Rocklane
Book Call
Recall and reactivation

The 15 to 25% of revenue your practice already earned but never asked back for.

Multi-channel recall, reactivation, and retention sequences calibrated by service line, patient value, and channel preference. These are wired into your EHR or PMS, reconciled to produced revenue, and operated on a documented cadence.

Layered illustration of a calendar with returning patient appointment cards and reminder notifications

8–15%

Dormant book recovered in the first 90 days

7

Sequences operated

<0.4%

Monthly unsubscribe rate

21d

Install timeline

The most underpriced revenue in any mature healthcare practice sits in the patient database. It includes hygiene patients who lapsed at month 14, surgical consults who never converted to a procedure, or med-spa clients who came in for one treatment and never returned. It also covers concierge members whose cards declined and were never resubscribed. In aggregate, lapsed revenue is typically 15 to 25 percent of a mature practice's addressable book, and most of it stays dormant because nobody operates a system against it.

EHR-native recall is not a system. It is a static reminder fired on a fixed cadence with no segmentation, no channel intelligence, and no measurement loop. Rocklane Recall and Reactivation is the productized infrastructure that sits on top of your EHR or PMS. It turns the dormant book into a recoverable, measurable, and steadily growing line on the P&L.

This page covers the seven sequences we operate, our 21-day install process, how delivery is calibrated to avoid patient fatigue, and how every recovered visit reconciles back to produced revenue.

What's included

Our service provides a complete capability set from day one.

Hygiene recall for dental, ortho, and derm follow-ups

Post-op and post-procedure follow-up sequences

Lapsed-patient win-back at 6, 12, 18, and 24 months

No-show and same-day cancellation recovery

Treatment-plan acceptance follow-up

Dormant membership and subscription reactivation

Birthday, anniversary, and milestone touchpoints

Multi-channel delivery via SMS, email, voice, and direct mail where appropriate

Frequency caps, quiet-hours rules, and per-patient suppression

Per-sequence revenue attribution reported monthly to leadership

01 / 05

Why dormant revenue stays dormant.

The patient database in a typical multi-location practice is a recovery opportunity hiding behind a tooling problem. The EHR knows who hasn't been back in 14 months, but it doesn't know which of those patients are recoverable, on which channel, with which message, or at which offer. The marketing team knows how to write copy but lacks access to the EHR. The front desk maintains patient relationships but has no time to operate a sequenced campaign while running the schedule.

Recall and Reactivation closes that gap by treating the patient database as a recoverable revenue surface. We provide the recall program as productized infrastructure with a documented cadence, a measurement loop, and a single accountable owner.

02 / 05

The seven sequences are calibrated by service line.

Hygiene recall is the volume sequence. We use same-day SMS at the cleaning interval, escalate to email at 14 days, and then provide a brief voice touchpoint at 45 days, following a documented exit rule. Post-op follow-up is the trust sequence, featuring clinical check-ins at 24 and 72 hours, a satisfaction touchpoint at day 7, and a retention nudge at day 30. Lapsed-patient win-back is the recovery sequence. It is differentiated by 6, 12, 18, and 24 months since the last visit, with copy and offers calibrated to the value tier.

No-show recovery, treatment-plan acceptance follow-up, dormant-membership reactivation, and milestone touchpoints round out the program. Every sequence is calibrated by specialty. For instance, a cosmetic dermatology lapsed-patient sequence looks quite different than hygiene recall or concierge membership reactivation. The system holds the playbook so the practice doesn't have to.

How reactivated patients route through AI Intake

03 / 05

Management of delivery, frequency, and unsubscribe risk.

The single biggest failure mode in recall programs is over-firing through too many touchpoints and too many channels without patient-level coordination. Rocklane Recall and Reactivation enforces frequency caps, channel preferences, and quiet-hours rules at the patient level rather than the sequence level. A patient enrolled in three sequences will never receive more than the documented monthly cap of touchpoints across all of them combined.

Channel preferences are inferred from response behavior and respected aggressively. An SMS unsubscribe automatically suppresses email recall. Likewise, an email unsubscribe automatically suppresses SMS marketing. Quiet hours apply by the patient's local timezone. The unsubscribe rate in healthy programs sits below 0.4 percent monthly, which is well below industry norms, because the system is designed for patient experience rather than just delivery volume.

04 / 05

Outcome reconciliation focused on recovered revenue.

Every reactivated visit is reconciled back to the originating sequence, the channel, the message, and the offer in the analytics layer. The executive view answers a single question every month regarding how much revenue the recall program produced, at what cost, and which sequences are pulling the most weight. There is no reporting on impressions or clicks because those do not pay payroll.

The reconciliation also exposes which patient segments are decaying fastest and which are retaining best, which helps inform the acquisition program upstream. Acquisition without retention is a leaking bucket, while retention without measurement is theater. The two operate as one unified program inside Rocklane.

How recall is reconciled to revenue

05 / 05

Install timeline and ongoing operation.

Standard install is 21 days. Week one focuses on audit and segmentation. The patient database is profiled by service line, last-visit recency, historical value, and channel preference while suppression lists are imported. Compliance posture is validated for TCPA for SMS, CAN-SPAM for email, and BAAs for any subprocessor that sees PHI.

Week two ships the first three sequences, including hygiene recall, post-op follow-up, and lapsed-patient win-back. This phase also wires delivery into your SMS provider, email platform, and dialer of choice. Week three backfills the remaining four sequences and turns on outcome reconciliation in the analytics layer.

Once live, the program is reviewed monthly to analyze recovered revenue by sequence, channel performance, unsubscribe trends, and the next round of A/B tests on copy and offers. The system gets sharper every quarter.

Frequently asked

Common questions from buyers.

Is this just SMS reminders?
No. Reminders are one channel of seven sequences we operate. Recall and Reactivation also includes hygiene-recall automation, post-op follow-up, lapsed-patient win-back, no-show recovery, treatment-plan acceptance follow-up, dormant-membership reactivation, and birthday or anniversary touchpoints. Each of these is calibrated by service line, channel, timing, and offer.
How is this different from what my EHR or PMS already does?
Most EHR-native recall is a static reminder fired on a fixed cadence with no segmentation, no channel optimization, and no measurement loop. The Rocklane Recall and Reactivation system layers on top of your EHR with multi-channel delivery including SMS, email, voice, and direct mail where appropriate. We utilize behavioral segmentation by service line and patient value, A/B-tested copy and offers, and reconciled outcomes back to produced revenue.
What kind of revenue lift is realistic?
Lapsed-patient revenue is typically 15 to 25 percent of a mature practice's addressable book, and most of it sits dormant because nobody operates a system against it. Clients commonly recover 8 to 15 percent of that book in the first 90 days of operation. This naturally shifts to a steady-state retention motion as the dormant pool is cleared.
How fast does it install?
Standard install is 21 days. During week one, we audit your patient database and segment by service line, last-visit recency, and historical value. In week two, we ship the first three sequences, which include hygiene recall, post-op follow-up, and lapsed-patient win-back, then wire delivery into your stack. During week three, we backfill the remaining sequences and turn on outcome reconciliation.
Does this risk patient annoyance or unsubscribes?
Frequency caps, channel preferences, and quiet-hours rules are enforced at the patient level rather than the sequence level. The system never fires more than a documented number of touchpoints per patient per month across all sequences. Any patient who unsubscribes from one channel is automatically suppressed from the others. The unsubscribe rate in healthy programs sits below 0.4 percent monthly.

Related revenue systems

Keep exploring the infrastructure.

There is more revenue in your patient database than in your next 90 days of paid media.

Book a 30-minute recall diagnostic. We will segment your dormant book and quantify the recoverable revenue before you commit to anything.