HIPAA Compliance for Voice AI
By Raj Baruah, Founder, VoiceAIWrapper
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.
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.
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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
Company: New XP Technologies Limited
For Business Associate Agreement execution: VoiceAIWrapper BAA
Frequently Asked Questions
What does HIPAA compliance mean for a voice AI platform?
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.
Which voice AI providers are HIPAA compliant?
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.
Does VoiceAIWrapper sign a BAA?
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.
Can my agency use VoiceAIWrapper for healthcare clients on the Starter plan?
What about the underlying voice AI provider's HIPAA stance?
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.
How do I document the end-to-end HIPAA chain for a healthcare client?
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.