Telehealth coverage for clinics that want to add virtual care
Caracola Medical is a physician-led, white-label telehealth medical group. We help independent and NP-led clinics add virtual care to a practice, with collaborating physician oversight and after-hours telehealth coverage under the clinic's own name. Founded by J. Chance Miller, MD and Stephanie Miller.
Last reviewed October 11, 2026 · Reviewed by J. Chance Miller, MD
Who is telehealth coverage for clinics built for?
It is for independent practices and NP-led clinics that know their patients well and want to reach them after the doors close. These clinics usually have good clinicians and a full schedule. What they need is backup: a physician to collaborate with, and coverage for the hours they can't staff.
You keep your patients, your name and your way of practicing. We fill the gaps around it. You can read more about our founder, a physician who still sees patients each week.
What do clinic owners tell us keeps them up at night?
Mostly, it's what happens when nobody is in the building. Here is what we hear.
- "Our collaborating physician is hard to reach. When I actually want a second opinion, I'm waiting until tomorrow."
- "Patients message us after we close, and nobody sees it until morning. Some of them end up in the ER for something simple."
- "We tried adding video visits ourselves. It turned into one more inbox and one more thing for my nurses to chase."
As a physician, our founder has worked the other side of this: messages with no context, handoffs with no owner. Coverage works when the physician on call has the chart, the protocol and a clear path back to your team.
How do we help you add virtual care to a practice?
We provide physician oversight, telehealth coverage and the operations behind it, inside your existing practice.
Collaborating physician oversight
Collaborating or supervising physician services for NP-led clinics, designed around your state's rules. See medical director services.
After-hours coverage
Tele-urgent care for your patients when the clinic is closed, with notes back to your team.
New service lines
Weight loss, hormone therapy, preventive health and concierge programs. Browse our clinical services.
Shared protocols
State-rule-aware protocols your clinicians and ours follow the same way.
English and Spanish
Bilingual physician coverage for the Spanish-speaking patients you already serve.
Back-end support
Scheduling, intake, documentation and billing operations for virtual visits.
How does it work?
Every partnership follows the same three steps. The pace depends on your states, your scope and how much is already in place.
Discovery call
We learn about your patients, your clinicians, your state's collaboration rules and where coverage falls short.
Program design
We set up oversight, write shared protocols, define after-hours handoffs and decide which virtual services to add.
Launch and grow
Coverage begins under your clinic's name. We review it with you and expand hours or services as needed.
Already have a platform? No tech yet?
Already have a platform? Most clinics already have an EHR. We work inside it so your charts stay in one place.
No tech yet? If you don't have a telehealth tool, or the one you have isn't working, we can help. No tech yet? We'll point you to the right platform based on what we've actually run. We don't sell software. Our only interest is that it works for your clinic.
Frequently asked questions
Can you act as a collaborating physician for an NP-led clinic?
Yes, we offer collaborating and supervising physician oversight as a service. Requirements differ by state, so we structure the arrangement to fit yours.
What does telehealth coverage for clinics include after hours?
Our physicians see your patients virtually when you're closed, follow shared protocols and send notes back so your team can follow up.
How hard is it to add virtual care to a practice?
It is mostly an operations question. We handle protocols, scheduling and intake so your staff isn't absorbing a new workload.
Who owns the patient relationship?
You do. Care is delivered under your clinic's name, and clinical decisions are made independently by licensed clinicians. Our partner FAQ covers how the relationship works in more detail.
Do you offer Spanish-speaking physicians?
Yes. English and Spanish coverage is available. To start, request a discovery call or email partners@caracolamedical.com.
Let’s build your care program.
A 30-minute discovery call is the fastest way to see if we’re a fit.