Is there an extra charge for after-hours or weekend injury calls?

For Chiropractors

No. Voksha bills per call, not per minute, and there's no after-hours or weekend surcharge. That distinction matters more for chiropractic practices than almost any other healthcare business, because the call pattern is lopsided toward exactly the hours a front desk isn't staffed: a patient who wrenches their back moving furniture on Saturday, or someone whose neck pain flares up at 10pm after driving home from work, calls looking for whoever will book them fastest. A live answering service built for general medical offices often charges a higher after-hours rate specifically because staffing a person overnight costs more, which pushes practices to route fewer calls through that expensive channel or to accept voicemail as the after-hours default. Voksha treats a Tuesday afternoon adjustment booking and a Sunday night acute pain call identically for billing: each is one call against your plan total, regardless of whether it lasts 40 seconds or runs 5 minutes because the caller is describing an accident and needs PI intake questions answered. For a typical chiropractic office, after-hours and weekend calls run 20-30% of total volume once you account for the emergency-adjacent nature of back and neck pain, since people don't wait for Monday. Budgeting is simple as a result: if your practice fields 60 after-hours or weekend calls a month layered on top of daytime volume, that's 60 calls counted against your plan, not a separate higher-priced bucket, which is worth weighing when choosing between Starter and Premium.