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Ask HN: Is Twilio necessary and required to build text and voice agents?
4 points by ky0ung 306 days ago
What are you guys using for text/call APIs? Any alternatives?
7 comments

I have been looking into solutions since their HIPAA requirements require an enterprise plan. I have not tried yet but AWS has Chime SDK.
Twilio will sign a baa
Yes, in the enterprise tier. Very expensive.
thanks for the options! at enterprise scale, is twilio still the most reliable? happy to try other options but i want to abstract out the cpaas layer as much as possible and focus on building performing agents.

reliability and scalability is critical to me

TeleSign is a good alternative
Best option still twilio
Plivo is an alternative.
Plivo, Vonage, Telnyx?