HIPAA-Compliant Fax for Chiropractic Offices
Referrals, imaging requests, insurance documentation — sent securely, logged for audit, covered by a BAA you sign in-app. $25/mo flat.
The fax is not optional. The compliance is not either.
Small teams, high claim volume, and no budget for enterprise software.
Imaging requests out, reports back, and insurance documentation on nearly every visit. Chiropractic runs high claim volume against small margins, which means the administrative channel has to be cheap and the denials have to be few.
Chiropractic: where the obligation comes from.
Medicare covers manual manipulation to correct subluxation and requires documentation supporting medical necessity for each claim. That documentation is routinely requested after the fact — and requested by fax.
Most fax providers advertise a low headline price and then gate the Business Associate Agreement behind a more expensive plan. Sign up on the cheap tier, send PHI, and you are out of compliance from the first page. LuzardoFax includes the signed BAA on every paid plan, starting at $25/mo, and never bills you automatically for extra pages.
We publish every provider's real price with a signed BAA, verified against their own legal terms, on our comparison page.
Questions worth asking.
If it transmits health information electronically in connection with a covered transaction — which billing insurance is — then yes, under 45 CFR 160.103. The obligation does not depend on practice size or on whether the office considers itself a medical practice.
If you transmit protected health information, yes — and that requires a signed Business Associate Agreement with your fax provider. A service that markets itself as "secure" but will not sign a BAA does not make you compliant. Many providers only sign a BAA on their most expensive plan; LuzardoFax includes it on every paid plan at $25/mo.
$25/mo for the Solo plan, including 350 pages, a signed BAA, and a fax number of your choosing. There is no separate HIPAA tier and no automatic overage billing — at 110% of your allowance, sending and receiving pause until you add a page bundle or upgrade, rather than arriving as a surprise invoice. Larger plans: Plus at $45 (800 pages), Team at $75 (1,500), Business at $129 (4,000). By comparison, eFax requires its Business plan at $39.99 for a signed BAA.
Try it before you decide.
14 days free. No credit card. The BAA is signed in-app before you send a single page — and it stays included at every plan, forever.