Phone System

MedFrontDesk.ai + AT&T PBX

Layer AI on top of legacy AT&T PBX trunks while you plan a full VoIP migration.

Layer AI on top of legacy AT&T PBX trunks while you plan a full VoIP migration.

You do not need to replace AT&T PBX / PRI to fix how calls get answered. The AI layer sits in front of your existing setup, so extensions, recordings, and reporting keep working the way your team expects.

Setting up with AT&T PBX / PRI

Deployment is a routing change rather than a phone-system migration. The steps below are the whole job.

  • Forward DID ranges to MedFrontDesk.ai via call routing table
  • Katie resolves calls and sends transcripts back to PBX operators
  • Maintain failover to PBX if internet drops

Compatibility notes

What carries over from your current AT&T PBX / PRI configuration, and what to check before you start.

  • Supports PRI, Centrex, and analog rollovers
  • Optional SBC for secure SIP

What stays exactly as it is

Practices worry that adding an AI layer means rebuilding telephony. It does not. AT&T PBX / PRI keeps doing what it does.

  • Your existing numbers and extensions
  • Call recording and analytics you already rely on
  • Hunt groups and internal transfer paths
  • Your current contracts and hardware

What to measure after go-live

Agree the numbers before you switch anything on, so the effect of the AT&T PBX / PRI layer is visible rather than anecdotal.

  • Answer speed and abandoned-call rate
  • Share of calls resolved without staff involvement
  • Staff hours returned to in-person work
  • Booking and no-show rate movement

Rollout checklist

  • Confirm your AT&T PBX / PRI plan and admin access.
  • Decide which numbers or queues to route first.
  • Mirror your current auto-attendant options.
  • Define where calls return to after handling.
  • Test end to end before cutting the main line over.

Frequently asked questions

Do we have to leave AT&T PBX / PRI?

No. This layers on top of AT&T PBX / PRI; your numbers, extensions, and contracts stay where they are.

Can we start with one queue?

Yes, and most practices should. Route one line or queue first, confirm behavior, then expand.

What happens to call recordings?

Existing recording and analytics continue to work. Handled calls are also logged with structured outcomes.

Part of AnswerEvery call picked up, triaged, and routed — including the ones outside office hours.See the whole pillar →

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