HIPAA Texting for eClinicalWorks Users
eClinicalWorks handles your clinical record. Here is how to add reliable two-way patient texting as a standalone tool — with group threads and broadcast messaging.
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The short answer
eClinicalMessenger SMS delivery has been reported as unreliable by at least one practice. BloomText works alongside eClinicalWorks as an independent texting tool. Patients reply over SMS with no app. Group conversations and broadcast messaging are included. Over 30 million messages have been sent through BloomText.
Capability comparison
BloomText vs eClinicalWorks
| Capability | BloomText | eClinicalWorks |
|---|---|---|
| Two-way SMSPatients reply by secure chat via SMS | Included | Not included |
| Group threadsStaff and patients in one conversation | Included | Not included |
| Broadcast messagingReach many patients at once | Included | Not included |
| No app or login requiredWorks from any phone, no download needed | Included | Not included |
| Portal or app messagingPatients log in to a portal to message | Not included | Included |
| One-way SMS remindersAutomated appointment notifications | Not included | Included |
| Self-serve pricingPublished rates, no sales call needed | Included | Not included |
| No long-term contractMonth-to-month, cancel anytime | Included | Not included |
The gap eClinicalWorks users describe
eClinicalWorks handles clinical documentation, scheduling, and billing. eClinicalMessenger and healow handle patient engagement. The gap is reliable, standalone two-way texting. Practices report unclear SMS delivery, no confirmed group threads with patients, and an ecosystem-dependent messaging experience.
What eClinicalWorks users need alongside their EHR
Reliable two-way SMS as a standalone tool. Group threads. Broadcast messaging. And a signed BAA covering the texting platform independently.
How BloomText fills the gap
BloomText gives eClinicalWorks practices a dedicated number for patient texting. Reliable SMS delivery. Group conversations. Broadcast messaging. All as a standalone tool that does not depend on the eCW ecosystem.
eClinicalWorks stays the system of record. BloomText handles the texting.
Every plan includes a signed BAA, including the free plan. See pricing for current plans.
Frequently Asked Questions
- No. eClinicalWorks remains your clinical record and practice management platform. BloomText adds reliable two-way texting as a standalone tool.
- No. Patients receive secure links over normal SMS and reply from any phone.
- Yes. Broadcast messages reach multiple patients at once for closures, schedule changes, and announcements.
- Yes. A signed Business Associate Agreement is included on every plan, including the free plan.
Does BloomText replace eClinicalWorks?
Do patients need to download an app?
Can I send broadcast messages?
Does BloomText include a BAA?
Sources
Last verified August 27, 2026.
