We use this service for our annual flu shot reminders. I create excel reports in the simple format recommended from our EMR. Then upload the report and with a few clicks set up the calls. For me writing and recording the script is the most challenging part of the whole process. But if your message is general you can use it again as it is saved on Call-em-all website. The calls are very inexpensive and so very quickly done! Within 5 minutes of broadcast our patients are calling to schedule flu shots in response. So easy to use I have hardly ever needed assistance, but the few times I did my call to customer service was answered by a knowledgeable, friendly human. I have recommended this service to many, some of which have used the service and raved.