Automating payroll and back-office operations across a virtual care network

Results at a glance

• Payroll automated end to end
• $131K+* in annual savings from automation
• Surge, scale-down, and onboarding work runs without manual reshuffling
• 2,000+ manual taps a month eliminated

About Dialogue

Dialogue is Canada's leading virtual care platform, running primary care, mental health, and EAP across a blended care team spanning full-time, part-time, contractor, and on-demand roles.

The pain

The back office ran on manual labor. Payroll corrections, employee changes, and follow-ups all happened by hand — repetitive work that quietly eats margin.

Every event meant a scramble. A volume spike, a new customer, or a region scaling down each triggered another round of manual reshuffling.

Each handoff added cost. Work bouncing between scheduling, HRIS, and payroll added labor to every unit of care Dialogue delivered.

2,000+ manual taps a month just to keep operations running — not one of them patient care.

The challenge

Dialogue's cost of service carried the weight of back-office work that grew right alongside the business — every new customer and region added more of it.

The solution

Untether runs the back office automatically: payroll processes end to end, employee changes flow through on their own, and operational events — a surge when volume spikes, a scale-down when a region needs fewer hands — run to completion with the right people notified.

The impact

Payroll runs end to end, 2,000+ monthly manual taps are gone, and automation drove an estimated $131K+* in annual savings — cost taken straight out of every unit of care Dialogue delivers.

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*Illustrative figure pending final customer sign-off.