You've already paid for the growth you're not getting.

You paid for the marketing that made the phone ring, you pay a team that spends the day answering it instead of looking after the person in front of them, and the patients and clients already on your books are drifting away while nobody has time to call them. We run that front line with trained people and AI voice agents, and we show you which change moved which number.

Twenty years of helping companies like JetBlue, Aurora Health Care, Liberty Latin America, Cinch Home Services and many others.


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Two industries. Nothing else.

We know both well enough to be useful in the first week rather than the sixth month. Pick yours.


Three commitments you've made. All three under-returning.

The marketing

You paid for the lead whether or not anyone picked up. Nobody calls voicemail back. The invoice for that click already cleared.

$25–$200 → $3,000–$30,000What it costs to generate one new opportunity call, against what losing that customer costs.

The budget gets judged on signed cases and booked chairs. The leak sits downstream of anyone in marketing.

The front office

You hired people to look after customers. They spend the day answering a phone instead, and the person at the counter gets half an interaction.

15–60%Of front office time spent answering calls and messages, across the practices and firms we work with.

Nobody quits over one busy afternoon. They quit after a year of them, and the hiring cycle starts again.

The ones you already won

Recall lapses. Follow-ups don't happen. The patients and clients you spent the most to acquire drift somewhere else.

$2,000–$3,000Dental. Treatment still to come when a patient stops mid-plan.
40–50% morePersonal Injury. What a client leaving mid-case costs beyond the $15,000–$30,000 fee, once sunk costs are counted.

Replacing them costs what acquiring them cost. Keeping them costs a phone call.

None of this is a marketing problem, and none of it is fixed by hiring another front desk. It is a coverage problem and a measurement problem, and those are the two things we run.


Which change moved which number.

Your phone system, your practice or case management system and your ad spend have never been connected to each other, so you can tell me what a lead cost and you cannot tell me what a signed case cost.

We connect them, and then we use that to drive the next action: which lead to call now, which patient is overdue, which campaign produced signed cases rather than just calls, and which leads arrived and were never reached at all.

We work in the systems you already run, including Genesys Cloud, Litify, NICE CXOne, RingCentral, Five9, CloudTalk, Dentrix, Eaglesoft, Open Dental and Denticon. What you run is a scoping question, not a capability question.


What that looks like in practice.

20 yrsOperating in customer experience
140+Certified agents
30,000+Dental calls supported every month
1,000–2,000Intakes signed for injury firms every month
A national dental savings program
Dental · Fifteen years

Member services, provider care and insurance verification across general dentistry, orthodontics and pediatric, plus Dental Groups for insurance verification and full front office coverage.

A personal injury firm with 150+ attorneys
Personal Injury · Multi-state

Reception and intake across phone and chat, with the reporting layer tying intake activity back to signed cases and campaign spend.

Now Analytics delivery center, Santiago, Dominican Republic
Santiago, Dominican Republic
Now Analytics delivery center, Cali, Colombia
Cali, Colombia

Start with your own numbers.

Run the calculator for your industry and you get an estimate in two minutes. Send us ninety days of call records and we will measure it properly, and hand the report back within five business days. Both are free, neither puts you on a list, and if the number turns out to be small we will tell you that.

Or run the dental or intake calculator first.