# 9th Island AI — Full Content Reference

> AI voice receptionist for appointment-based businesses. Nova answers every call in under 2 seconds, books appointments, captures leads, and transfers to humans when needed — 24/7, in your brand voice.

---

## What is Nova?

Nova is a fully conversational AI voice agent built and configured specifically for your practice. She answers in under 2 seconds, handles new patient inquiries, books appointments directly into your calendar, qualifies leads, and hands you ready appointments — not voicemails.

### Key Capabilities

- **24/7 Call Answering** — Every call answered in under 2 seconds. Nights, weekends, holidays.
- **Direct Calendar Booking** — Books appointments in real time into your scheduling system (GHL, Google Calendar, Calendly, and more).
- **Lead Qualification** — Asks the right intake questions before booking so you only spend time on ready patients.
- **New Patient Intake** — Collects name, reason for visit, insurance info, and contact details.
- **SMS Confirmations & Reminders** — Automated appointment confirmations and reminders sent by text.
- **Warm Transfer** — When a situation needs a human, Nova hands off cleanly with full context.
- **Call Transcripts** — Every call recorded and transcribed for review.
- **After-Hours Coverage** — Calls at 7pm Friday, Saturday morning, or holidays all get answered.
- **Fully Customized** — Built around your practice: your FAQs, scheduling rules, insurance, and tone.

### How Nova Works

1. **Answer & Greet** — Nova picks up in under 2 seconds with a greeting customized to your practice.
2. **Qualify & Capture** — Nova asks intake questions and captures every detail into your CRM automatically.
3. **Book or Transfer** — Nova books the appointment directly or warm-transfers for complex situations.
4. **Confirm & Follow Up** — Nova sends SMS confirmation and reminders automatically.

### Integrations

- GoHighLevel CRM
- Google Calendar / Calendly
- Dentrix, Eaglesoft (dental practice management)
- HubSpot
- SMS / Text (native)
- Email (native)
- Retell AI voice infrastructure
- Your existing business phone number (no porting required)
- Instant email / SMS notifications to your team

---

## Mirror Suite — Outbound AI Voice

Nova is not just inbound. The **Mirror Suite** is 9th Island AI's outbound voice layer: Nova can place calls, not just answer them. This is what sets Nova apart from every "AI answering service" on the market — one voice, one configuration, covering both directions of the phone.

### Mirror Call — The Outbound Agent

Mirror Call is Nova's outbound calling engine. It runs proactive campaigns so practices stop leaving revenue on the table between patient visits.

**Use cases:**
- **Reactivation** — Call dormant patients who haven't been in for 6, 12, 18 months and rebook them.
- **No-show recovery** — Immediate callback when a patient no-shows, offering the next available slot.
- **Appointment reminders by voice** — Not just SMS. A real voice confirmation 24 hours out.
- **Lead follow-up** — Every web form or missed call gets a callback within minutes.
- **Review requests** — Post-visit follow-up calls that ask for reviews.
- **"Mirror Demo" callbacks** — Prospects can request Nova to call them at **808-400-8245** and hear exactly what their own AI receptionist would sound like, on their real phone, in real time.

**Why it's the moat:**
Most AI receptionist vendors only answer calls. Nova + Mirror Call is the only offering in this space that handles the full phone loop — inbound intake, outbound follow-through — under a single configuration, a single voice, and a single monthly price.

### Mirror Call Guardrails

- Always discloses that it is AI.
- Keeps responses conversational — under 3 seconds, under 35 words.
- Never makes medical, legal, or financial advice.
- Hands off to a human when the situation requires it.
- HIPAA compliance in progress; current outbound use cases are scoped accordingly.

---

## Languages Supported

Nova detects the caller's language and switches mid-conversation. She handles mixed-language callers naturally (Spanish + English, Mandarin + English, etc.).

- English
- Spanish
- Mandarin (Simplified Chinese)
- Cantonese (Traditional Chinese)
- Korean
- Japanese
- Tagalog
- Bahasa Indonesia
- Portuguese
- French

---

## Security & Compliance

- **HIPAA-compliant** recording and encrypted storage.
- **No training on your data** — Nova's configuration is customer-scoped.
- Call transcripts retained per customer policy.
- Encrypted transport and storage.

---

## Industries Served

### Chiropractic
Nova handles new patient acquisition, reactivation calls, appointment booking, and reminders. Answers every call under 2 seconds, qualifies new patients, handles insurance questions, sends SMS reminders, and reactivates dormant patients.

### Dental
Nova handles new patient inquiries, insurance questions, emergency triage, cancellation-slot filling, and appointment reminders. Your front desk focuses on the patients in the chair.

### Law Firms
Nova captures every inbound lead, qualifies case type and urgency, books consultations directly into your calendar, and routes urgent matters appropriately.

### Med Spas
Nova captures every lead from paid ads 24/7, answers service and pricing questions, books consultations while interest is high, and runs automated follow-up sequences.

### Physical Therapy
Nova captures every physician referral call immediately, books initial evaluation appointments, collects insurance and referral information, and sends reminders and intake forms.

### Veterinary
Nova triages urgent vs routine calls, books appointments, handles prescription refill requests, and manages intake for new pet owners.

### Real Estate
Nova qualifies buyer and seller leads, captures property interest details, schedules showings and consultations, and sends follow-up texts automatically.

### Home Services
Nova answers emergency calls 24/7, qualifies job type and urgency, books estimates and service appointments, and captures full job details for dispatch.

### Other appointment-based businesses
Nova can be configured for salons, fitness studios, therapists, and any service business where missed calls cost real money.

---

## Pricing

### Staff Augmentation — $500–$800/mo
For practices that already have a receptionist. Nova handles overflow, after-hours, and weekends.

**Includes:**
- After-hours & overflow call handling
- 24/7 coverage — nights, weekends, holidays
- Appointment booking & confirmations
- New patient intake & qualification
- Call transcripts & recordings
- GHL CRM pipeline integration
- SMS follow-up sequences
- Custom voice & personality
- Multilingual support

### Full Replacement — $1,000/mo (Most Popular)
For solo practices or businesses without a dedicated front desk. Nova IS your receptionist.

**Includes everything in Staff Augmentation, plus:**
- Full inbound call handling — primary line
- Complete new patient onboarding flow
- Lead qualification & scoring
- Direct calendar booking integration
- Warm transfer when needed
- Priority onboarding & support
- Monthly performance review

### Custom Integration — from $2,500/mo
For multi-location practices, groups, and compliance-heavy specialties (medical groups, DSOs, law firm networks, specialty clinics).

**Includes everything in Full Replacement, plus:**
- Multi-location support with per-location configurations, routing, and reporting
- Deep EMR / PMS integration (Dentrix, Eaglesoft, Epic, Athena, custom APIs)
- Custom Mirror Call outbound campaigns — reactivation batches, no-show recovery, lead nurture
- HIPAA BAA + compliance support
- Dedicated success manager + quarterly business review
- Priority SLA — response time, uptime, incident handling
- Premium voice model — lowest-latency, most natural tier

### Setup
One-time fee starting at $2,500 for Staff Augmentation and Full Replacement. From $5,000 for Custom Integration. Covers custom prompts, voice configuration, CRM/calendar integration, business-specific training, and testing. Most practices go live within 5–10 business days; Custom Integration builds typically take 2–4 weeks.

### 30 Days Free After Go-Live
The clock starts at go-live approval, not payment. We build, test, and pressure-test Nova on your real calls. You don't pay until you approve Nova is ready.

### No Contracts
Month-to-month after setup. Cancel anytime.

---

## About 9th Island AI

Founded by Lee Swanson, 9th Island AI is a Hawaii-based AI voice infrastructure company. The name "9th Island" is the Hawaiian community's nickname for Las Vegas, reflecting the Hawaiian diaspora — but the company is founded and operated from Hawaii and serves practices across the entire United States.

**Mission:** Zero Missed Calls, Zero Missed Patients.

**Values:**
- **Results over hype** — More leads captured, more appointments booked, more revenue recovered.
- **Custom, not cookie-cutter** — Every build is unique. Your patients hear a voice that sounds like your practice.
- **Your staff gets better** — Nova handles the phones. Your team handles the people in the room.

Lee's background in small business and trades shapes the product: no jargon, no fluff, no 6-month enterprise rollouts. Just infrastructure that works for practices that can't afford to miss a call.

---

## Why Nova vs. Alternatives

Unlike generic answering services, Nova knows your practice. Unlike call centers, there are no scripts read by strangers. Unlike generic AI chatbots, Nova has real voice conversations configured around your specific practice, services, insurance list, and scheduling rules.

| Feature | Nova | Traditional Receptionist |
|---------|------|-------------------------|
| Monthly Cost | $500–$2,500+ | $3,000–$4,500 (fully loaded) |
| Availability | 24/7 including holidays | Business hours only |
| Answer Time | Under 2 seconds | Variable — often voicemail |
| Sick Days | Never | Unpredictable |
| Consistency | Perfect every call | Varies |
| Simultaneous Calls | Unlimited | One at a time |
| Setup Time | 5–10 business days | Weeks of hiring & training |
| CRM Integration | Automatic | Manual entry |
| Multilingual | 10+ languages, mid-sentence switching | Typically English only |
| Call Transcripts | Every call | Not available |
| HIPAA Compliance | Built-in | Depends on vendor |

---

## Contact

- **Email:** Nova@9thislandai.com
- **Website:** https://www.9thislandai.com
- **Live Demo:** https://www.9thislandai.com/nova
- **Book a Call:** https://www.9thislandai.com/contact