Inside OhMD: The AI That Ends Hold Time Forever @TwilioDevs
Inside OhMD: The AI That Ends Hold Time Forever  @TwilioDevs
Uploaded July 2026 | Updated September 2026, 29 minutes ago
This AI agent answers patient calls, books appointments, and hands off to humans when conversations get complex β€” all built on Twilio.

In this episode of AI Startup Searchlight, Ethan Bechdel (Co-founder & CEO of OhMD) walks through how his team built Nia β€” an AI voice and messaging agent that handles routine healthcare calls so front office staff can focus on real patient conversations. OhMD leverages Twilio's IVR, SMS, calling, and video tools to power the entire communication layer.

What you'll learn:
- How OhMD uses Twilio to automate appointment scheduling via voice AI
- How Nia handles handoffs and escalations to human staff
- The patient experience impact: instant access, zero hold time
- The business case: more appointments booked, more efficient teams

πŸ“Œ Chapters
0:00 Meet Steve β€” Twilio Champion from London
0:50 Most impactful Twilio build: real-time audit trail alerts via SMS
2:56 How Steve actually uses AI day-to-day
3:15 AI for PR reviews at scale
4:04 Building a journaling app with AI-driven development
5:03 Building a safe database query interface for non-technical teams
6:01 Where AI is overhyped β€” wrappers vs. real agents
8:12 The coming AI specialization
9:39 Advice: Don't start with AI, start with your customer

πŸ”— Resources:
β†’ Learn more about Twilio's voice and messaging APIs: twilio.com/docs
β†’ OhMD: ohmd.com
β†’ Sign up for a Twilio account here: twil.io/trytwilio-yt
β†’ Subscribe for more TwilioDevs Content: twil.io/sub-twiliodevs
β†’ Join the Twilio Discord: twil.io/devs-discord

Q: What is OhMD?
A: OhMD is a healthcare communication platform that uses AI voice and messaging agents to automate routine patient interactions like appointment scheduling.

Q: What Twilio products does OhMD use?
A: OhMD builds on Twilio's IVR, SMS messaging, voice calling, and video platforms.

Q: Does the AI replace human staff?
A: No β€” Nia handles routine calls and escalates complex conversations to real humans on the care team.

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Inside OhMD: The AI That Ends Hold Time Forever

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