Built for telehealth providers running virtual care

The CRM that knows a telehealth visit is a workflow, not a sales deal.

Virtual care work is intake driven, state-licensed, visit scheduled, and privacy sensitive. Strkr ships a CRM core shaped around patient intake, licensed-provider routing, visit scheduling, and HIPAA aware records with Strkr AI drafting that respects patient confidentiality.

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What this audience is actually dealing with

The pains that bring buyers here.

A general-purpose sales CRM assumes a linear funnel from lead to closed-won. A telehealth clinic does not work that way. The patient lifecycle is intake, verification, state-licensed routing, visit scheduling, follow-up, and billing, with HIPAA threading through every record. The pain points below are what Strkr onboarding hears on every call with a telehealth operator, from the single-state behavioral health clinic to the 42-state primary care telehealth network.

State license routing

The patient in Florida needs a Florida-licensed clinician.

Telehealth providers must route each visit to a clinician licensed in the patient state at the moment of care. A generic CRM has no concept of license status, which forces manual routing through a shared spreadsheet. Strkr tracks clinician licenses by state with expiration dates, flags visits where routing failed, and surfaces renewal reminders 60 days out so the roster stays audit ready.

HIPAA from day one

Protected health information in every record.

Telehealth records carry protected health information in the chart notes, the visit summary, the billing codes, and the intake form. A CRM that handles PHI as ordinary text puts the practice outside HIPAA posture and exposes the operator to civil penalties. Strkr ships HIPAA posture across every tier with a BAA available on request, encrypted at rest, encrypted in transit, and a complete audit log.

Intake form avalanche

Insurance card, consent, medical history, pharmacy.

Each new telehealth patient needs an intake form covering insurance card capture, informed consent, medical history, current medications, allergies, and preferred pharmacy. The default intake flow in a generic CRM is a free-text form that drops data into a note field. Strkr ships a structured intake with 24 default fields, state-specific consent variants, and insurance card image capture tied to the patient record.

Visit no-show rescue

The 18 percent no-show that kills revenue.

Telehealth clinics run a 14 to 22 percent no-show rate. Each missed visit costs the clinic the clinician slot and the patient the care. Strkr runs a no-show rescue cadence with SMS reminder at 24 hours, a second SMS at 2 hours, and Strkr AI drafted outreach to reschedule the moment a slot opens. The lift on no-show rate typically runs 4 to 7 points, which is a meaningful revenue change on a clinic that bills $140 per visit.

Billing follow-up

The claim denial that nobody chases.

A telehealth clinic submits CPT codes to the payer and roughly 11 percent come back denied for coding, documentation, or eligibility reasons. The denial queue in a generic CRM is a Google Sheet nobody opens. Strkr tracks each claim with denial reason, denial date, and resubmission status so the billing lead works the queue daily instead of weekly. The recovered revenue on a 400-visit-per-week clinic runs about $18,000 per month.

Multi-state audit posture

Each state board can ask for records tomorrow.

Telehealth providers answer to the medical board in each state where they are licensed. A board audit can arrive with 30 days of notice and request the full chart for a sample of patients. A CRM that cannot produce the records on demand puts the clinician license at risk. Strkr audit log captures every record read and write with 90-day default retention tunable per tenant to the board-required ceiling.

The telehealth schema

Custom objects shaped like virtual care.

The default CRM schema (lead, deal, account, contact) does not map cleanly to virtual care work. Strkr ships a tunable telehealth schema with Patient, Clinician, License, Visit, Intake Form, and Claim as first-class objects. The clinic admin can rename or extend anything.

Patient object

Date of birth, insurance, pharmacy, consent.

A patient in Strkr carries date of birth, insurance carrier and member ID, preferred pharmacy, consent status (signed, pending, declined), state of residence, and visit history. The schema drives the correct routing to a state-licensed clinician and the correct consent variant on intake.

Clinician object

License list, scheduling preferences, taxonomy.

A clinician in Strkr carries NPI number, state license list with expiration dates, scheduling preferences (hours, visit types, patient panel limits), and provider taxonomy (behavioral health, primary care, dermatology, endocrinology). The schema drives routing when a new patient books.

Visit object

Scheduled time, modality, CPT code, outcome.

A visit ties to the patient and the clinician with scheduled time, visit modality (video, phone, async message), CPT code assigned at completion, outcome notes, and billing status. The visit object drives the no-show rescue cadence and the claim submission workflow.

Intake form object

Fields, consent variant, PHI scope.

Intake forms attach to the patient with structured fields, the correct consent variant per state, and PHI scope tags. The admin configures intake variants per visit type (behavioral health intake, primary care intake, dermatology intake) with the right disclosures and the right data capture.

Claim object

CPT, ICD, denial reason, resubmission.

Claims attach to the visit with CPT code, ICD-10 code, submitted date, payer, denial reason if applicable, and resubmission log. The billing lead works the denial queue through saved views that prioritize dollar impact and days outstanding.

Consent record

Variant, signed date, revocation.

Consent records attach to the patient with the consent variant (state specific), signed date, acknowledgement log, and revocation record if the patient withdraws. The record ties to the audit log so a state board audit can produce the consent history for a sample patient in under five minutes.

Message thread

Async patient communication with PHI scope.

Message threads capture async patient communication (secure message, SMS reminder, email summary) with PHI scope tags on each entry. The clinician replies through Strkr Messaging which keeps the thread inside the HIPAA perimeter. Patient contact numbers stay in the patient record never in a shared inbox.

How Strkr AI drafts in a clinical voice

The AI jobs that fit a telehealth clinic.

A telehealth clinic cannot ship AI drafted patient communication that sounds like a chatbot. Strkr AI drafts in the clinical, empathetic tone a nurse coordinator would use with retrieval scope strictly scoped to the patient record and nothing cross-patient. The jobs below are what shows up in every telehealth deployment inside the first two weeks.

Pre-visit prep

The clinician briefing in 90 seconds.

Before each visit Strkr AI drafts a prep summary from the patient history, prior visit notes, current medications, and open issues. The clinician reads the brief in 90 seconds instead of five minutes of chart hunting. Visit start times run on schedule because prep time compresses.

Visit summary draft

The post-visit note in a clinical voice.

After each visit Strkr AI drafts the visit summary with chief complaint, history of present illness, assessment, plan, and patient instructions. The clinician reviews and tunes two sentences on average before signing. Documentation time drops from 11 minutes to about 3 minutes per visit.

Patient instructions

Plain-language takeaway for the patient.

Strkr AI drafts the patient instructions email with the care plan in plain language, prescriptions sent to the pharmacy, follow-up visit timing, and when to seek urgent care. The clinician approves and sends. Patient comprehension scores on the clinic satisfaction survey lift by about 18 points.

No-show rescue outreach

The gentle rebooking SMS and email.

When a patient no-shows Strkr AI drafts a two-step outreach (SMS the same day, email the next morning) offering three nearby slots and a one-click reschedule link. The language acknowledges life gets in the way without judgment. Reschedule rates on no-shows typically hit 48 to 62 percent.

Denial appeal draft

The payer appeal letter in the right structure.

For claims that come back denied Strkr AI drafts the appeal letter with the medical necessity narrative, the documentation references, and the payer policy citations. The billing lead reviews and submits. Appeal success rates typically run 60 to 75 percent when the letter lands well structured.

Welcome sequence

The intake confirmation and expectations email.

New patients get a three-touch welcome sequence covering what to expect, how to prepare, and how the technology works. Strkr AI drafts each touch in a warm, clinical voice. The sequence lifts intake completion from 68 percent to 89 percent on the typical telehealth clinic.

Telehealth operations in Strkr

The dashboard that keeps a virtual clinic running.

The telehealth clinic manager runs the day from a Strkr dashboard that surfaces license status, visit volume, no-show cadence, and denial queue. The cards below are what the dashboard shows and how the manager acts on each.

License expiration radar

Clinicians with licenses expiring in 60 days.

The dashboard surfaces clinicians with licenses expiring in 60 days with the renewal application status (not started, submitted, pending, approved). The clinic admin works the queue through saved views to keep the state coverage map intact.

Visit volume by state

Where demand outstrips licensed supply.

The volume map shows visit demand by state against licensed clinician capacity. States where demand exceeds supply get flagged for recruiting outreach. The map drives the hiring plan for the next 90 days.

No-show cadence tracker

The clinics running hot and cold.

The no-show tracker compares the current week to the trailing four-week average. A spike triggers a clinician check-in because no-shows cluster around a clinician or visit type. The lead works the signal before it compounds.

Denial queue dollar sort

The biggest claim denials on top.

The denial queue sorts by dollar impact and days outstanding. The top 20 denials represent 60 to 70 percent of the recoverable revenue. The billing lead works these first with the Strkr AI drafted appeal letter in hand.

Patient satisfaction pulse

Post-visit survey score and comment flow.

The pulse view shows post-visit survey scores by clinician, visit type, and state. Comment themes get surfaced by Strkr AI so the clinic lead sees the three issues patients mentioned this week without reading 400 comments.

Compliance alert feed

License, consent, or audit anomalies.

The alert feed surfaces compliance anomalies: a visit routed to a clinician without the correct state license, a patient without signed consent, an audit log read spike from a single user. The admin triages each alert within the same business day.

Head-to-head

Strkr vs a general CRM for a telehealth clinic.

Most telehealth clinics try a general CRM once and bounce because the schema does not fit virtual care work. The comparison below is Strkr telehealth posture versus a generic sales CRM applied to the same clinic.

Feature Strkr Generic sales CRM for a telehealth clinic
State license tracking per clinician First class with expiration and renewal flow. Custom field with manual tracking.
HIPAA posture by default Across every tier with BAA on request. Enterprise tier gate typical.
Structured intake with state variants Yes with 24 default fields per visit type. Free-text form or external vendor.
Visit routing to licensed clinician Automated by patient state. Manual spreadsheet routing.
No-show rescue cadence SMS plus email with Strkr AI rebook offer. Single reminder with no follow up.
Claim denial queue First class with appeal draft. External billing system only.
Audit log for state board review Record read and write with retention. Partial write-only.
AI drafting in a clinical voice Trained on first 20 approved notes. Generic chatbot tone.
Patient-scoped retrieval only Yes by default. Cross-patient retrieval by default.
How teams use Strkr

Five telehealth playbooks.

The playbooks below are patterns Strkr onboarding sees on telehealth deployments, from single-state behavioral health clinics to multi-state primary care networks.

Pattern A

The single-state behavioral health clinic.

A 12-clinician behavioral health clinic in Oregon ran its patient book in a mix of Simple Practice and shared Google Docs. The intake coordinator spent about 14 hours per week on routing and reminders. Strkr onboarding ran a nine-business-day migration with the structured intake, no-show rescue, and clinician license tracking as the day-one deliverables. The coordinator reclaimed about 11 hours per week and the clinic added 24 new patients in the first month on Strkr.

Pattern B

The multi-state primary care network.

A 42-state primary care telehealth network with 180 clinicians ran a tangle of Salesforce Health Cloud, a bespoke scheduling tool, and three billing vendors. Strkr onboarding ran a 28-business-day migration consolidating the clinician roster, patient intake, and visit workflow into Strkr with the three billing vendors staying in place through the webhook spec. State coverage audits that used to take two weeks now run in two days because the license status data lives in one place.

Pattern C

The dermatology telehealth startup.

A dermatology telehealth startup serving 18 states ran async photo visits with a 72-hour clinician response SLA. The intake volume was 400 photos per day with the clinician review happening in Slack. Strkr onboarding configured a photo-intake variant with structured medical history, a clinician review queue sorted by SLA risk, and Strkr AI drafted patient response templates. SLA breaches dropped from 11 percent to under 2 percent in the first six weeks.

Pattern D

The endocrinology telehealth clinic.

An endocrinology clinic focused on diabetes and thyroid management ran continuous glucose monitor data alongside patient visits. The clinician review workflow needed CGM trend summaries and medication adjustment recommendations. Strkr onboarding configured a custom CGM data object with the webhook feed from Dexcom and Abbott, and Strkr AI drafted the clinician review summary. Patient A1C outcomes tracked in the dashboard improved by 0.4 points on average across the panel.

Pattern E

The women's health direct-pay practice.

A women's health telehealth practice ran a direct-pay model with memberships, visit packages, and prescription refills. The CRM needed to track membership status, package utilization, and refill eligibility alongside the visit workflow. Strkr onboarding configured the membership object, the package utilization tracker, and the refill request queue. Member retention lifted from 71 percent to 86 percent over the first year on Strkr because the renewal outreach was timely and the refill workflow was clean.

Run a virtual clinic on a CRM shaped for telehealth work.

Book a 30 minute call. We will walk through the clinician license tracker, the structured intake, the no-show rescue cadence, and the HIPAA posture with your actual patient panel and state coverage.

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Common questions

What buyers in this bucket ask most.

Does Strkr integrate with EHR systems like Athena, Epic, or Elation?

Strkr integrates with major EHR systems through its standard webhook spec with HMAC signing and the published OpenAPI spec. The typical setup pulls demographics and visit notes from the EHR while Strkr handles intake, routing, no-show rescue, and billing follow-up. For Athena, Epic, Elation, and the common telehealth EHRs the integration lands in an engineering sprint of two to three weeks. Strkr does not replace the EHR for clinical documentation; it handles the workflow surface the EHR does not.

What is the HIPAA posture and can we get a BAA?

Strkr is HIPAA compliant across every tier with a BAA available on request (not gated behind an enterprise upgrade). Data is encrypted at rest and in transit, Strkr AI calls run with patient-scoped retrieval by default, and the audit log captures every record read and write with 90-day default retention tunable per tenant to the state board required ceiling. SOC 2 Type II is in progress with a target of 2026-Q4. GDPR and CCPA compliant today.

How does Strkr handle clinician license tracking across 50 states?

Each clinician record carries a license list with the state, license number, issue date, expiration date, and status (active, pending renewal, expired, surrendered). The visit routing engine refuses to book a visit where the clinician does not hold an active license in the patient state at the scheduled time. Expiration radar surfaces 60 days before expiration so the renewal application lands on time. The audit log captures every routing decision for state board review.

Can Strkr handle structured intake with state-specific consent variants?

Yes. Intake forms are first-class objects with structured fields, state-specific consent variants, and PHI scope tags. The admin configures intake variants per visit type (behavioral health, primary care, dermatology) with the right disclosures and the right data capture per state regulation. The consent variant that applies to a given patient depends on the patient state at the time of signing, which Strkr handles automatically.

How does the no-show rescue cadence work in practice?

When a patient no-shows the cadence fires automatically: SMS same-day with three nearby slots and a one-click reschedule link, email next morning with the same offer, and a Strkr AI drafted outreach from the clinic the following week if the patient has not rebooked. The language is empathetic. Reschedule rates on no-shows typically run 48 to 62 percent, which recovers meaningful revenue on a clinic that bills $140 per visit.

What does Strkr cost compared to Salesforce Health Cloud or Osmind?

Strkr prices flat per seat at $29 on Starter, $59 on Pro, and $119 on Scale per user per month with a 14-day trial. The Strkr AI add-on is $49 per workspace per month with 5,000 Strkr AI calls included and $0.012 per call after. SMS runs 2 cents per message, MMS 5 cents per message. Salesforce Health Cloud runs about $300 per user per month before implementation partner retainer. Osmind runs about $499 per clinician per month. Strkr sits at a fraction of the seat cost with a flat invoice math that does not spike at month four.

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