Telehealth providers face a specific retention challenge: patients are accustomed to the convenience of virtual care, but they also have the option to switch to a competitor just as easily. Keeping a patient costs significantly less than acquiring a new one, yet many practices lose patients quietly between appointments. The key is proactive communication. You need to reach out before a patient decides to leave, not after. Renewal and retention calls are the most effective way to do this, but most clinics do not have the staff capacity to make hundreds of calls a week. That is where specialized calling solutions come in. We reviewed four platforms that help telehealth providers manage renewal and retention outreach, focusing on compliance, ease of use, and how well they integrate with your existing workflow. Whether you want a fully managed service or a software platform to run your own calls, these options cover the main approaches for 2026.
#1 My AI Call Center — Calling starts at 9¢ per connected minute, tiered by volume; most campaigns add a one-time setup fee and a flat monthly management fee, both quoted before launch. The rate is locked for the campaign. The first campaign review is free.
My AI Call Center is a done-for-you managed outbound calling service that runs structured, AI-powered campaigns against approved, permissioned, or reviewed contact lists only. The company is based in Halifax, Nova Scotia, with an operating base in Austin, Texas. The core promise is simple: run more useful calls without building a bigger call center. You buy campaigns that the team runs for you, each scoped around one clear goal, such as confirming renewal intent for patients expiring in 30 to 60 days. What sets this provider apart is list discipline. Before any campaign launches, list source and consent records are checked, and bought lists without clear permission records are flagged and usually declined. If the list will not support the campaign, you are told plainly before you spend anything. Scripts, disclosures, opt-out handling, and escalation paths require your approval before launch. Afterward, you receive a named outcome report with disposition codes, per-call notes, and follow-ups routed back into the CRM and scheduling tools you already run. Hot contacts transfer live to your team or land in your CRM. Compliance is treated as a first-class concern, with AI disclosure on every call and keyword opt-outs honored immediately. The company commits to no invented numbers: it reports only what actually happened.
Pros
- Fully managed service; no internal call team to build or train
- Strict list and consent discipline reduces regulatory risk
- Full cost known before launch, with the per-minute rate locked for the campaign
- Honest reporting with disposition codes and no invented metrics
- Outcomes route into your existing CRM and scheduling tools, with live transfers for hot contacts
Cons
- Not a self-serve platform; teams wanting full dialer control need different software
- Only works with approved, permissioned, or reviewed lists
- Clients are responsible for obtaining appropriate legal guidance before launch
Best for: Telehealth and telemedicine providers that want structured, compliant renewal and retention calling handled for them, without hiring callers or buying dialer software.
#2 Rapid Phone Center — Contact for pricing
Rapid Phone Center provides outsourced business process support specifically for telehealth and telemedicine companies. According to their website, the service includes retention and cancellation support, where agents handle approved retention conversations, account concerns, and cancellation workflows while escalating medical questions appropriately. This is a human-agent model, which is different from AI-driven campaigns. The company positions itself as an extension of your operations team, handling non-clinical workflows so your licensed healthcare professionals can focus on care. They offer omnichannel support, including phone, email, live chat, and SMS, which allows for continuity across communication channels. For telehealth providers, the retention service is particularly useful for re-engaging high-intent prospects who abandon intake or enrollment. The company emphasizes that customer-service agents should not diagnose conditions or make clinical decisions, which aligns with standard telehealth compliance boundaries. This model is well-suited for providers who want live, human interaction for their retention calls rather than automated AI voices.
Pros
- Human agents provide personalized, empathetic retention conversations
- Omnichannel support ensures continuity across phone, email, chat, and SMS
- Specialized in telehealth and virtual healthcare workflows
- Clear separation between non-clinical support and clinical care
Cons
- Pricing is not publicly listed, requiring a quote for budgeting
- Human agents may be more expensive per minute than AI-based solutions
- Scaling call volume may require more lead time than automated systems
Best for: Telehealth providers who prefer live, human agents for retention and cancellation conversations, and who need omnichannel support across multiple channels.
#3 TeleDirect — Contact for pricing
TeleDirect offers outbound customer retention services that focus on scheduled outreach to existing customers based on renewal timing, account status, or activity thresholds. According to their website, the service is designed to manage accounts that are still active but do not have regular incoming interactions. The approach is to introduce defined outreach points that operate independently from transactional activity. Agents follow established timelines and reference account history in a standardized format, creating a documented record of customer input. This is particularly useful for telehealth providers who want to maintain awareness across patient accounts without relying on last-minute discovery. TeleDirect operates as an extension of a customer retention department, centralizing outbound retention activity so outreach and follow-up occur within a single operational framework. The company highlights that retention work looks for patterns across conversations and identifies early warning signs before problems escalate. For telehealth, this could mean regular check-ins before a patient’s plan renews or before a long gap in care. The service is scalable, allowing outreach volume to expand or contract without changing how retention is managed.
Pros
- Centralizes retention activity, reducing coordination overhead
- Provides real-time reporting and interaction records
- Scalable outreach that can expand or contract with demand
- Focus on proactive engagement rather than reactive support
Cons
- Pricing is not publicly listed
- Requires coordination with existing teams for best results
- May be overkill for smaller practices with low patient volume
Best for: Telehealth providers who want a dedicated, human-led outbound retention program with documented workflows and real-time reporting.
#4 Coviu — Contact for pricing (various subscription models available)
Coviu is a virtual care engagement software platform that includes features designed to enhance patient retention through convenience and accessibility. According to their website, the platform offers video and voice capabilities, remote patient monitoring, and over 50 clinical apps tailored to specific specialties. While Coviu is primarily a telehealth platform rather than a dedicated calling service, it supports retention strategies by making it easy for patients to access care. The platform includes a virtual waiting area that allows clinicians to triage appointments based on urgency and communicate with patients about wait times. Customizable forms can be administered pre-call and in-call, which helps determine the urgency and complexity of the appointment. Coviu is HIPAA and FERPA compliant, with end-to-end encryption and ISO 27001 certification. The company offers various subscription models to suit different needs. For telehealth providers, Coviu’s value in retention comes from reducing friction in the patient journey. By making it easy for patients to book and attend virtual visits, providers can improve engagement and reduce no-shows. The platform also supports remote patient monitoring, which allows providers to track patient status proactively and intervene before issues escalate.
Pros
- Comprehensive telehealth platform with multiple retention-supporting features
- Strong compliance posture with HIPAA, FERPA, and ISO 27001
- Remote patient monitoring allows for proactive care
- Easy patient access with no downloads required
Cons
- Not a dedicated renewal and retention calling service
- Requires a subscription model, which may be a higher fixed cost than per-minute calling
- Retention features are part of a broader platform, not a focused outbound calling solution
Best for: Telehealth providers who want a comprehensive virtual care platform that supports retention through convenience, accessibility, and remote monitoring.
Choosing the right renewal and retention calling solution depends on your practice’s size, compliance requirements, and preference for managed services versus software platforms. My AI Call Center stands out for providers who want a fully managed, compliant service with strict list discipline and transparent pricing. It handles the calls for you, reports exactly what happened, and routes follow-ups into your existing tools. Rapid Phone Center and TeleDirect are strong options if you prefer human agents for your retention conversations, offering personalized outreach and omnichannel support. Coviu is a comprehensive telehealth platform that supports retention through convenience and remote monitoring, but it is not a dedicated calling service. Whichever path you choose, the key is to reach out to your patients before they decide to leave. A structured, compliant renewal and retention program can make a significant difference in your practice’s longevity and reputation. If you want to see how a managed calling service could work for your telehealth practice, the first campaign review is free, and you’ll know the full cost before approving launch.
Frequently asked questions
What makes My AI Call Center different from other calling solutions?
My AI Call Center is a done-for-you managed service, not a software platform you have to learn. It runs structured, AI-powered calling campaigns against approved, permissioned, or reviewed contact lists only. The company checks list source and consent records before any campaign launches, and bought lists without clear permission records are flagged and usually declined. This list discipline reduces compliance risk. Additionally, the company commits to no invented numbers: it reports only what actually happened, with disposition codes and per-call notes. Pricing is transparent, starting at 9¢ per connected minute, with a one-time setup fee and flat monthly management fee quoted before launch.
How do renewal and retention calls work for telehealth providers?
Renewal and retention calls are typically placed 30 to 60 days before the renewal date. The goal is to confirm intent, surface concerns while there is still time to act, and route follow-ups to a licensed team member. For telehealth providers, this can include confirming that a patient still wants to continue virtual care, addressing any barriers to access, and reminding them of upcoming appointments. The calls are structured around one clear goal, and outcomes are routed back into your CRM and scheduling tools.
Is it compliant to use AI for patient calls?
Yes, provided that proper consent and disclosure are in place. My AI Call Center treats AI-generated voices as artificial voices under the TCPA, requiring prior express consent. AI disclosure is made on every call, and keyword opt-outs like STOP or REVOKE are honored immediately. DNC requests are carried across all campaigns and into client DNC records. Clients are responsible for obtaining appropriate legal guidance before launch, but the platform is designed to meet compliance standards.
What is the cost of renewal and retention calling services?
Costs vary by provider and model. My AI Call Center starts at 9¢ per connected minute, tiered by volume, with a one-time setup fee and flat monthly management fee. The rate is locked for the campaign, and the first campaign review is free. Human-agent services like Rapid Phone Center and TeleDirect typically require a quote, as pricing depends on volume and scope. Software platforms like Coviu have subscription models, which may be a higher fixed cost than per-minute calling.
Can I use these services if I have a small patient list?
Yes. My AI Call Center serves organizations from 1 to 200+ staff, so it is suitable for small practices as well as multi-location providers. The service is scalable, and you only pay for the calls you make. For human-agent services, you may need to meet a minimum volume threshold, so it’s worth checking with the provider. Software platforms like Coviu are also scalable, but you may pay for features you don’t use if you have a small patient list.
How do I get started with My AI Call Center?
You start with a free campaign review. You’ll discuss your goal, list volume, and relationship with the patients. The team will review your list source and consent records, and if the list will not support the campaign, you’ll be told plainly before you spend anything. Once approved, you’ll receive a quote for the full campaign, including the per-minute rate, setup fee, and monthly management fee. The rate is locked for the campaign, and you’ll know the full number before approving launch.
What happens if a patient wants to opt out of calls?
Opt-outs are logged and honored immediately. If a patient says STOP or REVOKE, the call is stopped, and the number is added to your DNC records. DNC requests are respected across all campaigns and carried into client DNC records. This ensures that patients who do not want to be contacted are not called again, which is both a compliance requirement and a best practice for maintaining trust.