Bert made some excellent points. Bottom line is that fax boards and fax modems are in two different classes. Fax boards are designed for high reliability, compatibility, and speed. It's great for physicians who receive a large volume of faxes. Basically if you're on paper fax and then scanning in afterwards, you need to move on to either a fax board (Mainpine Fax Board), fax modem/fax machine (Brother 8480DN,etc.), or a cloud fax service (UpDox,etc.) It will pay off in no time.