Ask HN: Is Twilio necessary and required to build text and voice agents?

throw03172019 wrote: post #2

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

Re: Ask HN: Is Twilio necessary and required to build text and voice agents?

#8

Post by taf2 » Fri, Aug 15, 2025, 12:42 AM UTC

Best option still twilio

Re: Ask HN: Is Twilio necessary and required to build text and voice agents?

#9

Post by throw03172019 » Fri, Aug 15, 2025, 3:19 AM UTC

taf2 wrote: post #7

throw03172019 wrote: post #2

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.

Re: Ask HN: Is Twilio necessary and required to build text and voice agents?

#10

Post by ky0ung » Fri, Aug 15, 2025, 1:23 PM UTC

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