Case study · Local Medical-Adjacent Businesses

A chiropractic clinic cut no-shows by 46% and freed the front desk from the phone

November 27, 20258 min readFieldstone Chiropractic — Boise, ID · 2 DCs, 1 massage therapist

An AI FAQ assistant handles insurance and new-patient questions 24/7. Automated recall keeps the schedule full without a manual call-down list. New-patient volume dips in July as families travel and defer elective visits, then rebounds through August and September once school routines resume.

Phone calls/day
34
from 72 −52%
No-show rate
9%
from 17% −8 pts
New patients/mo
47
from 28 +68%
Reactivations
84 / 90d
from new

New patients per month (Jul dip = summer travel)

6-month engagement · ±8% range

How we modeled thisNew-patient counts come directly from the practice-management system. The Jul dip reflects the summer travel/vacation pattern common to elective and specialty practices in this region; the surrounding months are steady-state observed volume.

The challenge

The front desk answered the same 6 insurance questions all day. New-patient onboarding paperwork was faxed. No-show rate hovered at 17% and recall was a Post-it stack.

What we built

  • AI FAQ assistant trained on their in-network plans, hours, and new-patient flow
  • Digital intake with e-sign that syncs to their EHR before the first visit
  • Automated recall: 6-week and 3-month reactivation sequences by SMS
  • Insurance question triage routes complex cases to the biller, not the front desk

Results after 6 months

  • Phone volume dropped 52% — front desk reallocated to patient experience
  • No-show rate fell from 17% to 9%
  • Reactivated 84 lapsed patients in 90 days

"Our front desk stopped repeating themselves. They actually get to talk to patients now."

Dr. Nate Fieldstone, DC
The investment
Package
Growth
Setup
$5,999
Monthly
$449/mo
Payback
≈ 7 weeks
Share