Problem
Physical therapy clinics lose revenue every day without realizing it: missed calls when the front desk is busy, patients who miss their appointment without warning (no-show), and old patients who disappear and never return. Nobody at the clinic has time to call, confirm, or make this redemption manually, so that money is simply lost.
Solution
Before the appointment: call to confirm the patient's presence, reducing absences (no-show).
At the time of contact: answer the calls that the reception is unable to take, ask questions and schedule directly on the clinic's schedule.
Then: get in touch with old patients who have disappeared, reactivating them and bringing back a prescription that already existed.
Everything connected to the CRM/schedule that the clinic already uses, working 24 hours a day, without requiring anyone on the team to operate anything: the clinic only receives the result (more confirmed appointments, fewer absences, reactivated patients).
The validation begins manually: the founder himself is making real calls to physical therapy clinics in Spain before building any product, to confirm that the pain is real and that there is a willingness to pay only after that the system is automated end-to-end.
Business model
Setup fee: €299 (covers onboarding, integration with the clinic's CRM/schedule, one-time payment, reduces entry friction and already covers the cost of implementation)
Monthly fee: €149/month (predictable recurrence, pure SaaS)
Variable consumption above a limit of minutes included (it aligns the cost of voice infrastructure with actual usage, without offering “unlimited” to compress the margin)
Unit economics (pilot validated hypothesis):
With a clinic using 300 minutes/month, the cost of voice infrastructure is around €45–50/month. Against a monthly fee of €149, This gives a gross margin in the range of 65–70% typical of high-value vertical SaaS, not API reselling.
Average expected ticket per customer: adding setup + 12 Months of monthly fees, the average ticket per clinic is around €2.000–2.500/year, with potential for expansion (upsell) via extra minutes, multiple units of the same clinic network, and additional modules (WhatsApp, ROI dashboard).
Market
TAM (global market): the market for voice agents with AI for health care and scheduling and services is growing rapidly globally (billions of USD, with projections of tens of billions by the end of the decade, driven by clinics, offices, law firms and real estate). This is the theoretical ceiling if ClicFlow expands beyond physical therapy and beyond Spain to other niches that receive a lot of calls and work with scheduling (dentists, aesthetics, veterinarians, psychology).
SAM (market that we actually address): physiotherapy clinics in Spain. theres 74.990 registered physiotherapists in Spain at closing 2025, distributed mostly in small and medium-sized private clinics, an estimated universe of a few thousand physical clinics in the country. Considering a setup ticket (€299) + monthly fee (€149), this represents a SAM of tens of millions of euros/year in this niche and country alone.
SOM (what are we pursuing in the next 12–18 months): the first 100 clinics
Competitors
Indirect (what the clinic already uses): management/scheduling software such as AgendaPro, Koalendar, iFisia and Clinicmaster — solve online schedules and reminders via SMS/email, but those who call, confirm by phone and recover a missing patient are still part of the team.
Direct (global voice agent AI platforms): Retell AI, ElevenLabs Agents and players like tts.ai already offer a virtual receptionist by telephone to clinics but they are generic (they serve any niche: law, real estate, health), sold as infrastructure/API, and there is no one knocking on the door of a physical therapy clinic in Spain with a specific billing recovery pitch.
Competitive differentiation
The difference isn't the voice technology itself, it's what we do with it.
Vs. CRMS/schedules (AgendaPro, Koalendar, IFisia): they automate reminders via SMS/e-mail, but those who call, confirm by phone and run after the missing patient are still part of the team. ClicFlow makes that real connection, without needing anyone.
vs. generic voice-AI platforms (Retell, ElevenLabs, tts.ai): they are horizontal infrastructure — they serve law, real estate, any business. They sell a loose “virtual receptionist”. ClicFlow delivers the product ready and the reason for buying: specific billing recovery for the physical therapy clinic, with the three moments (confirmation, service, reactivation) already designed for this pain, and without the clinic having to configure anything.
Vs. outsourced call center: high cost, no stop and limited to business hours. ClicFlow serves 24 hours a day at a predictable fixed cost.
Entry barrier
1. Data from real conversations. Each call made generates objections, phrases that work and don't work. Success stories that refine the agent's script and flows in a way that a competitor who arrives later doesn't have a history of real connections with physical therapy clinics.
2. Vertical integration with what the clinic already uses. Each clinic software (iFisia, Koibox, AgendaPro, Clinicweb) has its own scheduling form/CRM. Building and maintaining native integrations with the main niche systems is repetitive work that discourages generic competitors who prefer to sell loose infrastructure rather than integrate one by one.
3. Relationship in a closed and slow market. Physiotherapy in Spain is a traditional market, decided by word of mouth, where the owner only trusts after seeing it working with a colleague or acquaintance. This is slow to build and difficult to simply copy who comes first with real cases and recommendations from clinic to clinic
Traction
Not yet, but I can go fast if selected