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AI Front Desk: What AI Can Do With Your Calls, Chats and Texts

AI can answer routine calls, chats and texts, take messages and book appointments. Before you switch one on, decide when it hands off to a person and check the consent rules that apply to you. Checked against FCC, federal and state sources on 9 November 2026.

Reviewed by Irina ShvayaLast reviewed

Before you switch it on

  1. Handoffdecide when a person takes over
  2. Consentrules vary by state
  3. Healthno patient data without a BAA
  4. Costcompare the billing unit

Start here

What can AI do at your front desk?

AI can handle routine calls, chats and texts, take messages and book appointments. It works best on predictable questions, with a clear path to a person.

Start with one job, such as after-hours messages. Do not let it handle emergencies, complaints or anything needing professional judgment.

This page is general information, not legal or medical advice. Rules differ by state and industry, so have a qualified attorney review your setup.

What changed

The rules to know

New FCC consent-revocation rules for robocalls and autodialed texts take effect November 25, 2026. Callers may name specific opt-out methods if they disclose them clearly. Requests must be honored within a reasonable time, no more than ten business days.

AI voices count as artificial voices for outbound calls. The FCC ruled in February 2024 that the law covers AI technologies that generate human voices, so those calls need prior consent. An AI callback is an outbound call.

Recording and consent rules vary by state. Federal law allows recording with one party's consent, but California requires all parties' consent for confidential communications. Maine bars AI that could mislead consumers into thinking they are talking to a person, unless clearly told otherwise.

What to do first

Before you pick a vendor

Most of this is deciding how the work should run. Do it before you compare products.

  • Count the calls and messages you miss now
  • Pick one job to start with
  • Write down what always goes to a person
  • Route emergencies to a person, 911 or 988
  • Check recording and AI notice rules for your callers' states
  • Get consent before any outbound AI call or marketing text
  • If you handle patient data, get a signed BAA first
  • Compare vendors by billing unit, not headline price
  • Test it with your own calls before going live

Who this is for

Who this guide is for

It is for local service businesses, practices and offices that miss calls or spend too long on routine questions.

Clinics need extra care, because HIPAA requires written assurances from a business associate that handles patient information. No tool is appropriate for patient information without a signed business associate agreement (BAA), and a vendor's marketing page is not one. Even a signed BAA does not settle every question.

Law firms, financial advisers and other regulated offices should check their own professional rules first.

Guides

More guides

Plain-English explainers and checklists, each checked against its sources.

FAQ

Quick answers about AI front desks

Is it legal to have AI answer my phones?
It depends on what the AI does and where your callers are. Recording, disclosure and industry rules differ by state. This is general information, not legal advice, so ask an attorney to review your setup.
Do I have to tell callers they are talking to AI?
It depends on the state and the situation. Maine requires a clear notice when a consumer could otherwise be misled into thinking it is a person. Telling callers up front is the simplest approach.
Can I record calls for quality or training?
Rules vary by state. Federal law allows recording with one party's consent, while California requires all parties' consent for confidential communications. If your callers are in several states, get legal advice on the strictest rule that applies.
Can a clinic use an AI receptionist?
Only with care. Before any patient information reaches a vendor, you need a signed business associate agreement. Do not rely on the words "HIPAA ready" on a website. Have healthcare counsel review the setup.
What does an AI receptionist cost?
It depends on how the vendor bills: per minute, per call or a flat plan. Our pricing guide compares published plans, dated November 9, 2026. Prices change, so confirm them with the vendor.
What changes on November 25, 2026?
New FCC rules on revoking consent take effect for robocalls and autodialed texts. Our guide to the rule explains the change. Have an attorney check your opt-out process.

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