Questions about AI patient calls, answered

Consig is a voice AI engine for healthcare patient outreach. It connects, authenticates, and hands off patient calls to the right staff member or AI agent, combining telephony, campaign management, patient authentication, and a compliance engine in one stack. Healthcare platforms, service providers, and health plans use it to add automated phone outreach without assembling those pieces from separate vendors. See the product overview.

Consig serves three kinds of organizations: healthcare software vendors such as EHR and practice management platforms that want to embed voice outreach; healthcare service providers and BPOs that want white-label voice infrastructure; and health plans that want to close care gaps and reduce readmissions without adding headcount.

Consig covers the full calling stack, not just the conversation. Most voice AI platforms lead with the AI and treat telephony as an afterthought. Consig combines advanced telephony, campaign management, number and reputation management, patient authentication, compliance monitoring, and handoff to live agents, with workflows that mix deterministic and generative steps. Every piece is already integrated and in production. See how Consig compares.

Consig runs roughly 2 million patient calls a year in production, across customers in the U.S. healthcare ecosystem. These are real calls to real patients, not pilots. One early customer that needed to reach over a million patients a year automated 80% of its outreach, reallocated 10 FTEs, and saved $700,000 annually, as described in this panel recap.

No. Consig automates the friction around care, not clinical care itself. The automation handles dialing, voicemail, retries, identity verification, structured intake, and documentation, while clinical judgment stays with clinicians. Calls that need a person are handed off to staff with context attached, so nurses spend their time on the conversations that actually need them. Read what AI should never do on a patient call.

Consig was founded by voice and communications veterans from Voxeo, Tropo, Plum Voice, Nuance, and Genesys, who have built and scaled systems handling billions of calls. CEO RJ Burnham has more than twenty years in voice and telecom technology. Consig completed the Plug and Play Health Orlando accelerator. Meet the leadership team and advisors on the company page.

Yes, when the calls follow the rules that apply to them. Since the FCC's February 2024 ruling, an AI-generated voice is treated as an "artificial" voice under the TCPA, so AI calls need the same consent, disclosure, and opt-out handling as robocalls, plus HIPAA safeguards and state AI rules. Consig's compliance engine enforces the relevant federal and state calling rules on each call. See One Call, Three Rulebooks.

Consig operates in compliance with HIPAA, and healthcare customers sign a Business Associate Agreement with Consig before sharing any PHI. Beyond the contract, the platform is designed to limit exposure: conversational context firewalls keep sensitive data out of the model's reach, and each AI component receives only the data it needs. Identity verification happens before protected details are discussed. See Security & compliance.

Consig limits what reaches any language model. Sensitive data sits behind conversational context firewalls, each AI component gets only the data it needs, and generative AI is used only where appropriate with minimal, segmented data exposure. Identity verification inputs, such as biometrics and credentials, stay out of the conversation layer, call transcripts, and any third-party LLM in the call path.

Consig verifies identity through a layered set of tools, including passkeys, device-native biometrics such as Face ID, one-time passcodes, and step-up workflows for higher-risk interactions. Through an OEM partnership with Journey.ai, its Zero Knowledge Network is the identity layer inside every Consig call, returning only the authentication result so sensitive identity data never touches the conversation. Read about the Journey.ai partnership.

Consig enforces consent and opt-out rules inside the calling infrastructure rather than leaving them to manual review. Under FCC rules, patients can revoke consent by any reasonable means, including mid-call, and callers must honor it within 10 business days. Consig workflows can run steps like this as scripted, deterministic flows, and its compliance engine applies the current federal and state rules on each call. See consent revocation.

Increasingly, yes. Federal robocall rules already require identifying the caller, the FCC has proposed explicit AI-disclosure requirements, and a growing number of state laws govern AI-enabled communication. Because the required wording can depend on where the patient is, Consig workflows can run disclosures as scripted, deterministic steps, and Consig tracks the relevant state and local policies. See AI voice disclosure laws.

TCPA statutory damages are $500 per violation, rising to up to $1,500 per violation if it is willful or knowing, and each call or text counts separately. That is why most TCPA suits are filed as class actions; first-half 2025 filings nearly doubled year over year, and healthcare organizations including Kaiser Permanente and OptumRx have settled recent cases. Read TCPA Lawsuits Doubled.

Carriers and their analytics partners score calls in real time on traffic patterns, complaint data, and number reputation, and normal healthcare calling looks like spam to them: high volume from one number, short calls ending in voicemail, and repeated attempts to unanswered numbers. A compliant program can degrade its own reputation simply by running as designed. Read The Call Was Compliant. It Still Never Rang.

Consig uses branded caller ID and reputation-managed numbers so more calls get answered rather than screened. It handles dialing patterns, number reputation management, and caller ID behind the scenes, working through carrier relationships and strategic partnerships, so customers do not have to manage carrier registration or monitoring themselves. The Getting Through whitepaper explains each layer.

No. STIR/SHAKEN proves a call's number was not spoofed, but says nothing about who is calling or why, and patients never see the signature. Transaction Network Services found 17% of confirmed spoofed calls carried top "A"-level attestation in mid-2026. Getting answered also takes branded caller ID, number reputation management, pacing, and screener-aware calling.

Consig's voice agent can respond to a call screener: in a live demo at Plug and Play Orlando it answered the screener, then verified the patient's identity and completed the call. Screener-aware calling is one of the deliverability gates, alongside number reputation and branded caller ID, covered in the Getting Through research. See AI call screening.

A large share. Hiya's State of the Call 2026 found 86% of unidentified calls now go unanswered, and industry data suggests roughly half of outbound calls are never answered at all, with only about a quarter of dials reaching a live person. Deliverability failure in healthcare converts directly into care gaps such as missed follow-ups and no-shows. Read Getting Through.

Yes. Consig integrates with all major call center and UC systems, so calls can be transferred smoothly to your staff with call-attached data, or scheduled for a later callback. Consig handles the dialing, authentication, and compliance, then hands off to your agents or an AI agent at the moment a person is needed. See integrations.

Consig was designed to integrate with EHR, practice management software, and other healthcare platforms, with pre-built integrations for common EHR and PMS workflows. Software vendors get a full voice AI stack through a single integration point. Through its partnership with Xela OS, an EMR-agnostic integration layer, structured call results can flow back into the patient record. See integrations and Consig for software vendors.

Consig is designed to be added to a platform in days, and customers typically ship voice in weeks. Intelibly, for example, integrated outbound calling into its platform workflow in a matter of weeks without assembling telephony and voice AI from separate vendors. For a timeline specific to your workflows and systems, talk to a Solutions Architect.

Yes. The Consig portal lets you build and manage workflows and campaigns, and launch a team of voice agents specialized for different kinds of conversation. Workflows can mix deterministic and generative stages, and can be built in the UI or configured directly via JSON or through the API. The portal flags risky compliance steps as you build. If you need something new, Consig designs new workflows in days, not quarters.

Yes, for BPOs and healthcare service providers. Consig lets service providers deploy white-label voice infrastructure that protects margins and expands contract capacity, with Consig's outreach engine handling dialing and engaging patients so staff spend their time on real patient interactions. Software vendors can likewise embed Consig in their own product. See Consig for service providers.

Consig does not publish pricing on its website, because cost depends on your call volumes, workflows, and integration needs. The platform is designed to lower cost per call and reduce first-touch outreach cost. For a quote based on your program, talk to a Solutions Architect; the team responds within one business day.

Consig automates outreach such as post-discharge follow-up, behavioral health screening, remote patient monitoring, chronic care management, appointment scheduling and reminders, recall, no-show follow-up, care-gap campaigns, and patient intake. Live demo calls for several of these are on the Solutions page.

Consig is primarily an outbound patient outreach engine, and most of its production use is outbound. Inbound call routing, replacing aging IVR systems to improve the patient and provider experience and lower maintenance cost, is listed as a use case on the Solutions page, with a demo coming soon. To discuss an inbound project, talk to a Solutions Architect.

Consig hands the call off to the right staff member, live or as a scheduled follow-up, with the call's context attached. Escalation rules decide the path: an urgent red flag goes to a person live within seconds, while other findings go into the care team's own follow-up queue with the call's audio and structured intake. See warm handoff.

Yes. Consig's automation dials discharged patients, verifies identity, walks the structured follow-up protocol, collects answers, and documents the call, escalating red-flag answers to clinicians. Post-discharge calls have been shown to reduce readmissions by up to 23%, and one nurse-led program cut 30-day readmissions from 17% to 3.5%. See post-discharge follow-up and The Follow-Up Gap.

Yes. Consig administers behavioral health surveys like the PHQ-9 by phone, with handoff to staff based on the score. Structured screening runs as a deterministic, scripted flow so every question is asked the same way on every call, and the automation does not interpret results or give medical advice. A live demo call is on the behavioral health page.

Health plans use Consig to turn up the volume on outreach such as post-discharge follow-up and medication-adherence calls without increasing headcount. The goal is to enable preventive care, close care gaps, and lift HEDIS and Star Ratings measures, while lowering medical spend; each avoided readmission saves roughly $15,000. Consig's compliance engine governs every call. See Consig for health plans.