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Case Study · 18-Provider Orthopaedic Surgery Practice · Q2 2026

Answering Every Call, at 1/5 the Cost.

How a High-Volume Orthopedic Group Replaced a $51K/Month Contact Center with an AI-Native Patient Access Layer, Lifting Call-Answer Rate from 20% to 100% Instantly.

SMOC · Multi-site surgical group · 18 providers · 6-week deployment · Subspecialty-routed

Headline Results, First 90 Days Live

100%
Call-answer rate
up from a 20% baseline
–80%
Contact-center cost
$51K → $10K per month
>1,000
Appts booked / mo
up from ~640
< 4 min
Ring-to-booked
no hold time

Annualized Impact, Run-Rate

+$1.2M
Additional surgical revenue
10% surgical conversion
+$1.4M
Additional clinic revenue
+400 new-patient appts/mo
–$492K
Administrative cost reduction
contact center $51K → $10K/mo

Run-rate basis: +400 new-patient appointments/mo · $285 avg clinic revenue per appointment · 10% surgical conversion at $2,500 avg revenue per case · contact-center cost $51K → $10K/mo.

The Situation and the Outcome

The Situation

In June 2024, SMOC hired 18 receptionists at $68K total comp each, a $1.2M annual bet on staffing its way out of a phone problem.

Twelve months later, half had quit and only 20% of inbound calls were being answered. The remaining nine receptionists cost $51K/month and still couldn't keep up with patient demand.

  • 50% attrition in 12 months. 9 of 18 receptionists gone by mid-2025.
  • 80% of calls unanswered. Voicemail, hang-ups, missed bookings.
  • $612K/year in payroll for a front desk that couldn't pick up the phone.

The Outcome

ClinicFlow replaced the call-handling layer entirely. An AI voice agent, bidirectionally integrated with EMR Athena, picks up every call, performs subspecialty-aware triage, books directly into the surgeon's schedule, and escalates urgent issues to the on-call provider with a structured text summary.

MetricBeforeAfter
Call-answer rate20%100%
Avg hold time8m 14s0s
Contact-center cost / mo$51,000$10,000
Subspecialty mis-routing~30%< 4%
New-patient appts / mo~6401,040+

See How Each Call Type Is Handled

The Call Library shows exactly what ClinicFlow does on every kind of call SMOC receives: after-hours urgent triage, new-patient scheduling, daytime overflow, and 9 more.

Run your own numbers with the missed-call calculator, or read the buyer's guide for orthopedic practices.

Hear the Scheduling Agent in a Live Demo

Book a demo to hear the AI handle a patient call: scheduling, rescheduling and triage.

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