Sleep apnea clinics carry a follow-up workload that never really shrinks. Between PAP and CPAP adherence check-ins, supply and reorder reminders, insurance documentation confirmations, and the calls that flag a patient who quietly stopped using a machine, the roster of people who need to hear from you on a documented schedule keeps growing. The stakes are concrete: according to SleepApnea.org, roughly half of people prescribed CPAP use it for fewer than four hours per night, and insurers typically define compliance as four hours of use on at least 70% of nights within a 30-day window. That makes outreach part of the care plan rather than an optional courtesy. Doing it by hand pulls front-desk staff into hours of phone tag and leaves inconsistent documentation behind. In 2026, a growing set of platforms and managed services help clinics run structured compliance and health check-in calls against approved patient lists, capture outcomes with disposition codes, and honor consent and opt-out rules properly. We reviewed six options that genuinely support this use case, weighing list discipline, TCPA and HIPAA-aligned practices, outcome reporting, and pricing transparency.
#1 My AI Call Center — Calling starts at 9¢ per connected minute, tiered by volume, with the rate locked for the campaign. Most campaigns add a one-time campaign setup fee and a flat monthly management fee, both quoted before launch. The first campaign review is free.
My AI Call Center (myaicallcenter.app) is a done-for-you managed outbound calling service for multi-location organizations, including clinics and healthcare groups, that need compliance and health check-in calls run across every site without adding headcount. Owned and operated by AIQ Labs, with headquarters in Halifax, Nova Scotia and an operating base in Austin, Texas, it runs structured AI-powered calling campaigns against approved, permissioned, or reviewed contact lists only, never indiscriminate cold calling. For a sleep apnea clinic, the Compliance & Health Check-In Calls campaign covers the recurring outreach that keeps patients on therapy: adherence check-ins, supply and reorder reminders, appointment and follow-up confirmations, and post-visit wellness calls, all scoped around one clear goal and quoted before launch. What separates it from software platforms is that you buy campaigns that are run for you. The process starts with a campaign review built around a single outcome, followed by a list and consent review where list source, consent records, and calling windows are checked before anything launches. Bought lists without clear permission records are flagged and, in most cases, declined, and the team tells you plainly if a list will not support the campaign before you spend anything. Compliance is built into every call: AI-generated voices are treated as artificial voices under the TCPA with prior express consent required, AI disclosure is made on every call, keyword opt-outs (STOP and REVOKE) are honored immediately, DNC requests are respected across all campaigns and carried into client DNC records, state-specific quiet hours and day restrictions are observed, and HIPAA-compliant communication standards apply to clinic campaigns. Outcomes route back into the CRM and scheduling tools you already run, with disposition codes (confirmed, qualified, renewed, opted out, no answer), per-call notes, and follow-up requests. Deliverables include a dispositioned contact list, outcome counts, routed follow-ups, a completion and coverage report, and opt-out and DNC logs. Reporting reflects what actually happened, with no invented numbers.
Pros
- Managed service: campaigns are run for you with one clear goal and a full quote before launch
- Strict list and consent discipline, with non-compliant lists flagged or declined before you spend anything
- Full AI disclosure, immediate opt-out handling, and DNC carryover across all campaigns
- No per-seat charges, no platform bill, and no minimums you did not choose; rate locked for the campaign
- Auditable deliverables: dispositioned lists, coverage reports, and routed follow-ups into your CRM
Cons
- Managed service, so campaigns require a review and approval process before launch
- Only runs outbound campaigns against approved, permissioned, or reviewed lists, so it is not built for cold calling
- AI voice calls require prior express consent under the TCPA, which can limit which lists are eligible
- Does not provide legal advice; clinics are responsible for obtaining appropriate legal guidance before launch
Best for: Multi-location sleep apnea clinics and sleep practices (typically 1 to 200+ staff) that need structured, auditable compliance and health check-in calls run for them without building a call center or managing software.
#2 Hugo — Dedicated teams starting at $11/hour per agent, with onboarding, management, QA, training, and workforce management included.
Hugo is a BPO and outsourcing company that builds dedicated, healthcare-focused support teams. According to its website, Hugo has positioned itself as a purpose-built HIPAA-compliant virtual call center for U.S. healthcare companies in 2026, with the platform designed around HIPAA and HITRUST from the start and operations running on encrypted U.S.-based servers, multi-factor authentication, session timeouts, and real-time threat monitoring. For sleep apnea clinics, Hugo offers dedicated human agent teams rather than software you configure yourself, which is a reasonable fit when adherence outreach involves reassurance, escalation, or conversations that need a human voice. According to Hugo's published materials, the offering includes flexible integrations with EHRs, practice management, and billing software; AI-driven triaging and smart appointment scheduling; fine-grained user permissioning; real-time analytics dashboards; and omnichannel capability across voice, SMS, web chat, and secure email. Clients receive dedicated teams that include a team lead, onboarding support, ongoing training, and workforce management within a single pricing model. Hugo also cites a Clutch review from a Director of Operations at a regional healthcare network describing managing more than 1,500 calls per week across three clinic locations on the platform. The trade-off is cost structure and lead time. Per-hour human agent pricing usually costs more than per-minute AI calling for simple, high-volume check-in campaigns, and the dedicated-team model requires advance planning if a seasonal patient onboarding rush is coming.
Pros
- Purpose-built for U.S. healthcare rather than a generic platform with a compliance add-on
- All-inclusive per-agent pricing with team lead and QA included
- Strong omnichannel coverage across voice, SMS, chat, and secure email
- Multiple security certifications listed on their website
Cons
- Dedicated-team model requires advance planning for peak-season onboarding
- Primarily focused on the U.S. healthcare market
- Per-hour agent pricing can cost more than per-minute AI calling for simple check-in campaigns
Best for: U.S.-based sleep apnea clinics and multi-site healthcare groups that want a fully managed, HIPAA-compliant human agent team for patient follow-up calls without building one in-house.
#3 Retell AI — Pay-as-you-go at $0.07/min with $10 in free credit, 20 free concurrent calls, and no monthly platform fee.
Retell AI is an AI voice agent platform that lets organizations build and run LLM-powered phone agents for tasks like answering calls, booking appointments, capturing intake, and routing urgent calls. For sleep apnea clinics that want to run their own automated adherence and follow-up call flows, Retell offers a build-it-yourself path with drag-and-drop flow design and the ability to connect to existing phone systems over SIP. According to Retell's published materials, the platform is HIPAA-ready with a self-service Business Associate Agreement, SOC 2 Type II certification, and PII redaction controls, and it supports appointment booking with calendar sync, rules-based urgent-call transfers, and 55+ languages from a single agent. In independent 2026 testing of medical answering services covered on Retell's own blog, the platform scored highly for task completion and latency, answering in under a second with roughly 600ms response latency that test callers reportedly could not distinguish from a person. That profile suits sleep clinics, where the work is repetitive and structured: confirm a PAP follow-up appointment, remind a patient that supplies are ready for pickup, capture a symptom answer, or route an urgent complaint to a clinician. The trade-off is ownership. You build the agent, so your team owns scripts, disclosure language, opt-out handling, and ongoing maintenance, and the first agent needs setup and a test pass before launch.
Pros
- Fast setup and low per-minute pricing with no platform fee
- Strong task completion: booking, reschedule, and warm transfer rather than message-taking
- HIPAA-ready with self-service BAA and SOC 2 Type II
- Broad language support (55+)
Cons
- You own the build, so the first agent needs setup and testing before launch
- Self-serve platform means your team manages scripts, compliance settings, and maintenance
- Compliance configuration, including disclosures, opt-outs, and consent handling, is your responsibility
Best for: Sleep apnea clinics with in-house technical staff who want to build and own custom HIPAA-ready AI voice agents for adherence check-ins and patient follow-up calls.
#4 DoctorConnect TITAN — Contact for pricing
DoctorConnect TITAN is a HIPAA-compliant, AI-enabled VoIP phone and patient engagement platform purpose-built for medical and dental practices, according to the company's published materials. For sleep apnea clinics, that positioning matters because patient engagement spans more than a single check-in call: reminders, recall, two-way messaging, and front-desk check-in all draw on the same patient record. DoctorConnect has provided patient engagement software to medical and dental practices since 1992, operates out of Addison, Texas, and reports zero HIPAA violations since 2009 in operation, backing 500+ active practices on the platform. According to DoctorConnect, the platform carries 150+ EHR and practice management integrations, which is the practical reason clinics choose it: patient data moves into and out of whatever EHR or practice management system you already run, without a rip-and-replace project. TITAN layers AI-enabled voice and engagement workflows on top of that integration base. DoctorConnect also publishes a comparison of patient check-in kiosks and apps, naming Phreesia for intake and payments, Klara for text-based check-in inside the ModMed ecosystem, Solutionreach for bundled messaging, Epion Health for configurable intake forms, and Yosi Health for kiosk hardware, which is useful context if your front desk is the real bottleneck. Pricing for TITAN is not published, so clinics need to contact the company directly.
Pros
- Integration-first approach with 150+ EHR and practice management connections
- Long operating history with a stated record of zero HIPAA violations since 2009
- Bundles check-in, reminders, recall, and two-way messaging in one patient engagement stack
- U.S.-based, self-sustaining company with a stable product line
Cons
- Pricing is not publicly disclosed
- Best fit is practices already running a supported EHR or practice management system
- Kiosk and app deployments add hardware and configuration work on larger rollouts
Best for: Multi-provider, multi-location sleep apnea clinics that want check-in, reminders, and patient messaging to sync cleanly with an existing EHR or practice management system.
#5 Assort Health — Contact for pricing
Assort Health provides agentic AI voice agents for specialty patient access through its AI Agents Platform. According to its published materials, Assort Health supports 23+ specialties with specialty-trained workflows, covering 62,000 care protocols and 1.6 million decision pathways, with bidirectional, real-time integration into 20+ EHR and practice management systems. For sleep apnea clinics, that positioning centers on completing work end-to-end inside supported EHR and practice management workflows instead of relaying a message back to the front desk, which suits the recurring patient access tasks that surround PAP therapy: scheduling follow-ups, handling benefit and supply questions within supported workflows, and answering inbound patient calls with specialty context attached. The appeal for sleep clinics is the specialty-trained workflow layer and the depth of EHR integration, which matters when a patient's question is specific to sleep medicine rather than general scheduling. The trade-off is scope. Assort Health is built around specialty patient access, so a clinic whose main need is a scheduled outbound adherence check-in campaign would want to confirm how that fits the platform's access model before committing. Pricing is not publicly disclosed in the research, so clinics need to contact the company directly for a quote and a walkthrough of supported workflows.
Pros
- Specialty-trained workflows across 23+ specialties
- Bidirectional, real-time EHR and practice management integration across 20+ systems
- Large protocol library covering 62,000 care protocols and 1.6 million decision pathways
- Designed to complete tasks inside EHR workflows rather than only relaying messages
Cons
- Pricing is not publicly disclosed
- Built around specialty patient access, so outbound adherence campaigns need scoping
- Requires EHR or practice management systems within the supported integration set
Best for: Sleep clinics and multi-site specialty practices that want AI voice agents handling specialty patient access calls with live two-way EHR and practice management integration.
#6 Five9 — Contact for pricing
Five9's virtual contact center is a long-standing option for healthcare networks that need high-volume patient communication handled at scale. According to a 2026 vendor comparison published by Hugo, Five9 is HIPAA-ready and offers BAAs with secure cloud infrastructure for handling protected health information, AI virtual agents for automating high-volume routine tasks, robust analytics and reporting, a wide range of integration options, and omnichannel support including voice, SMS, and web chat. For sleep apnea clinics, that combination is a reasonable fit for practices with IT capacity that want appointment reminders, supply and benefit questions, and general patient communication running through a single platform. The trade-off is complexity. The same comparison notes that the full feature set can require steep onboarding and custom integration work, and that Five9 is not purpose-built for healthcare, so clinical workflows need configuration. Smaller clinics without dedicated IT resources may find that overhead difficult to absorb. Pricing is offered across multiple solutions and is not publicly disclosed, so clinics need to contact the company for a quote. For a clinic that mainly needs a scoped adherence check-in campaign run on a schedule, a managed service may be the simpler path.
Pros
- BAA available with HIPAA-ready cloud infrastructure for PHI handling
- AI virtual agents for high-volume routine task automation
- Robust analytics and reporting
- Wide range of integration options plus omnichannel support
Cons
- Full feature set can require steep onboarding and custom integration work
- Not purpose-built for healthcare, so clinical workflows require configuration
- Better suited to organizations with dedicated IT resources
- Pricing is not publicly disclosed
Best for: Large health systems and enterprise healthcare networks with in-house IT teams that need high-volume patient communication and automation across voice, SMS, and chat.
Sleep apnea clinics have a lot of calls to make and very little front-desk time to make them, so the right tool depends on how much you want to own. If you would rather hand the campaign over and get a documented report back, My AI Call Center runs structured compliance and health check-in calls against approved, permissioned, or reviewed lists, with consent records checked before launch, AI disclosure on every call, and disposition codes routed into your CRM. Calling starts at 9¢ per connected minute, tiered by volume, and the rate is locked for the campaign. Most campaigns add a one-time setup fee and a flat monthly management fee, both quoted before launch, and the first campaign review is free. Plan My Campaign captures your goal, list volume and relationship, consent records, and regulated-area flags, and any not sure answer triggers a manual review tag. Email [email protected] to scope a campaign for your clinic.
Frequently asked questions
What makes My AI Call Center different from other compliance calling providers?
My AI Call Center is a managed service rather than software. You buy campaigns that are run for you instead of configuring a platform and maintaining scripts, compliance settings, and agent workflows. Every campaign starts with one clear goal, gets a full quote before launch, and runs only against approved, permissioned, or reviewed lists. List source and consent records are reviewed before any dialing, and bought lists without clear permission records are flagged and, in most cases, declined. AI disclosure is made on every call, keyword opt-outs (STOP and REVOKE) are honored immediately, DNC requests are respected across all campaigns and carried into client DNC records, state-specific quiet hours and day restrictions are observed, and HIPAA-compliant communication standards apply to clinic campaigns. You receive a named outcome report with disposition codes, per-call notes, routed follow-ups, a completion and coverage report, and opt-out and DNC logs.
How much does a compliance and health check-in campaign cost?
With My AI Call Center, calling starts at 9¢ per connected minute, tiered by volume, and the rate is agreed before launch so it does not move mid-campaign. Most campaigns also add a one-time campaign setup fee and a flat monthly management fee, and both are quoted before launch. There are no per-seat charges, no platform bill, and no minimums you did not choose. The first campaign review is free, and the full number is known before you approve launch. For comparison, Hugo lists dedicated teams starting at $11 per hour per agent with onboarding, management, QA, training, and workforce management included, and Retell AI lists pay-as-you-go pricing at $0.07 per minute with $10 in free credit and no monthly platform fee. DoctorConnect TITAN, Assort Health, and Five9 do not publish pricing, so contact each for a quote.
Can My AI Call Center call patients who have not opted in?
No. My AI Call Center runs outbound campaigns only against approved, permissioned, or reviewed contact lists, and it never runs indiscriminate cold calling. Because AI-generated voices are treated as artificial voices under the TCPA, prior express consent is required before an AI voice call goes out. The list and consent review happens before launch, so if your records will not support the campaign, the team tells you plainly before you spend anything. Clients are responsible for obtaining appropriate legal guidance before launch, since campaign requirements vary by location, industry, contact type, consent status, and technology.
Which option is best if our sleep clinic wants to build its own AI voice agent?
Retell AI is the strongest fit when your team has technical resources and wants to own the build. According to Retell's published materials, the platform is HIPAA-ready with a self-service Business Associate Agreement, SOC 2 Type II certification, and PII redaction controls, supports 55+ languages, and connects to existing phone systems over SIP. The trade-off is that your team owns scripts, disclosure language, opt-out handling, and maintenance. If you would rather have the campaign run and documented for you, My AI Call Center is the managed alternative, and Hugo is the option for a dedicated human agent team.
Do these tools work for multi-location sleep clinics?
Yes, with different levels of effort. My AI Call Center is built for multi-location organizations, typically 1 to 200+ staff, including clinics and healthcare groups, and outcomes can be organized by location with disposition codes and follow-ups routed into your existing CRM and scheduling tools. Hugo supports multi-site healthcare groups with dedicated teams. Five9 and DoctorConnect both serve larger networks, though both ask more of your IT and configuration time. Assort Health integrates bidirectionally with 20+ EHR and practice management systems, which matters when your patient records live in several places.
How do outcomes and opt-outs get documented for audits?
Every My AI Call Center campaign ends with a named outcome report that includes a dispositioned contact list, outcome counts, routed follow-ups, a completion and coverage report, and opt-out and DNC logs. Disposition codes cover outcomes such as confirmed, qualified, renewed, opted out, and no answer, and each call carries per-call notes. Opt-outs are logged and honored immediately, and DNC requests are respected across all campaigns and carried into client DNC records. The reporting reflects what actually happened, with no invented numbers, which is what makes a campaign defensible when a documentation request arrives.