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BAA Directory

Is Twilio HIPAA compliant? Does it sign a BAA?

The answer

Signs a BAA on specific plans

Yes, on Twilio Security Edition or Enterprise Edition, for HIPAA-eligible products.

Messaging and payments. Checked on the vendor's own pages on .

Using Twilio on a healthcare site? Curve Compliance keeps your ad tracking HIPAA-compliant around it, under a BAA on every plan. Book a call

On this page

What Twilio says

“HIPAA Accounts require Twilio Security Edition or Enterprise Edition.”

Source: Twilio Docs, HIPAA Accounts, checked .

“customers that are subject to HIPAA and intend to utilize Twilio's products and services to develop communication workflows containing PHI must execute a Business Associate Addendum (BAA) to Twilio's Terms of Service.”

Source: Twilio and HIPAA, checked .

What the BAA covers and excludes

Excludes or limits, in Twilio's words:

  • "HIPAA compliance is a shared responsibility between you and Twilio. Signing a BAA alone does not make your application HIPAA-compliant. You must also follow the architecture guidelines and use only HIPAA-eligible services."

What this means for ad tracking

Twilio carries appointment reminders, follow-up texts and calls, so it holds exactly the kind of message that ties a person to their care.

A BAA with Twilio covers those messages. It does not cover an ad platform, so a reply, a confirmed appointment or a call that you count as a conversion should reach Meta or Google as a neutral event with no message content.

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 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.

Frequently asked questions

Is Twilio HIPAA compliant?

Yes, on Twilio Security Edition or Enterprise Edition, for HIPAA-eligible products. With a signed BAA, Twilio 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 sign a BAA?

Yes, on Twilio Security Edition or Enterprise Edition, for HIPAA-eligible products. In Twilio's words: “HIPAA Accounts require Twilio Security Edition or Enterprise Edition.” We checked Twilio's own pages on September 29, 2026.

Which Twilio plans include a BAA?

Twilio's HIPAA Accounts require Security Edition or Enterprise Edition, and the BAA covers the products on Twilio's HIPAA Eligible Products and Services list.

Does a BAA with Twilio 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