One endpoint represents one sending facility or site — a hospital, a clinic, a research site. Within a facility, issue one certificate per device (scanner, PACS, workstation, archive), so each device authenticates independently and can be revoked without affecting the others. One sending facility, one endpoint — that keeps your usage, billing, and audit trail clean per site.

No. Dicomly is a stateless proxy. DICOM bytes flow from the sender through our infrastructure to your HTTPS receiver in real time. Nothing is written to disk. No PHI is ever persisted on Dicomly infrastructure.

The default is prepaid credit: top up via card (minimum €20), and endpoint fees plus egress are deducted in real time. Auto-recharge is on by default so your balance stays funded automatically. Every deduction is itemised in the dashboard and exported as a monthly invoice PDF.

Your account enters a 7-day grace period. All endpoints continue to accept and forward studies normally during that time. You get email and dashboard alerts at day 1, 3, and 7. After grace, new incoming DICOM transfers return an error until the balance is topped up. Endpoints and certificates are never deleted by a billing event.

A Data Processing Agreement (BAA-equivalent) is available to every customer — free, click-to-sign, no plan requirement. If your jurisdiction or procurement requires a signed agreement before you can send PHI, you can get one from the console before provisioning your first endpoint.

Dicomly returns a DIMSE error to the sender, which then retries on its own schedule — typically every 5–30 minutes for up to 24 hours. This is the same retry behaviour the sender would see if it were sending directly to an unavailable DICOM server. No data is buffered or queued on Dicomly infrastructure.

Nothing is stored — DICOM bytes stream straight through to your endpoint, so there is no PHI at rest on our side. Every device authenticates with its own mTLS certificate, infrastructure is EU-resident, and a BAA/DPA is free to sign. Full detail is on the Security page.

Security & compliance →How Dicomly compares →

Yes. The first endpoint is free, forever — no credit card required. A €5 signup credit covers your first ~30 GB of egress, so you can wire up a real integration end to end before paying anything. After that, egress is €0.15/GB; inbound from the sender is always free. Provision more endpoints whenever you're ready.