Answers · updated Sep 29, 2026
Which business texting platforms are HIPAA compliant?
Of 18 tracked business texting platforms, 7 publicly state HIPAA support and 2 also offer a signed BAA (Avochato, Textline). For healthcare senders texting reminders, intake and two-way replies, the signed BAA is the document that matters — the rest say nothing about HIPAA publicly, which we record as "not published," not as "no."
As of Sep 29, 2026 · figures linked to their source in the table below
The data behind this answer
| Vendor | Compliance posture | Detail |
|---|---|---|
| Avochato | HIPAA + signed BAA avochato.com verified Sep 26, 2026 STALE | BAA available |
| Heymarket | HIPAA stated heymarket.com verified Oct 12, 2026 | BAA not published |
| Quo (formerly OpenPhone) | HIPAA stated quo.com verified Oct 12, 2026 | BAA not published |
| SimpleTexting | HIPAA stated simpletexting.com verified Sep 2, 2026 STALE | BAA not published |
| SlickText | HIPAA stated slicktext.com verified Sep 2, 2026 STALE | BAA not published |
| Text Request | HIPAA stated | BAA not published |
| Textline | HIPAA + signed BAA | BAA available |
Figures normalized and sourced as of Sep 29, 2026. See the methodology for how each number is captured, dated and normalized, or the full comparison matrix for every vendor.
Frequently asked
Do business texting platforms sign a BAA?
2 of the tracked vendors publicly offer a signed Business Associate Agreement: Avochato, Textline. A BAA is required to handle protected health information in texts under HIPAA, so for clinics and dental offices it is the figure that matters most.
Is HIPAA the same as having a BAA?
No. A vendor can market HIPAA-compliant texting without signing a BAA. Only a signed BAA legally permits processing protected health information on your behalf, so confirm the BAA, not just the claim. Some vendors also gate it behind a paid add-on.
Why does HIPAA matter for SMS reminders?
Even an appointment reminder that names a provider or service can expose protected health information. Without a BAA, routing that through a texting platform can breach HIPAA, so verify compliance before sending.