A practice phone system with real working hours and on-call rotations.
Auto-attendant with practice-hours routing, voicemail with email transcripts on the lock screen, hunt groups for on-call provider rotation, departments per provider — every feature you'd expect, running on real cellular lines per seat. Calls ring on whoever is holding the practice phone, not in a softphone someone forgot to open.
How Kelir gets used in clinics & therapists work.
Working-hours routing per day
Different hours Monday through Saturday, plus holiday closures. After-hours calls route to a covering-provider line, an emergency voicemail with custom greeting, or a paging service number — configurable in the portal.
On-call rotation hunt groups
Group practices with rotating on-call duties: Team Starter hunt groups route after-hours calls to whichever provider is on. Reorder the group from the portal Sunday night for the week ahead.
Voicemail transcripts on the lockscreen
Patient leaves a message after hours; you see the transcript on your lockscreen and decide whether to return the call tonight or tomorrow. No app to open, no PHI screenshot risk.
Front-desk-friendly portal
Web portal at app.kelir.io for the practice manager: change hours during a holiday, update the after-hours greeting before a snow day, add a new staff member to the hunt group.
What changes when the line is real.
- Calls ring on the native dialer — important when the front-desk phone is an iPhone.
- Working-hours, holiday overrides, and on-call rotations configured from a web portal.
- Voicemail transcripts arrive as text — read at a glance, no need to listen at the front desk.
- Encrypted in transit (TLS 1.3) and at rest (AES-256, AWS KMS).
- Data stays in AWS US-East-1 — no offshore processing.
- Configurable retention for voicemails and recordings (Pro: 30 days to 7 years).
- SIM-swap resistant — eSIM has no physical card to socially-engineer.
Most clinics & therapists start on Kelir Team Starter.
Solo therapists do well on Kelir Solo ($24.99/mo). Group practices with 2–10 providers want Team Starter — hunt groups for on-call rotation, departments for separate provider lines, working-hours per provider, and a portal the practice manager can run. Move to Team Pro ($39.99/seat/mo) if you want call analytics or want to negotiate a BAA.
Who it's not for: If your practice requires a fully HIPAA-compliant phone system under a signed BAA today, Kelir's HIPAA story is roadmap-stage rather than shipped — engage sales before committing. Larger practices (15+ providers) often want a healthcare-specific platform like Spruce or OhMD that includes secure messaging by design.
Common questions
The architecture is HIPAA-aware (encryption in transit/at rest, access logs, retention controls, US data residency, AWS Business Associate Addendum on the underlying infrastructure). Kelir does not currently offer a signed Business Associate Agreement (BAA) with customers — that's on the roadmap for Team Pro. Use Kelir for non-PHI practice phone use cases today; engage sales if a BAA is required before launch.
Voicemail audio and transcripts are stored encrypted in AWS US-East-1. Until a BAA is in place, customers should treat Kelir voicemail like any non-BAA voice channel — appropriate for appointment scheduling and basic logistics, but not for unsolicited PHI exchange. Greeting options include explicit "please don't share medical details on this voicemail" prompts.
Create a hunt group with the on-call providers, set the routing strategy (ordered cascade is most common — primary on-call first, secondary if no answer in 25 seconds, etc.), and update the order weekly from the portal. After-hours calls route through the hunt group; daytime calls bypass it and ring the front desk.
Yes — Departments on Team plans give each provider (or each office) its own US business number, working hours, voicemail box, and routing rules. Front desk has the main number; each provider has a direct line for established patients.
Kelir supports A2P 10DLC SMS for appointment reminders. The pre-registration covers transactional messaging like reminders and confirmations. We don't currently offer a healthcare-specific automation platform — practices typically pair Kelir for the voice line with a telehealth platform (SimplePractice, Doxy.me, etc.) for visit-side workflows.