A system is provided that receives a first message from a patient device containing patient information comprising at least one of demographic, health insurance, medication, and medical history and requesting an appointment with a first health care provider. If the first message does not designate a provider for the requested appointment, the system lists providers for review and selection. The system determines that the first provider one of designated and selected is a subscriber to automated check-in services provided by the system. The system verifies patient health insurance coverage and determines patient deductible balance and insurer copayment requirement, contacts the first provider, provides the patient information, and requests available appointment dates and times and patient account information. The system sends a second message to the device providing available appointment dates and times and requesting payment for an amount owed and receives appointment selection and payment instructions for the amount owed.