Appointment confirmations are one of those necessary tasks that quietly eat away at a clinic’s day. They are repetitive, time sensitive, and critical to keeping schedules full. For years, clinics have relied on one way texts that ask clients to reply “Y” to confirm. While efficient on paper, those messages often fall short in practice. Clients respond in full sentences, ask questions, or try to reschedule, and staff are pulled back in to manually sort through replies.

Otto is changing that workflow with the launch of Agentic Confirmations, a new AI powered feature that turns rigid confirmation texts into real conversations, while still handling the operational work behind the scenes.

Agentic Confirmations replaces canned responses with natural dialogue that feels more like the old days of calling each appointment, without the time cost. Clients can reply however they want. Otto understands the intent, confirms appointments directly in the PIMS, flags reschedules, and creates follow up tasks when questions or exceptions come up.

The result is a confirmation process that feels more human for clients and far less manual for staff. Clinics stay in control of their schedules, clients feel heard, and teams get valuable time back.

AI has the potential to reduce workload in meaningful ways, but only when it fits into existing routines. Appointment confirmations are a familiar, low risk place to start. Agentic Confirmations builds on workflows clinics already use, layering in AI to handle nuance without adding complexity.

Instead of asking teams to change how they work, Otto designed Agentic Confirmations to work quietly in the background. It captures natural replies, takes action automatically, and surfaces only what truly needs human attention.

“We’ve spent years working closely with veterinary clinics, and we know that AI only helps if it fits the way teams already work,” said Zeynep Young, CEO of Otto. “Agentic Confirmations is a great example of using AI in a smart, focused way to reduce manual tasks, support the team, and create a better experience for clients.”

Agentic Confirmations reflects Otto’s broader approach to veterinary AI. It is grounded in millions of real client conversations, deep PIMS integrations, and continuous feedback from clinics in the field.

Craig Putt, co owner of Beachy Cove Animal Hospital and a participant in the beta program, shared, “AI has real potential to streamline the day to day in a clinic, but only if it is shaped by how teams actually work. We joined the beta to help make sure Otto was building something that fits our workflows, not the other way around. It has been exciting to see feedback turned into action so quickly.”

With this launch, clinics gain:

• Actionable AI that interprets client replies and takes the right next step, from confirmations to reschedules to follow up tasks
• More human conversations that reduce no shows and improve engagement without adding work for staff
• AI built with clinic insight, where teams decide what Otto handles and what stays human

Agentic Confirmations is not just another automation. It is AI designed to support veterinary teams, respect real workflows, and improve the client experience at one of the most common touchpoints in care.

As Otto continues to expand its AI engine, the focus remains the same: practical, trusted tools that help clinics do more without asking them to be anything other than who they already are.

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