How Meridian Health reduced booking abandonment by 61%

Two in five patients abandoned Meridian's booking flow. The flow was not slow; it asked for the wrong information at the wrong point.

Solithix StudiosDesign & engineering

7 min read

Summary

  • The booking flow was reordered around information patients already hold.
  • Every screen was built to WCAG 2.2 AA and verified by an external audit.
  • Abandonment fell 61% in the first quarter after launch.
Sector
Patient services
Engagement
14 weeks, 2026
Scope
research, product design, accessibility, next.js build

Research findings

We observed 18 patients booking an appointment. Fourteen stopped at the same screen, which asked for an insurance member number. Very few people have that number available on a phone in a car park.

The screen was not defective. It was third in a flow of six, and it required the one piece of information the patient had to leave and find. Some of those patients returned later. Many did not.

Restructuring the flow

We moved every question a patient can answer from memory to the start of the flow, and every question requiring a document to the end. Insurance details are now collected after the appointment slot is held, and the hold lasts twenty minutes.

  • Ask first for what the patient already knows: who, what, and when.
  • Hold the slot before requesting anything that needs a card or a letter.
  • Allow the booking to be completed on another device, from a link, without restarting.

Accessibility

Meridian's patient population skews older, and a meaningful proportion rely on a screen reader or keyboard navigation. We built every control to WCAG 2.2 AA from the first component rather than auditing at the end, because the elements that fail an audit are usually the hardest to replace.

The held-slot screen. The appointment and its countdown are the only content above the fold.
We used to hear that the site was confusing. We no longer do. We get requests for additions instead.
Head of digital, Meridian Health

Outcome

Abandonment fell 61% in the first quarter. The external audit returned a clean result at AA. The flow now handles approximately 4,000 bookings a week.

Results, measured after launch.

reduction in abandoned bookings
61%reduction in abandoned bookings
WCAG 2.2, verified by external audit
AAWCAG 2.2, verified by external audit
largest contentful paint on 4G
2.1slargest contentful paint on 4G

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