Carrier enforcement is active. Unregistered healthcare SMS is filtered without notice. FidesTrust Group finds the gaps and fixes them — before they cost you revenue.
Carrier enforcement tightened in 2024–2025. Practices with unregistered or misconfigured SMS are seeing significant message filtering increases. If your booking confirmations or reminders have a lower response rate — this is likely why.
As a healthcare organization sending patient communications via SMS, you sit at the intersection of carrier regulations and federal healthcare law. Most SMS platforms address neither correctly. Most consultants only understand one.
Medical aesthetics practices texting appointment reminders, promotions, and follow-ups.
High-frequency appointment-based practices with large patient contact lists.
Dermatology, orthopedics, urgent care, and any HIPAA-covered entity using SMS.
Every business texting from a local number must register their brand and each message campaign with The Campaign Registry. Without it, AT&T, Verizon, and T-Mobile silently filter your messages — no error, no notification, no delivery.
High impact if unregisteredAppointment details, treatment references, and follow-up messages may qualify as Protected Health Information. Your SMS platform needs a signed Business Associate Agreement. Most don’t have one — and most practices don’t know.
Federal liability exposureEvery promotional text requires documented written consent. Without it, each message is a potential TCPA violation carrying fines up to $1,500 per text, per recipient. Most practices have never formally audited their consent process.
Up to $1,500 per messageWe assess your practice across all three compliance dimensions and deliver a plain-language risk score. No sales pressure. If you’re clean, we’ll tell you that.
Select a time that works for you. We review your current setup before the call and arrive with specific findings about your practice — not a generic checklist.
Choose Your Time →Choose your starting point. Every engagement begins with your free compliance check so we recommend only what your practice actually needs.
Registration is a starting point, not a finish line. Carrier rules evolve. Platforms change. Compliance Guard monitors your practice every month so you never fall back out of compliance. Month-to-month. Cancel anytime.
Compliance Guard is available after any setup package. Your tier is based on your ongoing SMS volume — we’ll recommend the right fit during your compliance check.
Light SMS volume. Monthly monitoring & alerts.
Active SMS use. Quarterly audits & message review.
High-volume. Monthly audits & unlimited review.
We address A2P 10DLC and HIPAA simultaneously. Most consultants handle one. Your practice needs both.
We work exclusively with healthcare and medical aesthetics organizations. We know your platforms, workflows, and patient communication needs.
We guarantee speed, expertise, and thorough attention — never carrier approval outcomes. We give your registration every possible advantage.
Nothing is a black box. You receive complete documentation of everything — registration confirmations, audit reports, compliance records. All yours to keep.
Start with a free 15-minute compliance check. No obligation. No sales pressure. Just a clear, specific assessment of your SMS compliance posture.
Book Your Free Compliance CheckOr reach us directly: info@fidestrustgroup.com
FidesTrust Group provides operational compliance consulting services. Nothing on this website constitutes legal advice. A2P 10DLC registration outcomes are subject to carrier policies and are not guaranteed. HIPAA compliance guidance is operational in nature and does not substitute for qualified legal counsel. FidesTrust Group is not a law firm.