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Zingage supports 3X more calls for home care agencies using ElevenAgents

HIPAA-compliant AI agents handle 90%+ of calls, so agencies can focus on care.

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Zingage handles the operational side of home care - scheduling, staffing, compliance - for 400+ agencies. In 2025, they deployed ElevenAgents to take inbound and outbound calls around the clock - handling routine requests autonomously and routing urgent cases to the right person.

Reliable systems for care that can't wait

Home care agencies run on phone calls - from scheduling changes to caregiver callouts and 3 AM emergencies. Zingage needed a voice AI platform that matched the reliability their agencies depend on.

After facing some uptime issues with a previous vendor, Zingage switched to ElevenAgents and found the stability they required.

"We want to make sure grandma stays out of the hospital, and we want to make sure agencies feel comfortable taking their eye off the phones and focusing on what really matters - caring for their patients."

- Greg Meyer, Founding Engineer at Zingage

Voice agents people want to talk to

The standard in home care was phone trees where callers navigated menus, got routed to different departments, and waited on hold. Now they can have a real conversation, and get answers instantly. Callers can have 10-minute conversations and walk away feeling heard. 

That matters more in home care than most industries where a robotic interaction doesn't cut it and the agent has to earn trust quickly.

"The biggest problem for agents is empathy. ElevenAgents has made it possible for our AI agents to feel like they have the human touch." 

-  Greg Meyer, Founding Engineer, Zingage

Scaling fast with a true partner

Zingage needed a solution they could build on independently, but partner closely with when it mattered. ElevenLabs' intuitive platform and robust documentation meant they could move fast on their own, porting their existing logic and rebuilding in nearly a single pass.

And when they needed more hands-on support, the ElevenLabs team was there - answering questions quickly and shipping a particular capability Zingage needed for their call routing workflows within a week.

"The level of support responsiveness we got was leagues above any other provider in the space. We got instant responses, instant results."

- Greg Meyer, Founding Engineer, Zingage

Secure and HIPAA-compliant at scale

Home care is a heavily regulated space and patient data has to stay protected. Zingage leveraged ElevenAgents' Zero Retention Mode so that data never touches ElevenLabs' servers, while tool-calling capabilities make caller authentication straightforward to enforce.

"Phone calls are sensitive, so we have to be very careful. ElevenLabs makes it possible for us to be certain that access is always fully authorized." 

— Greg Meyer, Founding Engineer, Zingage

Why ElevenLabs

ElevenLabs' vertically integrated stack runs STT, LLM, and TTS in one colocated system. This can lead to fewer failure points, lower latency, and higher reliability than chaining together separate services. For home care, where callers are often elderly patients, caregivers, or operators in an emergency, that translates to a voice that earns trust instantly. And Zingage can configure exactly how the agent handles calls: what it can access, when it escalates, and how it authenticates callers.

"I found ElevenLabs compelling a long time ago - the audio quality was strong. When we needed a platform for voice, we needed something fully stable and well-rounded. ElevenLabs delivered on both." 

— Greg Meyer, Founding Engineer, Zingage

Impact and results

Since deploying ElevenAgents, Zingage has:

  • Scaled call volume by 3X while maintaining high levels of reliability
  • Maintained HIPAA compliance with Zero Retention Mode and authenticated tool calling
  • Resolved 90%+ of calls autonomously, with human escalation for the cases that need it
  • Replaced phone trees with a voice agent available 24/7, 365



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