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Conversation intelligence: Phone calls can make or break your practice

Lyall Vanatta January 27, 2026

Conversation intelligence

Are you utilizing conversation intelligence in your practice? This high-tech analysis can help you optimize the front-desk phone call, a basic but critical part of your chiropractic business.

So much of marketing is digital now; most chiropractic practices invest heavily in attracting new patients by focusing spending on local search, Google Ads, website updates and social media. These channels are effective at generating interest. But too often, something breaks between that initial interest and a booked appointment: the phone call.

While digital interactions have grown, the reality is that many prospective chiropractic patients still prefer to make their first contact by phone. It’s personal. It’s immediate. They want to ask about insurance, figure out timing, or gauge staff professionalism. And for patients in pain, friction at this stage is a deal-breaker. If they don’t get answers fast—or don’t get through at all—they move on.

This is where conversation intelligence becomes essential. Not because it’s trendy or built on buzzwords, but because it gives business owners the missing insights they need to understand what’s happening on calls across all their practice locations.

Know who’s answering your phone

Consider a growing chain with a dozen clinics spread across a region. Every office receives calls, which are handled at various hours by different front-desk staff who have varying levels of experience and training. In theory, everyone is working from the same playbook.

In reality, the results vary dramatically.

One clinic converts nearly every new caller. Another loses half to voicemail or vague answers. Without data on these interactions, leadership is flying blind—unable to pinpoint why some locations thrive while others struggle to grow.

Conversation intelligence solves this by analyzing calls and text at scale. It identifies when callers express a clear intent to book but leave without completing the booking and provides insights into why. It also flags long hold times, unreturned voicemails, confusing conversations and customer emotions. Over time, it builds a picture of how each location performs, not just in terms of volume, but also in terms of outcomes and patient satisfaction.

That is where the real value lies: not just in recording what happened and offering call summaries, but in surfacing patterns that lead to improvements.

Engineer change

For example, one organization found calls placed during the lunch hour routinely went unanswered at multiple locations. Once surfaced, this insight led to a crucial scheduling shift that ensured someone was always available to manage midday inquiries.

Another brand realized patients calling from online ads often asked about specific types of treatment, yet front-desk staff were not trained to handle those questions confidently. Once this issue was identified, a short script and refresher training led to better conversion rates from the online campaigns.

Discover what patients want

Conversation intelligence also enables chiropractic leaders to link their marketing efforts to patient behavior directly. Instead of judging success by call volume alone, they can track which campaigns result in booked appointments and which ones do not, and why. It’s common for marketing dollars to drive high interest, only to have that interest dissolve on the phone because of inconsistent messaging or availability issues. With the correct data and insights regarding which marketing channels outperform others, those gaps become addressable.

Coach staff more effectively

Equally important is staff development. Seventy percent of consumers are more likely to book an appointment after a positive first phone call with a service business. Yet, hiring and training front-desk personnel is one of the most difficult and recurring operational challenges in healthcare. Most clinics rely on a combination of shadowing, intuition and broad scripting to get new team members up to speed.

However, conversation intelligence offers real-world examples—calls that occurred with real patients. Use these to coach staff not only on what to say, but also on how to listen, when to guide a caller and how to close the loop. Over time, this creates a more consistent experience for patients, regardless of which location of a business they call.

Ultimately, conversation intelligence provides knowledge in the form of key performance indicators (KPIs), insights and recommended actions for growth. It also offers more control over how calls are handled, how marketing spend translates into patient volume and how each location represents the broader brand. And for organizations looking to scale, consistency is what creates growth that lasts.

Final thoughts on conversation intelligence

There is no shortage of chiropractors in most markets. What separates the best-performing brands is not always their care quality, advertising or business size. It’s how well they manage the moments before a patient ever sets foot in the practice. The phone call is often the first impression people have, and in this business, first impressions count. Optimizing phone calls via conversation intelligence should become a regular part of marketing infrastructure for any business leader serious about performance.

Lyall Vanatta joined Marchex in 2023. As vice president of marketing, he is responsible for corporate and field marketing, demand generation, public relations and digital marketing initiatives. Vanatta has held numerous executive positions in high-tech, healthcare, financial services, energy and government markets and has significant experience building demand-generation frameworks used successfully around the globe. For more information, visit marchex.com.

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Filed Under: Marketing Matters Tagged With: Digital Exclusive, Lyall Vanatta, Marchex

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