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Handle voicemails (transcripts and summaries)

Every voicemail is transcribed by OpenAI Whisper and summarized by GPT — usually within 30 seconds of the caller hanging up. You see the summary in your inbox, the full transcript on the call detail page, and you can play the original audio anytime.

Updated May 20, 20263 min read

The AI doesn't always need to answer every question — sometimes a patient just wants to leave a message. Voicemails are a first-class object in FrontDesk: transcribed, summarized, and routed to your inbox.

Where to find voicemails

Calls → Voicemails

A tab inside the Calls section showing every voicemail with:

  • Caller name (if recognized) or number
  • One-sentence AI summary
  • Read/unread status
  • Timestamp and duration
  • Quick-play button

What happens when a caller leaves one

  1. AI or transfer-rule routes the call to voicemail.
  2. The caller hears your voicemail greeting (or the default — see below).
  3. They speak; recording stops when they hang up or hit a long pause.
  4. The recording uploads to FrontDesk.
  5. Whisper transcribes the audio (typically 10–30 seconds for a 1-minute message).
  6. GPT writes a one-sentence summary.
  7. The voicemail appears in your Voicemails tab with a new-message badge.
  8. Staff configured for notifications get an email or push.

Customize the voicemail greeting

Settings → Phone → Voicemail greeting

Two ways to set it:

  • Type text — TTS speaks it in your AI's chosen voice. Default: "Sorry we missed your call. Please leave a message after the tone and we'll get back to you."
  • Upload audio — record a .mp3 or .wav if you want a specific staff member's voice.

Different greetings per practice and per after-hours mode are supported on Professional+.

Notifications

Settings → Notifications → Voicemails

Choose who gets notified, on which channel:

ChannelWhen it fires
EmailWithin a minute of transcription completing. Includes the summary and a direct link.
Push (mobile app)Same timing — useful for staff away from email.
SMS to staffOptional — relays the summary to a staff cell phone.

You can also route specific voicemails to specific staff. For example, billing-related voicemails go to your office manager.

Action a voicemail

Each voicemail row has quick actions:

ActionWhat it does
Call backDials the caller from your default outbound number.
Text backOpens a new SMS to the caller.
Mark readRemoves the new-message badge.
Mark all readBulk-clear the inbox.
AssignHand off to a teammate with a note.
ResolveCloses the voicemail without further action.

Search and filter

The Voicemails tab supports:

  • Free-text search across transcripts (e.g., "insurance", "prescription", patient name)
  • Filter by date range
  • Filter by status (unread, assigned, resolved)
  • Filter by caller number

Great for finding the voicemail from "that patient three weeks ago who asked about Saturday hours."

Retention

Voicemail audio and transcripts follow your practice data retention policy (Settings → Compliance → Retention). Defaults:

PlanDefault retention
Free / Starter90 days
Professional1 year
EnterpriseConfigurable, up to 7 years

Older messages are deleted permanently — set a longer retention if your jurisdiction or specialty requires it.

Common patterns

  • Pair with after-hours mode: Off-hours → voicemail-only → next-morning staff reviews and calls back. See Configure after-hours behavior.
  • Daily inbox-zero: Make voicemail review the first task of the morning. Most practices clear yesterday's voicemails in under 10 minutes.
  • Auto-assign: Use rules to route voicemails to the right teammate (billing → office manager, clinical → lead RN).

What's next

Frequently asked questions

How accurate is the transcription?
OpenAI Whisper averages 90–95% word accuracy on clear US English. Accuracy drops on heavy accents, background noise, or fast speech. The audio is always available as a fallback.
Are voicemails part of the BAA?
Yes — voicemails are PHI and are covered by the FrontDesk BAA. Audio and transcripts are encrypted at rest and stored according to your retention policy.
Can the AI take voicemails when staff is unavailable?
Yes. Configure transfer rules to fall through to voicemail when no staff line is available, or set after-hours mode to voicemail-only. See Configure after-hours behavior.

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