The AI Medical Receptionist Built for Multi-Location Practice Groups

Book appointments, capture intake, and cover after-hours calls across 10 to 200 locations — without adding a single front-desk seat. Powered by Latenode, with 500+ integrations and 300+ AI models behind every call.

Powered by Latenode · 500+ integrations · 300+ AI models · from $0.02/min at high volume · 250 free minutes/month

Why multi-location practice groups need an AI receptionist

If you run a DSO, vet group, medspa franchise, optometry network, or urgent-care chain, your phone is your patient-acquisition channel. And at 10+ locations, it is also your most expensive operational bottleneck.

A single missed booking is worth $200 to $2,000 in lost revenue. Multiply that by the calls your front desk drops every Monday morning, every lunch hour, and every evening after 6 p.m. Then multiply again by the number of locations on your roster. The number gets serious quickly.

SpeakNode is the AI receptionist designed for that math. It answers every inbound call, books or reschedules the appointment, captures intake, and writes the result into your scheduling system — across all your locations, 24/7.

The missed-call math

  • Each location takes roughly 80 to 250 inbound calls per week.
  • Front-desk staff miss 20–40% of those during peak windows, overflow, and after-hours.
  • At an average $600 per booked visit, a 25-location group loses high five figures per month to dropped calls alone.
  • An always-on AI receptionist catches the overflow and the after-hours tail — the calls a human front desk physically cannot.

Why the front desk is the bottleneck at 10+ locations

Adding front-desk headcount is the wrong shape of solution. Call volume spikes by hour of day, not by location count. You need 50 lines on Monday at 9 a.m. and 4 lines at 11 p.m. You cannot staff a U-shape like that. Answering-service contracts solve part of the problem at $800 to $2,500 per location per month — and they do not write into your PMS. Voice AI scales with the spike and writes back into your systems on the same call.

Automate Routine Calls Without Growing Headcount

Example: 6,500 routine calls per month (~433 hours of agent time)

Human Team

$11,526.67

per month

SpeakNode AI

$1,765.50

per month

Potential savings: up to 85%

Based on 4-min average calls, $19/hr fully loaded support wage, and a low-cost AI model configuration. Actual results vary by workflow, usage, and provider choice.

See full pricing breakdown

What the AI medical receptionist does

Every required capability, covered as discrete functions. The AI handles each on-call, end-to-end, then triggers a Latenode workflow to write the result into the rest of your stack.

Appointment booking and rescheduling

The agent reads your scheduling availability, offers the patient a time, confirms the slot, and writes the booking back to your practice management system on the same call. For reschedules it cancels the original slot, books the new one, and sends the patient a confirmation. No callback queue, no manual data entry.

New-patient intake and insurance verification capture

For new patients, the agent collects name, date of birth, reason for visit, insurance carrier, and policy details using a structured intake script you control. The captured fields land in your PMS or CRM as a structured record, ready for your team to verify benefits before the visit.

24/7 and after-hours call coverage

Calls that arrive outside business hours are answered immediately. The agent books non-urgent appointments for the next available slot, captures messages, and flags anything urgent for callback the next morning. No voicemail. No “we're closed, call back tomorrow.”

Call routing and transfer to your staff line

Calls that need a human (billing disputes, complex clinical questions, emergencies) are transferred to your designated staff line. The agent collects context first so your team picks up with the patient's name, reason for call, and any relevant history already on screen.

Multilingual support (English and Spanish)

Pick the AI model that supports your patient base. English and Spanish are the common starting pair for US practices; SpeakNode does not lock you into a single voice provider, so you choose the language pair that fits your market.

Missed-call recovery and callbacks

For calls that drop or come in during a brief outage, the agent dials the patient back automatically and offers to book the appointment they were calling about. Lost revenue per missed call drops because the call is no longer lost.

Want to hear a live agent? See live demos on the demo listing page.

How it fits your existing stack

You should not have to switch your PMS to deploy voice AI. SpeakNode runs on Latenode's workflow engine, so the call is the trigger and your existing systems are the destinations. Connect via Latenode's 500+ integrations, HTTP nodes, or webhook nodes.

Practice management (via API / webhook)

  • Dentrix
  • Open Dental
  • Eaglesoft
  • ezyVet
  • Athenahealth
  • NexHealth
  • Weave

CRM & patient engagement

  • HubSpot
  • Salesforce
  • GoHighLevel

Payments & confirmations

  • Stripe
  • SMS
  • Email

Telephony

  • Twilio
  • Telnyx
  • Your existing SIP trunk

Powered by Latenode · 500+ integrations · HTTP / webhook reach

Connect your CRM, scheduling, and payment tools via Latenode workflows

Your call-handling workflow is a graph. The voice agent is one node. The next nodes write to your PMS, charge a no-show deposit through Stripe, push the patient into your CRM, send the SMS confirmation, and trigger your reminder sequence. All on the same call, no engineering team required.

Native pre-built connectors for every PMS are not claimed — what is claimed is that the workflow engine reaches them the way your IT team would: through standard interfaces.

Compliance and data handling

Be careful with vendors that claim “HIPAA compliant” on a marketing page. The honest framing matters.

Your data stays in your AI provider account (e.g., your OpenAI, Anthropic, or Deepgram tenant with its own BAA where applicable). SpeakNode orchestrates the workflow.

In practice, that means you choose an AI provider that signs your BAA, configure your workflow so PHI is processed inside their environment, and SpeakNode passes the call between nodes without holding patient data outside that environment. SpeakNode itself does not claim HIPAA compliance, does not claim SOC 2 certification, and does not sign BAAs directly. Anyone telling you otherwise about a voice AI orchestration layer is overstating what their software does.

Pricing built for practice-group volume

Pricing is usage-based and tiered. The more minutes you run, the lower your per-minute rate.

Monthly minutesRate
First 250 min/moFree (every account)
250 – 500 min$0.07/min
500 – 1,000 min$0.06/min
1,000 – 4,000 min$0.05/min
4,000 – 25,000 min$0.04/min
25,000 – 100,000 min$0.03/min
100,000+ min$0.02/min

Concurrent lines are free up to 10. After that, you pay $7 to $10 per line per month up to 100 lines — enough to cover Monday-morning call spikes without a per-call overage.

What that looks like in practice

Using the call-volume profile typical for a healthcare practice (~150 inbound calls/week per location, 4 minutes per call):

1 location

$127.50/mo

platform (minutes only)

2,600 min/mo · 5 lines

10 locations

$1,067.50/mo

platform (minutes only)

+ $100.00/mo concurrency lines

26,000 min/mo · 20 lines

50 locations

$3,887.50/mo

platform (minutes only)

+ $350.00/mo concurrency lines

130,000 min/mo · 50 lines

AI provider costs (LLM, speech-to-text, text-to-speech) are billed by your provider directly, not by SpeakNode. The calculator on the pricing page totals both sides.

Usage-based pricing. 250 free minutes/month. No credit card to start.

Pricing Calculator

Estimate your monthly costs with our transparent, usage-based pricing. Only pay for what you use beyond the free tier.

Voice Minutes
minutes
0250 free100,000
25,750 minutes billable
Concurrent Lines
lines
010 free100
10 lines billable

Estimated Monthly Cost

$1,167.50/month

Based on 26,000 minutes and 20 concurrent lines

Effective rate: $0.04 per minute

Estimate the Cost of Routine Call Handling

Compare manual call handling with automated voice workflows based on your monthly volume and staffing assumptions.

$19/hr
$10/hrUS median: $19/hr$50/hr
6,500 calls/mo (26,000 min)4-min avg call15 calls/hr per agent1.4x overhead multiplier
Human team$11,526.67/mo

~433.3 hrs/mo at $19/hr (×1.4 fully loaded)

SpeakNode AI$1,765.50/mo

Platform: $1,167.50 + AI providers: ~$598.00

Potential monthly savings

$9,761.17

up to 85% reduction

Estimates based on 4-min avg calls, 15 calls/hr per agent, and 1.4x overhead multiplier. AI provider costs estimated with GPT-4.1 Mini. Actual results vary.

+ Estimated AI Provider Costs

Example: OpenAI

LLM, STT & TTS are billed separately based on your chosen provider. Use top cloud providers or connect your own models with your API keys.

+$598.00

/month

LLM

GPT-4.1 Mini

$52.00

26,000,000 tokens

STT

GPT-4o Transcribe

$156.00

26,000 min

TTS

GPT-4o Mini TTS

$390.00

26,000 min

LLM: $0.80/1M input, $3.20/1M output tokensSTT: $0.006/minTTS: $0.015/min
Cost Breakdown

Minutes

0 - 250 min
250 × FREEFREE
250 - 500 min
250 × $0.07$17.50
500 - 1,000 min
500 × $0.06$30.00
1,000 - 4,000 min
3,000 × $0.05$150.00
4,000 - 25,000 min
21,000 × $0.04$840.00
25,000 - 26,000 min
1,000 × $0.03$30.00
Subtotal$1,067.50

Concurrent Lines

0 - 10 lines
10 × FREEFREE
10 - 20 lines
10 × $10.00$100.00
Subtotal$100.00

Total Monthly Cost

Including all usage above free tiers

$1,167.50

per month

Pricing Tiers Reference

Voice Minutes

0 - 250FREE
250 - 500$0.07/min
500 - 1,000$0.06/min
1,000 - 4,000$0.05/min
4,000 - 25,000$0.04/min
25,000 - 100,000$0.03/min
100,000+$0.02/min

Concurrent Lines

0 - 10FREE
10 - 20$10/line
20 - 30$9/line
30 - 50$8/line
50 - 100$7/line

How SpeakNode compares to general AI receptionist tools

The horizontal AI receptionist tools (the ones that show up first in a Google search) are built for single-chair clinics and solo offices. They do one thing well: answer one phone, book on one calendar.

SpeakNode is built for the other shape of customer: a practice group with 10 to 200 locations, multiple PMS instances, regional schedules, and a CFO who has a number on missed-call revenue loss. The differentiator is Latenode workflow depth under the call (500+ integrations, conditional branching, multi-system writes on a single call), not voice quality.

Honest limitation: if you run a single-location independent practice, a horizontal tool may be simpler to set up. SpeakNode pays for itself starting at the volume where workflow depth and per-minute pricing matter — typically the third or fourth location.

Related solutions

Voice AI for other high-volume use cases on your roadmap.

Qualify inbound leads and book the meeting before they go cold.

AI lead qualification for real estate and home services

Honest feature grid against Vapi, Retell, Synthflow, Bland, and Air.ai.

Compare Vapi alternatives and other voice AI platforms

Frequently asked questions

Common questions about AI medical receptionists and SpeakNode.

Always-on, across every location.

You do not have to roll the AI receptionist out across every location on day one. Most practice groups start with one location, prove the missed-call recovery and after-hours coverage, then expand to the rest of the network on the same workflow.

Usage-based pricing from $0.02/min at high volume, 250 free minutes every month, no credit card to start.