TeleConfirm

Two-way confirmations that slash telehealth no-shows by 50%

Score: 8.2/10IndiaEasy BuildReady to Spawn
Brand Colors

The Opportunity

Problem

Small business owners in telehealth face ineffective scheduling tools that fail to prevent no-shows or automate reminders, leading to lost revenue.

Solution

TeleConfirm sends interactive SMS/email confirmations patients reply to, auto-cancelling no-replies. It handles video link sharing and waitlist fills instantly. Telehealth owners get confirmed bookings without phone tag.

Target Audience

Small business owners in telehealth

Differentiator

Interactive reply loops with auto-waitlist—patients confirm or get replaced seamlessly

Brand Voice

friendly

Features

Two-Way Confirmations

must-have18h

SMS/email with yes/no reply buttons

Auto-Cancellation

must-have15h

Cancels unconfirmed appts and notifies waitlist

Waitlist Manager

must-have12h

Fills slots from patient waitlist automatically

Video Link Sharing

must-have10h

Embeds Zoom/Meet links in reminders

Confirmation Dashboard

must-have12h

Real-time view of confirmed/cancelled appts

Custom Reply Options

nice-to-have7h

Add reschedule/reason dropdowns

Bulk Import

nice-to-have6h

CSV upload for existing schedules

Reporting Exports

nice-to-have5h

PDF/CSV no-show reports

Total Build Time: 85 hours

Database Schema

users

ColumnTypeNullable
iduuidNo
emailtextNo
phonetextYes

Relationships:

  • one-to-many with appointments

appointments

ColumnTypeNullable
iduuidNo
user_iduuidNo
patient_phonetextNo
scheduled_attimestampNo
confirmedboolNo

Relationships:

  • foreign key to users.id
  • one-to-many with waitlists

waitlists

ColumnTypeNullable
iduuidNo
appointment_iduuidNo
patient_nametextNo
priorityintNo

Relationships:

  • foreign key to appointments.id

API Endpoints

POST
/api/appointments

Create appt and send confirmation

🔒 Auth Required
POST
/api/confirm/:token

Patient reply handler

GET
/api/dashboard

Confirmation stats

🔒 Auth Required
POST
/api/waitlist/:apptId

Fill from waitlist

🔒 Auth Required

Tech Stack

Frontend
Next.js 14 + Tailwind + shadcn/ui
Backend
Next.js API + Supabase
Database
Supabase Postgres
Auth
Supabase Auth
Payments
Stripe
Hosting
Vercel
Additional Tools
Twilio for SMSResend emails

Build Timeline

Week 1: Auth and basic scheduling

20h
  • Signup
  • Appt CRUD

Week 2: Confirmation system

30h
  • SMS/email send
  • Reply webhook

Week 3: Waitlist logic

25h
  • Auto-fill
  • Dashboard

Week 4: Integrations and polish

25h
  • Video links
  • Exports

Week 5: Payments

15h
  • Tiers
  • Landing
Total Timeline: 5 weeks • 115 hours

Pricing Tiers

Free

$0/mo

50 appts/month

  • Email confirms
  • 10 appts/mo

Pro

$25/mo

500 appts/month

  • SMS confirms
  • Waitlist
  • Unlimited

Enterprise

$99/mo

Unlimited

  • All + API access
  • Custom domains

Revenue Projections

MonthUsersConversionMRRARR
Month 1806%$120$1,440
Month 645012%$1,350$16,200

Unit Economics

$35
CAC
$550
LTV
4%
Churn
88%
Margin
LTV:CAC Ratio: 15.7xExcellent!

Landing Page Copy

Confirmations Patients Actually Reply To

Two-way SMS cuts no-shows 50% + auto-fills from waitlist.

Feature Highlights

Interactive replies
Auto-cancel & fill
Real-time dashboard
Video integration

Social Proof (Placeholders)

"'No-shows down 60%!' - Clinic Owner"
"'Saves hours daily.' - Therapist"

First Three Customers

Email list from telehealth directories; offer free month to first 10 signups via Twitter; partner with one Zoom consultant.

Launch Channels

Product Huntr/EntrepreneurTwitter telehealth threadsHacker News

SEO Keywords

telehealth appointment confirmationssms reminders no showswaitlist scheduler telehealth

Competitive Analysis

Acuity Scheduling

acuityscheduling.com
$15+/mo
Strength

Reminders

Weakness

One-way only, no waitlist

Our Advantage

Interactive + waitlist automation

Commission
Strength

Marketplace

Weakness

Not for independents

Our Advantage

SaaS for small biz

🏰 Moat Strategy

Network effects from shared waitlist pools

⏰ Why Now?

Rising SMS open rates (98%) perfect for confirmations

Risks & Mitigation

technicallow severity

SMS deliverability

Mitigation

Twilio + compliance

executionmedium severity

User onboarding friction

Mitigation

Video tutorials

Validation Roadmap

pre-build5 days

Landing page waitlist

Success: 50 emails

mvp10 days

Manual beta tests

Success: 3 paying users

Pivot Options

  • Any service reminders
  • In-person clinic focus
  • Enterprise waitlists

Quick Stats

Build Time
115h
Target MRR (6 mo)
$1,350
Market Size
$4000.0M
Features
8
Database Tables
3
API Endpoints
4