't pick up the phone. We do.
Software doesn't notice your no-show rate ticked up 4% this week. We do.
Software doesn't sit with your front desk on Tuesday morning. We do.
Software doesn't fire when the founder leaves for a week. Our cell keeps running.
IV.
Proof shape
The owner gets time back first.
Operating targets for the first six months of a Viridian engagement. Numbers depend on volume, service mix, and how much of the workflow you let us own.
The front desk stopped feeling like a fire. I am seeing patients again, not running a rescue desk.
Dr. Lori Bluvas
OB/GYN · Bluvas Medical Corp
Owner hours
12+ back, weekly.
Founders recover capacity in the first 6 months — verifiable in the operator-hour ledger we keep.
No-show rate
~40% reduction.
Aggressive confirmation + reschedule loops + waitlist work the schedule honestly. Result varies with baseline.
Receivables
Faster cycle.
Worked declines, package balances, and invoice follow-up move money sooner without staff nagging.
Owner load
Sustainably lighter.
Glue tasks move off the founder. Real vacations stop being an emergency.
V.
The operator cell
Three humans. One accountable system.
The agent layer is the cheap part. The expensive part — the part that actually moves the practice — is the human cell that owns the rhythm, designs the workflows, and catches what agents shouldn't handle alone.
The Operator
Lives in the week with your team. Owns the operating cadence. Catches the edge cases the agents should not handle alone. The closest thing to a fractional COO who actually works inside your practice.
The Architect
Designs the workflows, integrations, queues, credentials, logs, and runbooks. Builds the system so it's owned by the practice — not held hostage by us. The day you fire Viridian, everything still runs.
The Strategist
Sees what to fix now, what to defer, and where the owner is accidentally becoming the operating system. Reads the operating data weekly so the founder doesn't have to.
VI.
From audit to operating
From audit to live in 60 days.
Two weeks of diagnosis. Four weeks of build. Then we run the cell with you. No handoff theater, no junior engagement manager.
i.
Audit
We sit inside the workflows, review the stack, inspect the queues, and find where work disappears between people and tools. You get the diagnosis whether or not we continue.
ii.
Build
The same team designs your agent lanes, escalation rules, operator rhythm, and 90-day ownership plan. Integrations and credentials hooked up. First lanes go live before week 6.
iii.
Operate
Weekly cell meeting. Continuous lane expansion. Quarterly owner brief on what moved. Same team that audited and built keeps running it with you.
VII.
Pricing
Two ways to start. Both run the same cell.
Audit credits 100% toward setup if you continue. Month-to-month after the first 90 days. No annual contract gymnastics.
Founding 10
Founding cohort · 10 spots ever
$2,800/ month
$1,500 setup · 24-month rate lock
✓All six operating lanes, live
✓Operator + Architect + Strategist
✓Weekly cell meeting + briefing
✓Rate locked for 24 months — then $3,800 lifetime
✓Founding-member access to new lanes
Standard
$4,800/ month
$6,000 setup · annual rate adjustments
✓All six operating lanes, live
✓Operator + Architect + Strategist
✓Weekly cell meeting + briefing
✓Month-to-month after first 90 days
✓Audit credited 100% toward setup
A competent ops manager runs $80–120k/year + benefits. Viridian runs $33–58k/year and doesn't quit.
VIII.
Common objections
What founders actually ask us.
What's the contract? +
90-day minimum so we can actually build the system and prove it. Month-to-month after that. Founding 10 spots have a 24-month rate lock — that's a price commitment from us, not a contract from you.
What if it doesn't work? +
Month 1 is free if we miss the agreed hours-back target. We define the target during the audit, in writing, before you pay anything beyond setup. We're not optimistic about ourselves on your dime.
Do you do EHR / RCM / insurance billing? +
No. We're built for cash-pay. RCM is a different sport with different tools and different math. We integrate with whatever you use — Cerbo, Athena, NextGen, custom — but we don't compete with your RCM stack.
Why not just hire an ops manager? +
You can. A good one runs $80–120k loaded, takes 3–6 months to onboard, doesn't work weekends, and leaves in 18 months. Viridian is $33–58k/year, ramps inside 60 days, runs 24/7, and the operator cell doesn't quit.
Who owns the system if we part ways? +
You do. Workflows, credentials, queues, logs, and runbooks live in your accounts. The day you fire us, your front desk still picks up. The Architect role exists specifically to enforce that.
Is this HIPAA compliant? +
Yes. BAA available before any PHI moves. Every action logged, every access reviewed. Compliance memory is one of the six operating lanes — it's not bolted on.
Begin the audit
Stop being your practice's operating system.
Hire one instead.
Two weeks inside the practice. Diagnosis you keep. No pitch deck, no demo environment, no junior account manager — the same team that audits builds and runs the cell with you.