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Fax Near Me: How to Find Faxing Services Near Me?

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If you have documents to send via fax, chances are you’re looking for fax services in your area. This blog article answers the questions, “Where can I send a fax?” and “Where can I fax for free near me?”. You’ll also see a cost comparison of physical fax services vs an online fax provider like eFax.

Looking for Places With Fax Machine Nearby? Do it Online, With No Fax Machine.

“Where can I go to fax something?” – It’s a question you might’ve asked yourself.

Fax machines might have been more common ten years ago, but that doesn’t mean that office employees were any more excited to use them. In fact, these complicated machines have always had a reputation for being tricky to use, not to mention expensive. Today, using a fax machine turns what should be a quick and easy task into a complicated and inefficient process. And it does little to protect your personal data or offer any means of storing it.

Business owners operating in industries that still rely on faxes have two options today: spend a small fortune on their own fax machine or search online for “fax services near me.”

Unfortunately, neither option is a clear winner. Purchasing your own fax machine means navigating using it, running the risk of mistakes and dealing with repairs. Similarly, outsourcing your fax services also slows down the process and can still lead to mistakes.

When you need to send documents quickly, without breaking your budget or risking mistakes, you need a different solution. Sending a fax online offers all of this and more, like the ability to help your team stay organized or the chance to send faxes from anywhere, at any time.

Struggling to Find a Reliable Fax Service Near You?

Tired of spending hours searching “Where can I send a fax near me?” eFax is here to help. No more shopping for fax machines or dealing with repairs. And no more searching for local fax companies near you, paying sky-high fees and navigating changing hours and delays. Now, you can send a fax online in just minutes.


Using Local Fax Services To Send & Receive Faxes

Don’t want to take advantage of the many benefits of online faxing? If you don’t mind spending extra, being restricted by operating hours or don’t want the ease of sending and receiving faxes from your mobile device, any time of day, you can still go the traditional route. Below we’ve outlined what you need to know about the best fax services near you.


What are the Best Fax Services Near Me?

Searching “Where to fax near me?”  The most popular traditional fax services today are Office Depot, Staples, FedEx and UPS. While they can’t beat the convenience and cost-savings of eFax, they will allow you to send and receive traditional paper faxes by using their in-store fax machines.

Fax ServicePrice Per Page*
UPS $2.00
FedEx $2.49
Staples $2.10
Office Depot $2.00

*Pricing as of May 2024, varies by location

Also Read: Does Walmart Offer Fax Services?


Send faxes from anywhere, anytime, in just minutes.

finding fax machines near me

Why You Shouldn’t Waste Time Searching for “Fax Services Near Me”

With the invention of online faxing, the lengthy, complicated process of searching for “fax services near me” is finally coming to an end.

eFax is changing the way that we send faxes. The platform is designed to help customers:

  • Reduce costs by paying a monthly fee instead of per-fax
  • Offering the ability to store faxes online for ease of access
  • Have the ability to send and receive faxes on multiple devices, including smartphones
  • Save valuable time, cut stress and avoid unnecessary hassle
  • Send faxes any time of day, even when traditional fax services are closed

Many chain office stores and shipping services offer fax services. But companies like FedEx, Staples, United Parcel Service (UPS) and Office Depot share one major drawback: their hours of operation. For businesses that need to send faxes outside of these operating hours—like sending faxes to overseas clients and business partners operating in different time zones—this is a big problem. But when you send faxes online with eFax, you aren’t restricted to regular business hours. Instead, you can send faxes on your schedule, any time of day or night.

Another challenge of sending faxes the old-fashioned way is that sending faxes to more than one recipient is necessarily complicated, not to mention time-consuming. When using a traditional fax machine, you have to send your fax one at a time, even if you’re sending the same fax to multiple locations. Plus, going with a traditional faxing service can be expensive. Just take a look at the rates of our competitors. But when you send a fax online, you won’t have to worry about wasting your time sending the same fax again and again. Instead, instantly send your fax to multiple different contacts with just a single click of a button.

 eFaxFedEx*UPS*
Price – Single Document (per page)$0.15 or less$2.49$2.00
Price – Extra Documents (per page)$0.15 or less$2.19$1.00
Price – International (per page)$0.15 or less$5.99$7.99
Hours of Operation (local time)7am-9pm | M-F8am-7pm | M-F7am-10pm | M-F
How can you send a fax near you?Mobile, tablet, desktop computer from app or websiteIn store onlyIn store only
Can you send multiple faxes at once?Yes, select up to 50 recipients or documents at once.No.No.

*As of May 2024, varies by location


Reduced Costs

Sending traditional faxes usually means paying for each individual fax. This can make it difficult to estimate your expenses from month to month. With eFax, you can send up to 150 faxes each month for one low monthly rate, starting at just $18.99. You can choose to pay by the month or annually. This makes it easier than ever before to manage your costs.

Eliminates the Hassle of Maintaining Fax Machines

Paying by the fax can make it tough to estimate expenses, but purchasing and maintaining a fax machine can be even worse. Before you spend money on a new fax machine and a landline phone to go with it, skip the hassle and invest in online fax services instead. Not only can this save money, but it also gives you the ability to send faxes from your existing devices, from anywhere you are.

Ability to Store and Access Faxes Online for Free

Paper documents are easy to lose and take up a lot of space to store. If you find that you need to reference a fax that you sent several months or even several years ago, you’ll be left rifling through filing cabinets in hopes that it hasn’t gotten lost. eFax offers a simple, effective alternative. You’ll get free online storage and instant backups for all your online faxes. This means that you can access them when you need them, from any device.

Send Faxes on the Go with Your Smartphone

If you’ve ever sent a fax on a traditional machine, you know what the dreaded busy signal means—you’ll have to take even more time to send your fax. You’re tied to the machine until it’s sent, too. And if one office shares a single fax machine, you might find a line waiting for you at busy times of the day. Online faxes allow employees to send faxes from their computers or even their smartphones. This not only makes the process fast and simple but also allows you to send faxes when you aren’t in the office.

Receive Faxes Without the Hassle

Receiving faxes the old-fashioned way is no less complicated. Sometimes you’ll find that the document didn’t fully print, so you’ll need to pay to print and receive the fax second time.. Or, you might discover that too many copies are printed—and you’ll have to pay for those too. You’re also still restricted by the operating hours of your chosen fax services. Printing sensitive documents? You’ll be left hoping that no one picks up your fax before you can grab it. With eFax, faxes are sent directly to your device, safely and securely, and you can access them from anywhere.


Cost Comparison: eFax vs Other Physical Fax Services

Here, we compare the cost of eFax vs. other physical fax services:

eFax Pricing

eFax offers flexible pricing subscriptions. If you’re looking for fax services near you but can’t find anything suitable, check out eFax and choose one of these pricing models:

  • Plus: $5.00 for your first month, then $18.99 monthly. 
  • Pro: $10.00 for your first month, then $24.99. 
  • Protect: $15.00 for your first month, then $49.99.
  • Corporate: Contact eFax for a corporate quote based on your faxing needs.

Physical Fax Machine Pricing

  • FedEx Office: You can send faxes at specific FedEx Office locations. The cost to fax depends on its destination – local faxes start at $1.89 for the first page, national faxes begin at $2.49, and international faxes start at $5.99.
  • Walgreens: Walgreens does not offer public fax machines or fax services.
  • UPS: The cost to fax at UPS depends on the store, but you can expect to spend around $1.00 – $3.00 per page.
  • Staples: You can send faxes at some Staples locations. The cost is $1.79 for local faxes, $2.39 for national faxes, and $5.99 for international faxes.

5 Steps to Send a Fax Online From a Desktop or Mobile Device

Frustrated and wondering, “Why are there no places that fax near me?” Well, the simplest solution is to just send it online.

Sending a fax online is easier than you might think—and far easier than messing with an old-fashioned fax machine. As long as you have a desktop computer, laptop, tablet or smartphone and access to the internet, you can send a fax from anywhere, any time, day or night, using digital faxing services like eFax. Simply follow these steps.

1. Create Your Own eFax Account

Before you can send/receive fax documents online, you need an account. Luckily, creating your own eFax account takes just minutes! Follow the three simple steps here and get started.

2. Open the eFax portal or Download the App

After creating your account, you need to decide how you’ll access eFax. You can do so through the Online Portal on a desktop computer or laptop. Or, you can download the eFax tablet app or mobile app on your tablet or mobile device. This app is available from the Apple Store and from the Google Play Store.

3. Log in to Your Account

Once you’ve downloaded the app or accessed the portal, use the account information you created to log in. Now you’re ready to start sending faxes!

4. Find “Send Faxes,” Click and Fill in the Form

After logging in, click “Send Faxes.” From there, you can pick an address from the address book that you provided. Add a personalized message and attach a photo of the document that you’d like to send. Then, fax it to your recipient in just a few clicks.

5. Send and Receive Your Faxes on Any Device

Still searching “Where can I fax for free near me?” Well, you’re in luck! With eFax, you get free online storage, as well as a number of other features included in your plan. No more navigating overly complicated fax machines or searching for fax services and dealing with high fees and limited hours. Now, you can save time and money and send faxes hassle-free from anywhere!

Do not waste time finding fax services near you

Where To Fax Near Me? Do It Online, With No Fax Machine

Physical fax machines are bulky and costly to maintain and keep stocked with paper, toner, and ink. Additionally, remote employees may want to avoid coming into the office just to send a fax machine to a contact.

Online fax services, such as eFax, enable employees to send faxes online anytime and anywhere. eFax’s online solution enables employees to send faxes on any device, including laptops, smartphones, and tablets. It provides a digital fax machine service, allowing users to send faxes electronically without requiring a fax machine to send or receive messages.

The eFax service doesn’t require specialist equipment or advanced tech skills to send faxes without a fax machine. eFax provides a new fax number, or you can use an existing one.


Where Can I Find Fax Services Near Me?

If you’re wondering ‘where can I fax something?’ then there are many options to send fax messages. Some of the local places near you that could offer fax machine services are:

1. Local Libraries

Some local libraries have fax machines that the public can use to send faxes. However, fax messages can only be sent to toll-free or local fax numbers, and these machines can’t be used to receive a fax.

2. Post Offices

Some post offices near your location can also have fax machines that customers can use to send fax messages for a small fee. The cost will likely depend on the provider and the type of fax being sent.

3. Office Supply Stores

Office supply retailers, such as Office Depot, Office Max, and Staples, offer faxing services for a small fee. They have a fax machine from which customers can send a fax message. The cost will depend on the type of fax message sent and the number of pages faxed.

4. Banks and Credit Unions

Your local bank or credit union may also enable you to send a fax from the institution. Some banks may provide the service free of charge or on behalf of their clients, but some may not offer this service to the general public.

5. Logistics and Shipping Providers

Another fax near me option is to visit a major logistics or shipping provider. The likes of FedEx, Post Annex, and UPS often allow customers to send fax messages to manage their business requirements.

6. Airport and Hotel Business Centers 

Travelers thinking ‘Where can I send a fax near me?’ can look to institutions that operate business centers, such as airports, convention centers, and hotels. These buildings may have fax machines that people can use to send faxes and typically charge per page faxed.

7. Internet Cafes

A common option for sending a fax on the go is an internet cafe. Many internet cafes in big cities will have a fax machine that provides a simple solution for quickly sending a fax message.

8. Other High Street Stores

High-street stores like pharmacies and travel providers may often have fax machines that customers can use to send fax messages. These local stores are likely to charge a fee to send a fax.


Send Online Faxes From Anywhere, Anytime

eFax simplifies the process of sending and receiving faxes. You’ll save time, money and hassle and gain the ability to send and receive faxes from anywhere, at any time. Get started today to see just how convenient this service can be. If you’re still on the fence, check out these reviews from real customers.

Send and receive faxes in minutes. Start faxing now.

Frequently Asked Questions

Most local services that provide fax solutions will charge to send a message. However, some libraries may offer free faxing, and some financial institutions may send faxes on their customers’ behalf. Failing that, you can send free faxes online with an eFax account.

Local services like banks, libraries, and logistics and shipping providers have fax machines for public use.

Retailers or logistics providers like Office Depot, Staples, and UPS Store are the best bets for 24-hour fax services, as they may have shops that are open around the clock.

You can receive faxes from any local store or business center that allows incoming faxes. This typically includes banks, libraries, hotels, airports, and shipping providers.

Staples enables customers to send fax messages from its fax machines. The company charges per page sent at a rate of $1.79 for a local fax, $2.39 for a long-distance fax, and $5.99 for an international fax.

Unlike Staples, Walgreens does not provide fax services to its customers.

UPS also provides fax solutions to customers. It charges per page sent at a rate of $1 for a local fax, $2 for a long-distance fax, and $3 for an international fax.

Yes, some FedEx stores enable customers to send fax messages from their fax machines. The service is a little more pricey, starting at $2.49 for a single document.

You can fax anytime, anywhere, using an online fax service like eFax. You need an internet connection and an internet-connected device (like a mobile phone or laptop). You can also send faxes from physical fax machines at FedEx Office, Staples, and UPS.


Send and receive faxes in minutes.

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eFax Blog

What is a Fax? Understanding Faxing Technology

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what is a fax

Before the invention of the Internet, businesses and individuals used facsimile machines to quickly and securely send documents to their clients, colleagues, friends and family members in different locations. So if you’ve ever questioned “what is faxing” or “what is a fax,” here’s your answer – fax machines scan information on a piece of paper and digitally transmit it via a telephone line to the fax machine of a user’s contact. 

Fax machines were a common sight and sound in offices worldwide through the 1980s and 1990s. But, as the Internet took over, it became much more practical for people to share information electronically from their laptop, PC or mobile phone, rather than going into the office to use the corporate fax machine.

Many businesses, especially those in highly regulated industries, aren’t wondering “what does fax mean,” as it remains critical to sending and receiving sensitive information. However, it’s now more convenient, cost-efficient and secure to share fax messages via the Internet through online faxing services like eFax.

Fax Definition and Meaning

Fax, short for facsimile and also known as telecopying, is a form of communication that involves scanning and transmitting printed documents from one machine to another. Faxing a document traditionally involves fax messages being sent from a telephone number associated with a fax machine, printer or other electronic device. In the modern world, fax technology operates digitally without physical paper or printers.

Fax systems are often used when businesses need to share documents quickly and securely. Fax technology works by enabling people to instantly send data over long distances, saving time and money compared to other communication methods. The systems use fax numbers, which offer security as each document receives a code that ensures only authorized recipients can access their contents.

Fax technology has grown in popularity recently, enabling people to send large files and multiple documents simultaneously. This is ideal for organizations that distribute vast quantities of information via computers and smartphones.

How Do Faxes Work?

Now that we’ve covered what a fax is, let’s talk about how faxing works. In short, a fax is a digital image of a document or file that is transmitted either over a traditional fax network or via the internet in the case of online faxing. In both cases, you’re taking a document, converting it to an image and sending it to a specific recipient. 

That recipient is defined by their fax number, and a fax number is still used in internet faxing to make sure faxes are transmitted securely and reliably to their intended receiver. 

Traditional fax machines worked by scanning a document, which transforms the original text and images into a single fixed graphic image and converts it into a bitmap. Now in digital form, the data can be transmitted to another fax machine through electrical signals over the public switched telephone network (PSTN). At the other end, the receiving fax machine converts the digital version of the data to print a copy of it.

The encoded bit stream is submitted to a modem that transmits it to the telephone network. The transmitting and receiving fax machines then exchange signals to establish features like modem speed, printing resolution and source code. Page information is transmitted and followed by a signal that informs all pages have been sent and the calling machine can disconnect the line. The receiving machine then demodulates, decodes and stores the signal to release it to the printer. 

The age of internet fax solutions like eFax has simplified this process by eliminating the need for a physical fax machine, fax paper, fax toner or physical phone lines for your fax. Digital faxes allow you to attach your document directly to your fax using your chosen internet fax provider. Those files are then sent to a fax number, where they can be printed out on a traditional fax machine or retrieved from the recipient’s own digital fax app or portal. 

Breaking Down the Technical Specs and Capabilities

Fax jargon includes a lot of numbers and terms you might not be familiar with. Many of these have been made redundant by internet fax solutions, which don’t rely on analogue machines or PSTN lines to transmit data. This makes digital faxes more capable. Let’s quickly look at some common specs and capabilities of fax machines: 

  • Baud Rate, AKA Data Transmission Rate: Analogue faxes had varying speeds from 9,600 bits per second or BTS to 33,600. This means it could take anywhere from a few seconds to over a minute to send a fax. Digital faxes sent through the internet transmit at the speed of your digital connection, so they are much faster. 
  • Resolution: Image resolution could be as low as 200 dots per inch (DPI) on an older analogue fax to about 400 DPI. Internet fax documents send at much higher resolutions because they’re not limited by the fax machine capability. This leads to clearer text and images, saving miscommunication and helping improve readability. 
  • Printing Process: Analogue fax machines may use thermal paper, while modern multi-function device (MFD) fax machines often use inkjet or laser printing. Digital faxes do away with this need as you can read and send faxes without using paper. 

How Fax Systems Have Evolved Over Time

Have you ever wondered when the was fax machine invented? While Xerox produced the telephone fax machine first in the 1960s, the fax definition has its roots in the electric printing telegraph invented by Alexander Bain in 1843, which simulated a two-dimensional image on paper to extend the capabilities of the telegraph. Fax technology developed rapidly over the next century, including the RCA which invented the Radiophoto, which used radio waves rather than telephone lines to transmit information, in 1924. It became standard business equipment by the late 1970s, and a copy and scan function was added in the 1980s.

Early fax technology operated a manual process that relied on voice confirmation and only allowed users to send one page at a time. But in 1966, Xerox’s Magnafax Telecopier became the first commercial fax machine. It enabled higher-quality printing and was smaller, lighter and more affordable. Later, fax systems used digital technology to enhance flexibility and remove the need for specialist paper types. 

Modern fax machines use laser technology, the Internet and energy-saving features to maximize performance. Internet-based fax systems were introduced in 2010 to enable paperless faxing, allowing users to send documents quickly and securely from home. 

The age of internet faxing freed faxes from clunky machines, paper, toner and fax lines, and took faxing online. Since then, digital faxing has evolved to add important features like e-signatures and editing. It has also developed to meet modern privacy and data protection laws like HIPAA and GDPR. 

Fax encryption has evolved, too, with many internet fax solutions using state-of-the-art  256-bit AES and Transport Layer Security (TLS) encryption. This protects documents from the wrong hands and allows the medical, legal, financial and other sensitive industries to use digital faxes safely. 

Faxing has also transitioned to the mobile age, with internet fax apps and web-based portals providing access to faxing anytime, anywhere, from any internet-connected device. Cloud-based document storage has improved document management and allowed people to sort and label faxes for easy record-keeping and reuse.

Modern faxing requires modern solutions, including secure servers, encryption and better access, so organizations can function reliably and efficiently.

Different Types of Faxing

There are two main types of faxing. Digital faxes are sent and received with an internet-based computer program or app. Analog faxes use a phone line and a physical fax machine to copy and print out a document.

Digital Fax

You can send faxes digitally from an internet-connected computer, laptop, smartphone, or tablet. First, sign up for an online faxing account using a digital fax service like eFax. Then, you can add recipients, upload documents, add your fax number and send faxes.  

Analog Fax

Analog fax is typically used in doctor’s offices and schools. It is a large machine connected to a dedicated phone line that prints out physical copies of an original document. Analog faxes use paper, ink, toner, and a landline to send and receive documents.

Common Ways to Send and Receive Faxes

There are many ways to send and receive faxes in the digital age. Here are some of the common fax terms you might encounter while sending faxes and what they mean.

  • Internet fax/digital fax/online fax/virtual fax: These are all general terms for sending faxes over the internet instead of using a fax machine and phone line. To send a digital fax, you use a computer or mobile app to upload and send the document, which is converted into a digital format and transmitted online.
  • Cloud fax: This is a specific type of online fax service in which your faxes are stored and managed in the cloud (remote servers). You can access them from any device with an internet connection.
  • Email fax: This service lets you send faxes by attaching the document to an email and sending it to a special address provided by the fax service. The recipient receives the fax electronically.
  • Paperless fax: This emphasizes that these faxing methods don’t involve any paper. You send and receive documents electronically.

These are all ways to send and receive faxes electronically, eliminating the need for a traditional fax machine and phone line.

What is a Fax Number?

fax number is a dedicated phone number that enables users to send messages to other devices and digital solutions. Fax numbers work similarly to phone numbers, using audible tones to transfer documents. However, the sender also receives a tone response when they dial a fax number.

A fax number enables users to send and receive documents both locally and internationally. Most fax numbers have ten digits, depending on the recipient’s location and area code, and some fax machines have phone lines to test connectivity and make phone calls. Fax numbers enable users to securely share data like personal health information or documents containing personally identifiable information (PII). They help businesses communicate efficiently and manage their electronic files more easily.

A fax number is formed using the country and area code, as well as a three-digit prefix and then four additional digits. For example, a user in New York’s fax number would contain the country code +1, the area code 917 and the number 1234567.

4 Benefits of a Fax Communication System

Modern digital fax systems offer significant benefits for companies across all industries. They enable fax-to-print solutions, removing the need to rely on physical paper copies of critical documents or information and reducing the risk of data being lost or stolen. Some benefits of communicating via online fax include:

Cost Reduction

Sending faxes can rack up significant costs, from maintaining fax machines and stocking up on paper, ink and toner to purchasing dedicated phone lines. Online faxing removes the need to acquire physical machines and companies can buy toll-free fax numbers.

Secure Communication

Online fax systems use encryption to ensure faxed documents aren’t damaged, modified or stolen during transmission. Faxing helps reduce the chances of a security breach by using point-to-point fixed connections.

Environmentally Friendly

Using digital transmissions rather than paper copies helps organizations reduce their carbon footprint while maintaining regular communication with clients and colleagues worldwide. 

Document Management

Online fax systems allow companies to gain instant confirmation of when faxed documents are sent and received. They also enable fax tracking, ensuring users can manage message trails and guarantee sensitive data is protected and delivered safely, which is more challenging to ensure through email or physical mail.

4 Modern Uses of Fax Machines

Fax remains a popular form of digital communication across various industries. Uses of fax in the modern business world include:

Sending and Receiving Files

The most obvious use of fax in modern business is for users to share files with clients and colleagues. For example, fax is helpful for quickly signing and sharing documents that require a physical signature without having to download additional e-signature apps. Additionally, faxed documents are official records that can be used as legal evidence.

Sharing Confidential Data

Sharing information via online fax offers a more secure way to share confidential data than other communication methods like email and instant chat. Fax messages are transmitted via analog phone lines rather than through the Internet, which hackers can use to intercept data, and modern systems use security features like encryption and password protection. So sending data through fax makes it less susceptible to common hacking methods and helps to ensure only authorized recipients can access documents.

Sending Large Files

Fax communication helps send large files that may get blocked by email providers. Fax systems are designed to process large files over telephone lines, so organizations don’t have to use online file-sharing services.

Data Backup

Network blackouts could prevent companies from sending and receiving important documents. But fax machines can operate during blackouts if connected to generators or backup power sources. So companies that rely on around-the-clock communication can use fax to maintain contact with clients and customers.

How Faxing Simplifies and Streamlines Communication in Different Industries?

Fax communication remains widely used in critical industries and businesses operating in areas with poor internet connectivity. Industries that still rely on fax communication include:

Financial Services

Banks and insurance firms rely on fax to share documents that require a signature and other verification methods. Financial agreements and loan applications often require people to sign them physically, so faxing ensures this information can be signed and shared with ease.

Healthcare

Healthcare providers rely on fax technology to share sensitive medical information like patient records and prescriptions. The communication method is crucial to quickly sharing critical data without the risk of hacking.

Legal

Faxes are widely used across legal firms and courts and government agencies. For example, some agencies and courts, such as the Internal Revenue Service (IRS), require companies to use fax to transmit sensitive documents like emergency motions, legal filings and tax forms.

Real Estate

Real estate firms widely use fax to share purchase agreements and other documents related to critical transactions. The industry uses fax to ensure all parties involved in property sales are on the same page and can easily share inspection reports, loan documents, property disclosures and more.

The Future of Fax: Adapting to a Digital World

The meaning of fax has evolved rapidly as the world shifts to digital communication, making sending data via fax quicker, more secure and more accessible. Looking to the future, new capabilities like cloud and application programming interface (API) integrations will help to build fax technology into evolving corporate workflows. This will help businesses to rely on fax as they develop new ways of working while ensuring confidential data remains protected. 

Why Choose eFax for Your Faxing Needs? 

eFax is an online fax solution that enables businesses worldwide to reap the simplicity and security benefits of online faxing. The fax technology allows companies in critical industries that rely on fax to utilize a modern solution for sending and receiving documents online. Faxing online with eFax offers greater convenience, simplicity, and versatility over purchasing and maintaining bulky and costly fax machines. With eFax, employees no longer have to visit the office to fax critical documents; they can fax clients and customers from anywhere, anytime and on any device.


FAQs Related to What is Fax

The fax meaning relates to a communication method that involves sending printed documents from one machine to another. Traditional facsimile approaches saw people transmit the contents of a document from their fax machine to a recipient’s fax machine. But modern fax systems involve sending digital fax messages via email and fax numbers.

The definition and meaning of fax is not the same as email. Fax technology enables users to send messages via fax numbers, whereas email sends information via the Internet. However, fax messages can be sent through email by linking an email address to an online fax solution like eFax.

Yes, facsimile technology is safe and secure. Fax messages are protected by encryption to ensure messages can’t be damaged, modified or stolen during transmission. 

Fax messages are intended to be securely shared between a sender and their recipient. Faxed documents are ideal for quickly signing and sharing documents.

Fax technology and in essence fax machines are still widely used across finance, healthcare, legal and real estate industries to quickly share critical data. Fax enables users to sign and share sensitive documents like legal agreements, loan applications and patient records.

Faxing something involves sharing a document, file or image via fax message. Traditionally, faxing means using a fax machine to scan a document, entering your contact’s fax number into the machine and hitting send, upon which the machine would transmit the document via a telephone line. Nowadays, faxing involves using the Internet to send fax messages by photographing a document, attaching it to a message, and sending it via your computer or mobile phone.

Fax is short for facsimile, which means an exact copy and comes from the Latin phrase “make alike.” This definition of a fax relates to making copies of documents, which originated in the late 1600s to define making handwritten copies of documents, paintings and statues. The modern fax machine involves making electronic copies of documents and images and sharing them with clients, colleagues and friends via fax machines, computers and mobile phones.

Send and receive faxes in minutes.

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HIPAA Compliant Fax: Secure Faxing for Healthcare | eFax Protect

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HIPAA Compliant Fax

Secure HIPAA Compliant Fax Service for Healthcare

Since 1996, the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule has been protecting patients’ personal information and giving them greater control over who has access to their medical records. For medical professionals, the rule has far-reaching implications. It governs how information about patients is collected, stored and even how it is shared with other medical professionals, as well as insurance companies and other parties. Sending sensitive patient information isn’t quite as simple as shooting an email; instead, medical professionals and clinics must make sure that their methods of sharing this information are secure. 

This means that emails sent by medical outlets must be secure. When medical professionals call a patient, they need to have a plan in place to check that they are truly speaking to their patient, or they need to have permission to talk to a family member or care provider. 

But what about sending patient information via fax?

Just as with phone or email communication, HIPAA-compliant faxing focuses on ensuring that information is being shared to the right source and that it’s being shared securely. Faxing can be a convenient way to send patient files, lab results and more — but only if you do so in a HIPAA-complaint way. Keep reading to learn the HIPAA rules surrounding faxing, what you need to know to send a secure fax and how to choose the best HIPAA-compliant online fax service.


What are HIPAA Fax Rules?

The HIPAA Privacy Rule covers all forms of communication, including HIPAA fax transmission requirements. This includes written communications, phone, email and fax communications. 

So how does HIPAA compliant faxing relate to security? HIPAA rules surrounding faxing largely focus on ensuring that the fax is being sent to the correct location and that it is protected if it winds up in the wrong hands.

In addition to taking precautions to make sure that the fax goes to the right place, healthcare offices also need to take one extra step in case the fax does wind up in the wrong hands. A HIPAA compliant fax cover sheet does not contain sensitive patient information and does include information about who the fax should be going to. That way, if someone else receives it, they can send it to the correct location.

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How to Send a HIPAA-Compliant Fax?

Let’s take a closer look at what it means to send a HIPAA-compliant fax on a traditional machine or using an online fax service.

Say that a medical testing lab wants to send a patient’s test results to their primary care physician. HIPAA rules require that the lab take precautions to ensure that the faxed results go to the correct fax number. How they go about putting safeguards in place can vary. The lab may choose to verify that they are using the correct fax number each time. This may mean having a lab technician or other employee contact the office of the primary care physician that the fax needs to be sent to confirm the number. 

However, if that lab frequently faxes records to that physician’s clinic, this may be too time-consuming. Instead, they could choose to pre-program frequently used numbers into their fax machine or online fax system. This pre-program system acts as a safeguard that decreases the risk of a fax being sent to the wrong location. Before they hit send on the fax, healthcare offices also need to attach a HIPAA complaint cover sheet that clarifies the intended recipient. This is designed to deter someone else from looking at the information. However, this method isn’t foolproof when using a traditional fax machine.

The best HIPAA-compliant online fax service is one that simplifies the process of sending secure faxes. It allows the healthcare office to ensure that they are meeting privacy rules without increasing their employee workload by making choosing a recipient easy. Also, it allows the office to quickly create HIPAA compliant cover sheets, even though these cover sheets are less necessary with online faxes, as the fax is sent directly to the recipient’s inbox. eFax Protect ensures data confidentiality and integrity, with encryption protocols preventing unauthorized access during transmission.

Send a HIPAA-Compliant Fax in Just 4 Easy Steps

Is Faxing HIPAA Compliant?

Utilizing HIPAA fax services ensures compliance, as standard faxes sent by most offices are not. To make your fax HIPAA compliant, you must show that you’ve taken precautions to ensure it is going to the correct location.

If you’re using an online fax service, your service will need to be encrypted. In addition to a secure faxing solution, you’ll also need a HIPAA-compliant fax cover sheet.

So do you need a HIPAA-compliant fax machine? Not necessarily. However,  traditional fax machines make it easy to make mistakes when entering the fax number of your recipient. Faxes may also sit on the machine of the recipient for some time. Anyone walking by can pick up the fax, breaking HIPAA rules and exposing patient information.

You might also like: HIPAA Compliant VoIP


Are Online Fax Services HIPAA Compliant?

If your healthcare office is still relying on a traditional fax machine, you could be putting your patients’ sensitive information at risk—and your office at risk of a lawsuit for breaking HIPAA privacy rules. You may ask: “So how do I get a HIPAA compliant fax machine?” The answer may be to skip the machine altogether and make the move to online faxing. Not only can this make it easier to ensure compliance, but it’s also the cheapest HIPAA-compliant fax service available today because you won’t need to worry about investing in a machine or the maintenance that goes with it.

But is online fax HIPAA compliant? Much like traditional fax machines, this depends on the specific online fax service that you choose, and how you use it. Modern online fax solutions make it easier to meet—or exceed—HIPAA privacy rules. Your faxes go directly to the recipient’s email inbox. With the best online fax service for medical practices, you can send encrypted faxes, quickly check that they are going to the right recipient, and attach a HIPAA-compliant cover sheet. Because your fax goes directly to the recipient’s inbox, you won’t have to worry about the wrong eyes landing on your fax.


Is HIPAA Faxing Safe for Highly-Sensitive Documents?

Is fax secure for sensitive data? This depends on the type of fax you use and the precautions you take when sending your fax. If you’re meeting the necessary HIPAA requirements for encrypted file sharing, and your faxing solution is secure, then faxing is a safe, effective and fast way to send and receive even highly sensitive documents.

However, if you’re still using a traditional fax machine or are using an online fax service that isn’t secured, you should avoid sending sensitive documents. These could wind up in the wrong hands, exposing your patient’s information and putting your healthcare office at risk of a lawsuit for failing to protect your patients.


eFax: Efficient HIPAA Compliant Fax Services

Introducing eFax Protect, a highly encrypted secure online fax solution that allows heavily regulated industries to gain HIPAA Compliance with signed Business Associate Agreements (BAAs) for enhanced protection of their sensitive data. By utilizing signed BAAs, eFax Protect helps you maintain the confidentiality and integrity of data, while encryption protocols safeguard unauthorized access during transmission.

Healthcare professionals depend on fax everyday to send and receive documents. eFax Protect ensures they have the security and compliance they need when faxing medical documents from our iOS and Android mobile apps, our eFax Messenger tool, and our MyPortal web app.

  • Enhance the security of your fax communications and maintain compliance with applicable requirements under HIPAA, GLBA and SOX.
  • Utilize AES 256-bit encryption to ensure data remains secure and protected from unauthorized access during transmission.
  • Audit Trails provide tracking and monitor fax activities to ensure transparency and accountability. 

Is a Cloud Fax HIPAA Secure and Reliable?

Not only is the eFax Protect online faxing solution an easy way to meet HIPAA privacy rules, but it’s also secure and reliable. eFax Protect utilizes encryption protocols so you can transmit documents safely while ensuring that the privacy of your sensitive information remains confidential and protected from unauthorized access during transmission.

While not all email to fax is HIPAA compliant, eFax Protect is. Whether you’re still using a traditional fax machine or have made the move to online faxing, you need a solution that goes above HIPAA compliance with secure, reliable cloud faxing.

The Ultimate HIPAA Compliant Fax Checklist

Is There a Cloud Faxing Solution for Healthcare Providers?

If you’ve been on the hunt for a HIPAA-compliant fax app for iPhone, Android, or for use on your desktop, eFax Protect is the solution. Our safe and secure cloud faxing solution allows healthcare offices of all shapes and sizes to send patient information, records, test results and more with ease. Add a HIPAA compliant fax cover sheet, choose your recipient and send your fax directly to the recipient without worrying about it landing in the wrong hands. 

If you’re a healthcare provider looking to protect your patients’ sensitive information and meet the HIPAA Privacy Rules, we can help. Start your free trial with one of the best HIPAA-compliant digital online fax solutions available today!


Frequently Asked Questions Around HIPAA Fax Services

Is eFax Protect safe for HIPAA?

Yes, eFax Protect is safe and complies with HIPAA regulations.

HIPAA allows for data-sharing, but only between certain stakeholders. Any wrong step  like using a non-secure file-sharing platform — can make data available to unintended recipients and even bad actors. And unfortunately, many typical methods companies use to share information are not as safe as they seem. This is especially true as hackers continually improve their tactics.

Healthcare organizations need a tamper-proof way to share sensitive patient information  and eFax provides just that. 

eFax Protect uses military-grade encryption to ensure no one can intercept the data while in transit. It doesn’t matter if your team faxes from their desktop, mobile device or laptop — the AES 256-bit encryption protects the information to help your organization remain HIPAA compliant. 

What is the HIPAA-compliant way to send a fax?

Technically, traditional machine faxing can be HIPAA-compliant because it offers point-to-point data protection. The issue may arise when the fax prints out at the recipient’s machine, though. Healthcare organizations must ensure they are sending the document to the right recipient and include a cover letter explaining who the information is for in case it ends up in the wrong hands. 

However, even with these precautions, traditional faxing isn’t foolproof. Documents can easily end up with the wrong people, especially if they’re left forgotten at fax machines. And if the wrong person accesses the information, the file-sharing process is no longer HIPAA-compliant. 

A better solution is eFax. It offers consistently safe and HIPAA-compliant file-sharing processes, thanks to the AES 256-bit encryption. You no longer have to worry about whether your faxes are going to the right place or if someone has accidentally intercepted them. By using eFax, you know exactly where your information is going — and that the data is completely protected in transit.  

Is fax to email HIPAA-compliant?

Email itself is not HIPAA-compliant. When you send a standard email, it travels in plain text from your mail server to your recipient’s. That means anyone can intercept the email during transit, including when it’s left unread in the recipient’s inbox. 

However, fax via email can be HIPAA-compliant if you use a service like eFax Protect. 

eFax Protect employs military-grade encryption to ensure your documents have the ultimate protection throughout transit. Instead of traveling in plain text, the information on the emailed fax gets jumbled until the recipient opens the email. That means anyone who tries to hack or intercept the email will only see an incomprehensible set of characters — one that’s almost impossible to decrypt. 

Send and receive faxes in minutes.

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Virtual Webinar Explores HHS Proposed Changes to Modify HIPAA Privacy Rule

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HIPAA Privacy Rule

This past December, the Office for Civil Rights (OCR) at the U.S. Department of Health and Human Services (HHS) announced proposed changes to the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule. These proposed modifications to the rule would help support patient engagement and remove barriers to coordinated care as well as reduce regulatory burdens on the health care industry.

This news from HHS set the stage for a timely webinar co-sponsored by eFax Corporate and the Electronic Healthcare Network Accreditation Commission (EHNAC) titled HIPAA in 2021: HHS Proposed Changes to Modify Privacy Rule and its Impact on Covered Entities.

Hosted by ANSWERS Media, the virtual discussion was led by two leading privacy and security experts in the healthcare sphere – Brad Spannbauer, Consensus’s VP of software implementation, and professional services and Lee Barrett, executive director and CEO of EHNAC. Both participants each brought diverse knowledge and opinions on the proposed changes to the HIPAA Privacy Rule, the potential effects it might have on providers and the patients they care for, along with any provisions that may need to be implemented once the rule is finalized.


Experts discuss overview and ramifications of key provisions outlined in the rule

The current timeline of the Proposed Rule and the release of Final Rule. The Proposed Rule was officially issued on December 10, 2020 and was published by NPRM in the Federal Register on January 22, 2021. Comments are open until March 22, 2021, and Spannbauer encouraged listeners to take part and leave their thoughts. He went on to inform attendees that it takes approximately 90 days after comments close for a rule to catch, and covered entities will have 180 days to implement the results.

The impact of COVID-19. According to Barrett, some of what has happened with the Privacy Rule goes back to the beginning of the pandemic. The Office for Civil Rights established bulletins and guidance in February of 2020, the focus is trying to minimize the impact on fines and penalties that could be levied throughout by the OCR. Overall, Barrett believes the objective was to increase information sharing amongst a variety of entities while also focusing on good faith efforts of covered entities and business associates regarding how patient information would be shared.  

Telehealth. We saw an astounding rise in telehealth practice during the pandemic. Telehealth was a key component in healthcare because patients were not making appointments or visiting their primary care physicians. Smartphone applications became a link between various organizations, trying to make it easy for both patients and providers no matter the diagnosis or treatment plan. The OCR will not be imposing HIPAA penalties against healthcare providers for noncompliance in connection with the good faith provision of telehealth using these remote communication technologies. It has been outlined that covered providers can utilize apps such as FaceTime or Skype, but are unable to use Facebook Live, TikTok, or Twitch when providing telehealth.

Guidance on disclosures to law enforcement, first responders, public health authorities. This will identify existing HIPAA Privacy Rule permissions and provide examples for when a covered entity may disclose PHI about individuals without their HIPAA authorization. If an individual was in an emergency situation where treatment was needed, a first responder was potentially at risk for infection, or any information would prevent or lessen a serious threat then the absolute minimum bit of information would be necessary to disclose.

Modifications to the rules. These modifications protect covered entities from being subject to the minimum necessary requirement for uses by, disclosures to, or requests by a health plan or covered healthcare provider for care coordination and case management activities. Covered entities can disclose PHI to social services agencies, community-based organizations, or home and service providers. The modifications were proposed to encourage covered entities to use and disclose PHI more broadly in a variety of circumstances, which allows for the broad sharing of information in the midst of emergencies.


A new administration brings change

Each administration brings about new changes, and the Biden Administration will be no different. Barrett discussed the vast background in healthcare technology that the newly designated head of ONC Micky Tripathi, will bring to his post – including serving on The Sequoia Board of Directors and furthering FHIR initiatives in support of interoperability. He went on to note how there will also be changes to the CMS administration as many candidates are currently going through the nomination process. A select few industry experts are also going through the nomination process for the position of HHS Secretary. As leaders are selected and continue to drive efforts in the right direction, Barrett expressed how it has been stated that interoperability initiatives started under the Obama Administration will continue under the Biden Administration.


HIPAA Safe Harbor Law

The webinar also touched on the Safe Harbor Law, which amends the HIPAA HITECH Act and requires HHS to focus on incentivizing organizations to promulgate best practice security. According to Barrett, the goal of this law is to “not penalize those organizations that may have been impacted by a cyberattack, ransomware or other.” He went on to say how choosing not to seek third-party accreditation leaves the impacted organizations subject to an audit by OCR as well as certain fines and penalties due to their lack of proper cyber hygiene.


Now you know, but what should you do to prepare for the Final Rule?

Barrett first advised that all covered entities take time to review their current policies and procedures to determine what revisions need to be made ahead of the Final Rule approval. Covered entities shouldn’t wait to start making provisions on what those revisions might be. Second, all covered entities should begin to look at their organizations’ training processes. Should the Final Rule be approved, where do training tactics need to be amended to meet the new changes? For example, front office staff members should be aware of all forms that patients might have completed and submitted previously as patients could come in and ask to review their PHI on the spot. They might even ask for their records to be sent to another entity. If this Rule is implemented, the timing of these events will go from 30 to 15 days.

Spannbauer concluded the webinar by telling attendees how a majority of these changes will eliminate burdens for covered entities and should be embraced as they will not only make life a little easier for those they impact but, most importantly, because they support patient care.

Watch the complete webinar: HIPAA in 2021: HHS Proposed Changes to Modify Privacy Rule and its Impact on Covered Entities

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Virtual Panel on Healthcare Cybersecurity in the COVID Era: ‘The Devices Are Always Listening’

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cybersecurity threats

In a recent HITRUST virtual panel co-sponsored by eFax Corporate®, “Effectively Managing Cybersecurity Vulnerabilities in a Turbulent Healthcare Ecosystem,” HITRUST’s Michael Parisi shared an insightful anecdote.

A friend of Michael’s, working from home during the lockdown, had a phone call with a customer to discuss highly sensitive information—while his patio door was wide open. Afterward, the man’s wife came in from outside and told him she heard everything he’d said to the customer. Oh, and so did the couple’s next-door neighbor.

What makes Michael’s point relevant to this conversation about healthcare cybersecurity during COVID is that we’re all running our businesses and performing our jobs under new circumstances, which means we’re all facing new risks and threats.

Now, imagine that call was between a physician and a patient—and think of the neighbor as an Alexa or Siri in the doctor’s home, with a cybercriminal hacking the device to listen in for sensitive data. As Michael pointed out, “The devices are always listening.”


A panel with diverse healthcare-industry expertise

That was just one of many lockdown-era cybersecurity threats discussed by the expert panel, which included:

  • The legal perspective:
    Matthew Fisher, who heads the healthcare regulatory team for the New England law firm Mirick O’Connell
  • The third-party certification perspective:
    Michael Parisi, VP of Assurance Strategy and Community Development for HITRUST
  • The accreditation perspective:
    Lee Barrett, CEO of the Electronic Healthcare Network Accreditation Commission (EHNAC)
  • The healthcare cloud-service provider perspective:
    Jeffrey Sullivan, CTO of eFax Corporate’s parent company j2 Cloud Services

COVID challenges for healthcare security professionals

Among the other quarantine-era risks the panel discussed included:

Too much change, too quickly.

Healthcare organizations have had to adjust so much of their operations to address work-from-home arrangements—policies, controls, assessments, tools, technologies—that many IT teams have had to shift their focus away from security, privacy, and regulatory compliance.

Newly generated data is attracting hackers.

With the medical industry working to develop both a COVID vaccine and new treatments, hackers see increased value in going after these companies’ networks and systems to steal this intellectual property. This is why cyberattacks against biopharma companies have skyrocketed since the early days of the pandemic.

Stressful times lead to poor cybersecurity judgment.

Many healthcare-industry professionals are working from home, often for the first time, while also dealing with the stress of the pandemic. These disruptions in our professional and personal lives can leave us more distracted and vulnerable to poor decisions—such as falling for phishing attacks.

EHNAC’s Lee Barrett cited one incredible example. The HHS issued a warning that hospitals’ security and privacy officers were receiving postcards, supposedly from the “Secretary of HIPAA Compliance,” asking them to visit a URL for a risk assessment. The problem: There is so such position as Secretary of HIPAA Compliance. This is a new phishing attack, designed to take advantage of everyone’s confusion during COVID. And many of these healthcare security professionals are falling for it.

Understandably, healthcare orgs’ priority is always on saving lives and is even more important now

Another challenge the panel discussed was that the healthcare industry has only finite resources and budget—and right now, the priority for these organizations is protecting people’s health during COVID. In other words, many organizations are having to weigh competing objectives and de-emphasize everything other than the challenges of treating COVID patients and saving lives. Unfortunately, “everything” can also include cybersecurity and data-privacy initiatives.


What healthcare IT teams should do now

The panelists offered a number of suggestions for health organizations to better protect their sensitive data. j2’s Jeffrey Sullivan, for example, suggested a couple of best practices for healthcare IT teams during what he described as our current “once-in-a-lifetime level of distraction.”

1. Make sure your automated solutions are in place

First, Jeffrey suggested, review your cybersecurity infrastructure across your newly distributed organization. Make sure all of the automated tools and processes are doing their jobs, meaning:

  • All of employees’ company-issued devices are encrypted
  • Your team has remote monitoring in place for these devices
  • You’ve implemented fraud protection, malware detection, and intrusion detection

2. Make sure your cloud service providers are prepared as well

Jeffrey also recommended contacting the third parties whose apps, platforms, and other cloud tools your employees use. Ask them what specific steps they’ve taken to protect their systems—and your company’s sensitive data—during this period of heightened risk from cybercriminals.

Lee Barrett of EHNAC—who called j2’s level of cybersecurity preparedness “a model for the industry”—offered another valuable recommendation:

3. Get a third-party risk assessment

Lee noted that the best way to make sure your organization is meeting all of its cybersecurity and regulatory standards is to have your infrastructure and processes audited and tested by a third-party expert.

Now more than ever, your internal IT security teams have too much on their plate to make sure you’re addressing—or even seeing—all of the new potential threats to your organization’s data security.

For HIPAA-compliant, HITRUST-certified, and COVID-secure cloud faxing, learn what eFax Corporate can do for your organization.

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Pandemic Exposes Healthcare’s Achilles’ Heel

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fax paper

As COVID-19 pushes our nation’s healthcare system to the brink, stories continue making headlines of how public health officials in many cities throughout the country are weeding through stacks of paper test results as they look to trace cases and quarantine patients. In other instances, people are waiting longer to find out if they have coronavirus because nasal swab test results are being paper faxed, which cause latency getting results into systems. To think we are relying on paper processes as the virus surges in many areas of our country is problematic. Add to the fact that 9 billion healthcare-related faxes were sent in 2018 (Nebergall, “Fax Technology is the Cornerstone of Interoperability. Here’s Why,” Open Health News, Feb. 6, 2019) and it is clear that now is the time for us to address healthcare’s Achilles’ heel – legacy paper communication systems.

Use of traditional paper fax, specifically the fax machine, is around because it is an established familiar technology that most people would agree works. After all, you can reliably send information from one person to another. However, when you are in the business of healthcare, your focus is on the quality and safety of patients and the thought of using new technologies can be a distraction which takes away from familiar workflows. Simply stated, the fax machine has proven itself year after year to be an easy way of sending and receiving information. But that doesn’t mean using paper fax the way many have been using it for decades is still the most efficient, convenient and secure way of sharing patient information between providers. If providers and public health officials are expected to stop using the fax machine as we know it, there needs to be an easy to use, reliable, affordable, secure technology that allows interoperability of all data for electronic health information to be shared.


An effective, secure and convenient alternative

The issue with paper faxes is the workflow and lack of system integration, which means added time for data to be actionable. Manual workflows needed to process paper documents are slow, laborious, error-prone and at times, incomplete. Paper faxing can be inexpensively replaced immediately with Digital Cloud Fax Technology (DCFT) which improves the digital transmission of information by eliminating paper, optimizing workflows and providing the ability for secure foundational interoperability. 

For those unfamiliar with this technology, digital cloud fax is a secure, paperless, cost effective, and proven way for medical professionals to share documents and records. When professionally installed, it is HIPAA-compliant and falls into the Health Information Management Systems Society’s (HIMSS) category of “foundational interoperability.” Due to its simplicity and universal acceptance within healthcare, digital cloud fax technology is widely used in every setting with particular importance in communities that struggle to afford sophisticated electronic health-record systems, including public health, rural healthcare organizations and financially challenged urban clinics.

Compared to physical faxing, cloud faxing works like this: An employee creates an email, types in the recipient address, types a cover letter and hits “send.” The fax is sent securely into a determined workflow for an easy queue to manage documents, with a confirmation arriving a few minutes later. There is no printing, no scanning, no dialing, no waiting and no paper to file.

If a higher level of security is required, cloud faxing can transmit documents using TLS 1.2 and store them in a secure server with 256-bit encryption. Users log in to the server to view faxes.


Interoperability: the way forward

If interoperability of systems was easy and commonplace, faxing as we know it would be eliminated. Instead, data from disparate systems within a healthcare facility doesn’t always flow into the EHR, which means that same patient data stays behind as a patient move from provider to provider. Instead, connecting a provider’s EHR to its ambulatory physician EHRs, along with imaging, labs, pharmacy and more, requires specific connections between each system and the treating provider’s core EHR. Bringing data to a common platform multiplies the number of required connections exponentially.

To help eliminate the continued burden paper holds on the healthcare industry, while at the same time helping make provider systems more interoperable, earlier this year, we introduced a platform that connects healthcare organizations through the continuum-of-care. Called Consensus, the platform offers one comprehensive connection with a simple, inbox-like dashboard to manage all incoming and outgoing patient documents including digital cloud faxes, Direct Secure Messaging, patient query and API integration into health exchange networks. With Consensus, providers can access leading EMR/EHR systems through CommonWell and Carequality, plus connections to ACOs and HIE data, allowing for the digital exchange of electronic health information between physicians, public health departments and labs.


Conclusion

Moving beyond paper eases operational and technological burdens that cause bottlenecks which impact patient care and threaten to cripple a public health system that has classically been underfunded by our nation’s healthcare system. What is happening with the lack of effective data sharing at several public health departments and what will undoubtedly happen elsewhere as the virus continues to surge in other areas of our county – including rural populations – can be avoided with a comprehensive interoperability system at our fingertips. One that integrates traditional faxing technology with efficient document management so that providers can exchange patient information electronically. And do so both safely and efficiently.

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Despite attempts to eliminate the fax machine in healthcare, it continues to be relied upon by many providers. Not only is faxing commonplace in many healthcare organizations throughout the country, but the use of traditional fax for data exchange continues to rise, according to the Office of the National Coordinator for Health Information Technology’s (ONC) State of Interoperability among U.S. Non-federal Acute Care Hospitals in 2018 Report, released in March 2020.

In a recent article published in Healthcare IT Today, Consensus’s John Nebergall discusses how, although many healthcare organizations still rely on fax machines as their primary way to send patient information to other providers external to their network, cloud fax technology is also on the rise:

According to the ONC, from 2017 to 2018, the use of eFax to send and receive care records increased 3% and 7%, respectively.

“eFax, or cloud faxing as it’s more commonly called, is one of the best protocols for rapid, reliable and scalable data transfer,” stated John Nebergall, Senior Vice President and General Manager of Cloud Faxing at Consensus. “Cloud faxing means having a fully electronic workflow. There is no paper, no physical fax machine, yet it uses tried-and-true fax protocols.”

With a traditional fax machine, patient information would need to be printed from the EHR, walked over to the fax machine and sent through, page by agonizing page. Once confirmation the fax was received properly, the paper record would need to be shredded in order to protect patient privacy. Babysitting this entire process is a tremendous waste of precious healthcare resources.

Cloud faxing eliminates all of this. With the click of a button, information from an EHR (and most other hospital systems) can be turned into a fax transmission and sent to the recipient via the Internet. “It’s quick, convenient and secure” said Nebergall.Read the full article in Healthcare IT Today.

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In part 1, we described the debate on the role of APIs and FHIR that took place during the 4th Annual Current and Future State of Interoperability, a panel discussion sponsored by eFax Corporate® and hosted by HealthcareNOW Radio.

The panel included moderator Matt Fisher, attorney with Mirick O’Connell; John Nebergall, vice president of Consensus; Chris Muir, director in the Standards Division of ONC; Dave Cassel, executive director of Carequality; and Jeff Coughlin, senior director of federal and state affairs for HIMSS.

In this post, we’ll focus on the panel’s discussion of proposed information blocking rules and how healthcare organizations can prepare for the broader information sharing inevitably coming to healthcare.

Not surprisingly, ONC’s Muir couldn’t speak to some information blocking questions, as the rule is currently under review. He did say that when meeting with patients and caregivers, he frequently hears complaints about getting access to information and expects the 21st Century Cures Act to mitigate some of those challenges.

He went on to say that although his agency seeks to address things like the security of APIs and potential problems stemming from deliberate information blocking, what he and his colleagues are really trying to do is create the preconditions for truly transforming healthcare—in which patients play a larger role in their healthcare and there is more competition in the healthcare technology field.

Meanwhile, there was a lively debate over the seven exceptions to information blocking penalties proposed by ONC, which include protecting patient safety, promoting the privacy of EHI, promoting the security of EHI, allowing recovery costs, excusing an actor from responding to infeasible requests, permitting the licensing of some interoperability elements, and allowing temporary exceptions for maintenance or improvements.

HIMSS’s Coughlin says his organization is mainly concerned with ensuring that the seven exceptions are focused in the right direction and had asked ONC for more information about what “broad sharing” would look like.

Carequality’s Cassel said he believes the information blocking rule will have some benefit in expanding on some of the progress already made, especially with regard to provider-to-provider interoperability and potentially opening up the interoperability to patients and others.

But Consensus’s Nebergall disagreed. “It’s a fragmented environment, with organizations in various stages of moving to value-based reimbursement. Laying out a clear and enforceable rule for what constitutes purposeful withholding of patient data would be nearly impossible,” he said.

Nebergall went on to point out that in addition to federal rules, healthcare leaders must consider state laws, sometimes for multiple states, making compliance even more complex. “Short timelines like compliance in 2020 could prove very costly for providers,” he said.


Proper preparation

The panelists differed in their advice for healthcare executives preparing for broader information sharing and information blocking penalties. Cassel said he encourages providers to begin work on the documentation to qualify for exceptions, should they be needed. He also said healthcare organizations should look at how information blocking fits within their overall compliance framework. “Have a compliance plan in place so that you can prioritize your technology-based efforts on the greatest risk or the greatest opportunity,” he said.

Coughlin said the organizations he regularly speaks with are preparing based on the proposed rule. “I think people are primed and ready and just waiting to see the final rule,” he said. He also noted the connection between  interoperability and other policy issues, such as value-based care.

“You can’t deliver value-based care without broad information exchange, and the burdens on providers are such that it’s important to minimize the amount of time clinicians spend trying to share information with other health systems.”

Nebergall had a different view, encouraging those involved with rulemaking to consider encouraging small steps that will lead to more participation at the provider level. “The reality of our healthcare system is that we have a very large middle-of-the-pack that is still dealing with highly manual paper processes,” he said.

“I think there is a ton of work left to do to adopt electronic workflows into the real world of how care is delivered, not only in hospitals, but also post-acute care and home healthcare. The idea of being able to share information like this is light years away from the reality of what these caregivers deal with every day.”Fax is the fiber of who work gets done at the clinical level—electronic transactions of any kind are dwarfed by fax, he said. “And if we keep focusing on the edge of the spear, we’re not going to provide what the “middle” needs, which is getting the information into electronic form so they can think about transmitting it.”

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Bring technologists together to discuss interoperability, and you’re going to hear a lot of acronyms, some words of wisdom, and a considerable amount of dissent.

That was the case at the 4th Annual Current and Future State of Interoperability, a panel discussion sponsored by eFax Corporate® and hosted by HealthcareNOW Radio.

Indeed, there was little consensus on the first question asked by moderator Matt Fisher, an attorney with Mirick O’Connell. Fisher asked where APIs fit into current and future healthcare interoperability. “Connectivity is a big plus for APIs, giving healthcare organization the opportunity to expand their ecosystems,” said John Nebergall, vice president of Consensus. “But APIs are not going to solve your integration problems.”

Chris Muir, director in the Standards Division of ONC, agreed. “It’s not a full solution, but it’s helpful when patients need to access data from an ERHs or providers are using more than one EHR,” he said.

Dave Cassel, executive director of Carequality, saw things differently. “APIs are useful across the board,” he said. “There are challenges on the patient-access side, but they’re solvable. And giving patients more control over data access has benefits, including fewer HIPAA problems.”

Shifting the discussion slightly, Nebergall said the real issue is creating a way for patients to gather and exchange information in a way that’s useful to them. This is where technology other than APIs can be useful, providing a way to deliver information directly to patients rather than making them go from place to place to find it, he said.


FHIR’s semantic side

Asked about the Fast Healthcare Interoperability Resources (FHIR) standard, Cassel said while there are always arguments about any given standard, there’s a lot of support in the industry for it. ONC’s Muir concurred, saying that people are supporting it and talking about trying to use it. “We’re seeing a lot of adoption of open APIs based on FHIR,” he said.

But Nebergall said there are serious issues on what he called the semantic side of FHIR. “FHIR holds great promise, but there’s not full consensus,” he said. “We see the use of different coding systems with prior data normalization.”

Jeff Coughlin, senior director of federal and state affairs for HIMSS noted that ONC is asking what version of FHIR should be used and that he expects to see version specification in ONC’s Final Rule.

Cassel pointed out that version specification is not sufficient, that users must take a further step. “FHIR is, more or less, a transport standard, telling you how to get information from point A to point B. It doesn’t say how to define the payload in terms of the data set,” he said. “FHIR can do semantic, but the user has to specify. He or she has to go into Resources and say ‘Thou shalt use Terminology X.’ You can’t leave it unspecified, for example just saying ‘Send medication.’”

In part 2 of this post, we’ll report on the status of information blocking regulations and how organizations can prepare for broader information sharing, including state and federal regulations and moving away from traditional fax.

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In the last few years, HIPAA’s regulators and auditors have become more aggressive in finding and penalizing instances in which Covered Entities and their Business Associates fail to protect the electronic protected health information (ePHI) in their care. And chances are, you’ve gotten the message: It is your healthcare organization’s legal responsibility to safeguard at all times the private patient data under your charge.

But even if you have already taken many of the necessary steps to build a HIPAA compliant IT infrastructure, there are almost certainly several vulnerabilities in your organization’s ePHI-security processes, typical digital stops that your ePHI makes along its journey to recipients or to your long-term secure archiving and storage. Most IT teams forget to secure or scrub their ePHI from these hiding places.

Here are 8 of the top ePHI vulnerable spots where even at this very moment your data might be hiding — leaving you open to noncompliance with HIPAA, exposed to cyber criminals, in jeopardy of a reputation-damaging breach, and creating many other ongoing risks to your healthcare practice or organization.

ePHI Data Leakage, and 8 Places You’ve Forgotten to Secure

USB-Stick
Hand insert USB flash drive into laptop computer port

1.  USB Drives

Even for a disciplined and security-conscious healthcare IT team, it’s easy to forget the USB drive and other portable media-storage and transfer devices.

But your staff might be using them for faster and more convenient exchanging of ePHI documents between colleagues or to transfer them more easily from a device in the office to, say, a device at home. For your doctors or administrative staff, this might be completely innocent — just an easier way to work. But as far as HIPAA regulators are concerned, and for the cyber thief who steals the device and all of the data on it, these innocent intentions won’t protect your patients or your organization.

The preferred approach is to not allow files to be transferred to removable media, and systems can be implemented to automatically block such attempts to copy files.  But if your staff is going to use USB drives to share and transfer ePHI, you’ll need to either insist on only company-issued drives — which you’ll equip with encryption software — and require that your employees who do use them delete all of the contents after each use.

doctor

2.  Your Staff’s Texts

Because it’s such a convenient and immediate method of communication, doctors, nurses and other health professionals often use text messaging to communicate with colleagues and patients — and this often means transmitting ePHI in an unsecure way.

There are two problems here. First, under most circumstances texting ePHI is a HIPAA violation.  In fact, according to a 2016 Healthcare IT article, HIPAA’s auditors can fine your organization up to $50,000 for each text containing ePHI.

Second, and equally important, texting ePHI can leave the data exposed to hackers, in several ways. If your staff is texting ePHI over an unsecure network — such as a WiFi hotspot in a public place — hackers can grab the data digitally. Also, what if the doctor texting ePHI with her cell phone loses that phone or has it stolen? Finally, even if your doctor remains extremely careful about how and where she texts, the ePHI data she is sending and receiving over the cellular network still remains in storage on the cellular provider’s own cloud — and there is no way of knowing either that the data is secured on the carrier’s own servers or who at the carrier’s company will be able to see it.

working on laptop

3.  Your Staff’s Email Accounts

Your IT department has probably developed a secure email  system that satisfies HIPAA’s requirements — using secure transmission encryption protocols and other security measures to protect data on your network’s servers, etc.

But remember that your staff probably also sends and receives work-related email, including ePHI, on their personal email accounts— such as web accounts like Gmail and Yahoo! Mail.

Often your doctors or administrative staff will do this for convenience; perhaps they’re in a location where they can’t access their corporate email. Other times they might simply forget which email program they’re using when they send a new message from their smartphone.

Whatever the reason, you should assume your employees are using their personal email accounts, often outside of your network firewall, to send and receive messages containing ePHI. So your IT team’s job here — and it’s a difficult one — will be to implement policies and provide training to steer your staff away from emailing outside the corporate system you’ve developed for work-related messages, particularly messages with ePHI.

And even secure email is only as secure as the system of the person receiving the email.  If the recipient is on a non-secure personal email system, employees should be cautioned not to send email that contains protected information.

4.  The Hard Drives of Your Copiers, Scanners and Fax Machines

When your employees scan, copy or fax physical documents containing ePHI, digital copies of those documents are saved to the hard drives of the copiers, scanners and fax machines. This is an often overlooked security vulnerability because people, even seasoned IT professionals, forget that these standard pieces of office equipment even have hard drives.

But as the healthcare educational company 4MedApproved points out, one health insurance provider was forced to pay a $1.2 million HIPAA fine for returning leased office equipment that still had stored patient records and other ePHI on the devices’ hard drives.

dialing on phone

5.  Your Voice Files

Let’s say a patient leaves a voicemail on your organization’s phone service, or on the smartphone issued to one of your doctors (or even to that doctor’s personal mobile phone). If the patient identifies herself and gives any personal information in that voicemail — almost a certainty in a message left for a medical office or doctor — that is considered ePHI.

Furthermore, let’s say your doctors use handheld dictation systems to record patient details during or immediately after patient appointments. And further imagine that the routine for many of your doctors is simply to keep the tapes of these recordings in an unlocked cabinet or even on an open shelf in their offices. Again, these voice recordings would qualify as ePHI — and need to be protected just as any fax server or network transmission containing patient records.

Your IT team’s task here — again, a difficult one — will be to train all staff on treating these voice recordings as the HIPAA-enforced protected data they are, and to implement processes to secure this ePHI at all times, whether digitally (in the case of patient voicemails) or physically (in the case of your doctors’ own patient recordings on dictation devices).

And it goes without saying that outside medical transcription services must be HIPAA compliant and willing to sign a BAA if they will be transcribing doctors notes that contain personally identifiable information.

doctor checking files

6.  Your Previous Electronic Medical Records System

Here’s a very common scenario in healthcare organizations today — particularly as the Affordable Care Act rules force many medical and dental practices to reconsider the records systems they are using. A doctor’s office decides to switch its Electronic Medical Records (EMR) system from, say, to NexGen.

After training its staff on the NextGen system and migrating its records over the new platform, the company will then often maintain a computer server that contains copies of all of its old records originally generated on its Cerner system. But very few of these companies will also provide adequate security for that old EMR data — even though it is still ePHI, subject to the exact same HIPAA regulations as new patient records.

Here your IT team’s responsibility will be to treat this archived data and the hardware storing it with the same level of care and security as your office’s current ePHI. That means you’ll need to maintain current usernames and passwords for authorized personnel, equip the server (and any transmissions of the data to or from that server) with encryption and other security protocols, and maintain usage logs for any access to the ePHI contained on this old server.

It’s easy to forget this data is even there. But if HIPAA auditors come knocking, you’re just as much at risk of a noncompliance fine from the ePHI stored here as you are from any other type of  violation.

heart monitor

7.  Your Medical Equipment’s Hard Drives

This is often another innocent oversight, but one that still leaves the healthcare organization at risk from both a data breach from cyber attackers and from landing on the wrong side of a HIPAA investigation. The CT scanner, MRI machine, dental x-ray device and other medical equipment in your office also have hard drives — and virtually all of the images and data stored on these hard drives is, by definition, ePHI.

You need to implement a process for encrypting these storage drives and regularly offloading the data to a secure server — whether that’s a cloud storage plan or an on-premises secure server that your IT team manages.

man checking servers

8.  Your ePHI Held by Third-Party Vendors

To function as a healthcare organization today, you almost certainly need to work with third parties, such as an after-hours answering service and a cloud provider to back up and provide disaster recovery services for your data. But these are yet more examples of places where your ePHI is residing, and where they also need protecting at all times.

Any vendor that handles your ePHI should be able to demonstrate that they understand HIPAA’s requirements and their role in securing your ePHI, and that they have developed HIPAA compliant processes to secure your data at all times.


Make Your ePHI Faxes Secure and HIPAA Compliant

As we noted in ePHI vulnerability #4 above, your data is probably residing unsecured on the hard drives of your office’s copiers and fax machines. This is yet one more reason to upgrade your infrastructure from standard desktop fax machines or fax servers to a cloud fax model built specifically for businesses that need to transmit highly sensitive material by fax.

A pioneer in cloud faxing 20 years, eFax Corporate® is the world’s leading cloud fax partner for enterprises, and the most trusted provider of digital faxing services to the most heavily regulated industries — including healthcare.

Our HIPAA compliant fax solution employs the most advanced security and encryption protocols available for faxes in transit over the Internet. Additionally, we use the most sophisticated security protocols for a business’s faxes at rest — in storage online after they have been either sent or received. That is why eFax Corporate is the cloud faxing solution preferred by the majority of Fortune 500 corporations.

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