--- title: "Automated appointment reminder calls" description: "An AI voice agent that calls patients and clients before their appointment to reduce no-shows: it confirms or reschedules the visit and offers open slots to a waitlist, built on Speko." canonical: "https://speko.ai/solutions/appointment-reminder-calls" last-updated: "2026-11-12" --- > ## Speko page index > The complete index of every page on this site is at: https://speko.ai/llms.txt > Read it before exploring further. It lists the exact Markdown URL for every canonical HTML page. # Automated appointment reminder calls Use cases Call before every visit and fill the slots that open. Press the sphere to call [Build your own](https://platform.speko.ai/sign-in) Cedar Hill Physical Therapy 1. Reminders Hi, this is Cedar Hill Physical Therapy calling about your appointment tomorrow at 10am. Can you still make it? 2. You I can't make it tomorrow. Can I move it? Try saying “I can't make it tomorrow. Can I move it?” “What should I bring to the appointment?” ## Where calls cost you jobs - No-shows leave empty slots that nobody can fill in time. - Staff spend mornings calling to confirm appointments. - Text reminders get ignored, and cancellations come late. ## What changes with the agent on the phone **Speed** Every appointment on the list gets a reminder call. **Revenue** Cancellations come in early enough to offer the slot to someone else. **Staff time** Staff stop making confirmation calls by hand. ## What the agent does Pick a step to see it in the call, or play the call. It is written for this page and is not a recording. Example call, written for this page Cedar Hill Physical Therapy Hi, this is Cedar Hill Physical Therapy calling about your appointment tomorrow at 10am. Can you still make it? Caller Oh, I actually can't do tomorrow morning. Cedar Hill Physical Therapy No problem. I have Thursday at 9 or Friday at 4. Would either work? Caller Friday at 4 is better. Cedar Hill Physical Therapy Done. You're moved to Friday at 4, and I'll text you the new time. ## Put the system in place 1. ### 1Answer every call Point your number at the agent, or bring it over SIP. It answers whenever the number rings. [Phone number setup](https://docs.speko.ai/guides/phone-agents) 2. ### 2Qualify and book on the call A workflow asks your questions and books from your calendar while the caller is still on the line. [See the workflow builder](https://speko.ai/voice-agent-workflow-builder) 3. ### 3Hand off what needs a person Urgent calls transfer to your team, at the moments you choose in the workflow. 4. ### 4Follow up the rest Callers who did not book go on a call list for an outbound follow-up call, or get a text from the same number. [SMS setup](https://docs.speko.ai/sms/registration#fees) 5. ### 5Measure and improve Speko scores every call. Test each change against simulated callers before it goes live. [See monitoring](https://speko.ai/voice-agent-monitoring) [Get started free](https://platform.speko.ai/sign-in) [Book a demo](https://speko.ai/book) $10 in credit on signup ## What missed calls are worth The agent costs $0.09 per minute. A 3 minute inbound call on a Speko number is from $0.30. Example values. Set your own to see what missed calls are worth. Of those, how many would book Minutes per call **Jobs booked from missed calls** 15 **Revenue those jobs bring** $4,500 **Agent cost, 180 min at $0.09 plus carriage** from $18.00 **Revenue for each $1 of agent cost** $250 [Start answering every call](https://platform.speko.ai/sign-in) $10 in credit on signup **Cost details** - $0.09 per minute on Speko infrastructure, across speech-to-text, the language model and text-to-speech. - Phone calls on Speko numbers add the carrier's charge for the call, including its taxes and fees, plus 20%, at least $0.01 per minute inbound and $0.015 per minute outbound. US calls usually cost the minimum; some international routes cost more. Calls over your own SIP trunk add nothing. - A Speko phone number costs $1 setup and $2 a month for most numbers, paid from your credits. A number the carrier prices higher sells at the carrier's setup price. - Calls bill from answer to hang-up. Ringing, unanswered calls, and calls where the agent never speaks or that fail on our side cost nothing, refunded automatically. [See the full pricing](https://speko.ai/pricing) ## Questions **Can it make automated reminder calls to reduce no-shows?** Yes. The agent places outbound calls from a call list, so you load the day's appointments and it calls each one. **What happens when the patient does not answer?** The agent can send a text from the same Speko number with the time and a number to call back. **Can it reschedule, not just remind?** Yes. Calendars plug into any step of a workflow, so the agent offers open times and moves the appointment on the call. **Can I keep my existing number?** Yes. Bring your own number over a SIP trunk, or buy a Speko number in the console. Calls over your own SIP trunk add no telephony charge from Speko. **What does an appointment reminder agent cost?** A call costs $0.09 per minute on Speko infrastructure across speech-to-text, the language model and text-to-speech. A Speko phone number adds the carrier's charge plus 20%, at least $0.01 per minute inbound. A 3 minute inbound call on a Speko number is from $0.30. Signup includes $10 in credit. 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