Simple, transparent pricing.

Yes. The setup fee is paid upfront and includes two weeks of live service. During that window you'll run real after-hours calls through your configured On Call Central account. If it isn't the right fit, you can cancel anytime in the trial period with no additional billing obligations.

The one-time setup fee covers full system configuration, provisioning a dedicated call forwarding phone number in your area code, professionally recorded audio prompts, and provider onboarding for each clinician including custom notification protocols. Setup also includes two weeks of live service at no additional charge before your recurring subscription begins.

A provider is any doctor or clinician who may receive urgent patient calls or participate in your on-call rotation. That typically includes physicians, nurse practitioners, physician assistants, CRNAs, and any other clinician who takes call on behalf of the practice.

Administrative staff, schedulers, and non-clinical users don't count as providers and don't require a per-provider fee. You can add unlimited administrative users at no extra cost.

An account is one On Call Central configuration: one forwarding phone number and one set of schedules, providers, and routing rules. Standard and Group plans each include exactly one account. Forward as many locations and phone numbers as you want to the one account.

If your organization needs multiple accounts for separate locations, practices, or specialties, each with its own forwarding number and call flow, Organizations pricing may be the right fit. This is a flat rate per account averaged across your whole relationship, rather than pricing based on every provider. Organizations pricing starts at five accounts. Smaller multi-account setups are priced as separate Standard or Group accounts. Not sure where your organization fits? Schedule a demo to discuss your setup.

No. There are no long-term contracts and no termination fees. Billing happens every 4 weeks and you can cancel at any time.

No. Pricing is a flat per-provider rate billed every 4 weeks. We do not meter minutes, charge per call, or send surprise overage bills. For practices with normal after-hours and overflow usage, our flat-rate pricing makes costs predictable, easy to budget for, and free from monthly guessing games.

Yes. Spanish menu support is available for a $100 setup fee and $15 per billing period. This includes custom-recorded Spanish voice menus and greetings for your account. Need support for another language? Talk with sales or support about your needs, and we will outline the best available solution.

Absolutely. Group pricing is a discounted $65 per provider every 4 weeks with a matching $65 setup fee, billed at a 10-provider minimum ($650). The rate applies to every provider, including the first. You always get whichever rate is lower, so practices with 8 or 9 providers receive the Group rate automatically.

Organizations whose providers span five or more accounts switch to a flat per-account rate instead. This is typically $200–$300 per account every 4 weeks, quoted on your average group size across the whole relationship. Larger groups also get a dedicated onboarding specialist and support for multi-specialty workflows, multi-location call flows, and shared or tiered on-call rotations.

Standard pricing is designed for typical after-hours and overflow call patterns, which covers the vast majority of practices. Call volume is not metered or restricted under normal use, and there are no hidden overage charges.

If your practice has unusually high sustained volume or unique operational needs, we'll talk through a custom quote that fits rather than springing a fee on you later.

Nothing punitive. If your call volume is significantly outside what we typically see for a practice your size, we'll reach out to discuss a custom quote that reflects your actual usage. You'll never be hit with retroactive overage billing.

Yes. While most practices use On Call Central for after-hours coverage, many also use it for daytime overflow, lunch coverage, holiday answering, and specialized routing scenarios. If you have a workflow in mind that isn't covered by the standard configuration, schedule a demo and we'll walk through how to build it for your practice.

Yes. Annual pricing is available on request, although it is not currently built into our online signup application or shown in the standard pricing tables.

Our standard pricing is designed around flexible recurring billing, which is the best fit for most practices. Annual billing may be a better fit for practices that prefer fewer invoices, need to align with an internal budgeting process, or request custom-developed features beyond our standard account setup and configuration.

If annual pricing makes sense for your practice, our team can review your needs and provide a custom annual quote.

Yes. Every account is covered by a Business Associate Agreement before any patient information flows through the system. Our BAA is standardized and built on the U.S. Department of Health and Human Services' model BAA provisions, and it's executed electronically as part of setup. There's nothing to negotiate and no waiting on legal calendars.

For Standard, Group, and Organizations pricing, our standardized BAA is the only agreement we sign. Because it is built directly on the HHS model provisions, it already contains everything HIPAA requires a BAA to contain. Your compliance reviewer can verify it line by line against the HHS template.

Keeping one consistent agreement across every practice we serve is part of how we keep pricing flat, setup fast, and protections identical for everyone. If your organization requires negotiated legal terms or a custom BAA, that is available as part of Enterprise Edition.