Compare voice AI
There is no “HIPAA-certified” voice AI. HIPAA-compliant voice AI needs a BAA, HITRUST i1, and the technical safeguards HIPAA actually names.
The voice platform for regulated industries. Built for calls that have to be right.
SOC 2 Type II · HITRUST i1 · PCI DSS L1 · BAA available
BAA
Available the day you sign
HITRUST i1
Stricter than CSF
Jan 2025
HHS Security Rule NPRM-aligned
14 days
Kickoff to live call
In production with
The direct answer
What “HIPAA voice AI” actually means
Why this matters now
HIPAA breaches reached a record in 2024: 742 reports affecting 500+ individuals, 81% from hacking and IT incidents, with 241M people affected and nearly $10M in OCR settlements (HHS OCR, HIPAA Journal). On January 6, 2025, HHS proposed the first major HIPAA Security Rule update in 20 years — tightening encryption and risk-management expectations for AI deployments. Voice AI vendors that survive this shift are the ones already operating to HITRUST i1.
Multi-vendor voice stack vs. Guava
Every seam is a place to lose a call — and when one drops, each vendor points at the next.
One platform, one attestation, one SLA.
Where Guava ships
The voice platform for regulated industries. Built for calls that have to be right.
What makes Guava different for HIPAA workloads
HIPAA compliance for voice AI is not a credential — it's a technical posture. The vendor signs a BAA, runs in a HITRUST-certified environment, encrypts PHI in transit and at rest, and produces an audit trail an OCR investigator can read. Guava does all four on one platform.
What that means for a HIPAA buyer:
BAA available day one.
Not “BAA on the roadmap.” Available the day you sign.
HITRUST i1, specifically.
Not HITRUST CSF. Not “HIPAA-aligned.” The i1 framework that hospital procurement teams ask for by name, with 182 curated controls and 1-year threat-adaptive assurance.
10B+ regulated voice minutes
of training data from 13 years of production speech science. The audit trail of why we know how regulated calls go wrong — and how to keep them from going wrong.
Where compliance and call resolution aren't optional.
Where Guava fits
Patient access and scheduling
↑Pickup↓AbandonEligibility, prior auth status, and benefits inquiry
↑Verify↓Bad debtCare coordination handoffs
↓Handoff time↑ContinuityRevenue cycle: patient pay, financial counseling
↑Collection↓AR daysPopulation health and post-discharge outreach
↑Reach↑Stars
Frequently asked questions
Is Guava HIPAA certified?
HIPAA is a regulation, not a certification. Guava operates under HIPAA as your business associate. We sign a BAA on day one and our HITRUST i1 certification covers the safeguards a HIPAA-covered entity needs from a voice infrastructure vendor.
Does Guava sign a BAA?
Yes — the day you sign the order form.
What's the difference between HITRUST i1 and HIPAA?
HIPAA is the federal regulation. HITRUST i1 is the certification framework that demonstrates your vendor has implemented the technical, administrative, and physical safeguards HIPAA requires. Health systems use HITRUST i1 as the procurement gate for HIPAA workloads.
How does Guava handle PHI in call recordings?
PHI is encrypted at rest and in transit, stored within our HITRUST-certified environment, and access-logged for audit. Retention follows your data-retention policy, not ours.
How long does a HIPAA voice deployment take?
14 days from kickoff to live call. The 6–9 month integration cycles are not how leading HIPAA deployments ship in 2026.
Sources cited