Phone Usage Fees

Everything you need to know about charges related to calling and texting through ClinicMonk™ — phone numbers, calls, texts, and A2P registration.

How Phone Usage Is Billed

Calls and texts you make or receive through ClinicMonk™ are billed from your clinic's wallet, not charged to your card individually. Your wallet recharges automatically from your card on file when the balance runs low — see Your ClinicMonk™ Wallet for details on how that works.

These charges are separate from your monthly or annual subscription fee. Your subscription covers the platform itself; phone usage is billed based on what you actually use.

Call and Text Rates

Note: A single text message may count as more than one "segment" depending on its length. Longer messages, messages with certain characters or emoji, and group texts can use multiple segments, which means they cost more than a single short text.

Phone Number Purchase and Lease

Before you can make or receive calls or texts, your clinic needs its own phone number inside ClinicMonk™. Numbers are billed monthly based on number type:

A2P 10DLC Registration Fees

To send text messages from a phone number, your clinic's number must be registered with wireless carriers through a process called A2P 10DLC ("Application-to-Person, 10-Digit Long Code"). This is a carrier and regulatory requirement, not something ClinicMonk™ charges as a markup — these fees are collected and passed through to the carriers and registries that manage the verification process.

Registration includes:

Important: The recurring monthly Campaign Charge can appear on your billing screen under the same general label as the one-time registration fees ("A2P Registration"). If you see a charge labeled this way every month, that's expected — it's the ongoing campaign fee, not a duplicate of your original setup charges. You can confirm exactly what each charge was for under Settings > Billing > Credits > See Details.

These fees apply, upfront, as part of setting up your clinic's phone number — they are not optional, since carriers require registration before any business can send texts.

Why You're Charged Before You're Fully Set Up

Phone number purchase, the monthly lease, and A2P registration fees are charged as soon as your number is set up — even if you haven't started actively using ClinicMonk™ day-to-day yet. This is because these are upfront requirements every clinic needs in place before texting can work at all, regardless of when you personally begin using the system.

Frequently Asked Questions

Q: Why does my statement show more than one charge labeled "A2P"?

The one-time setup fees (Campaign Vetting, Brand Registration) and the ongoing monthly Campaign Charge can all appear under a general "A2P Registration" label. This is normal and doesn't mean you were charged twice for the same thing — check Settings > Billing > Wallet & Transactions to see the specific line items.

Q: Do phone charges come out of the same wallet as email?

Yes. Phone and email usage are both billed from your clinic's single wallet,.

Q: Who do I contact if I have questions about a phone-related charge?

Reach out to our support team — we manage your clinic's billing and can walk through any charge with you.