Fax volume in healthcare isn’t declining. Referrals, prior authorizations, lab results, discharge summaries, insurance documents—all of it still moves substantially by fax, and the clinical and administrative workflows built around it aren’t going away soon.
What is changing is the underlying infrastructure. Analog lines are being retired. Cloud migrations are reorganizing where workloads run. EHR platforms are raising integration expectations. And the organizations that modernized their fax infrastructure a few years ago are now well-positioned, while those still on legacy systems are managing a growing list of operational problems.
At Paperless Productivity, we implement RightFax (OpenText™ Fax) for hospitals, health networks, physician groups, and insurers. Here’s what that looks like in 2026.
RightFax has native integrations with the EHR platforms healthcare organizations actually use—Epic, Cerner, MEDITECH, and others. That means clinicians and administrative staff send faxes directly from the chart, without switching applications or re-entering data. Incoming faxes route automatically into the appropriate patient record or workflow queue.
This isn’t a peripheral convenience. In high-volume referral and prior authorization environments, eliminating the round-trip between fax machine and EHR is a meaningful reduction in staff time and transcription errors.
Beyond EHR integration, RightFax offers:
RightFax runs in three configurations, and the right one depends on the organization’s infrastructure, IT capacity, and compliance requirements.
The full RightFax stack runs on the organization’s own servers. IT retains direct control over every layer—hardware, software, telephony, and data. This is still the right choice for organizations with specific data sovereignty requirements or existing infrastructure investments they’re not ready to move.
This is our managed implementation: RightFax deployed on private cloud infrastructure—AWS, Azure, VMware, Hyper-V, or similar—with configuration, optimization, and ongoing support handled by our team. The “private” distinction matters here. Unlike public cloud fax services, the infrastructure is dedicated to the organization, the configuration reflects its specific compliance requirements, and the data stays in a location it controls.
Typical deployment runs one week or less, even for organizations with complex inbound routing. We’ve configured everything from small clinic deployments to multi-facility health systems on this model.
Server software and data remain on-premises; telephony moves to cloud-based SIP trunking. This preserves data control while eliminating analog lines and the costs and reliability issues that come with them.
RightFax is a capable platform. An implementation that fully delivers on that capability takes genuine expertise—in the platform itself, in healthcare workflow requirements, in IP telephony, and in the EHR integration patterns each organization uses.
We’ve been implementing RightFax for healthcare organizations for many years. Our implementations are pre-configured with the best practices we’ve developed across hundreds of deployments: telephony settings that minimize transmission failures, security configurations that satisfy HIPAA requirements without requiring manual intervention, and EHR integration patterns we’ve refined for each major platform.
Post-implementation, we offer support plans ranging from business-hours coverage to 24×7 worldwide support. Ninety-five percent of inbound calls reach an engineer directly—no queue, no tiered support structure.
If your organization is running aging fax infrastructure—whether that’s on-premises RightFax that hasn’t been updated in years, a collection of analog fax machines and MFPs, or a public cloud fax service that’s underdelivering on compliance or reliability—we’d welcome a conversation about what a transition would look like.
Contact us to set up time with a solutions architect. We’ll start with your current environment and work through the options from there.