Trust & Security

We hold ourselves to the standard we audit clients against.

Ralt Health serves independent physician practices, many of whom are HIPAA covered entities. This page documents our security posture, data-handling principles, BAA availability, and the compliance roadmap we’re executing on.

HIPAA posture

The website. ralthealth.com is a marketing and discovery surface. We do not solicit, collect, or process Protected Health Information through it. Our Privacy Policy explicitly requests that visitors not submit PHI through our contact forms.

Ralt Rounds. The SaaS product is currently in a no-PHI v1. Practice staff interact with anonymous per-visit codes (format P-XXXX) and operational signals like billing-event state and provider productivity. No names, dates of birth, medical record numbers, or clinical details enter our database in v1. Staff cross-reference the P-code to the practice’s EHR or billing system, which is where the PHI actually lives.

BAAs.For customers that are HIPAA covered entities, we offer Business Associate Agreements as part of service engagements. A BAA is signed before any engagement in which Ralt Health may create, receive, maintain, or transmit PHI on the customer’s behalf. Our BAA template is available on request.

Data handling principles

No PHI in v1

Our website does not collect or process Protected Health Information. Ralt Rounds is currently in a no-PHI v1: operational data flows through anonymous per-visit codes rather than patient identifiers. PHI-capable modules will ship only with separate schema, encryption, and audit controls.

Minimum necessary

We only ingest the data required to compute the findings in your engagement. We do not request EHR access or billing exports — our analytics are built on public CMS claims data plus signals you explicitly share.

Append-only audit trail

Every read and write of practice-scoped data is logged. Database triggers reject UPDATE and DELETE on the audit log. History survives the application layer — a compromised role cannot scrub the record.

Vault-encrypted integrations

Third-party integration tokens (Microsoft Graph, future EHR connectors) are stored with authenticated libsodium encryption, versioned from day one so keys can rotate without re-integration.

Security controls

Transport

TLS 1.3 everywhere. HSTS with preload. Strict Content Security Policy. X-Frame-Options, X-Content-Type-Options, Referrer-Policy, and Permissions-Policy headers on every response. Cookieless first-party analytics (Cloudflare Web Analytics).

Authentication

Microsoft Entra SSO for staff access. TOTP multi-factor enforced at enrollment. Session timeout enforced per role. Role-based module access via a central registry.

Tenant isolation

Single-tenant cloud architecture: each practice runs on its own Postgres (Supabase) project and Vercel deployment. No shared database. Tenant-scoped queries enforced in code and reviewed at every module.

Observability

Sentry error monitoring with sensitive-field scrubbing at the edge. Structured logging (pino) with redaction. Every Graph API call telemetered for debugging without exposing tokens.

Compliance roadmap

Where we are today, where we’re going, and what’s on the horizon.

StandardStatusNotes
HIPAA Security Rule (45 CFR §164.302–318) controlsImplementedTechnical, administrative, and physical safeguards mapped to implementation in our internal controls catalog. BAAs available on engagement.
HIPAA Privacy Rule postureScopedDocumented in our Privacy Policy. Consistent with the no-PHI v1 scope and will expand when PHI modules launch.
WCAG 2.1 AA accessibilityImplementedaxe-core verified. See our Accessibility Statement.
Section 504 / ADA Title III alignmentImplementedCovered by the same WCAG conformance work. Relevant to customers receiving federal financial assistance.
SOC 2 Type I readinessIn progressTarget: Year 1 engagement. Control catalog, incident-response policy, change-management policy, and access-review cadence already in place.
HITRUST CSFRoadmapYear 2+ target, triggered by first enterprise customer requiring it.

Need a BAA or a security questionnaire?

Email us directly. We typically respond within one business day and can share our BAA template, SOC 2 readiness summary, or fill out your standard security questionnaire.

contact@ralthealth.com