VoIP Fax: Understanding Benefits, Risks & Alternatives

Faxing over Voice over Internet Protocol (VoIP) is increasingly common, but it comes with significant challenges. While VoIP might initially seem attractive due to cost savings and convenience, it introduces serious risks—especially for businesses that handle sensitive information.

What is VoIP Faxing?

Imagine trying to send a message across a crowded room by shouting—it might work, but your message could get garbled or lost among the noise. VoIP faxing operates similarly: it takes the quiet, clear signals traditionally transmitted directly through telephone wires and breaks them into digital packets, which are sent through the internet. Each packet travels separately, navigating congested traffic, before being reassembled at the destination. 

How Does VoIP Fax Work?

VoIP faxing involves sending fax data over internet connections rather than traditional phone lines. It converts analog fax signals into digital packets, transmits these via internet protocol, and then reconverts them at the receiving end.

Benefits of  VoIP Faxing

  • Reduced long-distance communication costs.

  • Easy integration with digital systems.

  • Minimal physical infrastructure requirements.

Problems of VoIP Faxing

  • High transmission failure rates.

  • Sensitive to internet disruptions.

  • Issues with data compression and protocol compatibility.


Reliable cloud fax solutions, such as Fax.Plus, present a safer and more efficient alternative.

Can You Fax Using a Regular Fax Machine Over VoIP?

How to Send Fax Over VoIP

Sending a fax over VoIP typically involves connecting a traditional fax machine to an analog telephone adapter (ATA) that interfaces with your VoIP network. However, this setup frequently experiences reliability issues.

Can My Current Fax Machine Work With VoIP?

Traditional fax machines can connect to VoIP through adapters, but reliability varies significantly based on the equipment and network stability.

VoIP Compatible Fax Machines

Not all fax machines support VoIP reliably. Specific devices designed explicitly for VoIP environments offer better performance but still encounter challenges.

Major Issues and Risks With VoIP Faxing

Faxing over VoIP presents numerous technical challenges:

  • Data Compression Issues: Fax signals, unlike voice, cannot be compressed effectively, leading to higher bandwidth demands and reduced reliability.

  • High Bandwidth Requirements: Fax data over VoIP uses roughly 88 Kbps per transmission—much higher than standard VoIP calls, severely limiting network efficiency.

  • Extreme Sensitivity to Network Problems: Even minimal packet loss (around 1%), slight delays, or jitter frequently disrupt transmissions completely, unlike voice calls which simply experience brief quality drops.

  • Codec Compatibility Issues: Many VoIP providers use compression codecs incompatible with fax signals, causing frequent synchronization errors and failed transmissions.

  • Unreliable T.38 Protocol Implementation: T.38, a protocol intended to facilitate faxing over IP, is inconsistently implemented, causing latency, frequent disconnects, and unpredictable fax reliability.

  • No Built-in Error Correction: Fax transmissions cannot recover lost data packets. A single missed or delayed packet can halt an entire fax transmission.

  • Network Congestion and Packet Disruptions: Sharing bandwidth with other internet activities frequently disrupts continuous fax signals, causing transmissions to fail regularly.


A recent healthcare client shared, "We tried VoIP faxing for patient referrals and often experienced dropped transmissions—seriously impacting our workflow and patient care. Switching to Fax.Plus solved these issues."

Reliable Alternatives to VoIP Faxing

Considering the challenges associated with VoIP faxing, businesses should explore better solutions:

Cloud Faxing (Recommended)

Cloud fax solutions, such as Fax.Plus, offer secure, stable, and reliable fax transmissions over the internet without traditional VoIP issues. It ensures encryption, secure handling of PHI, and easy integration with healthcare ERP systems for secure referrals and patient records.

Traditional Landline Faxing

Utilizing a dedicated landline remains reliable, though cost and flexibility drawbacks are significant.

Hybrid Faxing Solutions

Combining cloud solutions with traditional fax infrastructure, offering enhanced reliability while still achieving cost efficiency.


Fax.Plus provides a robust and secure alternative to VoIP faxing, particularly crucial for businesses handling sensitive data such as healthcare providers. When reliability and security matter, Fax.Plus delivers peace of mind and consistent performance where VoIP faxing falls short.

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