AI Governancefor Healthcare
HIPAA-grade PHI scanning, human approval approvals for clinical operations, and EU AI Act compliance built in. Govern every AI call your clinical AI agents make -- with zero code changes.
One base URL swap. Full compliance coverage. Start free with 1,000 requests/day.
The risks of ungoverned AI in healthcare
Healthcare AI operates under strict regulatory requirements that generic LLM proxies do not address.
Maximum HIPAA penalty per violation category per year
HIPAA Compliance
AI agents processing clinical notes, lab results, or patient communications can inadvertently leak Protected Health Information (PHI) to AI providers. HIPAA violations carry penalties of up to $2M per incident category.
Exposed OpenClaw instances found across healthcare orgs (Jan 2026)
PHI in LLM Prompts
Clinical documentation assistants routinely handle patient names, dates of birth, medical record numbers (MRNs), ICD-10 codes linked to identifiable patients, and insurance IDs. Every prompt is a potential PHI leak.
HIPAA minimum retention period for audit documentation
Audit Trail Requirements
HIPAA requires covered entities to maintain audit logs of all access to electronic PHI. When AI agents make AI calls involving patient data, every request, response, and governance decision must be traceable.
How the gateway protects patient data
Five layers of governance designed for healthcare compliance requirements.
PHI and Personal Data Scanning
The gateway scans every request before it reaches any AI provider. Pattern matching detects patient names, MRNs, dates of birth, SSNs, ICD-10 codes linked to identifiable patients, insurance policy numbers, and phone numbers. Configurable deny or redact modes per data type.
Catches PHI patterns including MRNs, ICD-10 codes, and insurance IDs
Human-in-the-Loop for Sensitive Operations
Requests involving high-risk clinical categories (diagnosis generation, treatment planning, medication recommendations) can be flagged for human approval. The human approval gate holds the request in an approval queue where a clinician or compliance officer reviews the full context before the AI call proceeds.
Clinical reviewers approve or deny from the dashboard -- one click
EU AI Act Compliance
Healthcare AI systems are classified as high-risk under the EU AI Act. Curate-Me includes a built-in compliance engine with risk classification, transparency reporting, and documentation generation. The compliance dashboard tracks your obligations and generates the required technical documentation.
Built-in risk classification and compliance documentation for Article 6/Annex III
Immutable Audit Trail
Every AI request, governance decision, and agent action is logged to an append-only audit trail. Logs include timestamps, org context, user attribution, model used, token counts, cost, and the outcome of each governance check. Exportable for HIPAA compliance reviews.
Full provenance chain from agent request to LLM response
Model Allowlists by Department
Different departments have different compliance requirements. Radiology may be allowed to use vision models, while pharmacy is restricted to text-only. Model allowlists enforce per-org and per-team restrictions, preventing accidental use of non-compliant models.
Per-department model policies -- radiology, pharmacy, clinical, admin
Example: Clinical documentation assistant
Watch the governance chain block a PHI leak in real time. The personal data scan step catches a patient MRN before the request reaches the AI provider.
Clinical Note Agent
Sends patient encounter summary to LLM for structured documentation
Rate Limit
Checks per-org RPM limit (200 req/min for clinical dept)
Cost Estimate
Estimated $0.03 -- within $0.10 per-request limit
Personal Data Scan
BLOCKED -- Patient MRN #4821903 detected in prompt text
Request blocked. The personal data scan detected a patient MRN in the prompt text. The request never reached the AI provider. The agent receives a clear error message explaining which data triggered the block, so the application can redact and retry.
Alternative: redact mode. Instead of blocking, configure the personal data scan to automatically redact detected PHI with placeholder tokens (e.g., [MRN_REDACTED]). The request proceeds with sanitized content, and the original PHI is logged in the audit trail for compliance review.
“Our compliance team was skeptical that a gateway proxy could meaningfully reduce PHI exposure risk. After seeing the personal data scan block three real PHI leaks in the first week of testing, they became our biggest internal advocates.”
-- CTO, Digital Health Startup (design partner)
Protect patient data.
Start free today.
Swap one base URL. Get HIPAA-grade PHI scanning, human approvals for clinical operations, and EU AI Act compliance -- instantly.