2026 comparison

Hattie vs. Ruby Receptionists

Ruby is a respected live answering service. But dental practices need more than someone reading a script — they need cancellations filled, waitlists managed, and schedules optimized. Here's how Hattie compares.

Ruby Receptionists

$230–$1,530/mo (50–500 receptionist minutes)

Hattie

From $499/mo (unlimited calls, 24/7)

Side by side

Feature by feature.

FeatureHattieRuby Receptionists

24/7 call answering✓Business hours + limited after-hours

Unlimited calls✓Minute-based plans (overage fees apply)

PMS/EHR integration31 systems (Open Dental, Dentrix, etc.)—

Automated waitlist fillML-ranked, fully automatic—

Bilingual (English + Spanish)Included, auto-detectedAvailable at extra cost

Cancellation detectionReal-time via PMS webhook—

Calendar bookingDirect into PMS—

HIPAA compliant✓✓

Live human voiceNatural AI voice✓

Custom call scripts✓✓

Call summariesAutomatic after every callVia online portal

Per-minute overage chargesNone — unlimited$2.20–$3.40/min

Credit where it’s due

What Ruby Receptionists does well

+Real humans answer every call — some callers prefer that
+Established brand with a strong reputation since 2003
+Excellent for general call answering across many industries
+Customizable call scripts and greetings

Where Hattie wins

What Hattie does that Ruby Receptionistsdoesn’t

✓True 24/7 coverage with no per-minute charges — Ruby's plans cap at 500 minutes and charge $2.20–$3.40 per extra minute
✓Fills cancelled appointments automatically from your ML-ranked waitlist — Ruby takes messages but can't book into your PMS
✓Bilingual English and Spanish with automatic language detection — Ruby offers bilingual at an added cost
✓Deeply integrated with 31 PMS systems across dental, medical, and specialty practices (Open Dental, Dentrix, Eaglesoft, etc.) — Ruby has no PMS integration
✓Handles the full loop: answer call, check schedule, fill slot, update calendar — Ruby hands you a message to act on

The bottom line

Ruby is great if you need a friendly human voice for general call answering. But if your practice loses revenue to unfilled cancellations, needs overnight coverage without per-minute fees, and wants a receptionist that actually books into your schedule — Hattie does what Ruby can't.

Hear her first

Judge the difference yourself — dial the line.

866-481-6507

Open · 24 / 7 / 365

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