USE CASE
 
Pediatrics · Rural Health

One tool that frees the team and fixes the cost

A pediatric and rural health practice in Steamboat Springs, Colorado runs three clinics for a growing Spanish-speaking community. After years of unreliable, per-minute interpretation, Practice Manager Nathan Stack switched the team to No Barrier to simplify the workflow and make interpretation cost predictable.
Steamboat Springs, CO
3 clinics
Pediatrics
Pediatric provider consulting with a child and parent at Steamboat Pediatrics using No Barrier interpretation
3 clinics
Steamboat Springs, CO
The challenge

Before No Barrier

  • Per-minute pricing during visits. Providers felt pressure to rush encounters while the meter ran at several dollars a minute.
  • Two bilingual staff carried the load. One fluent physician and one nurse got overloaded, which was not a sustainable system.
  • Hit-and-miss outside services. Local and phone vendors were inconsistent, sometimes not showing up for scheduled visits.
  • A third person in the room. Audio delays and awkward pauses made conversations with families feel less natural.
The decision

Why No Barrier

After evaluating No Barrier for a few weeks, the team moved quickly. A flat monthly fee replaced per-minute billing, the on-screen transcript and hands-free use fit the exam-room workflow, and it is HIPAA and SOC 2 Type II certified.
“One of my nurses was just saying how much better No Barrier is vs a human translator where it is so much smoother. They feel like they could be themselves.”
“It allows you to be unleashed and to completely focus on the care and the patient and their needs. It is efficient, and we know what it is going to cost.”
Nathan Stack, MBA · Practice Manager, Steamboat Springs, CO · March 2026
Nathan Stack, MBA · Practice Manager, Steamboat Springs, CO
Deployment

How it runs in practice

Locations

3 clinics in Steamboat Springs and Hayden, CO

Workflows

Reception, nursing intake and the exam room

Top languages

Primarily Spanish, part of 295+ language access options

Devices

Existing laptops and iPads, hands-free or one-tap
Outcomes

What changed for the practice

Across reception, nursing and providers at all three clinics:
Across all three clinics in Steamboat Springs and Hayden.

Flat

monthly cost

3

clinics covered

0

per-minute fees
Flat monthly cost replaced per-minute billing, so spend is predictable and easy to plan.
No meter, no rushing. Staff focus fully on the patient instead of the clock.
Faster, smoother encounters on the laptops and iPads the team already uses.
Staff and families prefer it to a human phone interpreter.
“
It allows you to be unleashed and to completely focus on the care and the patient and their needs. It is efficient, and we know what it is going to cost.
It allows you to be unleashed and to completely focus on the care and the patient and their needs.
Nathan Stack, MBA
Practice Manager, Steamboat Springs, CO · March 2026
Why it works
A flat fee means the team can budget interpretation with confidence and use it whenever a visit needs it, with no second-guessing over cost. The workflow is simpler, encounters are smoother, and staff are free to focus on care. Talk to us about pricing
FAQ
Frequently asked questions
Q1.
How did Steamboat Pediatrics save on interpretation costs?

Per-minute billing creates a background pressure that changes how providers think about interpretation. Every minute on the line has a cost and wait time counts too. Steamboat Pediatrics switched to No Barrier's flat monthly subscription and removed that dynamic entirely. Interpretation happens at every touchpoint, providers take the time the visit needs and the practice budgets language access as a predictable line item rather than an expense that grows with patient volume.

Q2.
How quickly did Steamboat Pediatrics adopt No Barrier?

The three clinics were up and running within a few weeks. There is no hardware to procure and no IT project to manage. Staff are added by email, sign in on the laptops and tablets they already use and most teams are comfortable after a short hands-on walkthrough. No Barrier provides onboarding support and a dedicated video call for clinical staff.

Q3.
Why do pediatric staff and families often prefer it to a phone interpreter?

Phone interpretation in a pediatric visit is particularly disruptive. A child, a parent and sometimes a second caregiver are in the room, the provider needs to stay in control of the encounter and a third voice on a speaker creates friction at every turn. With per-minute billing, wait time counts before the interpreter even joins. No Barrier connects in seconds with no hold time and no meter running, so providers stop thinking about interpretation time and take the visit at the pace it needs. A live transcript shows the full conversation as it happens. Staff can be present with families, including the small human moments that build trust in a pediatric relationship, without managing a phone connection on top of the clinical encounter.

Q4.
What did No Barrier solve for Steamboat Pediatrics?

Two problems at once. Operationally, the practice eliminated the friction of phone-based interpretation across every workflow (reception, intake and exam room) on devices staff already owned, with no new hardware or IT setup. Clinically, providers stopped managing a phone connection and stayed focused on the family in the room. Financially, per-minute billing was replaced with a flat monthly cost that made interpretation a stable, forecastable line item. The result was a practice that could offer consistent language access at every visit without absorbing unpredictable costs or operational overhead.

Related:
Languages we support · HIPAA & compliance · AI Medical Translation in Pediatrics

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Flat monthly pricing · runs on existing devices · simpler clinic workflow.
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