HIPAA fax for hospice agencies

For 5 people and 1,000 pages a month, a hospice agency's lowest-priced fax plan with a BAA is Fax Pigeon Plus at $16.99. iFax charges $93.29, eFax $54.16 and SRFax $29.50, billed annually.

A padlock and a stethoscope resting on a keyboard against a teal background

A hospice agency with 5 people and 1,000 pages a month pays $16.99 a month on Fax Pigeon's Plus plan for HIPAA fax, billed annually, and the BAA is signed at signup. SRFax comes to $29.50 for that volume and team, eFax to $54.16 and iFax to $93.29, all billed annually.

What paperwork does a hospice agency fax?

A hospice agency receives physician certifications, orders and referrals by fax, sends medication orders to pharmacies, and answers records requests.

A physician certification supports the patient's eligibility for hospice care, and the physician's orders direct that care. Referrals from hospitals and physicians bring new patients to the agency, medication orders tell a pharmacy what a patient is to receive, and a records request asks the agency to release part of a patient's chart. Each of these faxes names a patient, so each carries protected health information under HIPAA.

A physician's order photographed on a phone uploads as it is, and a cover sheet is optional. For the home health side of an agency, see HIPAA fax for home health agencies. Keeping copies of sent and received faxes is a separate question, answered in how long to keep fax records under HIPAA.

Which HIPAA points matter for hospice fax?

Three HIPAA points matter most for hospice fax: the BAA with the fax service, the minimum necessary standard for records requests, and checking who is asking before any record is released.

Billing Medicare electronically makes a hospice a covered entity under HIPAA, and the fax service that carries its orders and referrals becomes a business associate. The signed BAA has to be in place before the first of those faxes goes through.

Each rival ties its BAA to something: SRFax issues one on request under the Healthcare plans and lists no price, eFax prints one on the Business plan card, and iFax hands Plus and Pro subscribers one for free. Fax Pigeon signs one at signup on every plan.

The minimum necessary standard applies to records requests made for purposes other than treatment. A medication order sent to a pharmacy for treatment falls outside it.

Before a records request is answered, the agency checks the requester's identity and authority to receive the records. Sending a certification to the wrong number is an impermissible disclosure, so each recipient's number needs checking before every send.

Each delivered fax gets delivery proof, so an agency can show when a medication order reached the pharmacy.

What does HIPAA fax cost a hospice agency?

On Fax Pigeon, a hospice agency at 1,000 pages pays $16.99 a month on Plus, and at 2,000 pages pays $29.99 a month on Pro, billed annually, with unlimited people on either plan. Month to month, those plans cost $17.99 and $33.99 a month. On annual billing, Plus totals $203.88 a year and Pro totals $359.88 a year.

The table shows the cheapest plan with a BAA for 5 people, as a price a month, at 1,000 and 2,000 pages sent and received.

Provider1,000 pages, billed annually1,000 pages, month to month2,000 pages, billed annually2,000 pages, month to month
Fax Pigeon$16.99 (Plus)$17.99 (Plus)$29.99 (Pro)$33.99 (Pro)
SRFax$29.50 (Healthcare Basic Plus)$32.95 (Healthcare Basic Plus)$58.60 (Healthcare Standard Plus)$66.35 (Healthcare Standard)
eFax$54.16 (Business, 1,000 pages)$64.99 (Business, 1,000 pages)$95.83 (Business, 2,000 pages)$114.99 (Business, 2,000 pages)
iFax$93.29 (Pro + 4 team licenses)$111.95 (Pro + 4 team licenses)$184.96 (Pro, 5,000 pages + 4 team licenses)$221.95 (Pro, 5,000 pages + 4 team licenses)

Against Fax Pigeon, a 5-person agency at 1,000 pages pays $12.51 more a month at SRFax, $37.17 more at eFax and $76.30 more at iFax, which is $150.12, $446.04 and $915.60 over a year.

At 2,000 pages for 5 people, the monthly gaps are $28.61 for SRFax, $65.84 for eFax and $154.97 for iFax, or $343.32, $790.08 and $1,859.64 a year.

The 10-person table differs from the 5-person one only in the eFax and iFax rows. SRFax Healthcare plans include multiple user accounts, so its prices stay put, and so do Fax Pigeon's. eFax Business adds $10 a month for each user past its included 5, and iFax moves a team onto Pro because two or more team licenses remove Plus from its selector.

A month that runs past the plan costs 4 cents a page on Fax Pigeon Plus and 3.5 cents on Pro, against 7 cents on eFax Business. iFax prints no rate for those pages; by default its Terms of Use add credits at 95% of the plan limit and bill them to the payment method.

The table shows the cheapest plan with a BAA for 10 people, as a price a month, at 1,000 and 2,000 pages sent and received.

Provider1,000 pages, billed annually1,000 pages, month to month2,000 pages, billed annually2,000 pages, month to month
Fax Pigeon$16.99 (Plus)$17.99 (Plus)$29.99 (Pro)$33.99 (Pro)
SRFax$29.50 (Healthcare Basic Plus)$32.95 (Healthcare Basic Plus)$58.60 (Healthcare Standard Plus)$66.35 (Healthcare Standard)
eFax$95.83 (Business, 1,000 pages)$114.99 (Business, 1,000 pages)$137.50 (Business, 2,000 pages)$164.99 (Business, 2,000 pages)
iFax$160.77 (Pro + 9 team licenses)$192.90 (Pro + 9 team licenses)$252.44 (Pro, 5,000 pages + 9 team licenses)$302.90 (Pro, 5,000 pages + 9 team licenses)

At 10 people the 1,000-page gaps to Fax Pigeon are $78.84 a month at eFax and $143.78 at iFax, or $946.08 and $1,725.36 a year, while SRFax stays $12.51 a month higher. At 2,000 pages the gaps are $107.51 and $222.45 a month for eFax and iFax, or $1,290.12 and $2,669.40 a year, and $28.61 a month for SRFax.

Can one fax number serve a whole hospice team?

Yes, one Fax Pigeon number can serve a whole hospice team, because every plan includes your own number and unlimited people. The Plus and Pro rows are identical in the 5-person and 10-person tables, so headcount never moves the price.

Incoming referrals and orders sit in a shared inbox with roles and assignment, so each fax can go to the clinician who handles that patient. How an online fax shared inbox works explains the inbox.

Who should switch from SRFax, eFax or iFax?

A hospice agency paying SRFax, eFax or iFax for 1,000 or 2,000 pages a month should switch, because Fax Pigeon's Plus and Pro prices are the lowest in both tables, at 5 people and at 10.

A hospice on eFax Personal needs to move before sending patient records, since eFax Personal carries no BAA. The same applies on iFax Basic, which carries no HIPAA terms.

Fax Pigeon ports an existing number in for free, so an agency that switches keeps its current fax number.

* 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.

Frequently asked questions

What is the best HIPAA fax service for hospice agencies?
Fax Pigeon's Plus plan is the lowest-priced HIPAA fax option for a hospice agency at 1,000 pages a month, at $16.99 a month billed annually with a BAA included. A team of 5 or 10 pays that same price, since every plan has unlimited people. In every cell of the two hospice tables, the three rivals price higher.
How much does HIPAA fax cost for hospice agencies?
Hospice agencies pay $16.99 a month at 1,000 pages and $29.99 a month at 2,000 pages on Fax Pigeon, billed annually, which totals $203.88 or $359.88 a year. The same 1,000 pages and 5 people run $29.50 a month at SRFax, $54.16 at eFax and $93.29 at iFax. Month to month, the Fax Pigeon prices are $17.99 and $33.99.
Do hospice agencies need a BAA with their fax service?
Yes, a hospice agency needs a signed BAA with any fax service that carries its patient records, including certifications, orders and referrals. Fax Pigeon includes one at signup on every plan. The BAA terms at SRFax, eFax and iFax depend on the plan or on a request, so confirm that the plan you pick carries one before the first fax.
Can a hospice agency share one fax number across the team?
Yes, a hospice team can work from one Fax Pigeon number. Referrals and physician orders arrive in a shared inbox with roles and assignment, and every plan has unlimited people. Adding another clinician or office staff member never changes the price, so a team of 10 pays what a team of 5 does.
What do hospice agencies fax?
A hospice agency receives physician certifications, orders and referrals by fax, sends medication orders to pharmacies, and answers records requests. Each of these faxes names a patient, so each carries protected health information under HIPAA. The fax service needs a BAA for all of them, and the minimum necessary standard applies to records requests made for purposes other than treatment.

Fax Pigeon

HIPAA-compliant fax with a signed BAA on every plan

Plans start at $4.99 a month, billed annually, for 200 pages, with your own number and unlimited people. Your first fax is free.

  • Free porting of your local number
  • Fax from your email
  • AI summary of every inbound fax
  • E-signatures
  • Contact management
  • Delivery proof
Plans and pricing

Know a practice that still faxes? Refer it through the referral program and earn 20% of its plan, every month it stays.