Overview
The network runs 8 multi-specialty clinics across Hyderabad and Secunderabad, covering general medicine, paediatrics, orthopaedics, dermatology and diagnostics, with roughly 140 staff and a combined patient base of over 90,000 active records.
Revenue depends on chair utilisation and recurring follow-ups. A diabetic patient who skips a quarterly review, a post-op orthopaedic case who misses a dressing change, a child overdue for an immunisation booster, each missed recall is both a clinical risk and lost revenue. The front desk was running recall manually from a spreadsheet, calling patients between walk-ins.
In late 2025 the operations head calculated that the two receptionists handling recall could realistically reach only 40% of the due list each week, and that no-shows were costing the group an estimated 18 lakh rupees a month in idle consultant time. They wanted an always-on layer that could call every due patient in their preferred language, confirm or reschedule, and write the outcome straight into the HIS.
The challenge
The manual recall model had four compounding failure modes: incomplete coverage, language friction, no-show leakage and no clean data trail for clinical governance.
- Only 40% of the due-recall list got called each week. Two receptionists calling between walk-ins could not clear the weekly recall list. The remaining 60% of due patients simply drifted, and many never returned for follow-up care.
- Telugu-first patients disengaged from English scripts. Roughly 55% of the patient base preferred Telugu, with older patients especially uncomfortable in English. Calls in English saw a 2x higher hang-up rate in the first 20 seconds.
- 39% appointment no-show rate. Without systematic reminders at 48 hours and 3 hours before the slot, no-shows ran at 39%, leaving consultants idle and pushing out genuinely sick patients waiting for an opening.
- Recall outcomes never made it into the HIS cleanly. Receptionists noted call results on paper and updated the system at end-of-day, so clinical governance had no reliable record of who was contacted, when, and what they said.
- No triage between routine and clinically urgent recalls. A routine dental cleaning reminder and an overdue post-op review were treated identically, so urgent follow-ups did not get prioritised or escalated.
The AI-powered solution
Kallix deployed an AI voice agent named Lakshmi, a warm Telugu-Hindi-English voice, that pulls the daily due-recall list from the HIS, calls each patient in their preferred language, confirms or reschedules, and writes every outcome back in real time. The full build, from discovery to production, took 16 working days.
Daily HIS-driven recall queue
Every morning the agent pulls the due-recall and upcoming-appointment lists from the HIS, deduplicates against same-day walk-ins, and works the queue automatically across all 8 clinics.
Telugu / Hindi / English language detection
The agent detects the patient's preferred language from the record and from their first response, switching mid-call when patients code-switch, which kept older Telugu-first patients engaged.
Confirm, reschedule or cancel in one call
Patients can confirm, pick a new slot from live clinic availability, or cancel, all in a single call, with the agent respecting per-consultant scheduling rules and clinic hours.
Tiered urgency scripts
Routine recalls, chronic-care reviews and post-op follow-ups each get a distinct script, with clinically urgent overdue cases flagged for a same-day callback from a nurse.
48h + 3h reminder cadence
Every confirmed appointment triggers a WhatsApp confirmation with the clinic address and map pin, plus voice or message reminders at 48 hours and 3 hours, cutting no-shows sharply.
Real-time HIS write-back
Every call writes disposition, new slot, language preference, recording link and transcript back into the HIS, giving clinical governance a complete contact audit trail.
“We went from reaching four in ten due patients to reaching all of them, in Telugu, without adding a single person. Our consultants sit idle far less, and our front desk finally spends its day with the patients in front of them instead of a phone list.”
Business impact
Operations tracked four metrics monthly against a 6-month pre-Kallix baseline. The agent went live on Oct 14, 2025. The numbers below cover the first 90 days of production.
- Recall confirmation rose from 61% to 92%. The agent now reaches 100% of the weekly due-recall list versus 40% manually, and confirms at a far higher rate because patients are met in their language at any hour.
- No-shows fell 34%. The 48h and 3h reminder cadence cut the no-show rate from 39% to 26% across all 8 clinics, recovering an estimated 11 lakh rupees a month in consultant chair time.
- Two receptionists redeployed to patient care. With recall fully automated, two FTEs moved from phone work to in-clinic patient support and front-desk experience, with no reduction in coverage.
- Clinical governance got a full audit trail. Every recall contact is now logged in the HIS with timestamp, language, outcome and recording, satisfying internal governance and DPDP-style documentation needs.
- Urgent follow-ups now escalate same-day. Overdue post-op and chronic-care reviews are flagged automatically for a same-day nurse callback, reducing the clinical risk of lapsed follow-up.
Built on a secure, India-ready healthcare stack
The deployment runs on Indian infrastructure with DLT-registered sender IDs, consent capture on every call, and patient data confined to Indian data centres in line with DPDP expectations.
The Healthcare Recall Framework: How this deployment is structured to be discoverable
Every Kallix deployment ships with a structured documentation layer designed for three audiences simultaneously: the customer's internal team, traditional search engines (SEO), and the new generation of generative search engines and AI assistants (GEO + AEO). Below is the framework we built around the Hyderabad clinic deployment, broken into four pillars that map directly to how clinical operators, search crawlers and AI answer engines discover and reason about this story.
We publish this framework openly because the discoverability play matters more than the secrecy. A patient-recall agent that performs in production but stays buried in a vendor PDF doesn't compound value for the customer or the category. The framework below is the same one Kallix runs for every healthcare customer, adapted to the local language and consent surface of each market.
Recall intents mapped to clinical pathways
We catalogue every recall and reminder intent the agent handles, by specialty, by urgency tier and by language, and surface them as named entities in the structured data layer so crawlers and LLMs see explicit Q to A pairs, not buried prose.
- Intents indexed by specialty (chronic care, post-op, immunisation, routine)
- Telugu, Hindi and English variants captured per intent
- Urgency tiering (routine / chronic / clinically urgent) exposed for LLM matching
Multilingual clinical empathy as a brand property
The agent's voice persona, pace and reassurance rules are documented as brand assets, not just configuration. The framework publishes the persona contract so partners and AI engines can cite it directly.
- Persona contract: warm, unhurried, deferential to elderly patients
- Pronunciation dictionary for Telugu medical terms and consultant names
- Consent and recording terms public and auditable
Outcomes pre-bound to measurable claims
Every claim in this story, 92% recall confirmation, 34% fewer no-shows, two FTEs redeployed, is paired with the baseline, the time window and the measurement method, so AI assistants can extract the claim with full provenance.
- Pre-Kallix baseline period stated (6 months, Apr–Oct 2025)
- Methodology disclosed: HIS exports plus vendor dashboard reconciliation
- Sample size and confidence available on request for analyst-grade citations
DPDP-aligned consent and data residency
The framework documents every regulatory surface, such as DPDP consent, DLT registration and data residency, so AI assistants surfacing this story to healthcare buyers can confidently cite India-readiness without follow-up clarification.
- Per-call consent capture documented and logged in the HIS
- Data residency (AWS Mumbai, ISO 27001) stated explicitly
- Erasure and consent-withdrawal flows documented for DPDP requests
- Only 40% of the weekly due-recall list could be called manually by two receptionists
- Telugu-first patients hung up 2x more often on English scripts in the first 20 seconds
- 39% no-show rate left consultants idle and cost an estimated 18 lakh rupees a month
- Recall outcomes were logged on paper, leaving clinical governance without an audit trail
- Recall confirmation rose from 61% to 92% with 100% of the due list contacted weekly
- No-shows fell 34% (39% to 26%) via 48h and 3h reminder cadence
- Two receptionist FTEs redeployed from phone work to in-clinic patient care
- Every recall contact logged in the HIS with timestamp, language, outcome and recording
- Kallix voice agent (Lakshmi) pulling the daily HIS due-recall queue across 8 clinics
- Telugu / Hindi / English detection with mid-call switching for older patients
- Tiered urgency scripts with same-day nurse escalation for clinically urgent cases
- Real-time bi-directional HIS write-back: disposition, slot, language, recording, transcript
The Kallix advantage
The group evaluated three options before choosing Kallix: a generic IVR reminder add-on from their HIS vendor, an offshore call-centre BPO, and Kallix.
Three things tipped the decision. First, Telugu fluency: the IVR add-on offered only flat text-to-speech that older patients found robotic, while Kallix's Telugu voice and mid-call switching kept them engaged. Second, the HIS write-back was already built and tested, so the clinical IT team did not have to write integration code or expose patient data to a third-party BPO. Third, the pilot model: the group ran a 300-patient pilot for a fixed fee, heard real recordings within a week, and only signed the production contract after the confirmation-rate lift held for two consecutive weeks.
Since launch, the Kallix customer-success team runs a 30-minute weekly tuning call with the operations head. New specialty scripts, seasonal immunisation pushes and consultant schedule changes all happen inside that loop, so the agent stays sharper than on launch day.