Properly registered SMS, delivered, not blocked.
Since 2023, every US carrier requires A2P 10DLC registration for business SMS. Practices that skip this get their messages filtered or blocked. We handle the full regulatory path — TCR Brand registration, Campaign approval, carrier verification, and HIPAA-eligible toll-free for healthcare — as a one-time paid setup. After that, SMS just works.
Email in. SMS requires setup.
Email is plug-and-play. Your domain verifies with DNS records in 15 minutes and you can send to your client book the same day. SMS isn't — every US carrier requires regulatory registration before they'll deliver your messages reliably. We handle that work as a one-time paid setup so your messages actually arrive.
We file your Brand + Campaign within 48 hours of payment.
What we do between paid and live.
Each stage is concrete work. We file paperwork, vet your brand, provision numbers, and run the carrier-verification gauntlet so your patients/clients actually receive your SMS.
TCR Brand registration
We file your business with The Campaign Registry — legal name, EIN, address, vertical (healthcare, retail, professional services). Brand Score returned in 24-48 hours determines messaging throughput tier.
Campaign use-case approval
We file your use case (account notifications, marketing, customer care, mixed) with sample messages and opt-in language. TCR + carriers review and approve.
Phone number provisioning
10DLC long code OR HIPAA-eligible toll-free verification, depending on your vertical. Number is reserved on your business account, not shared.
Carrier verification
AT&T, Verizon, and T-Mobile independently vet your business and approve message flow. This is the longest single window — carriers run their own anti-spam reviews.
Opt-in workflow build
Custom opt-in landing pages, paper-form QR code, STOP/HELP keyword handlers, and audit-log infrastructure spun up for your practice. CTIA-compliant boilerplate inserted automatically.
Voice Training calibration
You paste 15-30 messages you've sent to clients/patients. We extract your voice profile (greeting, formality, sign-off, distinctive phrases) so SMS drafts read like you, not like a marketing automation tool.
Production handoff + first send
First production SMS campaign goes live, monitored. Delivery rate verified across all three carriers. Opt-out and STOP handling verified end-to-end. You're live.
We pick the right number type for your vertical.
Healthcare-covered practices (dental, optometry, specialty medical, medspa) typically run on HIPAA-eligible toll-free. Non-medical verticals (salon, fitness, HVAC, plumbing, trades) typically run on 10DLC. We choose based on your TAM, throughput needs, and compliance posture.
Regular area-code number.
High-throughput business SMS. Cheaper per-message. Requires TCR Brand + Campaign registration. Best for non-medical verticals.
- Higher throughput (up to 4,500/sec)
- Lower per-message cost
- Standard for trades, fitness, salon, retail
- TCR Brand Score determines tier
- Local area code (matches practice geography)
HIPAA-aligned business number.
Verified business SMS via Twilio toll-free verification. Higher trust signal. Aligned with healthcare compliance review. Default for HIPAA-covered customers.
- Enhanced carrier vetting (better for medical)
- Universal recognition as legitimate business
- HIPAA-aligned compliance posture
- Default for dental, medspa, optometry, specialty
- Includes voice capability (calls + SMS on same number)
Every message has explicit consent on file.
A2P 10DLC registration handles the carrier side. CTIA + TCPA compliance is the consumer-protection side. We handle both as part of setup.
Explicit opt-in capture
Every patient/client signing up through your booking flow, paper form, or front-desk intake provides explicit SMS consent. The moment of consent is logged with timestamp, IP, source, and language version.
Visible STOP / HELP / UNSUBSCRIBE
Every message includes opt-out language. Replying STOP or UNSUBSCRIBE triggers immediate suppression. Replying HELP returns your practice contact info. Both handled automatically — you don't have to think about it.
Permanent suppression list
Opted-out numbers cannot receive any future messages without explicit re-opt-in. The suppression list survives campaign archives, practice handoffs, and data exports. Seven-year audit retention.
Per-practice audit trail
Your dashboard shows every opt-in event (where, when, language version) and every opt-out (when, source) for every contact. Available for export anytime — useful for HIPAA audits and TCPA defense.
Time-of-day enforcement
TCPA prohibits commercial SMS between 9 PM and 8 AM in the recipient's local time zone. Our send-campaign engine enforces this automatically — message scheduling for nighttime sends gets queued to morning.
Healthcare-specific safeguards
For HIPAA-covered customers: outreach drafts never include specific procedure codes, treatment details, or clinical findings. PHI is referenced only as 'your appointment,' 'your visit,' or 'your treatment.' Patient-facing identifiers limited to first name + first initial of last.
What every operator asks about SMS.
01 What is A2P 10DLC and why does it matter for my practice? +
02 Is the free 30-day trial limited to email only? +
03 What's included in the SMS setup fee? +
04 Why a paid setup fee for SMS but not email? +
05 What's the difference between 10DLC and toll-free verification? +
06 How long does SMS setup take? +
07 Do you handle SMS opt-in / opt-out compliance? +
Want SMS setup walked through with your team?
15-minute call. We'll confirm whether 10DLC or toll-free fits your vertical, what your setup timeline looks like, and what the per-message economics will be at your patient/client book size.