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Meta flagged my custom conversion for health information

The notice
Advertisers must ensure their custom conversions do not suggest information not allowed under our terms.
On this page

Meta flagged your custom conversion because its name or its rules suggest information Meta's terms don't allow, and a specific health condition is Meta's own example. A flagged custom conversion can't be used in new campaigns, and Meta advises moving running campaigns off it to avoid performance and optimization issues. The fix is a new custom conversion that counts the booking or sale without pointing to a condition, a duplicated campaign that uses it, and a review request if you believe the flag is wrong.

Curve helps you rebuild conversions that measure the booking, not the condition. Curve's team reviews what your website sends to Meta, Google and TikTok with you and shows what's likely triggering the flag, and Curve detects PHI-like patterns before data reaches an ad platform. Your conversion tracking is rebuilt server-side so it's HIPAA-compliant and keeps campaigns optimizing, with setup done for you by Curve's team under a BAA signed on every plan. Book a call with Curve.

Why Meta flagged it

Meta's rule for custom conversions is short: "Advertisers must ensure their custom conversions do not suggest information not allowed under our terms. For example, references to specific health conditions, such as arthritis, or financial status, such as credit score, aren't allowed." Its wider rule reaches past the name to the logic behind it: "the names you choose and criteria you establish for your events, conversions, and Custom Audiences must not reflect, imply, or be based on any prohibited information."

According to LiveRamp's announcement of the change, Meta began rolling out "proactive restrictions on custom audiences and conversions" on September 2, 2025, and said the change could affect ongoing campaigns. On a clinic or telehealth account, check these first:

  • A URL rule that matches a condition or treatment in the page path, such as a thank-you page inside a condition-named folder.
  • A name that states the condition, treatment or medication the person booked for.
  • A rule built on a custom event or parameter whose value names a condition.

What the flag does to your campaigns

  • New campaigns: "You won't be able to use flagged custom conversions when creating new campaigns."
  • Running campaigns: Meta says you "should either create a new campaign or duplicate your campaign and use a non-impacted custom conversion to avoid performance and optimization issues."
  • Conversion data: LiveRamp's relay of Meta's notice says "Custom conversions will stop receiving new conversion data", and that the change "May cause reduced delivery and performance in ongoing campaign (but Meta will not pause your campaigns)". A campaign can keep spending while the conversion it optimizes for stops counting.
  • No swapping: Meta says "Once the campaign is published, you cannot remove or select a different custom conversion." That is why the fix is a new or duplicated campaign, not an edit.

How to resolve a flagged custom conversion

  1. In Events Manager, open the Custom conversions tab and select each flagged conversion. Read its name, its rule and the event it is built on.
  2. Decide whether the flag is right. If the name or the rule names a condition, treatment or medication, it is.
  3. Build a replacement that counts the step rather than the condition: a confirmed booking or a completed purchase, on a page or event whose URL, parameters and name carry no condition. Meta's option is to "Use a new custom conversion and make sure that it does not include information that is not allowed under our terms."
  4. For each running campaign on the flagged conversion, duplicate the campaign, select the unflagged conversion, then publish. This is Meta's own advice, and it happens at campaign level inside the same ad account.
  5. If you believe the flag is wrong and the conversion doesn't include non-permitted information, request a review "via Ads Manager under the campaigns table, or in Events Manager under the custom conversions page."

A new name on the same rule is the same conversion

Renaming "Diabetes consult booked" to "Conversion A" clears nothing if its rule still matches a URL in a diabetes folder. Meta's test covers the criteria you establish as well as the names you choose, and a conversion defined by a condition page is based on that condition. Swapping the condition for a code or ID that maps back to it changes nothing either.

The clean version counts a step every patient takes, whatever they booked for. If your booking confirmation sits at a different condition-named URL for each service, change that on the site itself, so the condition never leaves in the first place. Where condition data hides on a clinic site and why renaming isn't a fix cover the rest.

Talk to Curve

A flagged custom conversion often points to condition data somewhere in what your site sends, and it's worth finding before the next one is flagged. Curve's team will review your conversions and site data with you, show what's likely triggering the flag, and rebuild your conversion tracking server-side so your campaigns keep optimizing on bookings that carry no condition. To get started, book a call with Curve.

How Curve helps

  • Curve's team reviews what your website sends to Meta, Google and TikTok with you and shows what's likely triggering the flag.
  • Curve detects PHI-like patterns before data reaches an ad platform.
  • Rebuilds your conversion tracking so it's HIPAA-compliant and keeps campaigns optimizing, sending conversions server-side to Meta Conversions API, Google Ads, TikTok, Microsoft and LinkedIn.
  • Keeps attribution through booking tools such as IntakeQ, Calendly and Jane.
  • Signs a BAA on every plan.

Frequently asked questions

Will Meta pause my campaign because of a flagged custom conversion?

LiveRamp's relay of Meta's announcement says Meta will not pause your campaigns, but the flag may reduce delivery and performance. Meta advises moving to a new or duplicated campaign with an unflagged conversion.

Can I swap the conversion in my running campaign?

No. Meta says that once a campaign is published you cannot remove or select a different custom conversion, so duplicate the campaign and choose the unflagged conversion before publishing.

Is renaming the custom conversion enough?

Not if the rule behind it still points to a condition. Meta's rule covers the criteria you establish as well as the names you choose.

Where do I request a review?

In Ads Manager under the campaigns table, or in Events Manager under the custom conversions page. Request one when the conversion genuinely includes no non-permitted information.

How does Curve help with flagged custom conversions?

Curve's team reviews what your website sends with you and shows what's likely triggering the flag, and Curve detects PHI-like patterns before data reaches an ad platform. Your conversion tracking is rebuilt server-side under a BAA signed on every plan.

Sources

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