How a 34-Branch Diagnostic Chain in Hyderabad Cut No-Shows from 23% to 8%
A voice AI agent that handles reminder calls, rescheduling, and day-of-visit follow-up in Hindi, English, and Telugu — replacing a 12-person reminder desk that could only reach 40% of patients each day.
No-shows reduced
23% → 8%
65% improvement
Industry
Diagnostic Labs
Location
Hyderabad, Telangana
Timeline
90 days end-to-end
Client: A 34-branch diagnostic chain in Hyderabad serving ~1.2 lakh patients per month. Client name withheld per engagement agreement — industry, scale, and outcomes are verbatim.
The Challenge
- ▸23% no-show rate across diagnostic appointments, costing ₹6–8 lakh in lost revenue every month just from fasting-required tests.
- ▸Manual reminder desk of 12 callers could dial ~40% of scheduled patients per day; the rest got a single SMS that most patients ignored.
- ▸Regional-language barrier: ~55% of patients responded only in Telugu or Hindi, but the reminder desk was English-first.
- ▸Rescheduling required a callback to a busy landline, so patients frequently gave up instead of booking a new slot.
What We Built
- 1Deployed a multilingual voice AI agent (Hindi / English / Telugu) that auto-calls every patient 24 hours and 3 hours before their appointment.
- 2Built a rescheduling flow where the agent can offer 3 alternate slots conversationally and confirm the new booking end-to-end without human handoff.
- 3Integrated with the lab's existing LIMS and Bitrix CRM so all status changes reflect in operator dashboards in real time.
- 4WhatsApp fallback for patients who didn't pick up the first two calls — same intent, same rescheduling capability, same transcript.
- 5Compliance guardrails: PII minimisation, explicit consent capture, call recording with patient-aware disclosure per DPDP Act.
Measured Outcomes
23% → 8%
No-show rate
65% reduction in 90 days
₹5.6 lakh/mo
Recovered revenue
Fasting-test appointments preserved
9 of 12
Reminder-desk staff redeployed
Re-assigned to high-touch patient care, no layoffs
4.6 / 5
Patient satisfaction on reminder experience
Post-call survey, n=2,400
Technologies Deployed
- Voice AI (multilingual, Hindi/English/Telugu)
- WhatsApp Business API
- Custom integration with Bitrix CRM and internal LIMS
- Sarvam AI speech recognition for regional languages
Services Used
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