A healthcare patient appointment management system for managing patient appointments. The system includes an interactive voice response (IVR), teleconsult module, and SMS messaging system. The IVR module calls a patient, and solicits patient responses to confirm a patient appointment. The teleconsult module provides a teleconsultation with the patient. And the SMS messaging system provides SMS messages to the patient. A controller is in communication with the IVR module, teleconsult module, and SMS messaging system. The controller receives the patient responses from the interactive voice response module and determines if the patient confirmed the patient appointment. If the controller determines that the patient does not confirm the patient appointment, then the controller sends an SMS message to the patient via the SMS messaging system. The SMS message includes a link to conduct the teleconsultation with the patient and a healthcare provider via the teleconsult module.