JUMP TO:
- Why You Should Use Text Messaging for Marketing
- How to Build Your Subscriber List
- Planning Your Message
- HIPAA Compliance
- Audience
- Text Campaign vs. Reactivation Text Campaign
- Reactivation Campaign Duration
- Create a Reactivation Text Campaign
- Cancel a Campaign
- Preview Your Campaign
- Emojis & Attachments
- Incoming Messages and Replies
- Status 'Undelivered' or 'Failed'
- What Time of Day to Send Texts
- Start Date Time
- View Campaign Details
- Supported Placeholders
- Why does my inbox look empty?
- Sender Name
- Opt-In to Texts
Why You Should Use Text Messaging for Marketing
The engagement rate for SMS marketing is six times higher than for email marketing; 90% of people open a text message within 30 minutes of receiving it!
- Texting is cost-effective and allows you to quickly and easily check in on your patients or promote services without running ads.
How to Build Your Subscriber List
By default, any lead that registers on a Breakthrough landing page consents to receive messages from your practice. Contacts can unsubscribe at any time by replying STOP.
- Include a field on your intake forms to let your patients confirm how they want to be contacted; some may prefer that you text them.
- Consider a pop-up on your website to invite visitors to text your tracking number for updates about promotions or workshops.
- Use a keyword to make opt-in easy:
"Text HAVEN to 6042109328 to stay in the loop about upcoming promotions and events!" - Offer an incentive:
"Text LASER to 6042109328 to sign up for texts and get 10% off your first laser treatment"
Planning Your Message
Consider the 4 “I”s when planning your marketing calendar:
Immediate Messages with a sense of urgency/instant opportunity Best for: flash sales, coupons, keyword promotions |
Intimate Communicate with contacts in a meaningful way Best for: Birthdays and Milestones |
Informative Valuable, wanted information that’s not necessarily urgent Best for: Alerts, Intake Forms, Education |
Individual Personalized, customized engagements to grow loyalty Best for: Feedback, Appointment Reminders, Wait Lists |
HIPAA Compliance
The HIPAA Privacy Rule permits healthcare providers to use text messages to discuss health issues and treatment with their patients, provided they apply reasonable safeguards when doing so and that the patient has provided consent.
For more info about how Breakthrough protects personal health information (PHI), click here.
Audience
- Reactivation campaigns (email or SMS) are only sent to Contacts in 'No Phase' and 'Pending.'
- Contacts who have unsubscribed to texts will not receive reactivation campaign texts.
- Your reactivation text will be sent to contacts in batches over 9, 30, or 90 days. The size and frequency of these batches depend on how many contacts you have.
- Example: If you have 1000 contacts in No Phase and choose a 90-day duration, each week, 78 contacts will receive the Reactivation Message.
Text Campaign vs. Reactivation Text Campaign
A Text Campaign lets you send one-off text messages to specific contacts or groups.
Similar to monthly email campaigns, a Reactivation Text Campaign is sent to all of your No Phase contacts.
Reactivation Campaign Duration
9 Days
- This is best used during your slowest time of year or if you have a smaller contact list and primarily want to market to your past patients.
30 Days
- This can be used to maintain the current volume in your practice by keeping your contacts engaged while not overwhelming your lead converters.
- This is a good option for a practice that is experiencing frequent last-minute cancellations and wants to fill those spots.
90 Days
- This option is best for practices that want to stay engaged with their contacts but don't need an immediate "boost" in visits.
- This is also the best option for practices that are struggling with staffing or who are worried about being able to respond to replies.
Create a Reactivation Text Campaign

- Click the Reactivation tab under Campaigns
- Choose + Schedule Campaign
- Choose the SMS button under Campaign Type
- Remember to check the Scheduled Date at the top of the page so that the campaign goes out when you want it to!
- Set a name for your Campaign (this is internal only and won't be shown to contacts)
- Add your text message to the Message field
- Choose which days of the week to exclude, if needed.
- This prevents texts from being sent on certain days of the week, for example, if you're closed on Sundays.
- Note: This Timing option only exists if you choose to build off of a Pre-Built SMS campaign and not a single SMS campaign you're creating on your own.
- You can also choose to toggle the AI Agent button on, so that the AI Agent will handle the SMS conversations for you.
- Choose the Campaign Duration. The shorter the duration, the more contacts will get the text each week. (Drip Campaign: 9, 30, 90 days)
- You can segment your audience by Insurance, Custom Tags, Sex, and Age. You can remove 'No Phase' and choose to send to All Contacts, or customize your audience into a segment and save that segment for a list to choose in the future. (For example, maybe you send a monthly SMS to your contacts who have the Custom Tag 'Runner' and the Insurance carrier 'United Healthcare'. You might want to save this contact list - click 'Save as a new Segment' so that in the future, you can pull from the Segment dropdown menu under Audience.)
- When you've checked that everything looks good, click the blue Schedule button
- You'll see the scheduled SMS campaign in your Reactivation Campaigns page and will be able to Preview it, view any Scheduled Steps (if you have selected a drip campaign), view the Contact list to see who the message is set to go out to, view the Message Log (this will populate once the message has sent), and Delete the campaign if you choose to stop the campaign from going out.

Cancel a Campaign
Preview Your Campaign
Emojis & Attachments
Emojis can be sent and received in the Chat Log only. Breakthrough does not support sending pictures, attachments, or emojis to your contacts through text campaigns.
Reasons we restrict emojis in text campaigns:
- They are not universal across cell providers and can sometimes not show up or show up as a different emoji
- Depending on the carrier, they may be considered a segment of your text messages (which means a higher chance of being filtered as spam)
- Emoji require twice as much data to encode than standard alphanumeric characters and can impact the formatting of your message
Incoming Messages and Replies
You'll see red notification bubbles in the Chat Log anytime someone replies to a text. To view and respond to messages, open the Text Inbox.
- Open the Text Chat by going to the Text Chat tab and clicking the 3 horizontal lines at the top left of the page
- From there, you can choose to search for a specific conversation, or use the filters button at the top right next to the Search bar to filter your search
- Click the contact conversation that you want to message
- Type your message and click the blue Send Message button
Status 'Undelivered' or 'Failed'
If a message fails, you can discover why by clicking the view notes (notepad icon) in the message logs (shown below).
The most common causes of a text not being delivered are:
If you see these errors, you don't need to do anything, but it is helpful to look them over so that you can either update the contact's cell phone number in the system or omit them from future messages.

What Time of Day to Send Texts
Ideally, marketing messages should be sent between 12pm and 2pm.
Whether it’s a weekday or a weekend, most people are awake and active at noon and are therefore much easier to reach. Sending texts a little after peak daytime hours may also help your message stand out rather than getting lost among other messages.
Start Date Time
The Start Date Time field defaults to 8:00 AM on the first day of the campaign. Messages will begin sending at the time but can be sent anytime from that 8:00 AM starting time within a 4-hour window.
We recommend scheduling text messages to send between 11am-5pm for best results. (Ask your CSM if you have questions on this.) Depending on the size of your contact list, messages may go out in batches but will send as close to the chosen time as possible.

Example: In the image above, the text campaign will begin sending on 7/23/2026 at 8:41 AM and will trickle out the send from that starting point on, depending on how large your contact list is.
View Campaign Details
On the right-hand side of your campaign, click the ‘Eye’ icon to see:
- Campaign ID and Name
- Type of campaign and step (if there are more than 1 step associated) timing delays, excluded days
- When it will start sending and, after the campaign is sent, what time it finished sending
- Message Body, including placeholders

On the details page, click "View Contacts" to see:
- Contacts that will receive the message
- If any contacts are missing a phone number or email address
- If a contact has unsubscribed to emails or texts
Tip: To quickly edit a contact, click on the contact's name to bring up their profile
After your campaign has been sent, click "View Message Logs" to see:
- When the message was created
- The deliverability status
- The contact ID
- The number the message was sent from, and the number it was sent to
- The exact message your contact received
- When the message was confirmed sent
Tip: If the message status is "Aborted", "Undelivered", "Failed" or "Unknown", click the View Notes (notepad icon) in the Message Logs page to find out why.
Supported Placeholders
The below placeholders can be copied/pasted into your text message body so that each contact receives a personalized message.
| Placeholder | Value |
| [Contact.Email] / [Contact.Phone] | The email address or phone number for the contact |
| [Contact.FirstName] / [Contact.LastName] | The first or last name of the contact |
| [Practice.Name] | The name of your practice (not location-specific) |
[Location.FullAddress] | The full address of your location, as it is in your settings |
| [Location.GoogleBusinessReviewLink] | Your Google MyBusiness review link, as it is in your settings |
Why does my inbox look empty?
- By default, the text inbox will show Unread Texts first. If you aren't seeing any texts in your inbox, be sure to check if there are filters applies to your Text Chat log.


Sender Name
- The sender name pulls from your Practice Name - the name you have in the 'Your Practice Name' field is the sender name you will see. (This is located in Settings > Practice Settings > 'Your Practice Name'.)
- The recipient of the text can not see this, it is internal only, and it does not pull into any texts or automated messaging:

Opt-In to Texts
Contacts that want to opt-in for texts (either after unsubscribing previously or as a general opt-in) can resubscribe by texting START (or other supported subscribe keywords) to your tracking number.
You cannot manually re-subscribe contacts to Text like you can with Email.
The Email Clean-Up Campaign also contains a link to subscription preferences, which your contacts can update anytime.
Note: This Email Clean-Up Campaign used to go out by default to all contacts who are added via the contact upload process. This has been disabled due to high customer feedback. The email campaign can still be sent out manually, however.

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