Consensus Cloud Is Built for Hospitals. OneFaxNow Is Built for One Fax.
No account. No subscription. Pay only if delivery succeeds.
Consensus Cloud Solutions (NASDAQ: CCSI) is the parent company of eFax, eFax Corporate, and a suite of enterprise healthcare interoperability tools. If you run a 500-bed hospital that processes thousands of faxes daily through Epic or Cerner, Consensus is built for you. But if you need to send one fax right now, you should not need a $18.99/month subscription, a $49.99/month HIPAA plan, or a sales call for enterprise pricing. OneFaxNow is built for one-time, pay-per-fax sending -- no account required, charge only on successful delivery, and a HIPAA mode with an instant, fully executed BAA when you are handling PHI.
TL;DR: Choose Consensus Cloud / eFax if you need a dedicated fax number, enterprise EHR integrations, or international faxing at volume. Choose OneFaxNow for a single U.S./Canada fax without a subscription. eFax pricing verified on their pricing page. (eFax Pricing)
The $350 Million Enterprise Fax Machine
Consensus Cloud is a publicly traded company with $350M+ in annual revenue. Here is what that enterprise infrastructure looks like.
eFax (Consumer)
Cloud fax with Plus, Pro, and Protect plans
From $18.99/month
170 pages included, $0.10/page overage
eFax Protect (HIPAA)
HIPAA-compliant faxing with BAA
$49.99/month
Only 100 sent pages -- $599.88/year
eFax Corporate
Enterprise cloud fax for large organizations
Custom quotes (contact sales)
Annual contracts, HITRUST certified
eFax Unite
Healthcare interoperability (Epic, Cerner)
Contact sales
HL7/FHIR protocol support
eFax Clarity
AI/NLP document processing
Contact sales
Converts unstructured faxes to data
jSign
Electronic signatures (HITRUST r2)
Included with Protect
Also available standalone
These are powerful tools for healthcare IT departments. But for one fax? You do not need any of this.
HIPAA Fax: $599.88/Year vs $6.50 One-Time
The cost gap between Consensus Cloud's HIPAA fax and OneFaxNow is staggering.
| Scenario | Consensus Cloud | OneFaxNow | You Save |
|---|---|---|---|
| 1 HIPAA fax (one-time) | $49.99 (first month) | $6.50 | $43.49 |
| 1 HIPAA fax per quarter | $599.88/year | $26.00/year | $573.88 |
| 1 HIPAA fax per month | $599.88/year | $78.00/year | $521.88 |
| 1 standard fax (one-time) | $18.99 (first month) | $3.50 | $15.49 |
eFax Protect: $49.99/month. eFax Plus: $18.99/month. Source: efax.com/pricing. OneFaxNow HIPAA includes instant BAA, encryption, audit logs, and secure deletion.
206 BBB Complaints in 3 Years
Consensus Cloud Solutions has 206 complaints filed with the Better Business Bureau in the last 3 years. Here are the most common patterns.
72
Product issues
61
Billing issues
37
Service issues
14
Customer service
“Everything is automated and there is no way to speak to a customer support representative.”
“I tried since early July to cancel. Three phone calls. Agents assured me cancellation would be processed ‘immediately.’ eFax continued to charge my credit card month after month.”
“I canceled with 10 months remaining on my annual plan. They refused any refund.”
With OneFaxNow, there is nothing to cancel. No account, no subscription, no recurring charges. You pay once, your fax sends, and you are done.
Source: BBB Business Profile for Consensus Cloud Solutions. Complaints as of March 2026.
Quick Comparison at a Glance
See how OneFaxNow compares to Consensus Cloud for your faxing needs
Pricing Model
OneFaxNow
Pay-per-fax (1-10 pages: $3.50; 11-50 pages: $5.00). Pay only on success.
Consensus Cloud
Monthly subscription from $18.99/mo (eFax Plus) to $49.99/mo (eFax Protect HIPAA). Enterprise: contact sales.
HIPAA & BAA
OneFaxNow
Toggle HIPAA mode per send; instant BAA, encryption, audit logs, secure deletion.
Consensus Cloud
HIPAA with BAA on eFax Protect ($49.99/mo) and Corporate (custom pricing). Not on Plus or Pro.
Where You Can Fax
OneFaxNow
U.S. & Canada numbers.
Consensus Cloud
U.S., Canada, and international (country-specific rates).
Account & Setup
OneFaxNow
No account -- upload, enter details, pay, send, and track delivery in real time.
Consensus Cloud
Create an account; choose a plan; manage subscription, numbers, and settings.
Which Service is Right for You?
Compare the key differences to find the best solution for your needs
When Consensus Cloud May Be the Better Fit
You need a dedicated fax number
for receiving inbound faxes every month
You process thousands of faxes daily
with EHR integrations like Epic, Cerner, or PointClickCare
You need enterprise compliance certifications
like HITRUST CSF, FedRAMP, or SOC 2 for your organization
When OneFaxNow Is the Better Alternative
You want to send one fax
without subscribing to a $18.99+/month plan
You prefer flat, predictable pricing
for up to 50 pages total with no overage charges or per-page fees
You need HIPAA only for this fax
with an instant BAA and exportable audit logs for $6.50
You like paying only on success
your card is authorized first, then charged only after confirmed delivery
Side-by-Side Details (Consensus Cloud vs OneFaxNow)
A detailed comparison between OneFaxNow and Consensus Cloud / eFax
| Criterion | OneFaxNow | Consensus Cloud / eFax |
|---|---|---|
| Business model | Pay-per-fax, no account | Monthly subscription plans (Plus/Pro/Protect/Corporate) |
| Typical cost (one fax) | $3.50 (1-10 pages), $5.00 (11-50); HIPAA add-on +$3/$5 | From $18.99/mo (170 pages/mo); $49.99/mo for HIPAA; $0.10/page overage |
| HIPAA & BAA | Per-send HIPAA mode with instant BAA, encryption, audit logs, secure deletion | HIPAA with BAA on Protect/Corporate only; not on Plus/Pro |
| Charge model | Pay only on successful delivery (authorize then capture) | Monthly charge regardless of individual fax delivery |
| Coverage | U.S. & Canada | U.S., Canada, international send (country-based rates) |
| Setup | Start in seconds -- no signup | Create and manage an account; choose a plan |
| Cancellation | Nothing to cancel -- one-time payment | 206 BBB complaints about cancellation difficulties |
| Delivery visibility | Live tracking link + email updates, automatic retries | Delivery confirmations & tracking via portal/apps |
| Compliance certs | HIPAA with BAA, encryption, audit trail | HIPAA, HITRUST CSF, FedRAMP, SOC 2, FERPA |
Sources: OneFaxNow product docs; eFax Pricing, Help Center, HIPAA pages. Last verified: March 2026. (eFax Pricing, Consensus HIPAA)
Where Consensus Cloud Excels
Consensus Cloud Solutions is a major player in enterprise fax for a reason. Here is what they do well.
- HITRUST CSF certified since 2019 -- the gold standard for healthcare security frameworks
- FedRAMP authorized for federal government agencies
- eFax Corporate is used by most Fortune 500 companies
- Enterprise EHR integrations with Epic, Cerner, and PointClickCare
- AI-powered document processing (eFax Clarity) converts unstructured faxes to structured data
- HL7/FHIR interoperability through eFax Unite and Conductor
- 25+ year track record (eFax founded in 1995)
- International fax coverage with country-specific rates
- Fax receiving with dedicated numbers on all plans
If you are an enterprise healthcare organization processing thousands of faxes daily, Consensus Cloud's platform may be the right fit. OneFaxNow is purpose-built for the opposite scenario: you need to send one fax, right now, without a subscription.
Why buyers choose OneFaxNow over Consensus Cloud
Simple, cost-effective, and secure faxing when you need it
No monthly costs
Send one fax for $3.50 instead of committing to $18.99/month or more. No overage charges, no per-page fees, no hidden costs.
Zero setup friction
No account creation, no plan selection, no sales call. Upload your document, enter the fax number, pay, and send in 2 minutes.
Compliance on demand
Enable HIPAA only when needed for $6.50 instead of $49.99/month. Get a digitally signed BAA instantly plus encryption, audit logs, and automatic PHI deletion.
Frequently Asked Questions
What is Consensus Cloud Solutions and how is it related to eFax?
Consensus Cloud Solutions (NASDAQ: CCSI) is a publicly traded company that was spun off from J2 Global (now Ziff Davis) in October 2021. It is the parent company of eFax, eFax Corporate, and a suite of enterprise healthcare interoperability products including eFax Unite, eFax Clarity, and jSign. The company generates over $350 million in annual revenue, primarily from enterprise and healthcare customers.
Does Consensus Cloud offer a one-time fax option?
No. Every Consensus Cloud / eFax product requires a monthly subscription. The cheapest consumer plan (eFax Plus) costs $18.99 per month. There is no pay-per-fax or one-time send option. OneFaxNow lets you send a single fax for $3.50 with no account or subscription.
How much does HIPAA fax cost through Consensus Cloud vs OneFaxNow?
Consensus Cloud's HIPAA-compliant fax product (eFax Protect) costs $49.99 per month, which is $599.88 per year. It includes only 100 outbound pages per month. OneFaxNow offers HIPAA fax with an instant BAA for $6.50 per send (up to 10 pages). If you send one HIPAA fax per quarter, OneFaxNow costs $26 per year compared to $599.88.
Is eFax Corporate overkill for sending one fax?
Yes. eFax Corporate is designed for organizations with hundreds of employees that send and receive thousands of faxes per day. It requires contacting a sales representative, custom pricing, and annual contracts. If you need to send a single fax to a U.S. or Canada number, OneFaxNow is a faster and more affordable option.
Why is eFax so hard to cancel?
Consensus Cloud Solutions has 206 complaints filed with the Better Business Bureau in the last three years, with 72 product complaints and 61 billing complaints. Customers report non-functional cancel buttons, phone agents promising cancellation that never processes, and continued billing months after accounts were supposedly closed. With OneFaxNow, there is nothing to cancel because there is no account or subscription.
Does OneFaxNow offer the same HIPAA compliance as eFax Protect?
OneFaxNow's HIPAA mode includes encryption in transit and at rest, a digitally signed BAA, full audit logs with CSV and PDF export, and automatic secure deletion of PHI after transmission. The key difference is per-send compliance ($6.50) versus a monthly subscription ($49.99/month). OneFaxNow does not hold HITRUST CSF or FedRAMP certifications, which are enterprise-grade frameworks primarily relevant to large organizations.
What if I need to fax to international numbers?
OneFaxNow currently supports U.S. and Canada fax numbers only. If you need international faxing, Consensus Cloud's eFax products support sending to many countries at varying per-page rates. For domestic faxes, OneFaxNow's flat pricing ($3.50 for up to 10 pages) is significantly more affordable than any eFax subscription.
Ready to send your fax now?
No account needed. No sales call. No subscription. Just upload, address, and send. Pay only if your fax delivers successfully.