HIPAA Compliant Answering Service.
Compliance is a chain. Every link has a BAA. Every call has an audit trail.
A HIPAA compliant answering service built as an AI rig for your practice. PHI stays in encrypted stores. Every vendor in the chain — SMS gateway, voice provider, hosting, transcript storage — holds a Business Associate Agreement. The intake, triage, and on-call paging your front desk would do, with a verbatim audit trail you can hand to a compliance officer. Scoped to your practice in two weeks, then run as a partnership.
§ 01Why "HIPAA compliant" is harder than a checkbox.
Most "HIPAA compliant" answering services market the label without walking the chain. The honest question for a compliance officer is not "do you have a BAA" — it's "show me the BAA with every vendor in the call path." Voice provider, SMS gateway, transcript store, LLM provider, hosting, backup. A HIPAA compliant answering service is only as compliant as the weakest link. The Pulp rig is designed so every link is named, every BAA is on file, and the audit trail spans the whole call.
BAA on every link
Voice, SMS, LLM, transcript store, hosting, backup. Every vendor in the call path holds a Business Associate Agreement before the rig goes live.
Encrypted at rest & in transit
PHI travels TLS, stores AES-256, never lands in a logfile or analytics tool that doesn't have a BAA. The transcript store is yours, scoped to your practice.
Audit trail on every call
Caller ID, timestamp, triage decision, intake fields, paging action, who acknowledged. Exportable. Reviewable. Defensible.
§ 02What the HIPAA compliant rig actually does.
The same after-hours and overflow jobs a traditional HIPAA answering service does — minus the per-minute charges, plus a verbatim audit trail and a BAA chain you can hand to your compliance officer on day one.
Compliant intake
Patient name, DOB, callback, symptom, current meds, reason for call — captured to your encrypted inbox or intake queue. No PHI to a non-BAA destination, ever. Field schema matches what your front desk takes in the daytime.
Protocol-driven triage
The rig walks the triage tree your practice already uses. Severity tagging, escalation rules, ER referral language — your protocol, not ours. It triages and routes; it does not diagnose, prescribe, or interpret.
On-call paging
Structured pages to the on-call provider — patient identifier, callback, triage level, summary. Paging channel of your choice (SMS via BAA gateway, secure messenger, phone). Acknowledged-or-escalated logic built in.
Audit-ready logging
Every call captured: who, when, what they said, what the rig decided, what got paged, who acknowledged. Exportable in a format your compliance officer can review without learning a new tool.
§ 03Scoped to your practice. Run as a partnership.
HIPAA-compliant answering services charge a premium for the compliance label — $400–$1,200/month for clinic-grade coverage, plus per-minute on busy nights, and the day you cancel you lose access to the transcript history. We build the opposite: a rig scoped to your practice, with the BAA chain documented and handed to you, that you own and we keep current.
Scoped to your practice.
BAA chain wired, encrypted intake to your inbox, on-call paging on the channel you actually check, audit trail exportable from day one. From there, most clinics keep us on a managed plan: we monitor the rig, keep every BAA current, and tune the triage tree as your protocols change. The chain is yours either way.
+ MANAGED PLAN
§ 04Honest objections, compliance edition.
What does the BAA chain actually look like?
Voice provider, SMS gateway, LLM provider, transcript store, hosting, backup. Each vendor named, each BAA on file before go-live. On the scope call we walk you through the diagram so your compliance officer sees the chain before you commit.
Where does the PHI live?
In your encrypted store, scoped to your practice. Transcripts retained per your policy — 30 days, 90 days, 7 years, your call. Nothing lands in shared analytics, marketing tools, or anywhere outside the BAA chain.
What if there's an incident?
The audit trail is intact — every call, every decision, every page. Incident review is a matter of pulling the relevant transcripts and the action log. The rig is designed so you can answer a regulator without a forensic project.
How does this compare to a traditional HIPAA answering service?
Traditional services rent you compliance — $400–$1,200/month for the chain. Cancel and you lose access to the transcript history. The Pulp rig sells you the chain. You own the BAAs, the store, the audit log. The compliance posture survives any change of vendor.
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