HIPAA Compliant Texting: Secure SMS Messaging for Healthcare
Text patients securely, from $0.02 per 160-character message with carrier fees included. Send appointment reminders, 2-way messages and broadcasts.
Text patients securely, from $0.02 per 160-character message with carrier fees included. Send appointment reminders, 2-way messages and broadcasts.




| Notifyre | TigerConnect | OhMD | Spruce Health | |
|---|---|---|---|---|
| BAA | Free for every customer. Signed in 3 business days. | Available on request; terms not published on their site | Automatic BAA for every user on all plans, "no separate contract to negotiate" | Included automatically with all trials and paid plans |
| Encryption | AES 256-bit at rest, TLS 1.2 in transit | TLS (128/256-bit) in transit, AES at rest; HITRUST CSF certified platform | AES-256 at rest, TLS in transit; HITRUST assessed | Cipher details not published; SOC 2 Type II audited annually with HIPAA-specific controls |
| Patients reply by normal SMS | Yes, no app required. Receiving incoming texts is free | No. Patients tap an SMS link into a secure browser conversation (no app download) | Partly. Routine messages send as standard SMS; anything with PHI arrives as a secure browser link (no app) | Yes, standard SMS supported; Spruce recommends its secure in-app messaging for sensitive content |
| Pricing model | Pay as you go, no subscription required | Custom quote only | From $300/month (Core plan); $500/month with AI features | From $24/user/month (Basic), $49/user/month (Communicator), plus a one-time $19.50 SMS registration fee |
| Best for | Practices that want compliance included and costs that scale with use | Large hospital care teams | High volume patient messaging with EHR workflows | Replacing the whole practice phone system |
Comparison based on information published on each provider's website. Last checked August 2026.


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Use our guides to understand HIPAA text consent requirements and find out how to select the best HIPAA compliant texting app for your medical practice.
Texting is not inherently HIPAA compliant. However, by choosing a SMS service provider that is HIPAA compliant, the necessary administrative, physical, and technical safeguards are implemented to protect message content that may contain PHI.
Notifyre is HIPAA compliant and ISO 27001 certified and through SMS features made available, organizations can ensure text messages sent and received are transacted securely.