With Retell, we’ve increased scheduling NPS by 38%, and filled underutilized provider capacity, allowing our team to focus on meaningful patient care instead of phone tag.
AI Voice Agents for Patient Billing Calls
Set up AI patient billing calls in four stages, from your billing system to calls answered on your statement number.
Patient balances explained, paid, or escalated on the first call

Need patients who call about a letter answered right away. The agent asks for the account or case number printed on the statement, which the patient can say or key in, looks up the account through a custom function, and explains the balance, the date of service, and the provider the bill is for. General questions, such as what a statement line means or when payment is due, are answered from a knowledge base of your billing policies.

Need protected health information shared only with the right person. Before it says anything about the account, the agent confirms the details your policy requires, such as full name, date of birth, and a street address on file, and checks them against your system. If they don't match, it gives no account details and follows your rule, such as a transfer to staff or a request to call back.

Need payment taken on the same call without card numbers in your call records. The agent offers to take the full balance or another amount, then texts a payment link from your payment provider or transfers the patient to the payment line you already use. If a payment fails or the patient asks for a payment plan, the call goes to your billing staff with a warm transfer.

Need Spanish-speaking patients served without a separate queue. Set the agent up for English and Spanish, and it answers in the language the patient speaks, or offer Spanish in the greeting. If your system already knows a patient's preferred language, the inbound call webhook can start the call in that language, which is more accurate than detecting it.

Need the calls that take judgment to reach a person quickly. When a patient disputes a charge, says insurance should have paid, or is upset, the agent transfers to your billing staff with a private briefing on the account and the reason, so the patient doesn't start over. Calls about records or scheduling are routed to the right department instead of the billing queue.

Need follow-up on unpaid balances without staff dialing through a report. When a balance passes the age you set, your system can start a call through the API, or you upload the list as a batch call a few days after statements go out. The agent verifies identity, states the balance, asks for payment, and escalates complex accounts to staff. The rules that apply to unpaid medical bills are covered in medical debt collection.
Retell is the AI Voice Platform Enterprise Contact Centers Run On
Why medical practices and billing companies choose Retell AI for patient billing calls



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Cut Costs by 90% with AI phone Agents
Pay as you go
$0 to start.
Enterprise Plan
For companies with large volumes, data or deployment requirements, or support needs.
Frequently asked questions.
Can patients pay by card on the call?
The agent doesn't need card numbers. It texts a payment link from your payment provider, or transfers the patient to the payment line or IVR you already use, so your payment system handles the card. If a patient reads a card number aloud anyway, PII scrubbing can remove card numbers from stored transcripts and recordings.
Is Retell HIPAA compliant for patient billing calls?
Retell supports HIPAA workloads. Self-sign the BAA before any protected health information goes through the platform; there is no fee to sign it. Then choose per agent what is stored, scrub categories such as names, dates of birth, and medical IDs from transcripts and recordings, and set how long call data is kept, from one day to two years.
Does it connect to our practice management or billing system?
Retell does not ship prebuilt connectors for practice management, EHR, or patient billing systems. The agent reaches yours through custom functions that call its API during the call, to look up an account or log an outcome, and webhooks send each finished call to your system or a staff queue. Without an API, staff work each call from the webhook record.
Can the agent read our collection disclosures?
Yes. Put each required disclosure or recording notice in a static sentence, and the agent says your wording exactly at the point you choose, such as right after identity is confirmed. Which disclosures apply depends on whether you are the provider or a collection agency and on federal and state rules, so confirm your script with counsel.
Can it call patients about unpaid balances?
Yes. Calls can start from your system through the API when a balance reaches your threshold, or from a list uploaded as a batch call with a calling window. Outbound calls with an AI voice carry consent rules in the US; the TCPA guide for AI voice calls covers them, and your counsel should review your list and script.
How much do AI patient billing calls cost on Retell?
Retell voice agents are priced per minute of conversation, from $0.07 per minute, depending on the language model, voice, and telephony you choose. Pay-as-you-go needs no contract, and Enterprise plans have custom pricing for high volume or custom deployment needs. See pricing for your mix.

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