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#80810 11/03/2025 7:00 PM
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We're fed up with Updox, no tech support, is down more than up and on top of that they want to increase prices 7.5% next year. Not doing it. I wonder if anyone has used another efaxing service preferably with an API to import faxes to AC?


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Same. It has disconnected repeatedly the last couple of days, twice today alone, and our search archive keeps getting wiped out, so I've had to ask updox to rebuild it several times in the last few weeks/months. We're looking for alternatives to Updox, too.


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I will be switching to SPRUCE soon for my phone and faxes. I looked at Weave and Rib=ng Central also but liked the features of Spruce. I have been using a Brother MFC for years and worked well with never using UpDox due to the cost. There are other posts on her about the Brother machine. Works great but trying to move a different direction I can post after we have used it for a while.

Wish AC had a user portal outside of UpDox!

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I am now paying over $200 a month for Updox and just got the 7.5% rate increase announcement.
My staff insists it saves tons of time importing into patient's charts, but I am looking at alternatives.

So what happens re: the portal if you give up the paid version of Updox?
Do you still keep the patient portal within AC, run by Updox?


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And for today's update... after a series of emails from Updox about preventive maintenance planned and "successfully completed" last night, we cannot get to Updox at all.
Of course status.updox.com says everything is operational.


Jon
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See my earlier comment 10/25/25 on the thread about AC data export requests.

Like AC's decline in support, my displeasure with the cost of Updox was another reason to retire from family medicine.
It started as a service that was ideally suited for small practices and AC.
In some ways Updox was better, since I was able to use it remotely on my phone.
Then they added bells and whistles and sold the company.
Up went the price and down went the support.
Too bad, as Updox (and AC) are actually excellent products, and I was a big fan of Updox when I first started using it.

Check out this wikipedia description of "enshittification": https://en.wikipedia.org/wiki/Enshittification
It will put your experience with AC and Updox (as well as many other current services such as Google and Facebook) into perspective.

Kudos to all who remain in Primary Care and using Updox,
Ton Zwaan


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Spruce looks promising.

In retrospect the least useful aspect of Updox was the "secure portal" function.
It seemed like such a good idea at the time, and presumably was required for HIPAA/ACA.
If anything, it hindered communication and access.

It would have been nice if AC had developed that requirement rather than farming that out to Updox.

What did work well with Updox was the unified inbox and remote access.
This was remarkable at the time.


Anthony (Ton) Zwaan
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Does Spruce integrate with AC like Updox?


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Unfortunately it doesn't. My staff has used a Brother MFC for years to import so they are used to getting faxes in and moving. It is a simple process. I could never justify the cost of UpDox because this way is so quick. Spruce will replace the physical fax machine (I'll keep it and a number for a while just to make sure) and will allow other employees to see the faxes as they come in, me included. Theoretically, I can import with Spruce as well.

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Chris, you are talking about the age-old debate we have had regarding Updox. We use the portal, but could survive without it. The main benefit of Updox for us is document management. Receiving and sending faxes works well (when Updox is working - which is most, but not all of the time). The real issue with Updox- its big advantage - is integration with AC. I know the process for using an MFC to import to AC. I know you describe it as a simple one; perhaps it is "simple" but it still involves a whole series of steps and clicks for every single fax being imported into AC. The process with Updox is far simpler and quicker. Multiply by perhaps a hundred faxes a day, and my staff became strong Updox supporters.

That was then... it will be hard to move away from it. Over $220 a month, intermittent outages, and sometimes annoying support may make it appropriate...

So tell me what you mean by "Theoretically, I can import with Spruce as well."


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