What happens if our clinic goes over our included call limit mid-month?

For Medical Clinics

Overage calls are billed at a flat $1 each, no surprise tiers or forced upgrade mid-cycle. If your clinic is on Premium at 150 included calls and you get a busy flu season week that pushes you to 210 calls, you are billed $60 in overage for that month rather than being cut off or auto-upgraded. For clinics, this matters because call volume is seasonal and unpredictable: flu season, back-to-school physicals, and open enrollment periods for insurance questions all spike call volume well above your baseline. You do not need to guess your peak volume and pay for it year-round. A practical approach is to size your plan to your average month and let overage absorb the spikes, since $1/call overage is still far cheaper than a missed call costing you a $3,500 lifetime-value new patient or losing an existing family to urgent care during an after-hours symptom call. If overage becomes consistent rather than occasional, that is a signal to move up a tier, and because billing is month-to-month you can make that change without penalty. Enterprise plans negotiate custom call volume specifically for clinics or multi-location groups that know their overage pattern will be permanent rather than seasonal, which locks in a lower effective per-call rate than paying Premium overage every month.