Ongoing
Retainers
Optional monthly retainers that bolt onto a build package after the included support window expires. Cancel anytime with 30 days notice.
$400/mo · Bolts onto Front Office.
Care
Keeps the lights on. Small changes, monitoring, and provider model updates as they ship.
- Hosting, monitoring, and uptime checks.
- Up to 2 hours of changes per month (copy, FAQ updates, minor styling).
- Bug fixes on shipped scope.
- AI provider model updates as they ship.
- Email support, 2 business day response.
- AI infra costs (Claude/Gemini API, Vercel) passed through at cost.
$1,200/mo · Bolts onto Practice Automation.
Operate
Active operation of the voice and MBC pipelines, with quarterly compliance audits and a monthly working session.
- Everything in Care.
- Up to 6 hours of changes per month.
- Voice pipeline monitoring and prompt tuning as models drift.
- MBC instrument updates when scoring rubrics change.
- HIPAA configuration audits quarterly.
- Email and async video, 1 business day response.
- One 30-minute working session per month.
$2,800/mo · Bolts onto Platform Engagement.
Orchestrate
Hands-on orchestration tuning across the multi-agent system, custom workflow updates as the practice evolves, and a quarterly strategy review.
- Everything in Operate.
- Up to 12 hours of changes per month.
- Multi-agent system monitoring and orchestration tuning.
- Custom workflow agent updates as practice modalities evolve.
- Same-day response on critical issues.
- One 60-minute working session per month.
- Quarterly strategy review.
Hour caps prevent scope creep. Work past the cap rolls into a follow-on engagement at the hourly rate. 12-month prepay earns a 2-month discount.