EHR & PHI data handling

The Premium Internal Scan reads from your EHR to find revenue and operational leaks. Here is exactly how that data is accessed, minimized, used, audited, and retained — written to match what the platform actually does, not aspirational policy.

Last reviewed: May 25, 2026

Read-only

We read from your EHR. We never write back to your chart — no orders, no edits, no demographics changes.

Gated by agreement

No clinical data flows until a Business Associate Agreement and a Data-Sharing Addendum are both signed.

Minimized at the boundary

Records are de-identified the moment they arrive — before they are ever stored or analyzed.

How the data flows

1

Free scan (outside-in)

Reads only your public surface — website, listings, reviews. No PHI, no login, no EHR access.

2

Agreements

Before any internal scan, your practice signs a BAA + Data-Sharing Addendum. Both are required and recorded.

3

Read-only pull

We connect to your EHR via SMART-on-FHIR or a health-data network and read a curated set of resources (encounters, appointments, conditions, documents). Read-only.

4

Minimization

Each record is de-identified at the boundary (see below) before storage. The analysis engine and AI never see raw identifiers.

5

Findings

We compute operational/financial findings, benchmark them against de-identified peer distributions, and map each to a fix.

What “minimized” means, exactly

Applied at ingestion, before storage. These are the concrete transforms in the pipeline.

Patient name
Discarded — replaced with a one-way hash so records can be joined without ever storing the name.
Date of birth
Reduced to birth year only.
Address
Truncated to the first 3 ZIP digits; street and full ZIP dropped.
Phone / email
Dropped entirely.
MRN & identifiers
One-way hashed (SHA-256).
Benchmarks
Compare your aggregate metrics to peer distributions — never to another practice’s identity.

Append-only audit trail

Every credential access, EHR pull, and report view is written to an append-only audit log (enforced at the database level — no edits or deletes). It records who, what, when, and from where, and is retained for the HIPAA window.

Retention & residency

Scan data is retained for a configurable window (90 days by default) then hard-deleted by an automated job, with a deletion recorded in the audit log. All primary data is hosted in US-East; nothing leaves the United States unless an integration you connect requires it.