SMS & RCS built for
healthcare — HIPAA handled.
SMS and RCS for health systems, telehealth, pharmacy, and care-management platforms. BAA available. PHI-safe templates. TCPA healthcare-exemption logic baked into every send.
BAA available
Standard BAA on day one. Vendor security reviews welcomed.
PHI-safe by default
Audit logs auto-redact PHI. Scoped keys. Encrypted at rest.
TCPA exemption logic
Healthcare-exempt flows skip marketing consent gates automatically.
Audit-ready consent
Per-contact opt-in record. Exportable for any TCPA defense.
For every kind of healthcare org
Whether you're routing patient messaging through an EHR, running virtual visits, dispensing prescriptions, or managing care across states — Pinnacle has the carrier approvals and the consent stack you need.
Health systems & hospitals
Patient appointment reminders, post-discharge follow-up, lab and test results, and two-way provider messaging. EHR-integrated workflows with PHI guardrails.
Telehealth & virtual care
Visit reminders, RCS intake forms, post-visit care plans, and provider–patient chat. HIPAA-aligned video and document delivery built in.
Pharmacy & PBMs
Refill ready alerts, dose and adherence reminders, auto-refill enrollment over RCS, and prior-auth status updates. TCPA-exempt flows handled correctly.
Digital health & RPM
Remote patient monitoring alerts, care plan check-ins, behavioral nudges, and intake automation. Per-recipient frequency caps so patients don't churn.
Care management
Multi-condition care navigation, social-determinants outreach, and longitudinal patient engagement. Cross-channel opt-out so a STOP follows every campaign.
Lab & diagnostic
Result-ready notifications, follow-up booking, and document delivery over verified-sender RCS. Patients see your brand, not a random short code.
SMS + verified RCS for patient communications
Patients see your hospital or telehealth brand with a blue checkmark on RCS — not a random short code. SMS reaches every other device automatically. Smishing attacks on patient portals fail before they start.
Use cases we get approved
- Appointment reminders & confirmations
- Prescription refill & pickup alerts
- Lab & test result notifications
- Post-discharge follow-up & care navigation
- Patient intake forms over RCS
- Two-way provider–patient messaging
- Telehealth visit reminders & links
- Insurance verification & PA status
- Adherence & dose reminders
Each falls under a specific 10DLC category with strict opt-in and content rules. We map yours before submission.
Verified, branded, audit-friendly patient messaging.
Healthcare is one of the most impersonated categories in smishing. RCS is the first carrier-grade channel where the sender is cryptographically verified, your brand is visible, and every interaction is logged.
Verified provider sender
Your hospital, telehealth, or pharmacy brand shows with a blue checkmark. Patients trust the message — and replies stay inside an authenticated channel.
One-tap appointment & intake
Confirm an appointment, complete intake, upload insurance, or open a secure document in one tap. No app install, no portal login.
Higher engagement, fewer no-shows
RCS read rates and CTRs consistently outperform SMS for appointment reminders and care messaging. Fewer missed visits, better adherence.
Read & delivery receipts
Per-recipient timeline of what was sent and seen — useful for care-coordination workflows and TCPA defense alike.
Rich intake & document flows
Send forms, carousels, secure documents, and structured replies inline. Patients send back data — not free-text you have to parse.
Automatic SMS fallback
When a patient isn't on an RCS-capable device, Pinnacle falls back to SMS over the same number and API call.
HIPAA & TCPA, handled at the API layer
Every CTIA Messaging Principle and TCPA requirement, enforced automatically. Plus the healthcare-specific guardrails you don't want to build twice.
Auto STOP / HELP / UNSUBSCRIBE
STOP, HELP, CANCEL, END, QUIT, UNSUBSCRIBE handled automatically across SMS and RCS — in every supported language. Once a patient opts out, every send to that number is blocked at the API layer.
Audit-ready consent log
Every opt-in is logged with timestamp, source, IP, and the exact disclosure language shown. PHI-redacted on export. Per-contact retrieval in one API call.
Send-window with healthcare overrides
TCPA's 8am–9pm recipient-local-time window enforced by default — with documented overrides for healthcare emergencies and time-sensitive clinical messages.
Cross-channel opt-out propagation
A STOP on SMS automatically blocks RCS, MMS, and future sends to that number — and vice versa. Closes the post-opt-out TCPA exposure that bites healthcare orgs hardest.
EHR webhook sync
Inbound STOP, HELP, complaint, and carrier-feedback events stream to your webhook in real time so the EHR, your CDP, and patient-engagement system stay in lockstep with Pinnacle.
Pre-send policy engine
Every outbound message validated against the recipient's consent state, the campaign's healthcare-exemption status, and quiet-hour rules. Violations blocked before they leave your code path.
Healthcare messages other CPaaS reject. We get them approved.
10DLC use-case categorization is where most healthcare registrations stall. We tell you upfront which lane each message falls into — before you submit.
| Use case | 10DLC category | Pinnacle outcome |
|---|---|---|
| Appointment reminders | Healthcare / Standard | Approved in 2-3 days |
| Prescription refill alerts | Healthcare | Approved in 2-3 days |
| Lab & test results | Healthcare | Approved in 2-3 days |
| Post-discharge follow-up | Healthcare | Approved in 2-3 days |
| Two-way provider messaging | Healthcare | Approved in 2-3 days |
| Telehealth visit reminders | Healthcare | Approved in 2-3 days |
| Adherence & dose reminders | Healthcare | Approved in 2-3 days |
| Patient intake over RCS | Healthcare | Approved in 2-3 days |
| Controlled substance reminders | Restricted | Approved with extra documentation |
Categorization and outcomes vary by content, opt-in flow, and brand history. We confirm yours during the 15-min call before you submit.
Patients tap. They don't ignore.
Patients ignore another SMS from a 5-digit short code. They tap a verified RCS card from your hospital, telehealth, or pharmacy — confirming an appointment, refilling a prescription, or booking the next visit in one tap. Your front desk wakes up to a reconciled schedule instead of a voicemail backlog.
- • Verified branded sender — patients trust the source
- • One-tap confirm / reschedule / cancel inside the message
- • Rich cards for Rx pickups, lab results, and intake forms
- • Automatic SMS fallback when RCS isn't available
We'd been rejected three times on the same 10DLC campaign and were burning engineering hours rebuilding STOP/HELP from scratch every time we changed providers. Pinnacle handled the registration and the consent layer — we stopped being part-time compliance experts.
Common questions
What healthcare teams ask before they sign.
HIPAA-aligned messaging, without the compliance team.
Book a 15-minute call. We'll review your current consent stack, draft your registration, and tell you exactly which TCPA gaps to close — for free.
Book a healthcare call →Trusted by health systems, telehealth platforms, and digital-health companies · Vendor & security reviews welcomed