After-Hours Program
Comprehensive coverage during evenings, weekends, and holidays. We operate as a virtual extension of your care team.
- Schmitt-Thompson protocols
- Direct EMR documentation
- EMR documentation through approved access
Clinical Support for Healthcare Organizations
24/7 nurse triage and clinical support. Anytime. Anywhere.
Octiva delivers nurse triage, clinical call center services, and provider support - answered under your brand and documented in your EMR, day or night.
BAA signed with every customer • No long-term contracts • 30-day pilot available
Clinical team on dutyEvenings, weekends, and holidays
100%US-based clinical team
24/7Coverage, 365 days a year
50+EMR systems, documented directly
BilingualEnglish and Spanish
Our Services
Comprehensive after-hours coverage, built around your clinic
From after-hours triage to daytime call center support, we deliver the clinical expertise your patients need - as a white-labeled extension of your own care team.
Daytime Call Center
Support during regular business hours. Ideal for overflow, backup triage, or primary daytime call handling.
- Overflow call management
- Appointment scheduling
- Patient follow-ups
Specialty Services
Tailored support for home health, OB/GYN triage, refill requests, and non-clinical hospice call intake.
- Home health coverage
- Hospice call intake (non-clinical)
- OB/GYN triage support
- Refill request intake
Why Octiva
Three levels of care. One team.
Unlike generic answering services, Octiva staffs the entire call as a nurse triage service: trained support specialists answer, registered nurses triage, and physicians and nurse practitioners take the cases that need provider-level judgment. Support, nursing, and provider care sit under one umbrella - see the AnytimeCare program.
- RN-only nurse triageClinical triage is delivered exclusively by registered nurses - not the LVNs or medical assistants many competitors staff
- Provider-level support includedMDs and NPs for cases that need a provider-level decision
- Direct EMR documentationEvery encounter documented directly into 50+ electronic medical record systems
100%Customer retention to date
1.23M+Total calls handled
30 minNurse callback commitment
24/7/365Nights, weekends and holidays covered
How It Works
The right level of clinical expertise, on every call
Every call is answered first by a trained support specialist, then escalates only as clinically necessary - so patients reach the right expertise without over-escalation, and your providers hear from us only when it matters.
- Support specialists - first contactEvery call starts here: intake, scheduling, general inquiries, and warm transfers to the clinical team
- Registered nurses - clinical assessment100% US-based RNs - never LVNs or medical assistants - with acute and primary care backgrounds, using Schmitt-Thompson protocol-driven triage
- Physicians and nurse practitioners - provider escalationProvider-level clinical judgment from the same Octiva team, paired with nurse triage
Who takes the provider call is your choice: keep your own providers on call, use physicians and nurse practitioners, or route hybrid - many partners keep their own OB providers on call while Octiva providers take everything else.
See the full service model
Proven Results
Read the case study
One practice's after-hours program, by the numbers
$38,100Additional monthly revenue
254Appointments booked back
814Calls managed per month
$457,200Estimated annual impact
Who We Serve
Healthcare organizations of every size
From independent practices to multi-site health systems, the same three-tier model scales to your call volume and routing needs.
FQHCs & Community Health Centers
Dependable access for underserved communities when the center is closed, with HRSA-aligned after-hours coverage.
Nurse triage for health centersPrimary Care & Specialty Clinics
Independent practices and multi-site groups that need after-hours coverage without burning out their own providers.
Health Systems & Networks
Multi-location networks, GPO members, and national health groups with complex routing and reporting requirements.
Home Health Agencies
After-hours support for in-home skilled nursing populations, handled by clinical staff experienced with home-based care.
Home health after-hours triageHospice Providers
Non-clinical after-hours call intake for hospice organizations: calls answered under your brand, documented, and routed to your own clinical team per your protocols.
Hospice call intakeHospitals & Urgent Care
Overflow triage, patient access support, and Tele-ICU coverage with board-certified intensivists.
Get Started
Strengthen your patient care, day or night
Schedule a consultation to see how Octiva would cover your calls - after-hours, daytime, or both - under your brand and in your EMR.
BAA signed with every customer • No long-term contracts • 30-day pilot available