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Glossary of phone, SMS, and AI terms

A reference card for the alphabet soup of telecom and healthcare compliance — A2P, BAA, CNAM, DID, FOC, PHI, STIR/SHAKEN, and more. Bookmark this page.

Updated May 20, 20263 min read

You don't need to memorize this list — just know where to find it. Definitions are written in the order they'd actually come up while setting up FrontDesk.

Setup & accounts

Practice / Location — A single physical office. One practice in FrontDesk = one calendar, one phone configuration, one team.

Organization — A business that owns one or more practices. Billing, plan, and team roles live at the organization level.

Plan — Your monthly subscription tier (Free, Starter, Professional, Enterprise). Determines included minutes, SMS volume, locations, and which features are unlocked.

Phone numbers & porting

DID (Direct Inward Dial) — Industry term for a regular phone number. The number you buy or port is technically a "DID."

Local number — A standard 10-digit US number with a geographic area code (e.g., 415, 212). Cheaper, feels personal, requires A2P 10DLC for SMS.

Toll-free number — Starts with 800, 888, 877, 866, 855, 844, or 833. Works nationwide, slightly higher cost, requires toll-free verification for high-volume SMS.

Vanity number — A number that spells a word (1-800-DENTIST). Easier to remember, harder to find available.

Port / Porting — Moving an existing phone number from your current carrier to FrontDesk so the AI can answer it.

LOA (Letter of Authorization) — The document you sign to authorize a port. Says "yes, I really want my number moved."

FOC (Firm Order Commitment) — The carrier's promise that they'll release your number on a specific date. You get a FOC date a few days into a port.

Port-out — Moving your number away from FrontDesk to another provider. You can do this at any time.

SMS registration

A2P 10DLC — "Application-to-Person 10-digit long code." The US registration program that lets local numbers send business SMS reliably. Required before sending SMS from any local number.

Brand — Your business identity registered with carriers. Verified once, attached to all your local numbers.

Campaign — The use case attached to your brand (usually "Appointment Reminders & Customer Care" for FrontDesk).

Toll-free verification — The equivalent registration for toll-free numbers. Separate from A2P 10DLC.

Opt-in — The proof that a patient agreed to receive SMS. Carriers require this for any registration.

STOP/HELP keywords — Standard SMS replies that turn off (STOP) or request help (HELP). FrontDesk handles both automatically.

Caller ID

CNAM (Caller Name) — The text shown next to your number on the recipient's phone ("SUNNY DENTAL"). Set per number, costs ~$15/month, takes weeks to propagate.

STIR/SHAKEN — A carrier framework that authenticates that the caller-ID number really belongs to the caller. Helps your outbound calls avoid being marked "Spam Likely." Automatic on FrontDesk-issued numbers.

Branded calling — A newer carrier feature that shows your logo and business name on the recipient's screen. On the FrontDesk roadmap.

Calls & SMS

Inbound — A call or SMS coming to your FrontDesk number.

Outbound — A call or SMS sent from your FrontDesk number to a patient.

Turn — In an AI conversation, one back-and-forth exchange (caller speaks, AI responds).

Transfer — Handing the call off from the AI to a human staff line.

Voicemail — A recorded message left by the caller. FrontDesk transcribes and summarizes these automatically.

Two-party consent — Recording law in 11 states requiring all parties to consent to a call being recorded. FrontDesk announces recording on every call by default.

TCPA (Telephone Consumer Protection Act) — US law governing automated calls and SMS. Sets time-of-day rules and opt-out requirements that FrontDesk enforces automatically.

Compliance

HIPAA — US health privacy law. Applies to any business that handles patient health information.

Covered Entity — A healthcare provider, plan, or clearinghouse subject to HIPAA. Most of our customers are covered entities.

Business Associate — A vendor (like FrontDesk) that handles PHI on behalf of a covered entity.

BAA (Business Associate Agreement) — The contract between a covered entity and a business associate that allows them to handle PHI together. Available on Professional+ plans.

PHI (Protected Health Information) — Any patient information tied to identity (name + appointment, name + diagnosis, etc.). Encrypted at rest and in transit on FrontDesk.

PII (Personally Identifiable Information) — Broader term: any info that identifies a person. PHI is a subset of PII.

ESIGN — US law making electronic signatures legally equivalent to ink. Used for the BAA, opt-in consent, etc.

What's next

Frequently asked questions

Where else do these terms come up?
Mostly in phone-number registration (A2P, toll-free verification, porting) and compliance (HIPAA, BAA, recording consent). If you're not registering or porting, you mostly need to know PHI and BAA.
Is there a shorter version of this list?
For day-to-day use, the four you really need are PHI (patient info), BAA (the contract that lets us handle it), A2P (registration for local SMS), and CNAM (caller-ID name).

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