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BAA Directory

Does Twilio Segment sign a BAA?

The answer

Signs a BAA on specific plans

Yes, for Segment customers on a Business Tier plan.

Analytics and data. Checked on the vendor's own pages on .

Measuring a healthcare website? Curve Compliance includes web analytics, session replay and heatmaps under the same BAA as its HIPAA-compliant ad tracking. Book a call

On this page

What Twilio says

“Twilio BAAs are available to customers on a Business Tier plan.”

Source: Twilio Docs, HIPAA Eligible Segment, checked .

“Segment is a HIPAA eligible platform, and meets the data privacy and security requirements of healthcare customers and their stakeholders.”

Source: Twilio Docs, HIPAA Eligible Segment, checked .

What this means for ad tracking

Analytics and tag scripts run on every page, including pages about a condition, a treatment or a booking. They collect page addresses, page titles, IP addresses and device identifiers, which together can connect a person to the care they were looking for.

Segment's job is to forward events to destinations, including ad platforms, and each destination receives data outside Segment's BAA.

A BAA with Twilio covers the data Twilio Segment collects for you. Audiences or conversions you export from Twilio Segment to an ad platform leave that BAA behind, because the ad platform has not signed it.

Curve Compliance closes that gap: it sends the conversion itself server-side, under a BAA it signs on every plan, so your campaigns keep a conversion signal without a pixel carrying patient data. Book a call to see it on your own funnel.

A business associate agreement binds only the vendor that signs it, so each vendor that handles patient information for you needs its own.

How Curve helps

  • Curve carries the conversion signal to your ad platforms separately, under its own BAA, so you can keep Twilio Segment for what it does well.
  • Curve tracks conversions server-side in place of pixels, so they reach your ad platforms from Curve's server, not from the patient's browser.
  • Curve checks every event for PHI-like patterns before it goes out, and its neutral event names keep conditions and treatments out of what the platforms see.
  • Curve hashes identifiers with SHA-256 to each platform's requirements.
  • Curve adds consent management to your site, alongside the tracking.
  • Curve signs a BAA on every plan, and Curve's team does the HIPAA-compliant setup for you in about a week.

Book a call with Curve and Curve's team will walk through your tracking setup with you.

Read the full guide

For the full picture on Twilio Segment and patient data, read Is Twilio Segment HIPAA Compliant? CDP Data Routing Risks for Healthcare.

Frequently asked questions

Is Twilio Segment HIPAA compliant?

Yes, for Segment customers on a Business Tier plan. With a signed BAA, Twilio Segment can handle patient information for you, set up the way the vendor describes. The BAA does not cover ad pixels or tags on the same pages, because they send data to other companies.

Does Twilio Segment sign a BAA?

Yes, for Segment customers on a Business Tier plan. In Twilio's words: “Twilio BAAs are available to customers on a Business Tier plan.” We checked Twilio's own pages on September 29, 2026.

Which Twilio Segment plans include a BAA?

Twilio makes Segment BAAs available on a Business Tier plan, after your workspace is confirmed as HIPAA eligible.

Does a BAA with Twilio Segment cover my ad pixels?

No. A BAA covers the data Twilio handles for you. A pixel sends data from the visitor's browser straight to Meta, Google or TikTok, and none of those platforms is a party to your BAA with Twilio.

Does Curve Compliance sign a BAA?

Yes. Curve Compliance signs a BAA on every plan, and Curve's team does the HIPAA-compliant setup in about a week. Book a call to get started.

Sources

Last checked . Vendors change their plans and terms, so confirm the current terms with Twilio before you send it patient data.

See every tool in the BAA Directory.

Track ad conversions under a BAA

Curve signs a BAA on every plan. Curve's team sets up HIPAA-compliant conversion tracking for you in about a week, sending conversions server-side in place of pixels.

Book a call