We analyzed dozens of virtual assistant companies serving primary care and narrowed it down to the top eight that keep a family medicine or internal medicine front desk covered. We verified every rate and privacy claim on the provider’s own live pages, and pulled each review quote from an independent platform. Our algorithm rewards the providers whose people already worked a busy primary care panel over the ones who learn your workflow after you sign.
How We Scored Every Company
We scored each provider against the following weighted criteria:
- Primary Care Workflow (30%): People who already ran scheduling and refill requests inside U.S. practices.
- HIPAA Safeguards (25%): Privacy training or an audited security program before anyone opens a chart.
- Works Inside Your EHR (20%): Named support for the system your practice already runs.
- Multiple Assistants (15%): Adding a second seat without restarting the search.
- Published Rate (10%): A public rate you compare without a sales call.
| Rank | Company | Primary Care Workflow | HIPAA Safeguards | Works Inside Your EHR | Multiple Assistants | Published Rate |
|---|---|---|---|---|---|---|
| 1 | DocVA | Scheduling and refills | Training before placement | Athenahealth, Kareo, DrChrono | Teams of five | $10.95/hr |
| 2 | Helpware | Prior auth and claims | SOC 2 and ISO 27001 | Epic, Oracle, Athenahealth | Teams of five to ten | Quote only |
| 3 | Stealth Agents | Scheduling and notes | Training and a BAA | Epic, Cerner, Kareo | One per role | $1,600/mo up |
| 4 | Near | Billing and coding | Awareness screen only | None named | Parallel searches | Quote only |
| 5 | TriageLogic | After-hours triage | SOC 2 and URAC | Two-way EMR link | Nurse pool | Quote only |
| 6 | Luma Health | Reminders and intake | HITRUST and ISO 27001 | Epic, athenahealth, NextGen | Software only | Quote only |
| 7 | Klara | Patient messaging | HIPAA messaging only | Directory listed only | Software only | Quote only |
| 8 | Cyberbacker | General admin only | None published | None named | Not published | Quote only |
Descriptions and Reviews
1. DocVA

DocVA staffs primary care practices with healthcare professionals who spent their careers inside U.S. clinics, so a new assistant works a prior authorization correctly in week one. A practice that outgrows one seat adds another against the same scope, and one client grew into a team of five assistants.
Key factors
- Primary Care Workflow: Most assistants arrive as registered nurses or certified billers with U.S. clinic experience.
- HIPAA Safeguards: Every assistant trains on privacy and security expectations before placement.
- Works Inside Your EHR: Assistants work in Athenahealth, AdvancedMD, Kareo or DrChrono without a platform change.
- Multiple Assistants: You add a second seat and DocVA shortlists candidates within 24 hours.
- Published Rate: $10.95 per hour covers everything, with no lock-in period and no minimum term.
2. Helpware

Helpware runs outsourced healthcare back-office teams and staffs accounts with coders holding AAPC and AHIMA credentials. Its certifications answer a compliance question most staffing firms leave open, though its starting engagement fits a group practice more than a two-provider office.
Key factors
- Primary Care Workflow: Teams cover prior authorization and insurance verification for providers and health plans.
- HIPAA Safeguards: Helpware operates its healthcare work under SOC 2 Type II and ISO 27001 controls.
- Works Inside Your EHR: Coders work directly inside Epic, Oracle Health or Athenahealth.
- Multiple Assistants: A pilot team of five to ten specialists is the starting unit.
- Published Rate: No public rate, and its directory listing sets a $5,000 minimum engagement.
3. Stealth Agents

Stealth Agents recruits globally and manages every assistant through a U.S. operations team, and its healthcare page names more practice software than anyone else here. Monthly tiers set by experience give a practice manager a rate card before the first call.
Key factors
- Primary Care Workflow: Healthcare assistants cover scheduling and documentation, though the company places no clinically credentialed staff.
- HIPAA Safeguards: Assistants complete HIPAA training, and the company will sign a BAA.
- Works Inside Your EHR: Its healthcare page names Epic, Cerner, Athenahealth, Kareo and DrChrono.
- Multiple Assistants: You add specialized roles at each tier’s own monthly price.
- Published Rate: $1,600 to $3,000 per month buys 160 hours, plus a one-time onboarding fee.
4. Near

Near recruits across more than 20 Latin American countries and places medical billers who work your time zone. It hands you the hire and backs it for 180 days, so your office manager owns the onboarding a managed provider would run.
Key factors
- Primary Care Workflow: Its healthcare page covers medical billers and patient coordinators, with no nurses.
- HIPAA Safeguards: Screening verifies “HIPAA awareness for relevant roles” and stops short of a training program.
- Works Inside Your EHR: No EHR or practice management system appears on its healthcare page.
- Multiple Assistants: It runs parallel searches across different functions at the same time.
- Published Rate: No published fee, though it publishes salary benchmarks by role.
5. TriageLogic

TriageLogic answers after-hours calls for family medicine offices using licensed nurses who follow published clinical protocols. A practice buys nights and weekends here, then staffs its daytime front desk somewhere else.
Key factors
- Primary Care Workflow: Registered nurses triage patient calls for family medicine practices around the clock.
- HIPAA Safeguards: It publishes SOC 2 Type II attestation, URAC accreditation and HIPAA compliant workflows.
- Works Inside Your EHR: Two-way communication runs between your EMR and its triage software, though it names no system.
- Multiple Assistants: Nurses answer from a pool sized to your call volume, so nobody becomes your person.
- Published Rate: No public rate, and pricing follows call volume and language needs.
6. Luma Health
Luma Health automates the reminders and rescheduling that fill a primary care phone queue, and it integrates bidirectionally with the major EHR systems. Your staff still runs it, so the software trims call volume and never works a denial.
Key factors
- Primary Care Workflow: It publishes a primary care page, and its customer stories run to health systems the size of Banner.
- HIPAA Safeguards: It holds HITRUST CSF r2 certification and ISO 27001:2022, and it signs BAAs with customers.
- Works Inside Your EHR: Bidirectional integrations cover Epic, athenahealth, eClinicalWorks and NextGen.
- Multiple Assistants: Software scales by location and volume, and it places nobody.
- Published Rate: No public rate appears on any page.
7. ModMed

ModMed moves phone traffic into secure text threads and transcribes voicemail into the same patient conversation. Practices report a quieter phone line, though the feedback below flags reliability questions worth a demo.
Key factors
- Primary Care Workflow: Its named customers sit in dermatology and pain management instead of primary care.
- HIPAA Safeguards: It publishes HIPAA compliant messaging with two-factor authentication for patients.
- Works Inside Your EHR: Directory listings name athenaOne, ModMed and Nextech, though its own site names no system.
- Multiple Assistants: Software again, so your team absorbs whatever it misses.
- Published Rate: No public rate, and the vendor quotes each practice.
8. Cyberbacker

Cyberbacker matches Philippines-based assistants to real estate and mortgage teams through a screening process that accepts fewer than one percent of applicants. Nothing on its site addresses patient records, so a primary care office carries the privacy training.
Key factors
- Primary Care Workflow: Its 38 published roles center on general admin and sales support, with six in real estate or lending.
- HIPAA Safeguards: No HIPAA claim or privacy training program appears on its site.
- Works Inside Your EHR: It names no clinical software.
- Multiple Assistants: Its site never addresses a second hire.
- Published Rate: No public rate, and every path leads to a consultation.
Best for Covering the Front Desk and Refill Requests With the Same Person Every Day
| Rank | Company |
|---|---|
| 1 | DocVA |
| 2 | Stealth Agents |
| 3 | Helpware |
| 4 | Near |
Best for After-Hours and Weekend Patient Calls
| Rank | Company |
|---|---|
| 1 | TriageLogic |
| 2 | DocVA |
| 3 | Helpware |
| 4 | Luma Health |
This ranking reflects a scored evaluation of virtual assistant companies serving primary care practices across five weighted criteria, using publicly available information and reviews as of 2026. Providers may be added or reordered as new information becomes available.






