The call that comes in while someone's checking in
It's 10:40 on a Tuesday. Your front desk is collecting a copay, scanning an insurance card and walking a patient through a form. The phone rings, then rings again. By the time anyone can grab it, the caller has hung up. If that was someone looking for a new primary care doctor, they may already be dialing the next clinic on their list.
This post covers one use case: putting an AI phone agent on the calls your staff can't get to, so new patients get an answer, get their routine questions handled and get booked.
The phone is still where the work piles up. In a March 2026 poll, MGMA asked medical practice leaders which phone tasks take up the most staff time. Eligibility and prior authorization came first at 45 percent. Scheduling was second at 31 percent. Leaders said scheduling calls run long mostly because openings are limited, so staff end up hunting for a slot with the right provider or visit type while the caller waits.
What the phone agent actually does
A Paglow Phone Agent gets its own dedicated number. You can forward overflow and after-hours calls to it, or publish it as your new-patient line. It works from a script you approve, and it:
- Tells callers right away that they're talking to an automated assistant, and how to reach a person
- Answers the questions your desk hears fifty times a day: Are you taking new patients? Which insurance plans do you accept? Where do I park? What should I bring?
- Collects the caller's name, callback number, reason for the visit and insurance carrier
- Offers open new-patient slots and books one, or flags the request for staff when it needs a human decision
- Sends anyone describing an emergency straight to 911, with no screening questions first
Every call is transcribed and saved to your CRM. At 8 a.m. your staff can see who called overnight, what they wanted and what got booked. Nobody has to replay voicemails.
The agent doesn't give medical advice, assess symptoms or touch prior authorizations, and that's on purpose. It does three things: answer the phone, answer the routine questions and put a name on the schedule.
Setting it up without creating a new problem
A careful practice manager should insist on a few things before turning this on.
Start with disclosure. Ohio has no AI law written specifically for health care yet, though lawmakers have had several proposals in committee. Other states are moving faster. California, for example, requires providers who use generative AI to write patient messages to include a disclaimer and tell patients how to reach a human. If the agent identifies itself on every call from day one, you're covered no matter what Columbus decides.
Next, privacy. Callers will give the agent their names, birthdates and reasons for wanting an appointment. That's protected health information. Get a business associate agreement signed, and confirm where transcripts are stored, before the first call comes in.
Keep the insurance answers current. If you drop a plan in January and the script still says you take it, you've automated a wrong answer. Make one person responsible for reviewing the FAQ every quarter.
Finally, measure it. Pull your phone system's missed-call report for two weeks before launch and two weeks after, and count how many new-patient appointments the agent booked outside office hours. If those numbers don't move, you'll find out quickly, and the transcripts will tell you why.
For a small practice in Allen County, patients aren't going to stop calling. What matters is whether someone, or something, picks up.
Sources
- Phones are still a bottleneck costing medical practices time they can't afford — MGMA
- Axios Columbus newsletter: Ohio and AI in health care — Axios Columbus
- 4 states regulating AI in healthcare — Becker's Hospital Review
- AI disclosure in healthcare: What patients must know — Fox News
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