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// Pricing

Three tiers. The difference is how much of the running you do.

Billed monthly by bank transfer. Multi-site is priced per location with a real discount at scale, and the first twenty practices hold a founding price for the life of the account.

ENTRY · YOU RUN IT

Front Desk

PKR 24,000/ month

Install PKR 30,000

  • Included: Receptionist on web chat, SMS and WhatsApp
  • Included: Grounded in your knowledge base
  • Included: Reminders and no-show follow-up
  • Included: Review requests and feedback routing
  • Included: One unified inbox
  • Not included: No CRM outreach campaigns
  • Not included: No intelligence layer
  • Not included: No Network
The one to take

CORE · WE INSTALL, YOU STEER

Operator

PKR 35,000/ month

Founding price, locked for the life of the account. List is PKR 65,000.

Install PKR 75,000

  • Included: Everything in Front Desk
  • Included: Instagram and Facebook Messenger
  • Included: Slot fill when a chair frees up
  • Included: Reactivation, recall and win back outreach
  • Included: The morning queue, every item with its reason
  • Included: Daily brief and written weekly review
  • Included: Intelligence Network
  • Included: Autopilot with shadow preview
  • Included: Acquisition economics
  • Included: Creative Studio
  • Included: Full done for you install
  • Included: Direct line to the founder

PREMIUM · WE RUN IT

Partner

PKR 150,000/ month

Install PKR 200,000

  • Included: Everything in Operator
  • Included: A named operator, weekly
  • Included: Content produced for you
  • Included: Monthly strategy session
  • Included: Multi-location views
  • Included: Knowledge module for your specialty
  • Included: Roadmap priority
  • Included: Quarterly business review
// The comparison that actually matters

Less than half a receptionist, and it works all night.

Nobody here is replacing six software subscriptions. You are comparing this to a person, and the person goes home at eight.

One front desk person, clinic hours only

PKR 50,000toPKR 80,000

Cover when they are on leave or off sick

PKR 6,000toPKR 12,000

Recruiting and retraining when they move on

PKR 5,000toPKR 10,000

A social media page somebody runs on the side

PKR 15,000toPKR 40,000

Combined

PKR 76,000toPKR 142,000

Ascend Operator, all of it, one system

Founding price for the first 20 practices. List is PKR 65,000.

PKR 35,000/ month

Salary ranges are what a competent front desk person costs in Lahore, Karachi or Islamabad today, for comparison rather than measured. The only number that matters is what yours costs you, and we will price against that on the call. If Ascend does not beat it, we will say so. And it is not a swap: the person handles the room, Ascend handles the eleven o’clock WhatsApp message they were never going to answer.

// What it is worth, with the assumptions in the open

We would rather show the working than quote a big number.

// Your inputs

Your practice
1,200
PKR 12,000
Patients who drift
8%
15%
Cancellations
2
60%
Enquiries after hours
25
20%

// The working

  • Visits recovered from patients who drifted

    14visits

    96 go inactive per year

    PKR 168,000
  • Visits refilled after a cancellation

    62visits

    104 unfilled slots per year

    PKR 744,000
  • Visits converted from after hours enquiries

    60visits

    300 enquiries per year

    PKR 720,000
Recoverable per year136 visits

PKR 1,632,000

Estimated · assumptions shown

Every rate on the left is a placeholder, deliberately. Ascend does not run on assumed rates.

Once your history is imported, the ones it can measure it measures. Your value per visit comes straight from your own records. The rest stay visible as the assumptions they are, rather than hardening into numbers nobody checked.

Where it has no evidence yet it says not yet measurable rather than guessing. A number you cannot interrogate is a number you should not be shown.

That is a worked example. The one that matters is yours, built from your last twelve months.

Run this on my real numbers
// The install, and what the fee buys

Thirty days from signature to an operator that knows your practice.

D1 to 3

Your data comes in

Patients, visit history, providers, hours. Your service catalog built from what your bookings are actually called, including the three spellings of the same treatment.

D4 to 7

It learns how you answer

Knowledge base built from your site, your policies, your pricing and the questions your front desk really fields. Its writing tuned until it reads like your practice rather than like software.

D8 to 14

Channels connected

Your messaging number, WhatsApp, Instagram, Facebook and the web widget live, consent state imported so nobody who opted out is ever contacted.

D15 to 30

It runs supervised, in front of you

Everything it wants to do, it shows you first with its reasoning. This is where you find out what it is like to work with, at zero risk.

D30+

You decide what it may do alone

Domain by domain, at your pace, reversible any time. Leaving everything supervised for months is a perfectly good way to run it.

// Your protection

We do not offer a refund. We offer something considerably better.

A money-back guarantee pays you back for a wasted quarter. It does not give you the quarter back. So this offer is built to make the failure hard to reach instead.

It cannot act without you

Assisted is the default and it does not time out.

You see it before you trust it

Shadow mode, on your real practice, before any autonomy decision.

We do the work, not your staff

No implementation project landing on the person who is already busiest.

The ninety day working commitment

We agree the outcomes in writing before you sign. If they have not landed by day ninety, we keep working at no further monthly cost until they do.

You are never held hostage

Export any time, ask us to stop contributing to the Network and we stop, thirty days notice, no exit fee.

// Questions a buyer actually asks

The objections, answered before the call.

What happens if it does something wrong to a patient?

In Assisted mode, which is the default and never expires, it cannot reach a patient without you pressing a button. Autonomy is granted by you, one domain at a time, and revoked instantly.

Do you integrate with my practice management software?

Not yet, and we will not pretend otherwise. Ascend runs on its own schedule and imports your patients and visit history by file. A direct integration is on the roadmap and is not built. If a live two way sync is a requirement for you today, we are not the right fit yet and we will say so on the call.

Does Ascend answer my phone?

No. Ascend answers web chat, SMS, WhatsApp, Instagram DMs and Facebook Messenger. Voice is on the roadmap. We do not sell what we have not built.

Is there a contract?

Thirty days notice, no exit fee, export any time. The install fee buys the install and is not an activation toll.

How do we pay?

Bank transfer, monthly, invoiced at the start of the month. Card processing for Pakistani businesses is still awkward enough that we would rather not build the price around it. If you would prefer to prepay a quarter we will discount it, and if you would rather stay monthly that is the default and it costs you nothing.

Why should we buy this before the bigger clinics in the US do?

Because you can. Selling this in the United States means clearing a vendor agreement chain that we are still working through. Here there is nothing in the way, WhatsApp is already built and it is already the channel your patients use. The first twenty practices in Pakistan get the founding price and the direct line, and they get them because they are early rather than because we discounted.

Why is there no free trial or money-back guarantee?

Because a refund gives you your money back and not your quarter. Instead you get shadow mode before any autonomy decision, and a ninety day working commitment: we agree the outcomes in writing before you sign, and if they have not landed by day ninety we keep working at no further monthly cost until they do.

What do you do with our patient data?

It stays yours. Clinical records sit behind row level security with an append only access log, so every read is recorded. Clinical AI runs on Anthropic only. The Network never carries a number out of your practice: it carries principles, and it is built so that a magnitude cannot physically appear inside one.

How long until it is useful?

From your own data, day one. The Network compounds on top over months, and in your first weeks it will tell you it has little to say rather than inventing something.

// The ask

Send us your last twelve months. We will run your own numbers through the four leaks.

Not the worked example from earlier. Yours. You will see the actual figure for your practice, with every assumption named and arguable.

If the number is not big enough to justify the fee, that is a completely reasonable outcome and we will tell you on the call rather than chase you for a quarter.