What happens if our clinic goes over the included call limit during a busy month?

For Physical Therapy Clinics

Overage is billed at a flat $1 per call, with no forced upgrade or service interruption. If you are on Premium with 150 calls included and a month with a spike in physician referrals or post-holiday injury bookings pushes you to 220 calls, you are simply billed $70 in overage that month. PT clinics see real seasonal swings: January and February bring a wave of new patients on fresh insurance deductibles working through New Year's resolution injuries, spring brings sports-related referrals from local physicians and orthopedic groups, and any month with a big local road race or youth sports season tends to spike overuse-injury calls. You should not have to guess your peak month and pay for it year-round. A sensible approach is sizing your plan to a typical month and letting the $1/call overage absorb the spikes, since that is still far cheaper than losing a post-op referral to a competing clinic because the phone rang unanswered during a rush. If overage becomes the norm rather than the exception, that is the signal to move up a tier, and because billing is month-to-month you can do that immediately without penalty or contract renegotiation. Multi-location PT groups that know their overage pattern is permanent rather than seasonal typically move to Enterprise, where a custom call volume is negotiated to lock in a lower effective per-call rate than paying Premium overage every single month.