A2P 10DLC refers to a system in the US that allows businesses to send Application-to-Person (A2P) type messaging via standard 10-digit long code (10DLC) phone numbers. Carriers in the US consider all Artera SMS traffic to be A2P and US hospitals and clinics using Artera will be registered for A2P 10DLC when onboarding with Artera.

A2P registration is an industry-wide requirement intended to reduce spam, fraud, unwanted messaging, and protect SMS as a trusted communications channel in the US. By registering your phone numbers with an A2P Campaign, your organization will have access to better deliverability and increased throughput for your SMS traffic.

Industry standards for Terms of Service

Carriers enforce regulations where all businesses sending SMS to consumers need to be registered on A2P 10DLC, which requires business entities to register their traffic with the Campaign Registry. Artera will do this on behalf of your organization via our telecomms provider, Twilio. To do so, we require your exact legal business name as it appears in IRS records.

You must provide one of the following:

• IRS CP 575: Your original EIN Confirmation Letter, issued when your EIN was first assigned.
• IRS 147C: A replacement EIN letter from the IRS.

NOTE: If your organization has misplaced its IRS CP 575, you can request an IRS 147C letter by calling the IRS Business and Specialty Tax line at (800) 829-4933.

All A2P Campaign registrations are subject to a vetting process. Registration can take 1-7 business days and is only required to be completed once. If new outgoing Artera lines are required in the future, they will be registered with the A2P Campaign that Artera has already registered for your organization.

Per industry standards, your organization must gather patient preferences and Electronic Communications Consent to adhere to federal healthcare communications regulations. Your business website should have a publicly accessible mobile Terms of Service page containing certain provisions, including support contact information, complete opt-out instructions, a recurring message disclosure, and a description of the nature of the messages that will be sent to the patient. For more information about industry standards, review the CTIA’s Short Code Monitoring Handbook. 

In the event that your A2P Campaign is rejected, Artera will communicate unmet requirements to you for resolution. There may be additional compliance requirements under applicable law that are not met by your Terms of Service or Private Policy. You should consult with your legal counsel to ensure that your Terms of Service and Privacy Policy are compliant with applicable law and consistent with standards for patient care and appointment reminder communication.