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Security and privacy

Patient data handled the way you would want yours handled.

You are trusting us with the most sensitive records a practice holds. Here is how we keep it: scoped access, human approval, and a posture we can explain plainly.

How does Upstream keep patient data safe?

Upstream keeps protected health information encrypted and scoped to your practice. Every action waits for a human approval before it executes. Changes to patient data are logged and access follows least privilege. We are HIPAA-aligned with the controls in place.

Scoped to your practice

Protected health information stays tenant-scoped and encrypted at rest. The shared network carries payer behavior, not patients.

Approved by your people

The platform prepares the work, but your team decides whether it runs. That line stays firm across the product.

Stated honestly

We describe the controls and posture we actually have. No inflated certification language, no soft claims hiding hard edges.

Posture you can check, not promises you have to trust.

PHI encrypted and scoped to your practice

Protected health information is encrypted at rest and isolated to your tenant. Your data is never pooled with another practice. The shared network we learn from carries anonymized, non-PHI payer behavior only.

Every action waits for a human approval

The platform prepares and proposes. A person on your team approves before anything executes. There is no path where work leaves your practice without that approval.

Audit logging on every change

Actions on patient data are recorded: who, what, and when. The log is append-only, so the record of what happened stays intact and reviewable.

Least-privilege access

People and systems get the minimum access the work requires, and no more. Access is scoped, reviewed, and revoked when it is no longer needed.

Portal access, scoped and approved

When a payer portal is the only path and you have delegated access, the platform runs those read-only steps under your approval. Nothing executes without it.

HIPAA-aligned, honestly stated

We are built with the controls in place to handle PHI responsibly and we operate to HIPAA standards. We tell you the posture we actually have, never a claim we have not earned.

What we say, and what we will not say.

Security language in this industry is full of claims that sound airtight and mean little. We skip them. We state the controls we run and the posture we hold today. If a certification is an audit that happens over time, we tell you where we are in it, not that we have finished. Ask a hard question, get the real answer.

If your team needs to review our practices in detail before you move forward, reach out and we will walk you through them.

The numbers that matter

Safety is not a feature. It is the default.

100%
Of executed actions wait for a human approval.
Scrubbed
PHI is removed before any model call. Encrypted at rest, scoped to your practice.
0
PHI in the shared, anonymized network. It carries payer behavior, not patients.

Security, answered plainly.

How does Upstream handle HIPAA?
We are HIPAA-aligned and built with the controls in place to handle protected health information responsibly: encryption, scoped access, human approval on every action, and audit logging. We sign a Business Associate Agreement with the practices we serve.
Where does our PHI live?
Protected health information is encrypted at rest and scoped to your tenant. It is never pooled with another practice and never joins the anonymized data network.
Does the platform ever act without us?
No. Every action waits for a human on your team to approve it before it executes. The platform prepares and proposes; your people decide.
What does the data network contain?
Only anonymized, non-PHI payer behavior: which payers reward which evidence and how approval patterns move. No patient information is ever part of it.
Can we review your security practices before signing?
Yes. Reach out and we will walk your team through our controls and posture in detail, and answer the hard questions directly.

Have your team review us.

Bring your security and compliance questions. We will give you straight answers and walk you through the controls in place. No commitment.