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HIPAA

HIPAA Compliance

BalkanID simplifies your journey to HIPAA compliance by becoming your identity and access control plane, ensuring only authorised workforce members access ePHI, governing the full access lifecycle from hire to termination, and producing the continuous evidence your Security Officer and auditors need.

What teams tell us before they switch

A nurse left six months ago and still has active access to our EHR. We only found out during an audit. Termination procedures are supposed to be immediate, ours clearly aren't.
We have shared credentials on half our clinical workstations. Everyone knows it violates the rule. But without a system to enforce unique user IDs across every application, we can't stop it.
The auditor asked us to show who had access to a patient's record over the past year. It took us three weeks to pull together a partial answer from five different systems. Partial isn't acceptable.
What is HIPAA?

The federal law that governs
who can access patient data.

The Health Insurance Portability and Accountability Act requires covered entities and their business associates to protect electronic protected health information (ePHI). The Security Rule defines three categories of safeguards: Administrative (workforce and access management policies), Physical (facility and device controls), and Technical (system-level access controls and audit mechanisms). The identity and access requirements, who can access ePHI, under what conditions, with what evidence, sit across both the Administrative and Technical safeguard sections. These are the controls where most covered entities have the largest gap between written policy and demonstrable practice.
How BalkanID addresses HIPAA

Every identity and access
control the Security Rule requires.

Each capability maps directly to a named HIPAA Security Rule safeguard, producing continuous, audit-ready evidence, not a point-in-time snapshot assembled under pressure.
Unique user identification, every ePHI system, no exceptions
BalkanID detects shared accounts and service accounts with interactive login across every connected system, flagging any identity that cannot be traced back to a single named individual. No shared credential passes through an access review without surfacing as a finding.
Workforce security, clearance at hire, deprovisioning at exit
New hires receive role-aligned access automatically, nothing broader than their job requires. When employment ends, BalkanID triggers deprovisioning across every connected system, EHR, PACS, clinical databases, verified and logged. Orphan identities surface continuously, not during audits.
Information access management, minimum necessary, at every stage
BalkanID enforces minimum necessary access at provisioning, role-based, HRIS-aligned, no catch-all groups. Every grant and modification follows a ticketed, approver-recorded workflow. Role changes trigger automatic recertification so modifications are as controlled as initial access.
Emergency access, governed, time-limited, fully logged
Break-glass access is requested with a declared clinical justification, approved, time-limited, and auto-revoked when the session closes. Every emergency session produces a complete log, requester, approver, scope, duration, without relying on manual documentation after the fact.
Audit controls, immutable log, always ready
Every access grant, review decision, provisioning event, and privileged session is captured in a tamper-evident, continuously collected log. Exportable on demand, no pre-audit assembly sprint, no gaps from systems that were missed.
Authentication, MFA gaps found before the OCR inquiry does
BalkanID continuously monitors authentication posture across all connected systems, surfacing identities with no MFA and those relying on weak factors like SMS or voice. Privileged clinical users without phishing-resistant authentication are flagged with severity so remediation happens before an incident forces it.
Business associate access, governed like employees, not trusted by default
Contractor and vendor identities sit in the same governance plane as employees, same access reviews, same deprovisioning when the engagement ends. When a BAA terminates, access revocation is automatic and verified, closing the gap OCR investigations routinely expose.
Identity scope for HIPAA

Every identity that touches ePHI.
All in one governance plane.

The Security Rule applies to every person and software program granted access to ePHI, regardless of employment type. Most healthcare identity programmes govern clinical staff and leave the rest as a blind spot.
Human Identities
Clinical staff (physicians, nurses)
Administrative workforce
IT administrators and helpdesk
Contractors and locum staff
Terminated (verified deprovisioned)
Non-Human Identities
Service accounts on EHR systems
Integration engine identities (HL7)
PACS and imaging system accounts
Shared clinical workstation accounts
API tokens for health data pipelines
Agentic AI Identities
AI clinical decision support tools
Automated prior authorisation agents
RPA bots processing patient records
AI documentation and coding tools
Purpose-scoped ePHI access sessions
Access reviews

Every system that stores or
transmits ePHI, in scope.

The Security Rule applies to every system that creates, receives, maintains, or transmits ePHI, including legacy clinical systems and applications your previous IGA tool excluded. BalkanID covers all three categories with the same evidence.
Connected clinical systems
Native connectors · SCIM / REST
Access entitlements pulled in real time, risk-ranked, and surfaced to the right reviewer. Unused credentials and inactive accounts detected continuously. Evidence stored per review cycle.
Epic
Cerner
Oracle Health
Microsoft 365
Okta
Active Directory
AWS
Azure AD
Workday
Automated evidence
Custom clinical applications
Internal apps · REST / GraphQL
Internally-built patient portals, clinical tools, and data warehouses connect via BalkanID's API or a custom connector, reviewed with the same minimum necessary standard as commercial systems.
Custom patient portals
Internal clinical data warehouses
Bespoke scheduling and billing tools
Custom connector
Legacy clinical systems
No API · No SCIM · On-premise
AI operators govern legacy systems at the UI layer, no API required. PACS, legacy EHR modules, and on-premise lab systems that predate modern APIs are fully in scope with the same audit evidence.
Legacy PACS and radiology systems
On-premise lab information systems
Legacy pharmacy management systems
AI operator

Schedule a demo to see how BalkanID can help you with your HIPAA audit.

Reduce Audit Effort. Increase Compliance Confidence.