Spam filters tend to block high email volumes since large-scale sending can look like suspicious or malicious behavior. In one UK NHS hospital study published in BMJ Health & Care Informatics, out of 858,200 emails received in a single month, 16.2% were automatically classified as marketing and 2.2% were flagged as outright threats. Filters judge patterns and behavior, not whether a message has good intentions, so even legitimate healthcare outreach can get swept up unless controls are tuned and monitored the way platforms like Paubox discuss.
Avoiding spam placement has far less to do with clever wording and far more to do with infrastructure.
Gmail defines spam as unwanted or suspicious email that its system or the user classifies and then puts into the Spam folder. Outlook takes another approach, as what we know as spam falls under Junk Mail. The Microsoft support documents explain that the Junk Email Filter “moves suspected spam to the Junk Email folder.” Filters use automatic methods that look at the content, the sender's reputation, and the sender's behavior to decide if a message should go to the inbox or the rubbish folder.
In academic healthcare settings, default institutional filters routinely identify academic spam, like unsolicited journal invitations, by prefiltering more than half of these messages, with one Academic Pathology study putting it at 55.4% for pediatricians and 51.0% for pathologists. Common signals designating spam include mismatched sender and reply domains, generic top-level domains like .com or .org, reply receipt requests, and sending volumes that resemble threat activity.
As the above-mentioned study puts it, “unsolicited e-mails from journals and conferences … comprise the major category of e-mails in the Junk folder” for physicians, showing how easily legitimate outreach is caught up with spam assumptions.
Spam filters work by looking for patterns instead of intent. This implies that real emails can be rejected if they look like prevalent danger behaviors. The things that show these behaviors are:
Paubox, the HIPAA compliant email software’s approach to email security closely resembles the authentication practices mailbox providers rely on to establish trust. Strong encryption and strict enforcement of DMARC, SPF, and DKIM help make sure that messages come from real, verified domains.
This lowers the possibility of false positives caused by sender discrepancies. Consistent monitoring helps deliverability even more by blocking questionable traffic before it gets to inboxes. At the same time, it lets valid, tailored communications be sent in controlled amounts that don't look like bulk spam behavior.
What makes Paubox different is that it uses generative AI using tools like ExecProtect+. Instead of only using static rules, the system looks for trends and strange things happening in real time. This lets it find phishing attempts that are getting better at seeming human and aware of the situation.
As one foundational review from Heliyon about spam filtering observes, machine learning has been applied by major providers because it “can detect and filter out spam and phishing emails with about 99.9 percent accuracy,” showing how adaptive models outperform fixed rule sets.
Major providers use machine-learning systems that analyze sender reputation, authentication, content patterns, links, attachments, and user behavior to decide where an email is delivered.
Outlook separates mail based on relevance and engagement. Emails may avoid spam but still be routed away from the main inbox if users rarely open or interact with them.
Email providers assign reputation scores to domains and IPs based on history, complaints, bounces, and engagement. Poor reputation leads to stricter filtering.
Providers can infer dissatisfaction through user behavior, including spam complaints or mass deletions, even if unsubscribes occur off-platform.
Spam models update continuously. Providers adjust filtering logic daily or in real time as new threats and patterns emerge.