HIPAA Compliance for Voice AI

VoiceAIWrapper holds SOC 2 Type 2, GDPR, and HIPAA compliance, with a Business Associate Agreement (BAA) available on the Pro tier. Agencies in healthcare verticals can connect HIPAA-eligible voice AI providers (Vapi, Retell, ElevenLabs, Deepgram) under VoiceAIWrapper and deliver branded voice agents to clients with documented compliance posture from end to end.

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This document establishes the Health Insurance Portability and Accountability Act (HIPAA) compliance framework for VoiceAIWrapper, a white-label voice AI platform operated by New XP Technologies Limited. VoiceAIWrapper enables agencies to provide voice AI services to healthcare clients while maintaining full HIPAA compliance through a shared responsibility model.

Important

Agencies using VoiceAIWrapper for healthcare use cases must ensure their voice AI provider accounts (e.g. Vapi, Retell AI, ElevenLabs, etc. - as indicated in our sub-processors list, are properly configured and contracted for HIPAA compliance before processing any Protected Health Information (PHI) through VoiceAIWrapper.

1.HIPAA Compliance by Voice AI Provider

For agencies in healthcare-adjacent verticals, the question "is this voice AI provider HIPAA compliant?" is gating. Below is a current-as-of-2026-05-02 view of public HIPAA compliance posture for VoiceAIWrapper and the major voice AI providers VoiceAIWrapper supports. Each row links to the provider's own source page so agencies can verify directly.

ProviderHIPAA CompliantBAA AvailableSource
VoiceAIWrapper✅ Yes✅ Yes (Pro tier)VoiceAIWrapper HIPAA page
Vapi✅ Yes🔵 Enterprise contactVapi Enterprise
Retell✅ Yes✅ YesRetell AI
ElevenLabs✅ Yes🔵 Enterprise plansElevenLabs Enterprise
Deepgram✅ Yes (Dedicated tier)✅ YesDeepgram Dedicated
Twilio✅ Yes✅ YesTwilio BAA
Bolna❌ Not publicly stated❌ Not publicly statedBolna
UltraVox❌ Not publicly stated❌ Not publicly statedUltraVox

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Important: Public claims and BAA availability change over time. Agencies handling Protected Health Information (PHI) should verify each provider's current compliance posture and BAA terms directly with the provider before architecting a healthcare deployment.

2. Shared Responsibility Model

2.1 VoiceAIWrapper Platform Responsibilities

VoiceAIWrapper is responsible for the following platform-specific HIPAA compliance measures:

Technical Safeguards:

  • Implementing secure API connections with voice providers

  • Maintaining encrypted data transmission (TLS 1.3)

  • Providing role-based access controls within the platform

  • Ensuring secure user authentication and session management

  • Maintaining audit logs of platform access and activities

Administrative Safeguards:

  • Designating a security officer for platform security

  • Implementing access management procedures

  • Conducting regular security assessments of platform infrastructure

  • Maintaining incident response procedures for platform-related events

Physical Safeguards:

  • Leveraging AWS SOC 2 Type II certified infrastructure

  • Ensuring proper facility access controls through cloud provider

  • Maintaining secure workstation access for platform administration

2.2 Agency Client Responsibilities

Agencies using VoiceAIWrapper bear primary responsibility for comprehensive HIPAA compliance, including:

Voice AI Provider Configuration:

  • Executing Business Associate Agreements (BAAs) with applicable voice AI providers (such as Vapi, Retell, ElevenLabs, etc. - as indicated in our sub-processors list)

  • Configuring voice provider accounts for HIPAA compliance

  • Ensuring proper encryption settings in voice provider platforms

  • Setting appropriate data retention policies on their voice AI provider accounts

  • Implementing access controls within voice AI provider systems

Healthcare Client Management:

  • Executing BAAs with healthcare clients (covered entities)

  • Implementing comprehensive HIPAA policies and procedures

  • Conducting staff training on HIPAA requirements

  • Managing end-user consent and authorization processes

  • Handling data subject requests from healthcare clients

Compliance Monitoring:

  • Conducting regular risk assessments

  • Monitoring voice provider compliance status

  • Maintaining compliance documentation

  • Implementing corrective actions for compliance gaps

Note: Agencies must verify that their chosen voice AI providers offer HIPAA-compliant services and execute appropriate BAAs before using VoiceAIWrapper for healthcare applications.

3. Incident Response Framework

3.1 VoiceAIWrapper Incident Response

VoiceAIWrapper's incident response is limited to platform-related security events:

  • Platform Security Breaches: Unauthorized access to VoiceAIWrapper platform

  • API Security Incidents: Compromised data transmission between systems

  • Authentication Failures: Compromised user accounts or access controls

  • Data Transmission Issues: Encryption failures or data leakage in transit

Response Timeline: VoiceAIWrapper will notify affected agencies within 24 hours of discovering platform-related incidents.

3.2 Agency Incident Response

Agencies are responsible for all other incident response activities:

  • Healthcare client PHI breach notifications (60-day timeline)

  • HHS breach notifications (60-day timeline)

  • Voice provider incident coordination

  • End-user breach notifications

  • Regulatory reporting and compliance actions

See How VoiceAIWrapper Works

4. Business Associate Agreement (BAA) Framework

4.1 VoiceAIWrapper BAA Scope

VoiceAIWrapper's Business Associate Agreement covers only platform-specific services and does not extend to comprehensive healthcare solution delivery. Our BAA is available at: VoiceAIWrapper BAA Document

Permitted Uses under BAA:

  • Platform administration and user management

  • API integration and data routing

  • Technical support and troubleshooting

  • Security monitoring and incident response

  • Platform analytics and usage reporting

4.2 Required Agency BAAs

Agencies must execute separate BAAs with:

  • Voice AI Providers: Applicable Voice AI Providers supported by VoiceAIWrapper (e.g. Vapi, Retell, ElevenLabs, etc.)

  • Healthcare Clients: All covered entities using VoiceAIWrapper’s Client’s agency services

  • VoiceAIWrapper: Platform usage agreement. Execute VoiceAIWrapper BAA here

5. Compliance Verification

5.1 Agency Compliance Requirements

Before using VoiceAIWrapper for healthcare applications, VoiceAIWrapper may ask agencies to provide:

  • Executed BAAs with all voice AI providers

  • Documentation of HIPAA-compliant voice provider configuration

  • Completed HIPAA training certificates for staff

  • Current HIPAA policy and procedure documentation

  • Risk assessment and security evaluation results

5.2 Ongoing Compliance Monitoring

VoiceAIWrapper will conduct limited compliance monitoring focused on platform usage:

  • Annual review of agency compliance documentation

  • Platform security audits and assessments

  • Incident response testing and validation

  • BAA renewal and update processes

6. Data Processing and Storage

6.1 VoiceAIWrapper Data Handling

VoiceAIWrapper processes only the minimum necessary data for platform functionality:

  • Voice Data: Links to voice recordings (stored by voice providers)

  • Metadata: Call logs, timestamps, and usage statistics

  • User Data: Agency and customer account information

  • Configuration Data: Platform settings and preferences

Data Retention: Platform usage data are retained for 7 days in logs and backups, with immediate deletion upon agency request.

6.2 Voice AI Provider Data Responsibility

Agencies are responsible for ensuring voice AI providers maintain HIPAA-compliant data handling:

  • Proper PHI encryption and storage

  • Appropriate data retention policies

  • Secure data destruction procedures

  • Access controls and audit logging

7. Training and Awareness

7.1 VoiceAIWrapper Staff Training

VoiceAIWrapper provides HIPAA training focused on platform-specific responsibilities:

  • Platform security awareness

  • Limited PHI handling procedures

  • Incident response protocols

  • Customer support guidelines for healthcare clients

7.2 Agency Training Requirements

Agencies must ensure comprehensive HIPAA training for all staff, including:

  • HIPAA Privacy and Security Rules

  • Voice provider platform usage

  • PHI handling and protection procedures

  • Incident response and breach notification

  • Patient rights and consent management

8. Audit and Assessment

8.1 VoiceAIWrapper Audit Rights

Agencies may audit VoiceAIWrapper's platform-specific HIPAA compliance measures with reasonable notice and scope limitations focused on our defined responsibilities.

8.2 Agency Audit Obligations

Agencies must conduct regular audits of:

  • Voice provider HIPAA compliance

  • Internal HIPAA policies and procedures

  • Staff training completion and effectiveness

  • Healthcare client satisfaction and compliance

  • Risk assessment and mitigation measures

Talk to Our team about HIPAA compliance

9. Contact Information

For HIPAA compliance questions or concerns:

Compliance Officer: SP Parasar

Email us here.

Company: New XP Technologies Limited

For Business Associate Agreement execution: VoiceAIWrapper BAA


Frequently Asked Questions

Question

What does HIPAA compliance mean for a voice AI platform?

Answer

HIPAA compliance means the platform handles Protected Health Information (PHI) in line with the HIPAA Privacy, Security, and Breach Notification Rules. In practice, the platform must implement administrative, physical, and technical safeguards, sign a Business Associate Agreement (BAA) with covered entities, and document data flow, access controls, and incident response.


Question

Which voice AI providers are HIPAA compliant?

Answer

VoiceAIWrapper, Vapi, Retell AI, ElevenLabs, Deepgram, and Twilio publicly state HIPAA compliance and offer BAAs on at least one tier. Bolna and UltraVox do not publicly publish HIPAA compliance status. Agencies handling PHI should verify each provider's current posture directly before deployment.


Question

Does VoiceAIWrapper sign a BAA?

Answer

Yes. VoiceAIWrapper offers a BAA on the Pro tier. Agencies on lower tiers should upgrade to Pro before processing PHI through the platform. The BAA defines the shared responsibility model: VoiceAIWrapper as the platform layer, the underlying voice AI provider as the runtime layer, and the agency as the covered entity or sub-business-associate.


Question

Can my agency use VoiceAIWrapper for healthcare clients on the Starter plan?

Answer

The platform itself runs on HIPAA-eligible AWS infrastructure, but the BAA is contractually scoped to the Pro tier. Agencies on Starter or Growth plans can build and test workflows but should upgrade to Pro before going live with any client whose data falls under HIPAA.


Question

What about the underlying voice AI provider's HIPAA stance?

Answer

Each provider is responsible for its own HIPAA compliance posture. VoiceAIWrapper's BAA covers the VoiceAIWrapper platform layer only. Agencies must independently verify and contract for the underlying provider's BAA where required. The comparison table above lists each provider's public stance as of 2026-05-02.


Question

How do I document the end-to-end HIPAA chain for a healthcare client?

Answer

Document three layers: (1) the agency's own HIPAA posture and policies, (2) VoiceAIWrapper's BAA on the Pro tier, and (3) the underlying voice AI provider's BAA where applicable. Maintain BAAs in your client onboarding records and reference them in the data-processing addendum (DPA) you sign with each healthcare client.