HIPAA Texting for HCHB Users

HCHB handles your clinical record and automated visit reminders. Here is how to add the conversational two-way texting it does not offer.

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The short answer

HCHB's automated SMS sends visit reminders and clinician ETA notifications, but patients cannot reply. BloomText works alongside HCHB to give clinicians a dedicated texting number for conversational patient communication. Patients reply over SMS. Group conversations keep clinicians, care coordinators, and patients in one thread.

Capability comparison

BloomText vs HCHB

Messaging capability comparison between BloomText and HCHB
CapabilityBloomTextHCHB
Two-way SMSPatients reply by secure chat via SMSIncludedNot included
Group threadsStaff and patients in one conversationIncludedNot included
Broadcast messagingReach many patients at onceIncludedNot included
No app or login requiredWorks from any phone, no download neededIncludedNot included
Portal or app messagingPatients log in to a portal to messageNot includedNot included
One-way SMS remindersAutomated appointment notificationsNot includedIncluded
Self-serve pricingPublished rates, no sales call neededIncludedNot included
No long-term contractMonth-to-month, cancel anytimeIncludedNot included

The gap HCHB users describe

HCHB handles clinical documentation, scheduling, and automated patient notifications. The automated SMS reduces missed visits. The gap is the conversational communication that happens in the field — coordinating visit times, answering patient questions, confirming access instructions. HCHB's automated messages do not handle this.

What HCHB users need alongside their EHR

Conversational two-way SMS. Group threads for field coordination. A dedicated agency number. And a signed BAA covering the texting platform. See what makes texting HIPAA compliant for the full requirements.

How BloomText fills the gap

BloomText gives HCHB agencies a dedicated number for patient texting. Patients receive a secure link over SMS, tap it, and reply. Clinicians in the field coordinate with patients and the office through group conversations. Wound-care photos and documents travel through the same secure channel.

HCHB stays the system of record. HCHB's automated reminders and BloomText's conversational texting work alongside each other.

Every plan includes a signed BAA, including the free plan. See pricing for current plans.

Add patient texting to HCHB — start free

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Frequently Asked Questions

Does BloomText replace HCHB?
No. HCHB remains your clinical record and scheduling platform. BloomText adds conversational two-way SMS texting alongside HCHB's automated notifications.
Can clinicians share photos securely?
Yes. Photos travel through secure conversations. Images are encrypted and retained on the organization's account.
Do patients need to download an app?
No. Patients receive secure links over normal SMS and reply from any phone.
Does BloomText include a BAA?
Yes. A signed Business Associate Agreement is included on every plan, including the free plan.

Sources

Last verified August 27, 2026.

  1. HCHB patient engagement solutions