lydoh
Start free trial

For medical and dental practices

A bilingual answering service that speaks your patients' language, day and night

Lydoh answers your practice's phone 24/7 in English and, if you turn them on, Spanish, Arabic and Bengali. Callers talk in the language they are comfortable with. Your team gets every request written in English, marked with the language the caller spoke.

Start 14-day free trialMedical answering service

Flat $199/mo · languages included · an AI receptionist, not a call center

GreetingEnglish + your languages
  • Si prefiere español, hable en español.
  • إذا كنت تفضل العربية، تحدث بالعربية.
  • বাংলায় কথা বলতে চাইলে, বাংলায় বলুন।

One short line per language you turn on, said in that language.

Why it matters

Many of your callers think in another language first

In 2018 to 2022, 21.7% of people age 5 and older in the US spoke a language other than English at home, and Spanish was 61.1% of that group, according to the Census Bureau's American Community Survey.[1]Of those Spanish speakers, 61.0% said they spoke English "very well", which leaves roughly 39% (our subtraction) who reported speaking it less than very well.

The phone call is often the first conversation a patient has with your practice. A 2019 systematic review of 33 studies found that 25 of them (76%) showed at least one outcome was better when patients got care from a physician who spoke their language, though none of the studies measured the physician's language skills in a standardized way.[2] A 2025 scoping review of 22 studies found that patients with language barriers appeared to be at risk for communication-sensitive safety events, including medication-related adverse events.[3]

Those studies are about clinical care, not phone answering. Lydoh does not replace care in a patient's language. What it does is make sure a caller who would rather speak Spanish, Arabic or Bengali can get their request to your team without struggling through an English-only line.

How it works in a call

Four things happen on every call

1

The greeting invites them

After your usual English greeting, Lydoh adds one short line in each language you turned on, in that language, so a caller who does not speak English knows they can just talk.
2

It answers in their language

Lydoh hears English and your chosen languages in one stream and replies in whatever the caller speaks. If they switch mid-sentence, it switches with them. Same voice throughout.
3

Same rules, every language

Appointment requests, questions from your practice's own information, refill requests and urgent after-hours routing work exactly as they do in English. Numbers, dates and times are read back in the caller's language.
4

Your team gets it in English

The saved request is written in English and marked with the caller's language, so whoever calls back knows to use that language or an interpreter.

Example

What a Spanish-language call sounds like

A sample exchange we wrote to show the flow. It is an illustration, not a recording or transcript of a real call.

Lydoh

Thanks for calling the clinic, this is Lydoh. How can I help? Si prefiere español, hable en español.

(Greeting in English, then the Spanish invitation: "If you prefer Spanish, speak in Spanish.")

Caller

Hola, necesito una cita para mi hijo. Tiene tos desde hace tres días.

Hi, I need an appointment for my son. He has had a cough for three days.

Lydoh

Con gusto le ayudo. ¿Cómo se llama su hijo?

Happy to help. What is your son's name?

Caller

Mateo Ramírez.

Mateo Ramírez.

Lydoh

Gracias. ¿A qué número le podemos devolver la llamada?

Thank you. What number can we call you back at?

Caller

Al 555 010 0142.

555 010 0142.

Lydoh

Cinco, cinco, cinco, cero, uno, cero, cero, uno, cuatro, dos. ¿Es correcto?

Five, five, five, zero, one, zero, zero, one, four, two. Is that right?

Caller

Sí.

Yes.

Lydoh

Listo. Dejé su solicitud con el equipo y le llamarán para confirmar la cita.

Done. I left your request with the team and they will call you to confirm the appointment.

What your staff see

Every request in English, marked with the caller's language

Whatever language the call was in, Lydoh saves the request, the reason, the notes and any message in English, and writes names in English letters. It adds a note such as "Caller speaks Spanish" so whoever calls back knows to use that language or an interpreter. Lydoh tells the caller the team will call them back. It does not promise that the person calling back speaks their language, because that is your decision to make.

Example request · from the call above

Type
Appointment request
Patient
Mateo Ramirez
Callback
(555) 010-0142
Reason
Son has had a cough for three days, wants an appointment
Notes
Caller speaks Spanish

Languages

English, plus Spanish, Arabic and Bengali

English is always on. Turn on any of the three under Settings, Languages. Leave them off and your line stays English only, exactly as before.

Spanish

Español

Si prefiere español, hable en español.

If you prefer Spanish, speak in Spanish.

Arabic

العربية

إذا كنت تفضل العربية، تحدث بالعربية.

If you prefer Arabic, speak in Arabic.

Bengali

বাংলা

বাংলায় কথা বলতে চাইলে, বাংলায় বলুন।

If you would like to speak Bengali, speak in Bengali.

These are the only languages Lydoh supports today besides English.

Safety

Emergencies go to 911, in the caller's own language

Every rule Lydoh follows in English applies in every language. A caller who describes an emergency is told, in their own language, to hang up and dial 911. Lydoh never gives medical advice in any language, and if it cannot understand something, it says so and asks the caller to repeat rather than guess at a name, a number or a medication.

We tested this with simulated callers in Spanish, Arabic and Bengali. One was a Spanish-speaking caller describing chest pain after hours, who was told in Spanish to hang up and dial 911 in Lydoh's first reply. Urgent after-hours calls that are not emergencies route to your on-call provider the same way English calls do; see after-hours answering for how that works.

Honest comparison

AI receptionist vs. human bilingual operators

What you get with Lydoh

It is always available, in every language you turn on, on every call at once. There is no hold queue while a Spanish-speaking operator frees up, and no difference in service between 2pm and 2am. The price is the same flat monthly plan, with languages included.

What it is not

Lydoh is AI, not a team of people. It is not a certified or qualified medical interpreter, and it does not interpret between patients and clinicians. It supports three languages besides English, not dozens. Where a qualified interpreter is needed or required, use one, and some callers will simply prefer a person.
A note on language-access rules:the federal Section 1557 regulation on meaningful access for people with limited English proficiency says that covered entities must offer a qualified interpreter when interpretation is required, and that machine translation of text critical to a person's rights, benefits or access must be reviewed by a qualified human translator.[4] We are summarizing the regulation, not giving legal advice. Whether and how it applies to your practice is a question for your counsel. For patient data, see HIPAA-compliant answering.

Languages are one setting on the same medical answering service: appointment requests, answers from your practice's own information, refill requests, and after-hours on-call routing. Pair it with appointment reminders, read how we handle patient data, or see pricing.

FAQ

Bilingual answering, answered

What is a bilingual answering service?

A bilingual answering service picks up your practice's calls and can talk with callers in English and a second language, most often Spanish. Lydoh is an AI version: it answers 24/7, speaks English plus any of Spanish, Arabic and Bengali that you turn on, and hands your team every request written in English.

Do you have Spanish-speaking answering service agents?

Not human ones. Lydoh is an AI receptionist, not a call center. With Spanish turned on, it speaks Spanish itself on every call, at any hour, so there is no wait for a Spanish-speaking operator to become free. If you specifically need people on the line, Lydoh is not that.

Can an AI answering service speak Spanish?

Yes. With Spanish on, Lydoh hears English and Spanish in the same call and answers in whichever one the caller uses, switching if they switch mid-sentence, in the same voice. We tested it with simulated Spanish-speaking callers, including one describing chest pain after hours, who was told in Spanish to hang up and dial 911 in Lydoh's first reply.

Which languages does Lydoh support?

English is always on. Each practice can also turn on Spanish, Arabic and Bengali, in any combination, under Settings, Languages. If you leave them all off, your line stays English only, exactly as before.

Will my staff understand the messages?

Yes. Whatever language the call was in, Lydoh writes the request, the reason, the notes and any message in English, with names in English letters, and adds a note such as "Caller speaks Spanish" so your team knows to call back in that language or with an interpreter.

Is it a medical interpreter?

No. Lydoh is a receptionist that answers the phone, takes requests and routes urgent calls. It is not a certified or qualified medical interpreter and does not interpret conversations between patients and clinicians. Where a qualified interpreter is needed or required, use one. Federal rules under Section 1557 set requirements for interpreters and machine translation in covered health programs; ask counsel how they apply to you.

How much does a bilingual answering service cost?

Lydoh's practice plan is a flat $199 a month, with the extra languages included rather than billed as an add-on, and a 14-day free trial.

Sources

Where the numbers come from

  1. US Census Bureau, "Most Americans Speak Only English at Home or Speak English 'Very Well'" · press release, December 7, 2023, 2018-2022 American Community Survey 5-year estimates. census.gov
  2. Diamond L, Izquierdo K, Canfield D, Matsoukas K, Gany F. "A Systematic Review of the Impact of Patient-Physician Non-English Language Concordance on Quality of Care and Outcomes." · Journal of General Internal Medicine, 2019. pmc.ncbi.nlm.nih.gov
  3. Schulson LB, Rodriguez JA, Cruz R, Flynn D, Fernandez A. "Patient Safety Event Risk and Language Barriers: a Scoping Review." · Joint Commission Journal on Quality and Patient Safety, 2025. pmc.ncbi.nlm.nih.gov
  4. 45 CFR 92.201, "Meaningful access for individuals with limited English proficiency" (Section 1557 of the Affordable Care Act). · Electronic Code of Federal Regulations. ecfr.gov

Published October 5, 2026 by VoiceboxMD. Sources checked on publication.

Answer every caller in the language they speak

Start a 14-day free trial, turn on Spanish, Arabic or Bengali in Settings, and call your own line to hear it.