Home Case Studies How a U.S. Healthcare Provider Cut 5,000+ Duplicate Tickets with HubSpot Automation

How a U.S. Healthcare Provider Cut 5,000+ Duplicate Tickets with HubSpot Automation

Industry
Medical Imaging / Healthcare
Location
United States
Service
HubSpot Services
Timeline
4-6 Weeks
How a U.S. Healthcare Provider Cut 5,000+ Duplicate Tickets with HubSpot Automation

TL;DR

A U.S. medical imaging provider migrated to HubSpot Helpdesk and discovered over 10,000 duplicate tickets within a backlog of 18,000+, making manual cleanup impossible without risking data loss. INSIDEA deployed an automated deduplication system using Koalify and custom HubSpot merge workflows to intelligently detect, tag, and consolidate duplicates. Ticket volume was reduced from 18,000 to 13,000 – a 28% decrease, while preserving every activity record. The result was a fully automated, scalable support operation with zero manual intervention required.

Results at a Glance

Numbers That Tell the Story

28%
Ticket Volume Reduced
5,000+
Duplicate Tickets Resolved
18K to 13K
Tickets Before vs. After
Zero
Data Loss
Metric Before After
Total Ticket Volume 18,000+ tickets 13,000 tickets
Duplicate Tickets 10,000+ unresolved Fully resolved
Resolution Method Manual (impractical) 100% automated
Support Data Integrity At risk Fully preserved
Operational Overhead High Significantly reduced

Client Profile

Industry
Medical Imaging / Healthcare
Location
United States
Service
HubSpot Helpdesk Automation, Workflow Design & Implementation, Ticket Deduplication
Objective

A U.S.-based medical imaging provider needed to resolve a critical ticket duplication crisis following a platform migration to HubSpot Helpdesk – without losing any historical support data or interrupting ongoing operations

The Challenge

When a Migration Creates More Problems Than It Solves

After migrating from HubSpot Inbox to HubSpot Helpdesk, a U.S. medical imaging company discovered a serious operational problem: over 10,000 duplicate tickets had been created within a total backlog of more than 18,000. Each duplicate often contained unique, irreplaceable activity history – notes, communications, and status updates – making bulk deletion a non-viable option. The support team was operating under compounding confusion, with agents working across fragmented records and no reliable way to track customer interactions. A scalable, automated solution was needed urgently.

Situation Before INSIDEA
Total Tickets 18,000+
Duplicate Tickets 10,000+
Resolution Method Manual only
Data Risk High — activity logged across duplicates
Operational Impact Severe overhead and confusion
01
Massive Ticket Duplication
A platform migration from HubSpot Inbox to Helpdesk generated over 10,000 duplicate tickets, creating an unmanageable volume that overwhelmed the support team and disrupted daily operations.
02
Critical Data Scattered Across Duplicates
Each duplicate ticket often contained unique activity history - including notes, communications, and status changes - meaning deletion would result in permanent, irreversible data loss.
03
Manual Cleanup Was Not Feasible
The scale of duplication made any manual approach impractical. Reviewing and deleting 10,000+ tickets individually would have consumed hundreds of hours with no guarantee of accuracy or completeness.
04
No Visibility or Tracking Mechanism
There was no existing system to identify, flag, or report on duplicate tickets at scale. Without a structured tracking mechanism, the team had no way to measure the scope of the problem or monitor progress toward resolution.
The Solution

An Automation-First Architecture Built to Merge, Not Delete

INSIDEA approached the problem with a structured, automation-first strategy designed to eliminate duplication without any risk to historical data. Rather than deleting tickets – which would have destroyed valuable support records, the team built an intelligent merge architecture using Koalify and custom HubSpot workflows. The solution was designed to be fully automated and scalable, requiring zero ongoing manual effort from the client’s team once deployed.

Strategy at a Glance
Core Tool Koalify + HubSpot Service Hub
Detection Method Trigger-based duplicate tagging
Resolution Method Automated merge workflow
Reporting Dynamic duplicate tracking lists
Data Outcome Zero loss — all history preserved
Automated Duplicate Detection
INSIDEA deployed Koalify to continuously scan for duplicate tickets based on matching ticket names and descriptions. Each duplicate was automatically assigned a Koalify Duplicate ID, enabling systematic identification at scale without any manual review.
Trigger-Based Merge Workflows
A custom HubSpot workflow was built to merge duplicate tickets into their primary record rather than deleting them. This approach retained all historical activity, notes, and communications — preserving complete data integrity across the entire support history.
Dynamic Reporting Lists
INSIDEA created dynamic HubSpot lists to track all duplicate tickets in real time. This gave the client's team full visibility into the deduplication process, enabling easy progress reporting and ongoing operational oversight.
Scalable Automation Architecture
The entire solution was built to operate without manual intervention. Once live, the workflow continuously detected and merged duplicates automatically — creating a self-sustaining cleanup process that scales with future ticket volume.
Measurable Results

Results That Speak for Themselves

28%
Reduction in total ticket volume - from 18,000 to 13,000
5,000+
Duplicate Tickets Resolved
10,000+
Duplicates Detected & Merged
300+ hrs
Estimated Manual Work Saved
Zero
Data or Activity Loss

The automated deduplication solution delivered immediate, measurable impact. Ticket volume dropped significantly, operational clarity was restored, and the support team regained the ability to manage customer interactions efficiently – all without a single record being lost.

Ticket volume reduction 18,000+ reduced to 13,000 (~28%)
Duplicate resolution Fully automated, 0% manual
Activity history preserved 100% - no records lost
Support process scalability Ongoing automation - no reoccurrence
Client Testimonial

In Their Own Words

"The team completely transformed how we manage support tickets inside HubSpot. What was an overwhelming, unworkable backlog became a clean, structured system, and we didn't lose a single piece of data in the process. The automation they built continues to run without any manual effort from our side."

Operations Lead
U.S. Medical Imaging Provider
Who Can Benefit

Built for Teams Dealing With Helpdesk Complexity

Support operations running inside HubSpot can become difficult to manage at scale, particularly after platform migrations, team expansions, or periods of rapid ticket growth. The approach used in this engagement is directly applicable to any organization facing similar helpdesk inefficiencies.

Who can benefit from this approach
  • Healthcare and medical service providers managing high-volume, compliance-sensitive support queues inside HubSpot.
  • Companies that have recently migrated from HubSpot Inbox to Helpdesk and are experiencing unexpected ticket duplication issues.
  • B2B and B2C businesses with large CRM databases where duplicate records are creating reporting inaccuracies or agent confusion.
  • Organizations that have attempted manual ticket cleanup and found it too time-consuming or risk-prone to complete.
  • HubSpot Service Hub users looking to implement scalable automation that reduces support overhead without disrupting existing workflows.

Frequently Asked Questions

HubSpot Helpdesk does not include a native duplicate detection and merging system out of the box. When duplicate tickets are created, particularly during migrations or integrations – they must be managed through third-party apps or custom workflows. Tools like Koalify can be integrated with HubSpot to automatically detect and merge duplicate tickets, preserving all activity history without requiring manual review or deletion.

Ticket duplication during a HubSpot migration typically occurs when records from a legacy inbox system are imported without deduplication logic in place. If the same support interaction is represented in both the old and new system, or if migration scripts lack unique identifier checks, duplicate records are created automatically. The problem is compounded when each duplicate accrues additional activity history, making post-migration cleanup significantly more complex.

Yes, with the right workflow architecture in place. Rather than deleting duplicate tickets, INSIDEA uses a merge-first approach that consolidates duplicate records into a single primary ticket while retaining all associated activity, notes, and communications. This is achieved using a combination of Koalify for detection and custom HubSpot workflows for automated merging, ensuring zero data loss throughout the cleanup process.

The timeline depends on the volume of duplicates and the complexity of the detection logic required. For straightforward cases where tickets share identical names and descriptions, an automated deduplication workflow can be designed, tested, and deployed within a few weeks. Ongoing automation then handles new duplicates continuously, meaning the solution scales with future ticket volume without requiring additional manual effort.

Koalify is a third-party application that integrates directly with HubSpot to detect duplicate records across contacts, companies, deals, and tickets. It uses configurable match rules – such as identical ticket names, descriptions, or creation dates – to identify duplicates and assign them a shared Duplicate ID. This ID can then be used as a trigger in HubSpot workflows to automate merging, reporting, or any other action required to resolve the duplication at scale.

Ready to Grow?

Let's Fix Your HubSpot Support Operations

Whether you're dealing with ticket duplication, workflow inefficiencies, or a Helpdesk migration gone wrong — INSIDEA builds the automation to fix it and keep it working.