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Trust & Governance

Security and Compliance
Without Compromise.

NeurixaHealthAI™ is built from the ground up for enterprise healthcare — with zero trust architecture, explainable AI, immutable audit trails, and the industry's most rigorous compliance posture.

HIPAA Compliant
HITRUST CSF r2
SOC 2 Type II
CMS-0057-F
ISO 27001
FHIR R4 Native
Zero Trust Architecture
AES-256 Encryption

Certifications & Compliance

The Industry's Most Rigorous Compliance Posture

Every certification is independently audited and continuously maintained — not a checkbox, but a commitment.

HIPAA

Health Insurance Portability & Accountability Act

Full compliance with HIPAA Privacy, Security, and Breach Notification Rules. BAAs available for all covered entity and business associate relationships.

HITRUST

HITRUST CSF r2 Certified

HITRUST Common Security Framework r2 certification — the gold standard for healthcare information security. Independently assessed and validated.

SOC 2

SOC 2 Type II

Annual SOC 2 Type II audit covering Security, Availability, Confidentiality, and Privacy trust service criteria. Reports available under NDA.

CMS-0057-F

CMS Interoperability & Prior Auth Final Rule

Full compliance with CMS-0057-F mandates — FHIR-based prior authorization APIs, payer-to-payer data exchange, and patient access requirements.

FedRAMP

FedRAMP Moderate (In Progress)

FedRAMP Moderate authorization in progress for federal health agency deployments. Expected authorization Q3 2026.

ISO 27001

ISO/IEC 27001:2022

Information Security Management System certified to ISO 27001:2022 — covering risk management, asset protection, and continuous improvement.

Zero Trust Architecture

Never Trust. Always Verify.

NeurixaHealthAI™ implements a full zero trust security model — eliminating the concept of a trusted network perimeter. Every access request is authenticated, authorized, and continuously validated, regardless of origin.

This architecture is aligned to NIST SP 800-207 and the CISA Zero Trust Maturity Model — providing the security posture required for the most sensitive healthcare data environments.

Security Metrics

< 4 min
Mean Time to Detect
< 12 min
Mean Time to Respond
99.99%
Uptime SLA
Pen Tests / Year

Identity Verification

Every user, device, and service is continuously authenticated. No implicit trust — every access request is verified against policy in real time.

Least-Privilege Access

Role-based and attribute-based access controls enforce minimum necessary access. Permissions are scoped to the specific data and actions required.

Micro-Segmentation

Network traffic is segmented at the workload level. Lateral movement is prevented — a compromised component cannot reach other system segments.

Continuous Monitoring

All access, data flows, and system events are logged and monitored in real time. Anomalies trigger automated alerts and response workflows.

Encryption Everywhere

AES-256 encryption at rest, TLS 1.3 in transit, and field-level encryption for PHI. Encryption keys are customer-managed via HSM.

Automated Threat Response

AI-driven threat detection with automated containment. Mean time to detect (MTTD) under 4 minutes, mean time to respond (MTTR) under 12 minutes.

Explainable AI

AI You Can Explain to a Regulator.

Every AI decision on the NeurixaHealthAI™ platform is transparent, auditable, and explainable — meeting the requirements of CMS, ONC, and state AI governance frameworks.

prior_auth_decision_explainer.json
Live Example
{
"decision": "APPROVED",
"confidence": 0.97,
"rationale": "Patient meets all 12 payer criteria for CPT 72148. Clinical documentation complete. No contraindications identified.",
"feature_attribution": {
"clinical_documentation_completeness": 0.42,
"payer_criteria_match": 0.31,
"prior_auth_history": 0.18,
"diagnosis_code_alignment": 0.09
},
"human_override_available": true,
"audit_trail_id": "AT-2024-88421-PA-001"
}

Decision Rationale

Every AI recommendation includes a plain-language explanation of the factors that drove the decision — reviewable by clinicians and compliance teams.

Feature Attribution

SHAP-based feature importance scores show exactly which data inputs contributed to each AI output, with relative weighting.

Confidence Scoring

All AI outputs include a calibrated confidence score. Low-confidence decisions are flagged for human review before action is taken.

Bias Monitoring

Continuous monitoring for demographic bias across race, ethnicity, gender, and age. Disparate impact alerts trigger model review workflows.

Model Cards

Published model cards for every clinical AI model — training data, validation cohorts, performance metrics, and known limitations.

Human Override

Every AI recommendation can be overridden by a clinician. Override patterns are logged and fed back into model improvement cycles.

Audit Trails

Every Action. Recorded. Forever.

NeurixaHealthAI™ maintains an immutable, tamper-proof audit log of every action taken on the platform — from data access to AI decisions to administrative changes. Designed for HIPAA compliance, eDiscovery, and regulatory audit readiness.

Immutable audit log

Every data access, modification, and AI decision is written to a tamper-proof, append-only audit log.

User activity tracking

Full session recording for privileged users — who accessed what, when, and from where.

Data lineage

Track every piece of PHI from ingestion through processing, storage, and output — full provenance chain.

Retention policies

Configurable retention schedules aligned to HIPAA (6 years), state law, and organizational policy.

Export & eDiscovery

Audit logs exportable in SIEM-compatible formats (CEF, JSON, Splunk). eDiscovery support included.

Real-time alerting

Configurable alerts for suspicious access patterns, bulk exports, and policy violations.

audit_log — live stream
LIVE
07:04:51[email protected]READPatient/MRN-88421OK
07:04:49[email protected]DECISIONPriorAuth/AUTH-77341APPROVED
07:04:47[email protected]READClaim/CLM-2024-991OK
07:04:44[email protected]UPDATEUser/role-assignmentOK
07:04:41[email protected]WRITEClinicalNote/CN-44821OK
07:04:38[email protected]INFERDenialRisk/CLM-2024-991SCORE: 0.04
07:04:35[email protected]CREATEPatient/MRN-88421OK
Tamper-proof — SHA-256 hash chainRetention: 6 years

Data Governance

Your Data. Your Control.

Data Sovereignty

Your PHI never leaves your designated region. No cross-border transfers without explicit consent. Customer-controlled data residency.

No Data Monetization

We never sell, license, or use your patient data to train models for other customers. Your data is yours — period.

Right to Deletion

Full support for HIPAA right-of-access and deletion requests. Automated workflows for patient data subject requests within 30 days.

Security FAQ

Common Security Questions

Ready for a Security Review?

Our security team is available for detailed architecture reviews, penetration test reports, and compliance documentation — under NDA.