Fax solution for a telehealth practice: own number, BAA, $4.99
A telehealth practice gets its own fax number and a signed BAA for $4.99 a month billed annually on Fax Pigeon Basic, against $10.70 at SRFax and $24.99 at iFax for one person; 5 people pay the same.
A telehealth practice of one person at 200 pages a month pays $4.99 a month billed annually for HIPAA fax with its own number and a signed BAA on Fax Pigeon Basic, against $10.70 at SRFax, $24.99 at iFax and $33.33 at eFax Business; at 5 people Fax Pigeon stays $4.99.
What is the best fax solution for a telehealth practice?
A telehealth practice gets the lowest price for a fax line with a BAA and its own number on Fax Pigeon, among SRFax, eFax, iFax, Fax.Plus, WestFax and Sfax, whether it sends and receives 200 pages a month or 500. The line needs no office. Faxes go out from the browser or from email, and a PDF, a Word, Excel or PowerPoint file, or a phone photo uploads as it is. Incoming faxes land in one shared inbox.
The BAA is signed during sign-up and can be read beforehand at faxpigeon.com/baa. Fax Pigeon is HIPAA-compliant online fax for practices of any size, from solo practices to teams of 100 or more, and it sells no team plans. A remote biller or assistant adds nothing to the bill, because every plan includes unlimited people. The same plans cover therapists and counselors, telepsychiatry practices, psychiatric nurse practitioners, and primary and urgent care clinicians who see patients by video or audio-only visits.
Why does a telehealth practice still need a fax number?
A telehealth practice still needs a fax number because Medicare Part D allows computer-generated fax when an e-prescription cannot transmit, pharmacists may fill Schedule III to V prescriptions from faxed signed copies, and HIPAA lets providers send records to each other for treatment by fax.
Each row names a document or task, the rule behind it and its date or limit.
| Document or task | The rule | Date or limit | Official source |
|---|---|---|---|
| An e-prescription when transmission fails | Part D allows computer-generated fax only during a temporary or transient transmission failure | For the length of the failure | 42 CFR 423.160 |
| A Schedule III to V prescription | A pharmacist may fill it from a facsimile of a signed paper prescription | A computer-generated prescription that is faxed must be manually signed | 21 CFR 1306.21 |
| A Schedule II prescription | When faxed, the original manually signed prescription must reach the pharmacist before dispensing | Except compounded infusions, long term care facility residents and hospice patients | 21 CFR 1306.11 |
| A controlled medication prescribed by telemedicine without an in-person visit | A DEA-registered practitioner may prescribe Schedule II to V if the required conditions are met | Through December 31, 2026 | HHS on telemedicine prescribing |
| Records to another provider for treatment | HIPAA permits the disclosure by fax or other means | Treatment purposes | HHS FAQ |
| Substance use disorder records under Part 2 | Each disclosure made with patient consent must include a copy of the consent or a clear explanation of its scope | Every consented disclosure | HHS Part 2 fact sheet |
| The in-person visit for Medicare behavioral telehealth | Not required within six months of the first service, or annually after | Through December 31, 2027 | HHS telehealth policy |
The manual signature rule sits in 21 CFR 1306.05, and the enrollment side of e-prescribing is covered in whether e-prescribing needs a fax number.
Which dates change telehealth prescribing and billing?
Three dates change telehealth prescribing and billing: December 31, 2026 for the DEA's telemedicine prescribing flexibilities, December 31, 2027 for many of Medicare's telehealth flexibilities, and January 1, 2028, when Medicare telehealth outside behavioral health generally needs the patient in a medical facility in a rural area.
The table lists each date and what changes on it.
| Date | What changes | Official source |
|---|---|---|
| December 31, 2026 | The full set of COVID-era telemedicine flexibilities for prescribing controlled medications runs through this date, under the fourth temporary extension rule effective January 1, 2026 | Federal Register |
| December 31, 2027 | Medicare telehealth for non-behavioral care at home, audio-only non-behavioral visits, telehealth anywhere in the United States and the extended range of billing practitioners run through this date | HHS telehealth policy, CMS FAQ |
| January 1, 2028 | Outside behavioral health, beneficiaries generally need to be in a medical facility in a rural area, and physical therapists, occupational therapists, speech-language pathologists and audiologists can no longer furnish Medicare telehealth | CMS telehealth FAQ |
| No end date | Medicare patients can receive behavioral and mental health telehealth in their home permanently | HHS telehealth policy |
HHS's telehealth policy page says recent legislation extended many Medicare telehealth flexibilities through December 31, 2027. CMS says beneficiaries may keep receiving audio-only telehealth in their homes through the same date.
Does a telehealth practice need a BAA with its fax service?
A telehealth practice that is a covered provider needs a BAA with its fax service, because HHS says covered providers must use telehealth technology vendors that comply with the HIPAA Rules and enter business associate agreements. HHS's cloud guidance makes a service that creates, receives, maintains or transmits ePHI for a covered entity a business associate.
HHS limits the conduit exception to entities that only transmit PHI, with at most temporary storage, and says an entity that accesses PHI on a regular or frequent basis to perform a service is not a conduit. Its list of business associates names an e-prescribing gateway or other data transmission service that needs routine access to PHI. The transition period HHS gave covered providers after the COVID-19 emergency ended expired at 11:59 p.m. on August 9, 2023.
Every Fax Pigeon plan includes a signed BAA at sign-up, and the free first fax goes out under it. What makes a vendor a business associate explains the test.
What does HIPAA fax cost a telehealth practice?
A telehealth practice pays $4.99 a month billed annually for HIPAA fax with its own number on Fax Pigeon Basic at 200 pages, or $9.99 on Standard at 500 pages, for one person or five.
The table shows the cheapest plan with a BAA for one person, as a price a month, at 200 and 500 pages sent and received.
| Provider | 200 pages, billed annually | 200 pages, month to month | 500 pages, billed annually | 500 pages, month to month |
|---|---|---|---|---|
| Fax Pigeon | $4.99 (Basic) | $5.99 (Basic) | $9.99 (Standard) | $11.99 (Standard) |
| SRFax | $10.70 (Healthcare Lite) | $12.60 (Healthcare Lite) | $13.65 (Healthcare Basic) | $16.05 (Healthcare Basic) |
| WestFax | Not offered | $14.99 (Solo) | Not offered | $14.99 (Solo) |
| iFax | $24.99 (Plus) | $29.99 (Plus) | $24.99 (Plus) | $29.99 (Plus) |
| eFax | $33.33 (Business) | $39.99 (Business) | $33.33 (Business) | $39.99 (Business) |
| Sfax | $56.83 (Plus) | $62.00 (Plus) | $56.83 (Plus) | $62.00 (Plus) |
| Fax.Plus | $79.99 (Enterprise) | $99.99 (Enterprise) | $79.99 (Enterprise) | $99.99 (Enterprise) |
Billed annually at 200 pages, Fax Pigeon costs a one-person practice $68.52 a year less than SRFax and $240.00 less than iFax. WestFax sells month to month only, and its $14.99 Solo plan stops at one user.
The table shows the cheapest plan with a BAA for 5 people, as a price a month, at 200 and 500 pages sent and received.
| Provider | 200 pages, billed annually | 200 pages, month to month | 500 pages, billed annually | 500 pages, month to month |
|---|---|---|---|---|
| Fax Pigeon | $4.99 (Basic) | $5.99 (Basic) | $9.99 (Standard) | $11.99 (Standard) |
| SRFax | $10.70 (Healthcare Lite) | $12.60 (Healthcare Lite) | $13.65 (Healthcare Basic) | $16.05 (Healthcare Basic) |
| eFax | $33.33 (Business) | $39.99 (Business) | $33.33 (Business) | $39.99 (Business) |
| WestFax | Not offered | $39.95 (Team) | Not offered | $39.95 (Team) |
| Sfax | $56.83 (Plus) | $62.00 (Plus) | $56.83 (Plus) | $62.00 (Plus) |
| Fax.Plus | $79.99 (Enterprise) | $99.99 (Enterprise) | $79.99 (Enterprise) | $99.99 (Enterprise) |
| iFax | $93.29 (Pro + 4 team licenses) | $111.95 (Pro + 4 team licenses) | $93.29 (Pro + 4 team licenses) | $111.95 (Pro + 4 team licenses) |
Five people put iFax on Pro with 4 team licenses at $93.29 a month billed annually and WestFax on Team at $39.95. iFax's default auto top-up, set in its Terms of Use, adds credits and bills the payment method when usage hits 95% of the plan limit. Pages beyond a Fax Pigeon allowance are 10 cents on Basic and 5 cents on Standard.
How does a practice with no office share one fax number?
A practice with no office shares one Fax Pigeon number by giving every clinician, remote biller and virtual assistant the same inbox in the browser, at no added cost, since every plan includes unlimited people.
The team works from one number and one page allowance, and each incoming fax goes to whoever is assigned to it. Every plan includes AI summaries and e-signatures, and each delivered fax carries delivery proof. The setup for a team is in how a small office shares one fax inbox.
What does a telehealth practice set up on day one?
A telehealth practice can be faxing on day one in five steps.
- Confirm the practice's email and send one fax of up to 10 pages free, with no credit card, from a shared number under the same signed BAA.
- Choose a paid plan, which brings the practice's own number for sending and receiving.
- Keep an existing number by starting the free transfer at sign-up or from Settings. It keeps working with the current provider until it moves, in 5 to 15 business days for most transfers.
- Add each person who handles faxes, at no added cost, and give each a role.
- Put the number everywhere the practice lists a fax number.
The free first fax is a single send from a shared number, and receiving takes a paid plan with the practice's own number. Porting a number before canceling the old service lays out the order that keeps the old line open until the transfer finishes.
Who should switch, and to what?
A telehealth practice should switch to Fax Pigeon Basic or Standard if its fax line is a one-user plan, its BAA needs a higher tier, or each remote staff member adds a license. At 5 people and 200 pages billed annually, iFax costs $1,059.60 a year more than Fax Pigeon Basic and eFax Business $340.08 more. Plans without a BAA at those providers include eFax Personal, iFax Basic and every Fax.Plus plan below Enterprise.
* Prices last verified October 19, 2026, at each provider's own site. Fax Pigeon is not affiliated with SRFax, eFax, iFax, Fax.Plus, WestFax or Sfax.
Frequently asked questions
- What is the best fax solution for a telehealth practice?
- For a telehealth practice, Fax Pigeon Basic is the lowest-priced fax plan with a BAA and its own number among SRFax, eFax, iFax, Fax.Plus, WestFax and Sfax at 200 pages a month, at $4.99 a month billed annually for one person or five. For one person, SRFax Healthcare Lite is $10.70 and iFax Plus $24.99 a month billed annually. Faxes go out from the browser or from email.
- Can a telehealth practice with no office get its own fax number?
- A telehealth practice with no office gets its own fax number with any paid Fax Pigeon plan, from $4.99 a month billed annually for 200 pages sent and received. Faxes go out from the browser or from email, incoming faxes reach a shared inbox, and an existing number ports in free, in 5 to 15 business days for most transfers.
- Does a telehealth practice need a fax number at all?
- A telehealth practice that prescribes or exchanges records keeps a fax number because federal rules still accept fax for prescriptions and records. Medicare Part D lets a prescriber fall back to computer-generated fax during a temporary e-prescribing transmission failure, a Schedule III, IV or V prescription can be filled from a faxed signed copy, and HHS lets one provider fax PHI to another for treatment.
- Does a telehealth practice need a BAA with its fax service?
- Yes, a telehealth practice that is a covered provider needs a BAA with any fax service that stores its faxes. Under HHS's telehealth guidance, a covered provider's technology vendors must comply with the HIPAA Rules and sign business associate agreements, and HHS's cloud guidance counts a service that keeps ePHI for a covered entity as its business associate. The BAA comes signed at signup on every Fax Pigeon plan.
- Can a telehealth prescriber fax a controlled substance prescription?
- Yes, a telehealth prescriber can fax a Schedule III, IV or V prescription, and the pharmacist may fill it from the faxed copy of a signed paper prescription; a computer-generated one must be signed by hand. A Schedule II prescription sent by fax needs the original, manually signed, in the pharmacist's hands before dispensing, except for long term care, hospice and compounded infusions. The DEA's telemedicine prescribing flexibilities run through December 31, 2026.
- How much does HIPAA fax cost a telehealth practice?
- On Fax Pigeon Basic, HIPAA fax costs a telehealth practice $4.99 a month billed annually for 200 pages sent and received, and Standard costs $9.99 for 500 pages, whether one person or five use the account. SRFax Healthcare Lite runs $10.70, iFax Plus $24.99 and eFax Business $33.33 a month billed annually for one person at 200 pages, and WestFax Solo is $14.99 month to month.
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
Know a practice that still faxes? Refer it through the referral program and earn 20% of its plan, every month it stays.