Enterprise HIPAA Fax Reviews

Reviewing HIPAA Compliant Fax services with real world conditions

We have reviewed many of the top online HIPAA Compliant fax options and consolidated our findings on this site. You can use our comparison chart below to quickly decide on the best HIPAA-compliant fax service for your needs.


FEATURES

  • Reviewed Plan
  • HIPAA Compliant
  • Business Associate Agreement
  • Monthly Fees
  • Real Price
  • Overage per page(pp)
  • Start Up Fee
  • Additional Lines
  • Users in Plan
  • Pages included
    Per Month
  • Online Fax Storage
  • Customer Support
  • Learn More

srFax

  • Premium Plus
  • YES
  • YES
  • $185.00
  • $185.00

  • $0.03
  • $0
  • $4.95
  • Unlimited
  • 10000
  • Unknown
    No public information available on storage options.
  • Phone, Email

WestFax

  • HIPAA 10k
  • YES
  • YES
  • $174.95
  • $174.95

  • $0.025
  • $0
  • $4.95
  • Unlimited
  • 10000
  • Unlimited
  • Phone, Email

eFax Corporate

  • eFax Corporate
  • YES
  • YES
  • $525.00*
    Quoted price was $525.00 for 5000 faxes with 1-10 supported lines.
  • $950.00*

    Quoted price was $525.00 for 5000 faxes with 1-10 supported lines. We are going to extrapolte 10000 pages using the .085 per page overage as their base rate.
  • $0.085
  • $0*
    eFax usually has a startup fee but none was identified.
  • See Note*
    According to quote 1-10 lines are supported. Unknown cost per line.
  • Unknown*
    Not known. Plan details did not explicitly specify a number of users.
  • 10000*
    Price quoted is for 5000 pages in/out. 10000 pages would result in 5000 x .085 overage fee which is an additional $425
  • Unknown
  • Phone, Email

Concord

  • FaxPro 1000
  • YES
  • YES
  • $307.25*
    Price for 6000 pages is $307.25 with .07 pp overage.
  • $587.25*

    Price is $307.25 for their 6000 page plan. At the overage rate of $.07 per page ($280) the calculated plan total is $679.99
  • $0.07
  • $0
  • Unknown
    Price per additional line is not listed.
  • 20 Users
  • 10000*
    We have leveled the pricing to 10000 pages so we took the overage fee of $0.07 per page x 9000 pages to determine the cost for fairer comparison
  • Unknown*
    Information not available publicly on pricing page.
  • Phone, Email

All services have a basic set of features that provide full HIPAA Compliance. We identified other services as well but the lack of public pricing information made it impossible to include them in our review. For the purpose of comparison, we standardized 500 pages in/out as a basis for pricing and feature comparison.

Testing Methodology and Results

We evaluated many fax platforms. We signed up for a trial account when possible using random associates and colleagues. We evaluated each platform on several key metrics.

Since we are evaluating HIPAA Compliant Fax platforms several requirements were required to make it to this list.

For our evaluation, HIPAA Compliance means that the fax platform:

  • Will sign a Business Associate Agreement (BAA) with no additional charge
  • Supports (or requires) TLS 1.2+ Security on their API, Portal, and other tools. (why this is important)
  • Supports Storage of fax data and logs for up to 7 years.
  • Stores fax data utilizing encryption (at rest) and encrypted transmission during upload / sending fax.

Each platform satisfied these requirements based on our analysis.

Pricing

Let’s be honest. A lot of weight is put on price here. We found pricing to be straightforward for some vendors and other vendors had a price on the website but when we wanted a BAA or needed other tools there were add-ons and other pricing. Also, not all vendors had a 10k (10000 page volume) plan. We had to look at the closest plan and extrapolate the cost based on overage (overage is the price of a fax page after the allowed plan fax usage had been exceeded). In some cases, the overage made the monthly price much higher.

At the time of this article, these were the prices we could identify on the website:

Winner: WestFax (Clear pricing, No extra charges)
Runner Up: SRFax (Clear Pricing, No extra charges)

Customer Support

Good support is hard to find these days and even when everyone has moved their support desks overseas and the typical “Unplug and plug it back in response” is the norm we found that the support from all of the vendors on our list was acceptable.

Most had US-based support and 3/4 of them had a queue system we had to navigate through. One of them didn’t have a queue system but had a real person answer. 24/7 Support is available for all 4 vendors if needed and usually, that is with a contract and SLA agreement.

Winner: WestFax (Person answered every time)
Runner Up: Concord (Fairly easy to get someone on the phone)

Fax Deliverability

While one might assume fax deliverability is as reliable as making a phone call, the reality is more complex due to the existence of both “normal” and digital or “SIP Fax” lines. Despite the expectation that digital should be superior, SIP fax has actually proven problematic in the fax world over the past few years, characterized by low speeds, poor completion rates, and compatibility issues with larger enterprise fax services. In our review of various platforms, only WestFax stood out by explicitly avoiding SIP fax. Although none of the providers disclosed their fax connection speeds, our tests using a 10-page document, benchmarking against the standard of one minute per page, allowed us to discern their likely use of SIP based on performance differences.

Winner: WestFax (Fastest completion time, No failed faxes)
Runner up: Concord (Just a minute slower)

Tooling

When it comes to tooling we saw a lot of interesting tools and utilities. Some were useful, some were clunky but we were looking at it from the point of view of what tools can we use to send a fax and what tools can we use to get a fax. All of the fax providers had the popular “Email to Fax” functionality where you send an email to ##########@faxcompany.com with the attachment and it sends. They all had some version of a print driver that allows you to fax from any print-enabled application. Some had FTP access (Push/Pull) and some had advanced workflow tools. We judged them by how easy they were to use, did they cost extra and did they work.

Winner: Concord
Runner Up: WestFax

What is a HIPAA-Compliant Fax Service?

A HIPAA Compliant fax service has the following characteristics:

 

  • Business Associate Agreement (BAA) available.
  • A Cover page with the following information is required: Date/Time, From, To, Organization, Fax Numbers (to/from), Subject, and HIPAA Fax disclaimer.
  • Faxes should not be delivered via Email. If a fax comes in via cloud fax it must just be a notice of fax and the actual fax should live behind an access-controlled portal (or API).
  • If using an API the transmission of ePHI information must have SSL (Encrypted) channel communications.
  • Faxes documents stored “at rest” in a secure storage location.