HIPAA-compliant identity
for healthcare agents.
HIPAA's Security Rule requires unique user identification for every system accessing PHI. HHS's 2024 guidance explicitly covers AI systems. A single breach costs an average of $10.9M. Mailgent gives your healthcare agent a unique identity with per-action audit trails — the infrastructure HIPAA demands for automated systems handling patient data.
API Primitives used
mail.sendAttributable patient communication
Send appointment reminders, test results, and care coordination messages from an identifiable entity within the covered entity. Every email is DKIM-signed and logged.
vault.storeEncrypted credential storage
Store EHR system credentials, lab portal access tokens, and pharmacy API keys — AES-256-GCM encrypted, scoped per agent identity, audit-logged on every access.
vault.totpPortal authentication
Authenticate with insurance portals, pharmacy systems, and regulatory filing platforms that require 2FA. Generate TOTP codes on demand without a physical device.
HIPAA requires unique identification for AI agents.
Healthcare organizations deploying AI agents face a specific HIPAA Security Rule requirement: 45 CFR 164.312(a)(2)(i) mandates unique user identification for any system accessing Protected Health Information. The HHS 2024 guidance on AI in healthcare explicitly states that AI systems accessing or transmitting PHI must have unique identifiers — not shared credentials or service accounts.
Most healthcare organizations work around this by running AI agents under shared service accounts like scheduling@hospital.com. This is a direct HIPAA violation. When a breach occurs, the organization cannot demonstrate which system accessed which patient's PHI. The average healthcare breach costs $10.9M (IBM 2024), and HHS OCR treats shared credential usage as an aggravating factor in fine calculations.
Mailgent provides each AI agent with a unique identity that satisfies HIPAA's unique user identification requirement. Every patient communication is sent from an identifiable agent address. Every credential access is logged. Every action carries a delegation chain traceable to the responsible human — the exact infrastructure HHS is asking for.
How to build it.
Provision a HIPAA-ready agent identity
Create a unique agent identity with its own email address and isolated vault. The identity satisfies HIPAA 164.312(a)(2)(i) unique user identification. Delegation chain: Provider Org > Department > Agent.
vault.storeStore healthcare credentials securely
Store EHR login credentials, pharmacy API keys, insurance portal tokens, and lab system access — AES-256-GCM encrypted. Each agent identity has its own isolated vault. No shared credentials.
mail.sendCommunicate with patients and providers
Send appointment reminders, test result notifications, and care coordination messages from an identifiable agent within the covered entity. DKIM-signed and retained for the 6-year HIPAA requirement.
Example prompt
“Send appointment reminders to all patients scheduled for tomorrow. Log each communication with the provider delegation chain. Use the clinic's EHR credentials from the vault to pull the schedule.”
What healthcare organizations build.
Patient communication and reminders
Agent sends appointment reminders, follow-up instructions, and wellness check-ins from an identifiable provider entity. Each message is DKIM-signed, logged, and retained for 6 years per HIPAA 164.530(j).
Clinical trial communication (Part 11)
Agent manages trial communications — protocol amendments, adverse event reports, IRB correspondence. Every email is attributable and timestamped, satisfying 21 CFR Part 11's ALCOA requirements for electronic records.
Insurance pre-authorization
Agent submits pre-auth requests to insurers, authenticating with stored credentials and TOTP codes. Every submission carries the clinic's NPI-linked delegation chain. Auto-follows up on pending requests.
Prescription refill coordination
Agent contacts pharmacies via email on behalf of patients, verifying prescriber authorization through the delegation chain. Every refill request is logged with the prescribing physician's authorization.
Breach notification (HITECH)
When a breach is detected, the agent sends notifications to affected individuals within the 60-day HITECH window. Each notification is attributable to the Privacy Officer via delegation chain, with delivery proof for HHS.
Care coordination across providers
Agent coordinates between primary care, specialists, and labs — sending referrals, sharing results, and tracking follow-ups. Each cross-provider communication carries the referring physician's identity and authorization.
Why not shared service accounts?
Shared service accounts like scheduling@hospital.com directly violate HIPAA Security Rule 164.312(a)(2)(i) — the unique user identification requirement. When HHS OCR investigates a breach, shared accounts make it impossible to determine which system accessed which patient's PHI. This is an aggravating factor in fine calculations.
Mailgent provides per-agent identity that satisfies HIPAA's unique identification mandate. Every action — email sent, credential retrieved, TOTP code generated — is logged against the agent's unique identity with a delegation chain tracing back to the responsible provider. The audit trail HHS expects, built into every action automatically.
Unique user identification
Each agent has a unique identity satisfying HIPAA 164.312(a)(2)(i). No shared credentials, no shared service accounts.
6-year audit retention
Every communication and credential access is logged with identity, timestamp, and delegation context — meeting HIPAA's 6-year retention requirement.
PHI-grade encryption
AES-256-GCM envelope encryption for all stored credentials. Per-agent isolation ensures one agent cannot access another's data.
Build HIPAA-compliant agents.
Unique identification, audit trails, and delegation chains — the infrastructure HHS is asking for.