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  • In The Press
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    • The Three-Legged Stool
    • Why the Wait List Is Losing You Money
    • Traditional Membership? You’re Losing Money
    • The Revenue Leakage Nobody’s Talking About
    • Cerbo Is the EHR. FxMedSupport Built the Nervous System
    • Bidirectional Calendar Sync Should Be a Baseline
    • What Listening Built
    • A Decade of Listening, Building, Refining
    • The Provider Is the Product.
    • The Book
    • Your Practice Is a Living Creature
    • Adaptive Reactive Proactive Creative Or DIE
    • Stop paying for marketing tools you already own
  • Pricing
    • Ongoing Pricing
    • Grandfather Pricing
  • Cerbo Partner Page
    • Cerbo Official KB FxMedSupport
  • Software
    • What we built and Why
      • How it works
    • Basic Integration
      • Tags Info & Bulk Create
      • Bulk Email System – Send Simple Email
      • Bulk Tag Edit
      • Bulk Patient Status Edit
      • Patient Portal Auto Invite
      • Re-beautify
      • Happy Birthday Notification
      • Google Calendar Bidirectional
      • Auto encounter
      • Portal Auto Reply
      • Portal kanban board
      • After Hours Auto Reply
      • Loyalty program
      • Staff Time Card System
      • Secure Note
      • ERC20 BTC
      • Google Outlook Calendars Bi-Directional Cerbo
    • Pro Integration
      • Patient Tag Transaction Association
      • PDF Annotate System
      • Provider Template Charting
      • Provider Autoblock Scheduling
      • New Portal Scheduler – Example
      • Tags Info & Bulk Create
      • Program Management System
      • Medication Refill Notification
      • Multi-State License
      • Appointment Form Notification System
      • Auto Chart Prep
      • Mobile App Custom Branding
      • Newsletter Application System
      • MessengerPro Admin Login
      • Portal Scheduler (No-Login)
      • Mobile Form Builder
      • Patient Re-Engagement System
      • Intuitive Messaging System
      • Med & Supplement Reconciliation System
      • Open Orders Notification System
    • Elite Integration
      • GoHighLevel Tunnel
      • SpruceHealth
      • Portal Messenger Pro IOS Android Cerbo Application
      • Google Gmail Inbound
      • Cerbo ↔ Heidi
      • GoHighLevel Tunnel
      • SpruceHealth
      • Calendly + Cerbo
      • Portal Messenger Pro IOS Android Cerbo Application
      • FxMedSupport 2 0 Email 2 of 3
      • Membership Practice Patient Growth Simulator
      • QuickBooks Online
      • JotForm
      • TypeForm
      • Gravity Forms
      • PayRoc Payment Gateway
      • GoHighLevel CRM
      • Zoho Books
      • Zoho CRM System
      • Portal Cerbo Visual Reporting System
        • FxMedSupport 2.0 Email 3 of 3
      • Patient Portal Health Insight
        • This isn’t an update It’s a fundamental shift
      • ActiveCampaign Cerbo Bidirectional
      • Quick Books Online
      • Zoho CRM
      • Zoho Billing
      • GoHighLevel Integration
      • Portal Phone System
      • Thinkific Course Platform
      • E-Commerce Add-On
      • Cerbo Robo Caller System
      • Texting SMS-Reply
      • MindBody Cerbo Bidirectional
      • HubSpot Bidirectional
      • Acuity Scheduling
    • Enterprise Integrations
      • Empower Pharmacy
      • NMI Payment Gateway
      • WooCommerce Point of Sale
      • LifeFile Compounding Pharmacy
      • Custom Portal Application Apple Android Portal Application
      • Square Online Payments
      • Fluid (KiboPay) Gateway
      • Clover Payment System
      • SendGrid Email System
      • Twilio External Account
      • Authorize.Net Payment Gateway
      • Clover Payment System
      • BigCommerce Cerbo Pro
      • WooCommerce Cerbo Pro
      • SendGrid Email System
      • Twilio External Account
      • Shopify Cerbo Pro
    • Native IOS & Android Admin & Patient Portal App
      • QR Codes
        • MessengerPro Android QR Code
        • MessengerPro Apple IOS QR Code
      • Web Links
        • IOS Messenger Pro
        • Android Messenger Pro
  • Support
    • Support
    • Community Connection
    • Submit a Ticket
    • Knowledge Base
    • Show Your IP – For Support
  • Resources
    • FxMedSupport 2.0
    • Request for Development Process
    • How it works
    • Cerbo (MDHQ) Virtual Operations Video
    • Professional Connection
      • Meet Kevin
    • Pharmacies
      • LifeFile Pharmacy Login
    • Meet Kevin
    • Mackey Net Solutions
  • In The Press
    • Press Release 2.0
    • The Three-Legged Stool
    • Why the Wait List Is Losing You Money
    • Traditional Membership? You’re Losing Money
    • The Revenue Leakage Nobody’s Talking About
    • Cerbo Is the EHR. FxMedSupport Built the Nervous System
    • Bidirectional Calendar Sync Should Be a Baseline
    • What Listening Built
    • A Decade of Listening, Building, Refining
    • The Provider Is the Product.
    • The Book
    • Your Practice Is a Living Creature
    • Adaptive Reactive Proactive Creative Or DIE
    • Stop paying for marketing tools you already own
  • Pricing
    • Ongoing Pricing
    • Grandfather Pricing
Demo
Fully Managed SMS  •  Built On Twilio

Texting SMS-Reply. Two-way patient texting — handled for you.

FxMedSupport-managed SMS texting, with our resource layer doing the heavy lifting. Honest take first: for most practices we recommend the Twilio External Account option — you own your Twilio account and pay raw rates. But if you’d rather we manage the whole thing, this is the option.

Open your account Request a demo View on Cerbo’s Help Center ↗
TEXTING · SMS-REPLY (MANAGED) PATIENT FxMedSupport MANAGED SMS resource layer · Twilio CERBO · SMS reply… FULLY MANAGED SMS • OR OWN YOUR TWILIO AT RAW RATES

Patient ↔ managed SMS layer ↔ practice, inside Cerbo

—— Why We Built It

We’ll tell you the cheaper way first.

This is FxMedSupport-managed SMS texting, run through our own resource layer — you send and receive patient texts, and we handle everything underneath. It works beautifully, and for some practices the simplicity is exactly right.

But we’d rather be straight with you: for most practices, we recommend the Twilio External Account option instead. You own your own Twilio account and pay raw rates, with no resource layer in between. That’s usually the better deal — and we’ll point you to it. This page is here for when you specifically want it fully managed.

—— Two Honest Options

Pick the one that actually fits you.

We Usually Recommend

Twilio External Account

You own your Twilio account directly and pay Twilio’s raw rates — no resource layer, no markup in the middle.

  • You own the account and the number
  • Raw Twilio pricing, straight through
  • Best value for most practices
  • Full control of your own messaging
This Page

Fully Managed SMS-Reply

We run the texting through the FxMedSupport resource layer — you just send and reply, and we handle the rest.

  • Nothing for you to set up or maintain
  • Our resource layer handles delivery
  • Two-way SMS, right inside the workflow
  • Simplest path if you don’t want to manage Twilio

—— What The Managed Option Does

Texting, without the wiring.

Two-way patient texting

Patients text in, your team replies — a real back-and-forth conversation, not a one-way broadcast.

We manage the resource layer

Delivery, numbers, and the plumbing underneath are ours to handle — there’s nothing for you to stand up or babysit.

Built on Twilio

The same reliable Twilio infrastructure powers it — here it’s simply managed by us rather than run by you.

Up and running fast

Because there’s no account to provision on your side, the managed option is the quickest way to start texting.

Switch to self-owned anytime

Start managed and move to your own Twilio later if you outgrow it — we’ll help you make the change when it makes sense.

Lives with Cerbo

The conversation sits alongside the rest of the patient’s workflow — texting that belongs to the record, not a separate app.

Anti-Nickel-And-Diming

We’ll happily point you to the cheaper door.

Most software companies would bury the lower-cost option. We lead with it: own your Twilio, pay raw rates, keep more in your pocket. The fully managed version exists for the practices that value simplicity over savings — and we’re glad to run it. Either way, you choose with the full picture in front of you.

Managed or owned. Your call, made honestly.

Cerbo is the best EHR in functional medicine. Always has been. Always will be.

Open your account Request a demo View on Cerbo’s Help Center ↗

FxMedSupport

The official Cerbo integration and development partner.  •  fxmedsupport.com

Fx FxMedSupport

The DreamMakers of Cerbo.

The official integration & development partner for Cerbo. 80+ production applications, 300+ practices, ten years of building exactly this.

Request a demo → Open your account → Practice Patient Growth Simulator →
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