Methodology

    Call Operations Diagnostic — Estimation Methodology

    Every number this model produces is an ESTIMATE, not a measurement. Every per-network page links here.

    Call Operations Diagnostic — Estimation Methodology

    Version: v0.1-2026-07 · Prepared: 15 July 2026 · Owner: GoCadence (gocadence.ai) Status: DRAFT — every number this model produces is an ESTIMATE, not a measurement.


    0. What this is, and the honesty rules

    The Call Operations Diagnostic is a per-network page estimating the monthly economics of missed and abandoned phone calls for a named ANZ healthcare network, built only from public data (site counts, published financials, job ads, tenders, press) plus the labeled benchmark model below. It never uses, or claims to use, the target's internal call data.

    Non-negotiable output rules (enforced on every generated page):

    1. Every figure is labeled ESTIMATE and shown as a conservative / typical / aggressive band — never a single point number.
    2. Every page links to this methodology page, showing every input, parameter, and source.
    3. Revenue figures are gross revenue, never profit, and are labeled as such.
    4. Segment-appropriate modeling: we do not claim booking-revenue recovery in segments where calls are predominantly service traffic (pathology, most aged-care volume) — those use a cost-deflection model instead, clearly labeled.
    5. Parameters resting on vendor-published or unaudited sources are marked [VERIFY] in this document and inherit an "industry-reported, unaudited" footnote on the page.
    6. Sanity caps (§C) are always applied and displayed: estimates that would exceed a plausible share of the organisation's published revenue or client intake are capped, and the cap shown.
    7. If the target organisation tells us a figure is wrong, we correct or remove the page. The page carries a visible "correct our assumptions" contact link.
    8. No vendor recommendations and no affiliate links appear on diagnostic pages (GoCadence is vendor-neutral by design).

    A. Inputs (per network)

    InputSource
    sites — site countPublic: company website, annual report, ACCC/press. Cited per row.
    segment — gp / dental / imaging / pathology / aged-carePublic classification
    contact_centre_agents (where a centralised CC is public knowledge)Job ads, press
    Segment parameter set (§B)This document

    B. Benchmark parameters (with sources)

    All bands are [conservative / typical / aggressive]. Where a parameter has no defensible published ANZ benchmark, it is modelled and flagged; the band is deliberately wide.

    B1. Inbound calls per site per day, by segment

    SegmentBandBasis
    Dental40 / 60 / 80DigiSurf case study of a 4-chair Sydney dental practice: 60–80 calls/day ([vendor-published, unaudited — VERIFY]; referenced in GoCadence market research, Jul 2026).
    GP60 / 100 / 150No audited AU per-practice benchmark found [VERIFY]. Anchors: HealthEngine's Helen launch coverage cites booking/admin call load as the top practice pain with ~50% of calls booking-related (ITBrief, Aug 2025); GP practices are typically larger call generators than a 4-chair dental practice (multiple FTE GPs; Sonic/IPN averages ~11 doctors/centre — SCS).
    Imaging40 / 70 / 100Derived from public procedure volumes: I-MED runs 7m+ procedures/yr across 215 clinics ≈ ~90 procedures/site/working day (Permira, May 2026); imaging booking is phone-native (per the same market-entry analysis), and not every exam generates exactly one call, so the band spans 40–100 calls/site/day. Modelled — no direct published call benchmark.
    Aged care (per site: homes + community offices)15 / 25 / 40No published benchmark found — modelled, flagged. Context anchors only: Aged Care Act 2024 (in force 1 Nov 2025) mandates phone-reachable complaints/whistleblower channels (Dept. of Health; MinterEllison), and Support at Home forced providers to re-contact their entire home-care base from Nov 2025 (Dept. of Health) — a structural call-volume shock.
    PathologyNot modelled per collection site (walk-in traffic); modelled per contact-centre agent: 40 / 50 / 60 handled calls/agent/day [VERIFY — generic contact-centre norm, no AU pathology-specific source].Healius's own job ads confirm a "network of 250 contact centre staff operating across Australia" on 7am–9pm Mon–Sun hours (LinkedIn refs 21473, 19697, Jul 2026).

    Working days: 22/month (Mon–Fri) for site-based segments; 22 / 26 / 30 for extended-hours contact centres (Healius ads specify Mon–Sun 7am–9pm).

    B2. Missed / abandoned call rate

    SettingBandBasis
    Distributed front desks (GP, dental, aged-care sites, pre-centralisation)10% / 20% / 30%US vendor-published studies (unaudited, [VERIFY] as a class): 42% of calls missed in a 7,000-call study across 22 practices (Patient10x); ~23% of calls to practices unanswered across sizes/specialties (AgentZap); 15–30% typical range (AnswerNet). VoiceStack (dental) claims a 78% industry answer rate (= 22% missed) (VoiceStack) — vendor claim, no methodology published [VERIFY]. The DigiSurf case (12–15 missed of 60–80 daily calls ≈ 19–20%) sits inside this band. We deliberately band below the worst published figures.
    Centralised contact centres / booking centres (imaging, pathology, aged-care CC)5% / 8% / 12%Healthcare call-centre abandonment benchmark 5–7%, with many operators running above it (Keona Health) [VERIFY — vendor-published].

    B3. Booking/enquiry-intent share of calls

    SegmentBandBasis
    GP / dental40% / 50% / 60%HealthEngine (Helen launch): ~50% of practice calls are booking-related (ITBrief, Aug 2025; Pulse+IT).
    Imaging (booking-centre lines)50% / 60% / 70%Booking centres exist to take bookings; band is modelled around that purpose. No published split [VERIFY].
    Aged care — new-client enquiry share of missed calls3% / 5% / 8%Most aged-care call volume is existing-client/family service traffic; only a small fraction is new-business enquiry. Modelled, flagged — no published source.
    Pathology0% for revenue purposes — pathology calls are results/enquiries/collection logistics; no revenue-recovery claim is made (honesty rule 4).

    B4. Permanent-loss rate of a missed booking call

    Not every missed call is a lost booking — most callers retry. Band: 15% / 25–30% / 35–40%. Upper anchor is the widely repeated (vendor-published, unaudited [VERIFY]) claim that ~85% of callers whose first call goes unanswered don't call back (AgentZap) — we treat that as an extreme ceiling and band far below it.

    B5. Value per recovered booking / call, by segment (A$, gross)

    SegmentBand (A$)Basis
    GP45 / 60 / 90MBS item 23 (Level B consult <20 min) schedule fee $45.05 as at 1 Jul 2026 (MBS Online item 23; AskMyGP). Typical/aggressive reflect mixed billing and longer items [VERIFY exact private-fee averages].
    Dental150 / 220 / 300Anchored to commonly cited AU average check-up (exam + clean) fees around A$219 [VERIFY — ADA fee survey figure not directly retrieved]; DigiSurf case reported no-shows 18%→4% post-AI (vendor case, unaudited).
    Imaging120 / 180 / 250Blend across modalities: out-of-pocket alone runs ~$0–120 (X-ray), $100–400 (CT), $200–500+ (MRI) on top of Medicare rebates (RadiologyScan; Canstar); Integral Diagnostics reported FY24 average fee per exam growth of 7.7% with mix shifting to higher-value CT/MRI (AInvest summary of IDX FY25 results) [VERIFY exact per-exam average from IDX annual report].
    Aged care (home care, per permanently-lost new client)2,547 / 7,640 / 10,18730 / 90 / 120 days of home-care revenue at A$84.89 per client per day (StewartBrown Aged Care Financial Performance Survey, Dec 2025 — Home Care/Support at Home report: PDF; analysis page). We deliberately credit only 30–120 days of a multi-year client relationship. (Residential context: direct care revenue averages A$299.24 per bed day, FY25 — StewartBrown FY25 sector report — but residential placements are waitlist-driven, so we do not monetise them.)
    Pathology / contact-centre cost per call4.00 / 5.50 / 7.00Australian onshore fully-loaded contact-centre rates of A$60–80/agent-hour, putting a straightforward inbound call at roughly A$5–10; we band below that at A$4–7 using 4–6 min handle time (Matchboard — Call Centre Outsourcing Pricing in Australia).

    B6. After-hours share / uplift

    Applied as a multiplier to the revenue-recovery line only (missed after-hours demand a 24/7 AI agent can capture): 1.00 / 1.10–1.15 / 1.25–1.30.

    • Basis (all US vendor-published, unaudited [VERIFY] as a class): ~41% of patient calls arrive outside 8am–5pm weekdays, and only ~19% of healthcare call centres operate 24/7 (AgentZap); 30–40% after-hours share per ACC Solutions. Because these are unaudited, we cap the uplift at +25–30% even in the aggressive band and use 1.00 (no uplift) in the conservative band.
    • Aged care gets the higher band ceiling (1.30) given the Aged Care Act 2024's requirement for complaints/whistleblower channels reachable by anyone — in practice, by phone, at any hour (Dept. of Health).

    B7. AI-recoverable share (full handling, no human)

    Band: 30% / 40% / 60%. Anchored to verified ANZ deployments:

    • Uniting NSW.ACT "Jeanie" (Webex/Optus, launched 23 Oct 2025): >40% of incoming calls fully handled without human intervention, >60% of routine inquiries resolved at first interaction, 35% wait-time reduction (Cisco/Webex). Honesty note: trade press separately reports Jeanie managing ~14% of total inbound across the whole organisation while migration continues (TechPartner.news) — the >40% figure applies to migrated contact centres. Our conservative band (30%) sits below the migrated-centre figure precisely because rollouts are partial in year one.
    • HealthEngine "Helen" (GP receptionist): completed 63% of patient calls end-to-end in pilot (ITBrief, Aug 2025) — this sets the aggressive ceiling (60%).
    • Cross-check: Sierra reports >70% resolution at Singtel (non-healthcare) (Sierra).

    C. Formula chains

    C1. Revenue-recovery model (GP, dental, imaging; aged-care new-client line)

    monthly_calls        = sites × calls_per_site_per_day × working_days
    missed_calls         = monthly_calls × missed_rate
    lost_bookings        = missed_calls × booking_intent_share × permanent_loss_rate
    lost_bookings        = min(lost_bookings, intake_cap)          # sanity cap, aged care (C3)
    est_recoverable_A$   = lost_bookings × value_per_booking × ai_full_handling_share × after_hours_uplift
    

    Rationale for the final two factors: an AI agent answers previously-missed calls; we only claim the share it fully handles end-to-end (B7), and only then apply any after-hours uplift (B6). Calls the AI answers and hands to a human also recover value — we deliberately exclude that (conservatism), and say so on the page.

    C2. Cost-deflection model (pathology; aged-care answered-call line)

    handled_calls_mo     = agents × calls_per_agent_per_day × operating_days
    offered_calls_mo     = handled_calls_mo / (1 − abandonment_rate)
    abandoned_mo         = offered_calls_mo − handled_calls_mo      # reported, not monetised
    est_deflection_A$    = handled_calls_mo × ai_full_handling_share × cost_per_call
    est_deflection_A$    = min(est_deflection_A$, 0.60 × agents × loaded_agent_cost_pa / 12)   # cap (C3)
    

    Labeled on-page as estimated monthly cost-to-serve deflection, not revenue. Caveat shown: deflection at the margin is less than average cost per call until seats are actually re-planned.

    C3. Sanity caps (always applied, always displayed)

    1. Cost-deflection cap: savings ≤ 60% of estimated fully-loaded staffing cost (loaded agent cost banded A$75k/85k/95k p.a. [VERIFY — modelled from Matchboard's A$60–80/hr fully-loaded rates]).
    2. Aged-care intake cap: permanently-lost new clients/month ≤ a plausible share of the provider's monthly client intake (banded per provider from published client counts).
    3. Revenue ratio display: where the target publishes revenue, recoverable-A$ is also shown as a % of monthly revenue; any band exceeding ~4% of revenue is flagged on-page as "aggressive scenario — likely overstates".

    C4. Bands

    Conservative, typical, and aggressive use the respective parameter from every band column — i.e. bands compound. This makes the conservative figure genuinely floor-like and the aggressive figure an explicit ceiling, and is stated on the page.


    D. Known weaknesses (public register)

    • Most missed-call and after-hours rates come from US vendor content marketing — no audited ANZ study of practice-level missed-call rates was found. This is the model's weakest layer; all such parameters carry [VERIFY] and conservative discounts.
    • Aged-care and imaging calls/site/day are modelled, not published benchmarks.
    • The DigiSurf dental case and VoiceStack's "78% industry answer rate" are single-vendor, unaudited claims [VERIFY].
    • Per-exam imaging value should be re-derived from the IDX FY25 annual report (exact exams and fee-per-exam figures) before any page ships [VERIFY].
    • The model treats every site as average; real networks have heavy-tailed site volumes.

    Change log: v0.1-2026-07 — initial model.