How it works # How It Works: Ads, Landing Pages and Tracking Foundation, campaigns, the Monday report and a monthly creative round. Each step has a job, a set of things that have to be true before the next one starts, and a line on the Monday report so you can see it working or not. The four steps ## What happens, and what you see. 1. 01 Foundation Tracking, verification and landing pages, before the first ad runs. What happens 1. 01.1 Server-side tracking installed under a signed BAA, with neutral event names. No names, emails, phone numbers, IP addresses or browser IDs go to ad platforms. 2. 01.2 Business and domain verification done. One ad account, one Page and one pixel per brand, owned by your business, with no personal profiles as admins. 3. 01.3 A landing page for each offer: one offer, one main button, written to the same policy as the ads. 4. 01.4 A real test booking or order run end to end, with every step tracked, before any spend. What you see - Every page, with its policy note, before it goes live - Which channels are open for your category, in writing - The test booking, step by step, as the tracking recorded it 2. 02 Campaigns One offer first, on campaigns of 5 to 7 pre-checked ads. What happens 1. 02.1 Each campaign launches with a set of 5 to 7 ads, each taking a different angle on the same offer: stop the scroll, explain, answer the price, remove the doubt. 2. 02.2 Every ad is pre-checked against the health, personal-attributes and prescription-drug rules before it is submitted. 3. 02.3 Campaigns are split by regulation level, so a consultation ad never shares a budget with a drug ad. Targeting stays broad and the creative does the work. 4. 02.4 Until a campaign has enough results to learn from, it optimises on the step before the booking. Budget steps up gradually, and only while cost per result holds. What you see - Every ad, with its policy note, before it runs - The campaign plan and the budget behind it - Spend and results by campaign from the first week 3. 03 Report A Monday report and a weekly call, against one agreed target. What happens 1. 03.1 At kickoff we agree what a new patient or order is worth to you after your costs. That sets the most we will pay for one. 2. 03.2 Every Monday: spend, results and cost per result by campaign, against that number, reconciled to your booking tool. 3. 03.3 Each week the weakest ads are switched off and budget moves to the ones bringing bookings. 4. 03.4 When something goes wrong, you hear it in the same day's message, with the fix. What you see - The Monday report - A weekly strategy call and a shared Slack channel - What we changed that week, and why 4. 04 Refresh A new creative round every month. What happens 1. 04.1 Two new ideas per set, tested against the current winners. 2. 04.2 New versions of last month's winners: a winning static becomes a motion video, and the reverse. 3. 04.3 One or two founder, clinician or creator videos, briefed for paid use. 4. 04.4 Every new ad pre-checked, then approved by you in one pass. What you see - The month's round, for approval in one pass - Which ads were retired, and why - What the round is testing Once campaigns run, [search can produce bookings early because the intent already exists](https://medscale.health/answers/how-long-until-clinic-ads-book-patients); Meta needs a steady flow of results before it stops learning. The Monday report ## One page, same lines every week. Each line is reconciled to your booking tool, not the platform's own count. It fits on a page because a report that does not fit on a page does not get read. **Spend** By platform and campaign, week over week. **Results** Leads, bookings or orders, by campaign and location. **Cost per result** By campaign, against the most you have agreed to pay. **Patients** Started care, by source, reconciled to your booking tool. **Policy** Anything rejected, restricted or changed by a platform that week. **What we changed** Ads switched off, budget moved, pages edited, and why. **One finding, one decision** What the numbers say and what we are changing because of it. A booked patient, as the report sees it Booked consult Example, not a real patient **Patient** Patient A (no name, email or phone number leaves the server) **Source** Meta, campaign “Program explainer, Austin”, ad v3 **First touch** Tue 21:14, landing page for the program **Booked** Tue 21:19, Thu 10:30 consult, in your booking tool **Outcome** Showed. Started care Thu. **Sent to platform** Schedule event and the ad click, server-side, no personal data **Report line** Meta, Austin: 1 booked, 1 showed, 1 started The event name is neutral on purpose: no program, condition, medication or personal detail ever appears in what the platform receives. Our commitment ## Tracking, verification and pages live before the first ad runs. Condition: access to your ad accounts, site and booking tool in week one. By Day 14 [Book the audit](https://medscale.health/audit) [See pricing](https://medscale.health/pricing) Process questions ## What owners ask about the steps. **How long until the first booked patient?** MedScale does not promise a date or a number. Tracking, verification and pages go live first, so the first booking is attributed from day one. Search can produce bookings early because the intent already exists. Meta needs a steady flow of results before it stops learning, so early campaigns optimise on the step before the booking. **What do we have to do?** Give access to the ad accounts, the site and the booking tool; put a clinician on a short call in week one to sign off the claims; approve each creative round in one pass; and read the Monday report. Everything else is MedScale's to run. **Do you handle follow-up, reminders or intake?** No. MedScale runs the paid side: ads, creative, landing pages and tracking. Your team or your intake partner handles follow-up. MedScale connects the booking or checkout tool so every booking lands on the Monday report. **What if a step is already handled by another vendor?** MedScale plugs into it and puts it on the same report. If the report shows it is working, it stays. If it does not, you have the numbers to decide. From the answers library ## The first months, step by step. - [What Happens in the First 30, 60 and 90 Days With a Telehealth Ad Agency?](https://medscale.health/answers/telehealth-ad-agency-first-30-60-90-days) As of October 2026, the first 90 days with a telehealth ad agency run in three stages: setup with campaigns live by Day 14, learning through days 31 to 60, and a review against the agreed target at day 90. MedScale Health, a paid ads agency for US telehealth brands and clinics, runs every launch on this calendar, with pre-checked ads and a landing page in week 2 and the first Monday report in week 4. Meta says ad sets usually leave the learning phase after about 50 results in a week. Reviewed October 24, 2026 - [What Does a Telehealth Growth Audit Include?](https://medscale.health/answers/what-a-telehealth-growth-audit-includes) As of October 2026, a telehealth growth audit worth reading covers five things: the channels your category can run, every ad and page read against health policy, the patient's conversion path, what your tracking sends to the ad platforms, and a costed 90-day plan. MedScale Health, a paid ads agency for US telehealth brands and clinics, delivers that document in five business days from read-only access. An audit that skips the policy read or the tracking review is a sales call with a PDF attached. Reviewed October 24, 2026 - [How Should a Telehealth Brand Give an Ad Agency Access to Meta and Google?](https://medscale.health/answers/giving-an-ad-agency-access-to-meta-and-google) As of October 2026, a telehealth brand should own its Meta business portfolio, ad account, Page, dataset, domain and Google Ads account, and give an agency partner access on Meta and a manager account link on Google. MedScale Health, a paid ads agency for US telehealth brands and clinics, works only as a partner on accounts its clients own and checks at kickoff that two people in the business hold full control. Never share logins or make an agency employee's personal profile the admin. Reviewed October 24, 2026 - [How Should a Telehealth Brand Structure Its Meta Campaigns?](https://medscale.health/answers/telehealth-meta-campaign-structure) As of October 2026, a telehealth brand should run Meta as one offer in one campaign, adding a second campaign only for ads that must stay apart, such as prescription drug ads that need LegitScript and Meta's authorization. MedScale Health, a paid ads agency for US telehealth brands and clinics, builds every new account this way: few ad sets, the angles in the ads, an optimisation event the dataset can still send, and broad adult targeting. Each ad set needs about 50 results a week to leave Meta's learning phase. Reviewed October 24, 2026 More answers on this - [How Many New Ads Should a Telehealth Brand Test Each Month?](https://medscale.health/answers/how-many-new-ads-to-test-telehealth) - [Why Do Telehealth Meta Ads Stall in the Learning Phase?](https://medscale.health/answers/meta-learning-phase-telehealth) Growth audit ## See where your growth is leaking. We audit the ads, the landing pages, the tracking and the compliance posture, then hand you the roadmap. The people writing it have run the same funnel from the inside. You keep it whether or not we work together. [Book the audit](https://medscale.health/audit) [Account already restricted? Start a rescue](https://medscale.health/rescue) [Launching a new brand? Plan your telehealth launch](https://medscale.health/build) **Reviewed** Funnel, tracking, and compliance posture **Discussed** One 30-minute call with the operator on your account **Delivered** A written roadmap within 5 business days Canonical page: https://medscale.health/how-it-works