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What counts as a minute?

Minutes are counted per call, rounded up to the next whole minute. A 5-second call counts as 1 minute. A 61-second call counts as 2. Voicemail-only calls (where the caller hangs up without speaking) are not billed. Test calls bill exactly like real calls. Inbound and outbound minutes share the same monthly pool unless your plan says otherwise.

Updated May 1, 20263 min read

The rule, in one sentence

One call = ceiling( duration_in_seconds / 60 ) minutes. A 1-second call is 1 minute. A 60-second call is 1 minute. A 61-second call is 2 minutes.

Why round up?

It's how every telecom carrier in the U.S. bills us, so we have to pass it through. We chose not to invent fractional-minute billing because:

  • It would make the invoice impossible to reconcile against the carrier bill.
  • The math doesn't actually save customers much — most healthcare calls run 90 seconds to 4 minutes, where rounding is in the noise.
  • A predictable "minutes used" number is easier to plan against than "12.387 minute-equivalents."

What is and isn't billed

EventBilled?Notes
AI answers and talks to a callerRounded up to the next whole minute.
Caller hangs up before AI speaks (≤ 2s)Not billed.
Caller hangs up while AI is greeting (3–10s)Counts as 1 minute.
Voicemail with no message leftNot billed.
Voicemail with a message leftMessage duration, rounded up.
Call transferred to a human✅ (AI portion only)The forwarded leg is billed by your carrier.
Outbound call placed by your team via the web dialerSame per-minute rate.
Outbound AI follow-up call (e.g., reminder confirmations)Counts as a minute even if it goes to voicemail and leaves a message.
Test calls you make to your own numberThere is no separate test mode.
Internal staff-to-staff calls inside FrontDeskNot metered.

Inbound vs outbound

On Starter and Professional plans, inbound and outbound AI minutes share one monthly pool. Enterprise plans can split them on request — useful if your outbound campaigns are predictable and you want a separate cap.

SMS is billed separately, in segments — not minutes. See Understand usage and overages for the SMS rules.

Where to watch your usage

  • Live usage: Settings → Billing → Usage. Shows minutes used, days remaining, and projected overage if you keep the current pace.
  • Per-day breakdown: Same page — chart at the bottom. Useful for spotting a Monday spike or a robocall episode.
  • Overage alerts: Settings → Billing → Usage caps. Set an email at 80%, 100%, or a custom threshold. We strongly recommend setting these rather than running blind.
  • Hard cap (rarely recommended): Same page — toggle "Stop service at limit." This will drop real patient calls once you hit the cap, so most practices prefer a high soft cap with alerts instead.
  1. Look at the per-day breakdown — is it a steady increase (you're growing) or a one-day spike (a robocall, a campaign, a glitch)?
  2. If steady growth, upgrade one tier — the price difference is usually less than the overage rate.
  3. If a spike, check Calls → Logs for the day and filter by long calls. Robocalls and accidental loops show up immediately.

See Understand usage and overages for overage pricing and cap settings.

Frequently asked questions

A 5-second call counts as 1 minute?
Yes. Every call is rounded up to the next whole minute. That's a carrier-industry convention — we don't mark it up, but we also don't bill in seconds.
Do voicemail-only calls cost a minute?
No. If a caller is sent to voicemail and hangs up without leaving a message, the call is not billed. If they leave a message, the message duration is billed (rounded up).
Are test calls billed?
Yes. There is no separate "test mode" — what you call is the live AI. Test calls usually run 30–90 seconds, so a thorough testing session is typically under 10 minutes.
What about transferred calls?
You pay for the AI portion only. Once the call transfers to a human (your front desk, an answering service, a forwarded line), the AI's billing stops. The forwarded leg is billed by your carrier, not by us.
Do inbound and outbound minutes share the same pool?
On most plans, yes — one monthly minute bucket that any AI call (inbound, outbound, SMS callbacks that escalate to voice) draws from. Enterprise plans can separate them on request.
How do I see live usage?
Settings → Billing → Usage shows minutes used so far this period, projected overage (if any), and per-day breakdown.

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