Clinician at workstation

Compare voice AI

Voice AI for healthcare needs HITRUST i1, a BAA, and sub-200ms latency under load.

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

<200ms

Latency under load

HITRUST i1

Certified, not aligned

10B+

Live agent minutes

14 days

Kickoff to live call

In production with

  • Memorial Hermann
  • CHRISTUS Health
  • Raya Health
  • Posterity Health
  • Texas Tech University Health Sciences Center

The direct answer

What healthcare buyers need from voice AI

A healthcare voice deployment fails on three things: hallucinated clinical guidance, brittle handoffs to the EHR, and audit trails that don't satisfy a HITRUST assessor. Guava is the voice platform purpose-built for those three failure modes. We don't compress your clinical logic into a prompt. We plug into your EHR, your scheduling engine, and your eligibility system through code — your systems stay the brain.

Why this matters now

Voice AI is now the top-adopted AI use case across US health systems, and adopters report higher EHR satisfaction than non-adopters (KLAS, Healthcare AI 2025). The vendors winning that volume aren't the ones with the cleanest demo — they're the ones who pass a HITRUST i1 review, hold a BAA, and hold sub-200ms latency under real call volume. Most “voice AI” platforms still fail at least one of those gates.

Hospital corridor

Multi-vendor voice stack vs. Guava

Multi-vendor stack
4 seams
Telephony+handoff blockedASR+latency blockedLLM+drift blockedTTS+blame blockedOrchestration

Every seam is a place to lose a call — and when one drops, each vendor points at the next.

Guava fastest path
<200ms · one throat to choke
TelephonyASRLLMTTSOrchestration

One platform, one attestation, one SLA.

What the call has to do
Multi-vendor voice stack
Guava
Pass a HITRUST assessment
Vendor-dependent; usually requires custom audit work
HITRUST i1 certified
Hold a BAA without a sub-processor matrix
Often requires layering 3–5 vendors
BAA available, single platform
Sub-200ms response under load
Degrades above 100 concurrent calls
<200ms at 1,000+ concurrent calls
Use your EHR as the source of truth
Logic compressed into a 4,000-line prompt
Direct integration through code, not prompts
Resolve clinical questions without hallucination
Vendor disclaims clinical use
Your EHR answers; voice handles the talk
Production-grade in under 30 days
Typical: 6–9 months
14 days from kickoff to live call
Hospital corridor

Where Guava ships

The voice platform for regulated industries. Built for calls that have to be right.

What makes Guava different for healthcare

Most voice AI tries to be your brain. Guava gives voice to yours. Other vendors compress your business logic into a 4,000-line prompt — then hope the model doesn't hallucinate when the call goes off-script. Guava plugs into your EHR, your CRM, and your workflow engine through code, not prompts. Your systems stay the source of truth. We handle every second of the call.

Four facts that matter to a health system buyer:

HITRUST i1 certified.

Not HITRUST CSF, not “HIPAA-aligned.” Specifically the i1 framework that hospital procurement teams ask for by name. A BAA is available the day you sign.

10B+ regulated voice minutes

of training data from 13 years of production speech science — the only voice platform with that depth in the regulated-industries cohort.

Sub-200ms latency

under sustained load. KLAS's 2025 Patient Perspectives on AI for Healthcare report (n=1,006 patients) finds voice-channel quality is the leading driver of patient satisfaction with AI in care delivery. Most platforms degrade past 100 concurrent calls. We don't.

14 days from kickoff to live call.

Production-grade, not a sandbox. The 6–9 month integration timelines that defined the 2024 voice AI cycle are not how the leading deployments ship in 2026.

Where Guava fits

  • Inbound patient access

    appointment scheduling, eligibility, prescription refills, FAQ deflection

    ↑Pickup↓Abandon
  • Outbound clinical workflows

    appointment reminders, lab result follow-ups, pre-procedure instructions

    ↓No-show↑Show rate
  • Care coordination

    handoffs between primary care, specialty, and care management

    ↓Handoff time↑Continuity
  • Revenue cycle

    patient pay, financial counseling, prior auth status checks

    ↑Collection↓AR days
  • Population health

    chronic care check-ins, gap-in-care outreach, post-discharge follow-up

    ↑HEDIS↑Stars

Every Guava deployment ships with the same compliance footprint: SOC 2 Type II, HITRUST i1, PCI DSS Level 1, and BAA. Where compliance and call resolution aren't optional.

Frequently asked questions

Is Guava HIPAA compliant?

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.

What's the difference between HITRUST i1 and HITRUST CSF?

HITRUST i1 is the implemented, 1-year certification that procurement teams at large health systems specifically request. It's a stricter, more current framework than the legacy CSF baseline. Guava is i1 certified.

Can Guava integrate with Epic, Cerner, or Meditech?

Yes. Guava integrates with EHR systems through code, not prompts. Your EHR stays the source of clinical truth; Guava handles the call. Reference deployments available for Epic and Oracle Health.

How long is a typical healthcare deployment?

14 days from kickoff to live call for a production-grade deployment. This is not a sandbox or proof-of-concept — it's voice traffic answering real patients.

Does Guava replace our clinical staff?

No. Guava handles the talk; your clinicians handle the thought. We deflect, route, and resolve the calls that don't need a clinician. Anything clinical escalates to a human with full call context.

Get a working agent in 10 minutes

The fastest way to see Guava is to build one. Bring an EHR endpoint, a workflow, and one buyer persona — leave with a working voice agent in 10 minutes. We'll have you in production in 14 days.