It appears that T-Mobile network failures are impacting calls and SMS. Our communications provider is working through this and providing updates to us via this incident on their status page: https://status.twilio.com/incidents/mkf66gvhnsqf
This is an ongoing issue with impact to inbound/outbound calls and delayed inbound/outbound SMS. Specifically, if you try to make a call from the Spruce app or Spruce desk phone, you may get a busy signal or a constant ringing or no ringing sound at all. Inbound calls may fail similarly.
Outbound SMS that providers send to patients may reach patients in a delayed manner. Inbound SMS may reach the Spruce inbox in a delayed manner too.
There is no impact to Spruce secure messaging. If a patient or provider, however, is prompted to log in and requires a verification code to log in, the 2FA verification code may reach their phone in a delayed manner.