I recommend Daily.co + Pipecat! https://www.daily.co/ https://github.com/pipecat-ai/pipecat

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.

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

TeleSign is a good alternative

Best option still twilio

Plivo is an alternative.

Plivo, Vonage, Telnyx?