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HIPAA · BAA-Ready · PHI-Aware

Clarity Health Insurance

Reconcile benefits bills without putting PHI at risk.

Every carrier bill auto-detected for PHI, tagged at the field level, and reconciled against HR enrollment. PHI access is minimum-necessary by default. Every unmask event is logged immutably under an executed Business Associate Agreement.

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94%
extraction accuracy
500K+
PHI records · zero reportable incidents
BAA
ready on day one
Capabilities

What Clarity Health Insurance does.

Automatic PHI detection

Subscriber name, member ID, date of birth, dependent identifiers, clinical indicators — detected on ingest and tagged at the field level.

Minimum-necessary access

Users see only the PHI fields their role requires. Unmask is always explicit, always consented to, always audited.

Enrollment cross-check

Carrier bill reconciled against HR / Workday / HRIS enrollment records. Premium, plan, and coverage level validated before approval.

Variance handling

Over/under billing, missing enrollees, terminated-but-still-billed, and dependent-tier mismatches all surface with context. No payment until resolved.

PHI-aware audit

Every PHI access, extraction, routing, and export event is logged with actor, timestamp, document reference, purpose, and field set.

BAA operational fit

Signed BAA before any PHI touches the system. Minimum-necessary, access logging, breach notification procedures all documented and exercised.

Flow

End-to-end, document to ERP.

1
Intake
Encrypted upload or SFTP from the carrier. Immediately isolated to PHI-eligible storage.
2
Detect
PHI scanner tags every PHI field. Masks applied by default across all UIs.
3
Extract
Schema-driven extraction for plan, coverage level, premium, period, subscriber. Fields tagged PHI or non-PHI.
4
Reconcile
Cross-referenced against HR enrollment. Matched / mismatch / not-enrolled states computed.
5
Approve
Clean bills auto-approved. Variances routed to benefits admin with minimum-necessary view of the PHI.
Compliance

Built to the standard the data requires.

Every Clarity Health Insurance deployment operates under the same controls shared across the Clarity platform — and the app-specific ones listed on the right. Field-level audit. Encryption everywhere. Principle of least privilege.

App-specific controls
  • BAAExecuted before PHI handling
  • HIPAA Security RuleAdmin / physical / technical safeguards
  • HIPAA Privacy RuleMinimum-necessary enforced
  • Encryption at restAES-256
  • Encryption in transitTLS 1.2+ with mutual auth where feasible
  • Breach notificationHIPAA-compliant procedures + tested timelines
  • RetentionPolicy-aligned, minimum 6 years
  • Sub-processorsDisclosed, HIPAA-eligible services only
Integrations

Plugs into what you already have.

Pre-built connectors for the common systems. File-based, SFTP, webhook, and portal-automation fallbacks for the rest.

Workday HCMADP Workforce NowUKG ProBambooHRPaycomHealth carrier portals (Harvard Pilgrim, BCBS, Tufts, Cigna, United)Benefits brokersAP posting via Invoice connectorSIEM export
Production proof

Already running in production.

500K+
patient records / year

Regional medical center system engagement. End-to-end PHI handling with an executed Business Associate Agreement.

94%
eligibility extraction

Insurance eligibility and claims document extraction accuracy measured against a ground-truth hold-out set.

Zero
reportable HIPAA incidents

Over the full engagement, no PHI breach or disclosure reached a reporting threshold. All audits passed.

Frequently asked

Can staff view PHI at all?
Yes — but only when their role requires it and always through an explicit 'unmask' action that's logged immediately to the audit trail. Every PHI view writes an entry with actor, timestamp, field set, and purpose. A benefits admin reviewing a mismatch, for example, will see the fields they need to reconcile — and no more.
What's the BAA process?
We sign a Business Associate Agreement before any PHI enters the system. Our standard BAA meets 45 CFR §§ 164.502(e) and 164.504(e) and we're prepared to negotiate terms your legal team needs. Pilot phase runs with de-identified data until the BAA is executed.
How do we know the app is actually HIPAA-compliant?
On request we provide our security controls documentation, audit log schema, BAA template, and sub-processor list. For SaaS deployments, the hosting environment meets HIPAA-eligible criteria. On-prem deployments inherit your environment's HIPAA posture.
What happens if there's a breach?
Our breach procedures follow HIPAA's Breach Notification Rule: identification, risk assessment, and notification within rule-compliant timelines. The BAA with your organisation specifies exact notification contacts and windows.

Ready to try Clarity Health Insurance?

Launch the live demo with sample data, or talk to us about a proof-of-concept on your real documents.

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