Vertical 01 · Healthcare

Clinical-documentation AI on Epic record exports —
designed so no PHI reaches the provider raw

Healthcare has the steepest AI productivity gap of any regulated industry: every workflow that would help clinicians touches PHI, and every PHI workflow has been blocked at the LLM provider boundary. VeilEngine’s healthcare vertical pack is designed to secure the boundary so the work can run.

Request a consultation→ HIPAA coverage
Primary frameworksHIPAA · HITECH · 42 CFR Part 2
BuyerCISO · CMIO · CCO
Tier defaultTier 1 (gateway)
BAA requiredYes · established per engagement
Retention6 yr minimum · per 45 CFR Part 164.316
Production timeline~6 weeks (typical)
The core problem

Your clinicians want frontier AI — and your CCO correctly says no

The highest-value clinical AI workflows — discharge summaries, prior-authorization letters, clinical-note drafting, clinical-summary drafts, patient-portal responses — require the LLM to read patient context. Reading patient context means sending PHI to a third-party provider. Sending PHI without a BAA is a HIPAA violation. Sending PHI under a BAA still creates retention and reuse risk your CCO is correctly cautious about.

The result: clinicians manually redact context, paste it into chat interfaces, copy answers back, and accept the productivity ceiling. Or, worse, the workflow never starts. The 22-minute discharge summary stays 22 minutes.

Manual baseline
Blocked
workflowdischarge_summary.manual
step 1 redaction~ 8 min
step 2 LLM use~ 3 min
step 3 legal review~ 11 min
total~ 22 min
audit trailnarrative log only
PHI provider exposureunknown / unmeasurable
With VeilEngine

The discharge summary in 18 seconds, with a signed receipt

The clinician opens the patient’s chart, selects the discharge summary workflow, and confirms. VeilEngine secures the PHI at the boundary, routes the workflow-equivalent payload through the gateway according to the engagement’s policy, validates the returned output, and returns the draft to the clinician. A receipt is emitted to the evidence fabric. Your CCO signs off on the workflow class, not on each request.

  • Time-to-Useful-Answer: ~18 seconds wall-clock vs. ~22 minutes manual (illustrative)
  • PHI in provider payload: 0 elements, recorded in a signed receipt (per-request integrity proof bundle on roadmap)
  • Evidence trail: Signed receipt per request, hash-linked within the session, offline-verifiable (cross-session transparency-log inclusion proofs on roadmap)
  • Sub-processor exposure: Tier 1 gateway by default; Tier 0 client-side is scoped separately for behavioral-health workflows under 42 CFR Part 2
Receipt // rcpt_h4_8c3d · Illustrative receipt — sample values
Signed
workflowdischarge_summary.draft
vertical packhealthcare (per engagement)
providerClaude Opus
protection tierTier 1 · gateway
Safe Harbor 18 enforcedconfigured per engagement policy
PHI in provider payload0 elements
semantic preservation94 / 100
time-to-useful-answer18.3s
attestationsigned · sample verifier runnable
sha256:f4e2c1a9d8b7...
Healthcare workflows in scope

Workflows your CMIO and CCO sign off on together

Each engagement scopes a HIPAA control mapping, the protection-tier recommendation, and the expected Time-to-Useful-Answer baseline for the selected workflow. Not every workflow fits every health system; the vertical pack is configurable.

Discharge summary draft

Multi-day inpatient context summarized into a clinician-reviewable draft. Tier 1 by default. ~18s TUA vs. ~22min manual baseline (illustrative).

Prior-authorization letters

Payer-specific PA letters drafted from chart context and clinical guidelines. Tier 1. ~45s TUA vs. ~35min manual (illustrative).

Clinical-note drafting

Visit transcript → structured note. Tier 1 gateway by default; Tier 0 client-side scoped per engagement for behavioral-health workflows under 42 CFR Part 2.

Patient-portal response triage

Inbox triage with draft replies grounded in patient chart. Tier 1. Clinician confirms before publish.

Clinical-summary draft

Referral and consult summaries pulling longitudinal context. Tier 1. Particularly useful for chronic-condition handoffs.

Custom workflow

Bring your specific clinical AI workflow that compliance has blocked. We scope it during the regulatory audit and add it to your vertical pack.

HIPAA coverage

45 CFR Part 164 mapped to evidence-fabric primitives

Vertical Edge AI pre-maps HIPAA Security and Privacy Rule controls to evidence-fabric primitives, scoped per engagement. Every control surfaces evidence the auditor can run the verifier against.

164.308

Administrative safeguards

Workforce training records, access management, incident procedures — surfaced as policy-engine decisions, recorded in the per-request signed receipt (cryptographic per-request attestation / proof bundle on roadmap).

164.310

Physical safeguards

Facility-access controls inherited from the customer’s deployment environment; documented in the sub-processor contract.

164.312

Technical safeguards

Access control, audit controls, integrity, transmission security — backed by signed cryptographic receipts and a hash-linked session evidence chain (cross-session transparency log on roadmap).

164.502(d)

De-identification

Safe Harbor 18-identifier list applied at the protection boundary, configured per engagement. Each enforcement recorded in the per-request signed receipt (cryptographic per-request attestation / proof bundle on roadmap).

164.504(e)

BAA requirements

Where a provider would receive PHI, routing is restricted to BAA-eligible relationships, with the BAA established per engagement; otherwise PHI is protected at the boundary before any request reaches the provider.

42 CFR Part 2

Behavioral health

Substance-use-disorder records can be routed through Tier 0 client-side protection, scoped per engagement, designed so the provider never receives raw context.

HITECH

Breach notification

Receipt structure supports breach-disclosure determinations; per-workflow exposure measurable, not estimated.

State law

State PHI variations

CA CMIA, TX HB300, NY SHIELD overlay handled via the vertical-pack jurisdiction module.

Full HIPAA coverage on the trust page→
FAQ

Healthcare AI governance, answered

It can be done defensibly when the workflow is governed and your existing HIPAA program is satisfied. HIPAA compliance is a function of your full Security and Privacy Rule posture; Vertical Edge AI does not replace that, but it protects PHI before it reaches the AI provider and produces a signed receipt for every interaction, so your CCO can approve the use and your auditors can verify the AI-specific controls ran. The clinical value reaches the bedside; the compliance obligation is met with evidence rather than assurances.
A signed, tamper-evident receipt for each AI interaction, an offline verifier they run themselves, and a mapping to the relevant HIPAA controls under 45 CFR Part 164. A public sample verifier is available today; the production verifier, keyed to your own signing key, ships with the engagement. The evidence is designed to be verifiable without a live connection, and in production — signed under your own key — without trusting Vertical Edge AI or the AI provider.
Workflows that send PHI to a provider are routed only to BAA-eligible relationships, with the required agreement established as part of that engagement. Where the agreement is not in place, PHI is protected at the boundary before any request reaches the provider, so the provider never receives PHI.
A HIPAA-eligible API covers the provider relationship; it does not give you per-interaction evidence that your own controls were enforced, or proof you can hand an auditor. Vertical Edge AI adds the governance and audit evidence around the model, so the workflow is defensible after the fact, not merely permitted.
No. Regulated data is protected before it reaches the provider, and the engagement is designed so that PHI is not retained after the session or used for model training. Exposure is measured per workflow rather than estimated.
Healthcare engagement

Bring the workflow your CCO has blocked

We start with a discovery regulatory audit with your CISO, CMIO, and CCO together. You receive a preliminary exposure map as the diagnostic deliverable — yours to keep regardless of next steps.

Request a consultation→ Read HIPAA trust coverage →