HIPAA-Compliant Fax for Hawaii Healthcare Providers
Clinics and hospitals throughout Hawaii still route referrals, lab orders, and prescription authorizations by fax, often to pharmacies and labs that won't accept anything else. The Hawaii Department of Health and federal HIPAA rules both expect protected health information to move over a secure channel.
Regulations & Compliance
Providers in Hawaii answer to federal HIPAA on top of the state's own health information privacy laws, which the Hawaii Department of Health enforces. The HI Board of Medical Examiners adds expectations around clinical recordkeeping and how patient information is shared. Send FAX Mail transmits over TLS and stores documents under AES-256 encryption, and a Business Associate Agreement is available so covered entities can sign before sending any PHI.
Key Institutions
- • Hawaii Department of Health
- • Hawaii Medical Association
- • Hawaii Hospital Association
- • HI Board of Medical Examiners
Healthcare Fax in Hawaii — FAQ
Yes. Transmission is encrypted with TLS and stored documents are protected with AES-256, which lines up with both federal HIPAA and the privacy standards the Hawaii Department of Health enforces. Covered entities sign a Business Associate Agreement with us before any protected health information moves through the service.
Physician referrals, lab orders, prescription and prior-authorization requests, and signed patient consent forms make up the bulk of it. Many partner organizations, including offices that coordinate with the Hawaii Medical Association and the Hawaii Hospital Association, still treat fax as the expected channel for these records because it leaves a clear delivery trail.
They do. On our HIPAA tiers, an inbound fax is never attached to an email; the provider gets a notification and downloads the document inside their authenticated dashboard session. That keeps protected health information out of email inboxes while still letting staff act on it right away.
Pricing starts at $12.99 a month for a solo provider and scales up for larger HI health systems. HIPAA coverage begins with the Professional plan, and the Business plan at $79.99 a month suits a clinic with higher volume. If a practice outgrows its monthly page allowance, it moves to the next tier rather than facing any per-page fee.
Why this matters
The HIPAA Security Rule requires technical safeguards to protect electronic protected health information when it is transmitted over a network.
Source: U.S. HHS — 45 CFR § 164.312(e)(1)HIPAA requires covered entities to obtain satisfactory assurances — typically a Business Associate Agreement — from vendors that handle protected health information on their behalf.
Source: U.S. HHS — 45 CFR § 164.308(b)As of 2021, most U.S. non-federal acute care hospitals still used mail or fax to exchange summary-of-care records with outside organizations — 69% to send and 78% to receive.
Source: ONC Data Brief No. 64 (Jan 2023), AHA Annual Survey IT SupplementStart faxing for healthcare in Hawaii
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