Real human, first ring
When the practice line drops audio at 7:55 a.m. Monday, a real human picks up the support line. Not a chatbot, not a queue, not a ticket number — the same team that signed your BAA and configured the routing.
The 30-second version
A phone system with BAA + encryption that protects patients without slowing the schedule.
Netexem is a business phone, SMS, and voicemail platform built for medical practices that handle Protected Health Information. We sign the BAA on day one. You get a softphone on every device with the practice number, after-hours on-call routing with audit trails, voicemail encrypted in transit and at rest, role-based access for staff, and audit logs on every call, text, and voicemail. We pick up when you call us, and we help you port your existing number without missing a patient call.
Built on the same business VoIP platform we run for every customer — cloud PBX, SIP trunking, native SMS, and E911 — with BAA-covered routing, encrypted voicemail, and audit logs tuned for medical practices nationwide.
BAA + encrypted infrastructure
BAA available. We sign on day one.
Before you evaluate features, you need the legal piece. Netexem signs a Business Associate Agreement with covered entities, and the platform is built so the BAA actually means something — encryption in transit and at rest, role-based access for every seat, and audit logs on every call, text, and voicemail. Here is what is covered by the BAA, what stays the covered entity's responsibility, and how to start the signing process today.
BAA available for covered entities
We sign Business Associate Agreements for medical practices, dental offices, mental-health providers, and other HIPAA-covered entities. The process is straightforward — talk to us and we will send the agreement for signature before you migrate.
Encrypted in transit and at rest
Calls, SMS, and voicemail are encrypted in transit using TLS, and stored encrypted at rest. Voicemail-to-email delivery is configurable so PHI does not land in personal inboxes by accident.
Audit logs on every call, text, and voicemail
Every inbound and outbound interaction is logged with caller, timestamp, duration, direction, and routing. Your compliance officer gets the trail they need — without bolting on a second tool.
Role-based access for staff
Front-desk staff, MAs, providers, and the practice manager see only what their role requires. Sensitive voicemails and recordings can be restricted to the provider on the matter.
HIPAA compliance is a shared responsibility. Netexem provides the BAA and the encrypted infrastructure. Your covered entity is responsible for your own end-to-end compliance practices, policies, and procedures — including staff training, access policies, and breach response. Talk to us about your specific requirements.
The patient-phone problem
Patient calls you cannot afford to mishandle.
Here is what makes phones hard for a medical practice. Front-desk staff texting patients from personal phones is the #1 PHI exposure risk in small practices, and a single breach can cost 40 to 50 percent of your patient base. After-hours calls pile up while patients call urgent care or the ER instead. Your desk phone does not follow the on-call provider home, and your personal cell becomes a second business line nobody wants. You need a phone system built for how a small practice actually works — one that protects patient information without making compliance harder than the rest of your day.
Personal cells are the #1 PHI exposure risk
When the front desk texts patients from a personal phone, PHI lands on a device the practice does not control. Your phone system should not push staff to break the rules to do their job.
After-hours calls leak to urgent care
When the answering machine picks up at 6 p.m., established patients call urgent care or the ER instead. You lose the visit, the continuity, and the revenue — all in one missed ring.
On-call routing without a paper trail
When the on-call provider takes a 2 a.m. call on a personal cell, nothing is logged. No audit trail, no callback record, no protection if the patient claims the call never happened.
What you get with Netexem
Six features built for how medical practices actually run.
Most phone vendors ship 60 features and forget the six small practices actually need. We start with the ones that protect patients and keep the schedule moving.
Softphone on every device the practice already owns
Personal iPhone, iPad, Mac, or Vision Pro rings on the practice number. Providers, MAs, and the front desk all use the same line, with role-based access controlling who sees what. Nobody hands out a personal cell.
After-hours on-call routing with audit trails
Simultaneous ring to the on-call provider, with fallback to a real receptionist queue. Every after-hours call is logged with caller, timestamp, and routing — so the on-call shift has a real paper trail.
Business-line SMS for appointments and recalls — covered by the BAA
Patients text the practice number for scheduling, reminders, and recalls. SMS runs on registered 10DLC numbers and is covered by the BAA. Threads belong to the practice, not the staff member who happens to be on shift.
Voicemail with encryption and configurable delivery
Voicemails are encrypted in transit and at rest. You decide whether transcripts go to a shared inbox, a provider-only queue, or stay inside the softphone — so PHI never lands somewhere it should not.
Patient routing by reason for call
Refill requests, new-patient intake, scheduling, billing, and clinical messages each route to the right queue. Patients stop sitting in a phone tree they have already navigated, and your front desk stops triaging blind.
No-show callback workflows the front desk can run
Missed appointments trigger a callback list with the patient, the slot, and the reason for the visit. The front desk works the list during downtime, and the schedule fills back in without a separate tool.
The softphone runs on every device the practice already owns — see the softphone page for the per-platform breakdown, or browse desk-phone hardware if the front desk still wants a Yealink at the check-in counter.
How small practices actually use it
Five real scenarios from the practices we serve.
Not hypotheticals. These are the day-to-day patterns we see across solo family medicine, multi-provider pediatric groups, mental-health practices, and urgent-care clinics nationwide.
Solo family physician with an MA and a front desk
Refill requests route to the MA queue. New-patient calls route to the front desk. Provider voicemails are restricted to the physician. Same per-seat price, one number, three roles — and a BAA on file.
Three-physician pediatric group
Sick visits, well-child scheduling, and prescription refills each get their own queue. After-hours calls route to the on-call pediatrician with a logged audit trail. Parents reach a human, not an answering machine.
Mental-health practice running tele-visits from home
Every clinician gets a softphone on a personal laptop with the practice caller ID. Patient calls reach the right clinician without leaking a personal cell number. Voicemails are encrypted and provider-only.
Urgent-care clinic with multi-location overflow
When the East-side clinic is slammed, overflow rolls to the West-side line and then to a receptionist queue. Patients reach a human and get routed to the closest open slot — instead of giving up and going to the ER.
Primary-care practice catching no-show callbacks
Missed appointments drop into a callback list with the patient, the slot, and the reason. The front desk works it during downtime, fills the schedule back in, and the no-show rate stops eating revenue.
Pricing your practice manager can read
Per seat. No contract. BAA available. Nothing paywalled that practices actually use.
Per-seat pricing, no contract, no per-minute charges on US calls, and no surprise add-ons for the features practices actually need. Voicemail, SMS, after-hours routing, audit logs, and role-based access are included — not paywalled behind an enterprise tier. Enterprise contracts include custom terms for larger practices — talk to us. See full pricing on the pricing page, then port your number when you are ready.
More from the same product: business VoIP platform, softphone for every device, desk-phone hardware, or talk to a real human.
FAQ
Medical-practice phone questions, answered.
Eight questions we hear from medical practices every week — BAA signing, business-line SMS, voicemail, after-hours on-call, patient texting, porting, and pricing.
Business phone for your practice — BAA available
Start with the BAA. Migrate without missing a patient call.
Talk to a real human about the BAA, the in-scope feature list, and the configuration that fits your practice. We will help you port your number and walk your staff through the softphone before go-live.