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Key Takeaways

Generated from the text of customer reviews

Updox is a healthcare communication platform that brings fax, secure messaging, and patient outreach together in one system. Users value its fax-to-EHR integration, while others note inconsistent telehealth performance relative to other platforms. As of July 2026, Updox added a security enhancement requiring multi-factor authentication before users can send emails.

Our Verdict

Updox is a strong option for healthcare organizations that want to centralize patient communication without replacing their existing EHR or practice management system. Its Standard plan offers a practical entry point for smaller practices, while Enterprise is better suited to larger organizations with broader communication needs. We recommend Updox for providers looking to consolidate fax, secure messaging, telehealth, and patient outreach in one platform.

Updox Specifications

  • Appointment Management/Scheduling
  • Patient Portal
  • Telemedicine
  • Billing and Invoicing

What Is Updox?

Updox is a patient engagement and clinical communication platform that helps simplify practice management for modern clinics. It integrates tools like telehealth, electronic faxing, a patient portal, and payment collection, enabling clinics to manage documents, work efficiently, and support patient engagement through a single HIPAA-compliant solution. Alongside this, Updox also offers a separate digital charge capture platform.

What Is Updox Best For?

The platform stands out for bringing electronic faxing, patient messaging, document management, and telehealth into a single inbox without requiring practices to replace their existing EHR or practice management system. It operates alongside a practice's current setup, connecting communication and patient engagement tools that would otherwise be spread across separate platforms.

How Much Does Updox Cost?

Updox pricing starts at $119/month with custom quotes based on features required and practice size. The vendor offers two platforms: ‘The Updox Platform’ and ‘The Charge Capture Platform’, both charged at custom rates.

  • The Updox Platform:
    • Standard Plan
    • Enterprise Plan
    • Additional Standard Bundles
    • Additional Enterprise Bundles
  • The Charge Capture Platform:
    • Charge Capture

Apart from base subscription cost, clinics should account for the following estimated additional costs:

  • Implementation And Deployment: Estimated at $2,000–$15,000, based on workflow configuration, practice size, and number of providers
  • EHR Integration And Configuration: May range from $1,500 to $10,000, determined by interoperability requirements, workflow mapping, and custom integration
  • Staff Training And Onboarding Expenses: Can cost $500–$5,000, depending on training sessions, number of staff members
  • Data Migration: Generally, ranges from $1,000–$8,000, scales according to the data being transferred, the patient record, and the volume of documents
Reach out for a personalized Updox price quote.

Disclaimer: Pricing references are based on publicly available third-party information and industry benchmarks. Actual costs may vary.

Updox Integrations

Updox supports integration with the following platforms:

How Does Updox Work?

Log in to your account to access your unified inbox and follow the given steps to use the software features:

  • Send documents and exchange private information securely with providers and other healthcare professionals
  • Edit, sign, comment, and route documents, adding tags to keep records easy to locate and workflows organized
  • Conduct HIPAA-compliant virtual visits through Updox's integrated telehealth feature
  • Set up automated appointment reminders and turn on the patient portal so patients can self-schedule, view their records, and pay bills
  • Contact individual patients through HIPAA-compliant secure text and broadcast messaging features
You can also request a free Updox demo to further explore the platform’s features.

Who Is Updox For?

This software is used in the following types of healthcare operations:

  • Solo practices
  • Large Hospitals
  • Health systems

Updox Use Cases

Based on our analysis of user feedback and Updox's capabilities, the software can work well for the following use cases:

Practices Running Multi-Participant Or Triage-Based Virtual Visits

Practices that need more than basic one-to-one video calls can use Updox Telehealth for conferences with up to 20 attendees. Its virtual waiting room supports triage workflows, while additional participants and interpreter services can be added when a visit requires caregivers, other clinicians, or language support.

Clinics Moving Away From Paper Faxing

Practices that still rely on physical fax machines can use Updox eFax to send, receive, edit, sign, and comment on documents digitally. Staff can also use Print to Fax from an EHR and track outbound activity from the fax dashboard, reducing reliance on paper-based document handling.

Practices Managing High No-Show Rates

Practices with frequent missed or late-canceled appointments can automate reminders through text, email, or phone calls. Patients can confirm or cancel directly from the reminder, and practices can customize reminder scripts by appointment type, such as giving different instructions for blood work and general visits.

Care Teams Coordinating Referrals Across Organizations

Clinics exchanging records with referring physicians, specialists, or hospitals can use Direct Secure Messaging to send patient health records, care plans, and follow-up messages securely. It can also support gathering records before visits and coordinating care with other providers after the encounter.

Is Updox Right For You?

If your practice wants to consolidate patient messaging, faxing, and virtual visits without replacing its EHR or PMS, Updox can be a good fit. Its Standard and Enterprise plans increase fax, telehealth, and messaging capacity as organizations grow. Updox is HIPAA-compliant and protects data with AES-256 encryption, SHA-2 hashing, and TLS in transit, alongside third-party security audits, penetration testing, and EHNAC accreditation.

Still not sure if Sessions Health software is the best fit for your practice? Connect with our team at (661) 384-7070, and they will help you make the right choice.

Updox Features

eFax

eFax replaces traditional fax machines with a digital faxing solution built into the platform. Practices can send and receive faxes, edit and sign documents, add comments, and use Print to Fax directly from their EHR, with the ability to access fax workflows remotely and track outbound faxes through a dashboard. The feature is backed by HIPAA-compliant safeguards, including secure cover pages, audit trails, and point-to-point encryption to protect any patient health information involved.

See How It Works
Direct Secure Messaging

Updox brings together three communication tools for practices: Direct Secure Messaging, Secure Text, and Broadcast Messaging. Direct Secure Messaging lets staff exchange private documents and messages with pharmacists and other healthcare providers, while Secure Text lets staff message individual patients directly, cutting down on phone calls. Broadcast Messaging extends that reach further, letting clinics send announcements to many patients at once or to specific groups based on demographics or diagnosis.

See How It Works
Telehealth

Updox Telehealth offers HIPAA-compliant video and audio calls, with conferences supporting several attendees for group visits. A virtual waiting room enables triage-style workflows that mirror an in-person visit, enabling staff to manage patient flow before the provider joins. The feature integrates with most EHR systems, keeping visit records connected to the practice's existing workflow.

See How It Works
Patient Portal

Patients can view test results, schedule appointments, and pay bills directly through the portal instead of calling the practice. The portal also lets patients share information securely and communicate with staff throughout the pre-visit, visit, and post-visit stages. This reduces the volume of routine calls staff handle each day.

See How It Works

Pros And Cons of Updox

Pros

  • Streamlines electronic faxing and document management workflows

  • Simplifies patient communication across multiple digital channels

  • Reduces paperwork with digital document management

Cons

  • Some advanced features may require initial familiarization

  • Certain integrations could be more comprehensive

Updox Pricing

Standard

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What's Included

  • Up to 1,000 fax pages

  • Up to 75 telehealth sessions

  • Patient reminders for up to 500 appointments

  • Up to 500 text messages

  • Up to 500 broadcast messages

Enterprise

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What's Included

  • Up to 10,000 fax pages

  • Up to 500 telehealth sessions

  • Patient Reminders for up to 2,500 appointments

  • Up to 5,000 text messages

  • Up to 5,000 broadcast messages

Additional Standard Bundles

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What's Included

  • Up to 500 fax pages

  • Up to 50 telehealth sessions

  • Patient reminders for up to 250 appointments

  • Up to 500 text messages

  • Up to 500 broadcast messages

Additional Enterprise Bundles

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What's Included

  • Up to 5,000 fax pages

  • Up to 250 telehealth sessions

  • Patient reminders for up to 500 appointments

  • Up to 1,000 text messages

  • Up to 1,000 broadcast messages

Charge Capture

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What's Included

  • Mobile round list

  • Facesheet and facility notes

  • EHR/PM integrations

  • Secure messaging and 24/7 support

Disclaimer: The pricing details were last updated on Aug 04, 2026 from the vendor's website. Please contact us for a tailored pricing list.

Updox Reviews

Total 49 reviews

3.6

All reviews are from verified customers

Rating Distribution

5

Stars

41%

4

Stars

22%

3

Stars

14%

2

Stars

4%

1

Stars

18%

Share your experience

A

Anonymous

Hospital & Health Care, 51-100 employees

More than a year

1.0
November 2025

faxes fail every single day

Pros

Honestly I can't recommend it. They had a very small page limit for faxing so we had faxes failing every single day. When the product was down, our staff reported a complete lack of support.

Cons

The product was broken a lot. Their contract is really unfair. You only have a tiny window to cancel and if you're just 18 days late, they lock you into a whole extra year of payments.

Rating Distribution

Ease of use

3

Value for money

1

Customer Support

1

Functionality

3

KC

Karen C.

Health, Wellness and Fitness, 11-50 employees

More than a year

1.0
May 2025

broken with bad support

Pros

When it works, it's fine. But the problem is it just doesn't work reliably enough. And when you do have an issue, getting a response from customer service is really tough.

Cons

Customer service is frustrating. You can't just call and get a person to fix a problem. You have to schedule a Zoom meeting and if you're busy with actual work when it's time, you have to start all over. Meanwhile, important stuff for patients is just stuck. Their contracts auto-renew with no way out and they won't let you buy your way out. We're stuck paying about $600 a month for a service we don't even want anymore for seven more months. It's so annoying. The starting price was great when we began but then they raised it by 500%. When they have an outage which happens pretty often, it completely shuts our office down.

Rating Distribution

Ease of use

5

Value for money

1

Customer Support

1

Functionality

4

EG

Eric G.

Health, Wellness and Fitness, 11-50 employees

Less than a year

2.0
September 2024

very poor support

Pros

I like that it helps us communicate with patients much more quickly.

Cons

My main issues are with the leadership, the poor customer service and not being told about the fine print. If you don't tell them 60 days before your contract ends, you're stuck in it.

Rating Distribution

Ease of use

5

Value for money

3

Customer Support

2

Functionality

5

Frequently Asked Questions

What language does Updox support?

Updox supports English.

What other apps does Updox integrate with?

The software integrates with platforms like Elation Health, Practice Fusion, Amazing Charts, EMDs, BestRx, CareCloud, Greenway Health, MacPractice, and DrChrono.

Does Updox have a mobile app?

Yes, the platform offers a mobile app.

What types of pricing plans does Updox offer?

The pricing of Updox starts at $119/month and is customized based on your practice size, selected features, and usage requirements. Its plans include Standard, Enterprise, Additional Standard Bundles, Additional Enterprise Bundles, and Charge Capture. Contact us to receive a custom Updox pricing quote from our sales team.

Who are the typical users of Updox?

Updox is designed for solo practices, small clinics, hospitals, health systems, and healthcare organizations.

Does Updox offer an API?

Yes, Updox offers an API.

What level of support does Updox offer?

Updox offers support through email, live chat during business hours, and a searchable knowledge base with FAQs.