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Comment on Okay. So what are you going to do about it?

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If only there were a cheap, easy way to automatically send appointment reminders in Mandarin. ;)

(Sadly, HIPAA -- American health privacy legislation -- means that there is a lot of uncertainty about whether they can actually use it or not, and since I'm not a lawyer and don't have an extra $100k lying around I can't resolve that ambiguity at the moment.)

AFAIK you're good to go as long as you don't reveal any patient information (called PHI in the HIPAA world). So instead of leaving a message like, "Calling to confirm John Doe's appointment at Johnson Health Institute" it would need to be "Calling to confirm an appointment at Johnson Health Institute". That way if the number is incorrect for some reason there hasn't been a breach of privacy.

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