Encryption in Transit and at Rest
TLS 1.2+ for all PHI in transit, AES-256 for all PHI at rest — databases, backups, and object storage. No unencrypted PHI anywhere.
Award-Winning HIPAA Compliant Software Development
What HIPAA Compliant Software Development Covers
The HIPAA Security Rule becomes concrete architecture decisions — encryption, access control, audit logging, and breach response, built in from the start.
Access Controls & Authentication
Role-based access limits PHI to each user role, with unique IDs, session timeout, and MFA so every access event is attributable.
Audit Logging
Every PHI access is logged — who, what, when, from where. Logs are tamper-proof, retained per law, and built in from day one.
Backup & Disaster Recovery
Exact retrievable ePHI copies with tested restoration, defined recovery time objectives, and documented backup procedures.
Minimum Necessary Access
APIs return only the patient data a request needs — data minimization at the query and API layer, not the full record every time.
Business Associate Agreements
A signed BAA with every healthcare customer and cloud provider before PHI is shared — but a BAA alone does not make an app compliant.
How We Build HIPAA Compliant Software
Five steps from threat modeling to policy documentation.
Why HIPAA Compliance Is a Commercial Enabler
Each consequence traces to a specific compliance gap.
Book a Free Consultation$10.9M
The average cost of a healthcare data breach in 2023 — the highest of any industry. Building compliance in is the cheaper alternative.
BAA First
BAAs must be signed before any PHI is shared — with every customer and cloud provider. No BAA, no legal basis for handling patient data.
Day One
Controls designed into the architecture cost a fraction of what they cost retrofitted later. They are decisions, not end-stage features.
Pass Reviews
Health systems, hospitals, and payers run detailed security reviews before signing. No demonstrable HIPAA controls means no deal.
AES-256
All stored PHI encrypted with AES-256, all transmitted PHI over TLS 1.2+. No unencrypted patient data in any environment.
72 Hours
The maximum breach notification window under HIPAA. Detection and notification workflows must be tested before a breach, not after.
The Technical Requirements HIPAA Actually Imposes on Software
Each Security Rule requirement maps to a specific code and architecture decision, not a checklist item.
Encryption
Encryption Requirements
TLS in transit, AES-256 at rest — the Security Rule standards.
Access
Access Control Requirements
Role, user, and session-level limits on who can access ePHI.
Audit
Audit Logging Requirements
ePHI activity logged to detect and investigate unauthorized access.
Backup & DR
Backup & Disaster Recovery
Exact retrievable ePHI copies plus tested restoration processes.
BAA & Policy
BAA & Administrative Controls
BAAs and documented policies alongside technical controls.
Cloud
HIPAA-Eligible Cloud Services
BAA-covered cloud services — your team still owns the controls.
The HIPAA Development Stack We Build On
Security libraries, cloud services, and compliance tooling matched to your environment to satisfy HIPAA safeguards.
A
AWS HIPAA
A
Azure Healthcare
G
Google Cloud HCAPI
A
AWS HealthLake
A
Azure Health Data
A
AWS KMS
A
Azure Key Vault
G
Google Cloud KMS
T
TLS 1.2 / 1.3
A
AES-256
A
AWS IAM
A
Azure AD / Entra
A
Auth0
O
Okta
R
Role-Based Access
A
AWS CloudTrail
A
Azure Monitor
D
Datadog
S
SOC 2 Type II
H
HITRUST CSF
PHI Belongs Behind the Right Controls. Let's Build That Foundation.
We build HIPAA safeguards into the architecture from the first line of code. Book a consultation to see what that looks like for your product.
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The Five HIPAA Technical Safeguards, in Engineering Terms
The Security Rule is written for organizations, not developers. This is what each safeguard actually means in a codebase, and it is the checklist a hospital security review works through.
Access Control
Unique user IDs, role based scoping to the minimum necessary records, automatic logoff, emergency access procedures, and encryption of ePHI at rest with AES-256.
Audit Controls
Every read and write of PHI recorded with user, timestamp, record identifier and action, stored immutably and retained long enough to satisfy an investigation.
Integrity Controls
Protection against improper alteration or destruction: versioned records, checksums on transfers, soft deletes with recovery, and backups tested by real restores.
Authentication
Verifying a person or system is who they claim to be: multi factor authentication for clinical users, scoped short lived tokens for services, no shared accounts or static API keys.
Transmission Security
TLS 1.2 or higher on every hop, no PHI in URLs or query strings because those are logged in plain text, and encrypted payloads for anything crossing an untrusted network.
Where This Applies Next
These controls carry into every healthcare build: EHR integrations, patient apps and cloud infrastructure. Start with a risk assessment if you need the gap analysis first.
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Frequently Asked Questions
[ 1 ]
What makes software HIPAA compliant?
Software is HIPAA compliant when it implements the Security Rule safeguards for electronic protected health information: encryption in transit and at rest, unique user identification with role based access control, audit logging of every PHI access, automatic logoff, integrity controls, backup and disaster recovery, and a documented breach response process. A signed Business Associate Agreement must also be in place with every party that touches the data.
[ 2 ]
What are the HIPAA technical safeguards for software development?
Five technical safeguards apply directly to engineering teams. Access control means unique user IDs, emergency access, automatic logoff and encryption. Audit controls mean recording and examining activity in systems containing ePHI. Integrity controls mean protecting ePHI from improper alteration or destruction. Authentication means verifying that a person or system is who they claim to be. Transmission security means TLS 1.2 or higher for anything crossing a network.
[ 3 ]
What is a HIPAA compliant API?
A HIPAA compliant API enforces TLS 1.2 or higher on every request, authenticates and authorizes each caller with scoped tokens rather than shared keys, returns only the minimum necessary fields for the request, logs every access to PHI with user, timestamp and record identifiers, and is covered by a Business Associate Agreement with anyone consuming it. Rate limiting and no PHI in URLs or query strings are practical requirements too, since URLs are commonly logged in plain text.
[ 4 ]
How much does HIPAA compliant software development cost?
Compliance is not a separate line item so much as a design constraint. Building the safeguards in from the start typically adds a modest percentage to a project rather than a fixed fee. Retrofitting them into an existing product is far more expensive, because encryption, access control and audit logging touch the data model and every service. The costly path is discovering the gap during an enterprise security review.
[ 5 ]
Can a startup build HIPAA compliant software without a compliance team?
Yes. Most digital health startups ship their first compliant product with an engineering partner rather than an internal compliance function. What matters is that the architecture decisions made in the first month, such as where PHI lives, how access is scoped and what gets logged, are the ones a hospital security review will examine later.
[ 6 ]
Does HIPAA apply to Canadian digital health companies serving U.S. customers?
Yes. HIPAA applies based on whether you handle U.S. patient PHI, not where you are located — a Canadian company processing it is a Business Associate bound by BAAs and the Security Rule.
[ 7 ]
What is the difference between being HIPAA compliant and being HIPAA certified?
No government agency issues an official HIPAA certification. Companies claiming it passed a third-party audit against HIPAA requirements — useful proof for customers, but not a government credential.
[ 8 ]
What is a Business Associate Agreement and when is it required?
A BAA is a contract setting terms for sharing PHI between a Covered Entity and a Business Associate. It must be signed before any PHI is exchanged — with every healthcare customer and cloud provider.
[ 9 ]
What does HIPAA compliance mean for cloud-hosted healthcare applications?
Cloud hosting is allowed when the provider signs a BAA and controls are in place. But a cloud BAA alone does not make your app compliant — your team still owns encryption, access, and audit logging.
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