HIPAA fax for dermatology practices

A five-person dermatology practice that sends and receives 500 pages a month pays $9.99 a month on Fax Pigeon's Standard plan, billed annually, with a signed BAA. The same volume costs $13.65 on SRFax Healthcare Basic, $33.33 on eFax Business and $93.29 on iFax Pro with four team licenses, each billed annually.

What do dermatology practices fax, and to whom?

Dermatology practices send biopsy requisitions to pathology labs, and the results come back to the practice, sometimes by fax. They also fax prior authorization requests for biologic drugs and phototherapy to insurers.

Specialty pharmacies receive enrollment forms for biologic drugs, and those forms carry the diagnosis and insurance details the pharmacy needs. Referral letters go to plastic surgeons, oncologists and primary care offices.

Mohs surgery reports go back to the physician who referred the patient, and hospitals receive operative plans for surgery. Other practices send prior biopsy reports and clinical photographs when the office asks for them.

What HIPAA rules apply to dermatology records sent by fax?

Dermatology records fall under HIPAA's general rules, plus three points that matter in this specialty: clinical photographs, insurer requests and cosmetic or self-pay patients.

A clinical photograph is protected health information when it identifies the patient, so a photo follows the same rules as a chart note. The office sends a photo only when the request asks for one.

Insurer requests fall under the minimum necessary standard, so the office sends only the pages each request names.

An office that bills an insurer electronically also holds its cosmetic patients' records as protected health information, and self-pay patients get the same fax rules as insured ones.

Any patient record that travels through a fax service needs a signed BAA with that service first. Fax Pigeon signs a BAA at signup on every plan, SRFax provides one on request and publishes no BAA price, eFax prints its BAA on the Business plan card, and iFax gives Plus and Pro subscribers a free BAA.

For the insurer side of prior authorizations, see faxing a prior authorization request.

What does a five-person dermatology office pay for HIPAA fax?

A five-person dermatology office handling 500 pages a month pays $9.99 a month on Fax Pigeon's Standard plan billed annually, or $11.99 when billed month by month.

The table shows the cheapest plan with a BAA for 5 people, as a price a month, at 500 and 1,000 pages sent and received.

Over a year, Fax Pigeon's Standard plan totals $119.88, and the gap to SRFax, eFax and iFax is $43.92, $280.08 and $999.60.

Standard charges 5 cents for every page beyond its 500, and eFax Business charges 7 cents for every page over its plan. iFax prints no overage rate, and its Terms of Use add credits automatically when usage reaches 95% of the plan limit, so the iFax figures use the plan that covers each volume.

At 1,000 pages the Plus plan from Fax Pigeon costs $16.99 a month billed annually, or $203.88 a year, against $354.00 a year on SRFax's Healthcare Basic Plus and $649.92 a year on eFax Business. Fax Pigeon's plans and prices show every tier from Basic to Max.

How does the total move for a ten-person dermatology office?

Ten people in a dermatology office still pay the Standard price: $9.99 a month for the 500-page Fax Pigeon plan billed on an annual cycle, since people are unlimited under that plan.

The table shows the cheapest plan with a BAA for 10 people, as a price a month, at 500 and 1,000 pages sent and received.

Each user past five on eFax Business costs $10 a month, or $100 yearly if billed annually. That lifts the 500-page eFax price from $33.33 to $75.00 a month billed annually for ten people.

iFax has one user license, so ten people means iFax Pro with nine team licenses at $160.77 a month billed annually for 500 pages. Adding two or more team licenses moves a team off Plus and onto Pro.

Ten people on SRFax still pay $13.65 at 500 pages. Measured over a year, the ten-person gaps to Fax Pigeon are $43.92 for SRFax, $780.12 for eFax and $1,809.36 for iFax.

Will a front desk and the clinicians work from one inbox?

Yes, a front desk and the clinicians can all work from one Fax Pigeon inbox, because every plan has unlimited people and gives that inbox roles and assignment. A pathology result can be assigned to the clinician who ordered the biopsy, and a prior authorization answer to the medical assistant who filed the request.

Other services count people another way. SRFax includes multiple user accounts on each Healthcare plan, eFax Business includes five users, and iFax includes one user license.

A small office can also read about sharing one inbox at a small office.

Which dermatology practices should switch to Fax Pigeon?

Dermatology groups of five to ten people on SRFax, eFax or iFax should switch to Fax Pigeon, since Standard costs $9.99 a month billed annually at 500 pages for either team size.

The 500-page plan is Standard, the 1,000-page plan is Plus, and Pro, Premium and Max carry 2,000, 5,000 and 10,000 pages.

Two plans lack HIPAA terms. eFax Personal carries no BAA, and iFax Basic has none either, so a practice on either should change plans before its next patient record goes out.

Moving off eFax costs the $40 administrative fee per number to port out that its Customer Agreement lists, while Fax Pigeon charges nothing to port a number in.

A smaller medical practice has its own guide, HIPAA fax for small medical practices.

* Prices last verified October 12, 2026, at each provider's own site. iFax's Terms of Use were last verified October 19, 2026. Fax Pigeon is not affiliated with SRFax, eFax or iFax.