HIPAA-compliant database protection

Every query touching patient data is intercepted, analyzed, masked where required, and logged, without slowing your application. The audit trail your compliance team needs, generated automatically.

The stakes

Healthcare databases are the most expensive to breach

The average healthcare data breach costs $9.77M , the highest of any industry (IBM Ponemon). Healthcare records sell for 10x the price of financial records on the dark web. HIPAA penalties for willful neglect run $50,000–$1.9M per violation category.

PHI is in more places than your compliance team knows , notes columns, JSON blobs, audit tables, analytics DBs. AI agents access tables across your schema, not just the ones security mapped.

What we cover

What Safe Boundary enforces

Four controls, all enforced at the proxy, masking, minimum-necessary access, audit, and breach detection. No application rewrites required.

Automated PHI masking

AI-driven detection identifies PHI in results, diagnoses, medications, identifiers, dates of service, provider info, without manual column tagging. Covers columns you know and notes / JSON you don't.

Minimum Necessary Access enforcement

Clinical staff: assigned patients only. Analytics: de-identified data. AI: masked by default; unmasked only with explicit policy approval.

Structured HIPAA audit trail

Who accessed what, when, outcome (allowed, masked, blocked). Supports §164.312(a)(2)(i) and §164.312(b). Export-ready for compliance, not a raw log dump.

Breach detection and response support

Flag bulk PHI selects, unexpected sources, off-hours service access. Full history searchable by time, user, table, outcome.

Compliance evidence

HIPAA evidence package

Four pre-built reports auditors actually ask for, generated continuously from the same query stream, retained for the full HIPAA window, and exported in formats your compliance team already accepts.

PHI access report

queries touching protected fields

Masking effectiveness report

masked vs. total PHI events

Disclosure log

unmasked PHI with policy justification

Retention attestation

1-year in-product retention, SIEM forwarding for the HIPAA 6-year window

Deployment model

Data residency and BAA

On Business and Enterprise, the proxy and the AI classification service both run inside your VPC. Patient data and PHI samples never leave your environment. The control plane receives metadata and health signals only. It never sees query content, result rows, or PHI samples.

A BAA is available on Business and Enterprise. Healthcare deployments must operate on one of these tiers. Pro deploys the proxy in your VPC, but the AI classification service still runs on shared infrastructure, so Pro is not covered by a BAA. Free and Startup are cloud-hosted throughout.

Pricing

Pricing for Healthcare SaaS

Built for in-VPC deployment with a BAA, start on Business.

Business

Coming soon

10M queries / DB / mo · 10-DB minimum

  • Multi-region VPC deployment
  • HIPAA BAA signed at this tier
  • PHI / PII masking with custom detectors
  • Compliance report packs: SOC 2, HIPAA, PCI-DSS, GDPR
  • SOC 2 Type II report under NDA
  • Multi-region active-active proxy with 99.99% SLA
  • 24/7 chat + phone support, 1-hour P1 response

Enterprise

Custom

Pooled volume across the fleet

Pricing, deployment, security posture, integrations, and contractual terms are all custom and negotiable, built for organizations whose requirements go beyond the published tiers.

Safe Boundary costs a small fraction of the average healthcare breach. Automated audit trails replace tens of thousands of dollars in manual compliance work each year.
Layered protection

Related features

Safe Boundary capabilities work together as a single defense layer in front of your database. Combine identity, query control, masking, and audit to build the policy your team and your auditors actually need.

Automated PII Masking

AI-driven PHI detection masks names, dates of service, and identifiers in result rows, with no schema annotations.

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SSO Human Identity Enforcement

Map every clinical user to their verified SSO identity in the audit log. No more shared app_user.

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Query Analytics & Logging

Structured access logs aligned to HIPAA §164.312(b), exportable to your SIEM, ready for the auditor.

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Time-limited Access Grants

Issue scoped, expiring access for break-glass support cases without permanent role changes.

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Every feature is enforced at the proxy, no application changes, no SDK to install, no database migration required.

Configure your first rewrite rule , no application code changes required.

Deploy in your VPC, sign a BAA, and ship HIPAA-aligned audit evidence from the first query.