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Enterprise Partnership Enablement
Cryptographic Proof of PHI Protection for Every Patient Encounter
Prepared for nVoq Leadership | December 2025
The Enterprise Challenge
"They are very concerned about PHI data leakage. To the point where they restrict use of de-identified data."
-- Enterprise customer feedback
Enterprise healthcare customers have been burned by third-party vendors. Even de-identified data feels risky without proof it was properly handled.
nVoq runs Comprehend Medical, but can you prove it executed for transcription #847,293 six months later when OCR asks?
Per PHI breach incident
Each needing provable protection
The Deal Blocker: Enterprise customers need assurance for their agency customers that PHI will NOT leak from nVoq's platform. Promises aren't enough.
Current Architecture Gap
PHI detection pipeline built on proven infrastructure. Works well for scrubbing.
Clinicians verify consent before recording. Box pops up, they click yes.
Contractual protection for data usage with agency opt-outs.
No mathematical proof that PHI redaction actually ran for any specific transcription.
Checkbox clicks are stored, but not cryptographically linked to the transcription they authorized.
When OCR or an insurer asks for evidence, you're reconstructing logs--not producing receipts.
The question enterprise customers are asking: "If a PHI breach occurs, can nVoq prove--with cryptographic certainty--that their protections actually executed?"
The Solution
Taps Record
Attested
Wrapping Comprehend
Attests Redaction
Proof it ran
Cryptographic proof that clinician verified consent before PHI processing began. Timestamped, signed, immutable.
Proof that Comprehend Medical (or your custom pipeline) executed for this specific transcription with result logged.
Evidence that data only routed to approved endpoints. No PHI leaked to unauthorized destinations.
Offline Verification: Enterprise security teams can verify any receipt with network disabled. No trust in GLACIS required--just math.
Your New Competitive Advantage
This becomes your differentiation against Nuance, iModels, and every other scribe vendor in the post-acute space.
✓ Audit-ready evidence for HIPAA 164.312 access controls
✓ Proof of consent capture for every recording
✓ Cryptographic receipts exportable for OCR inquiries
✓ Insurance-grade documentation for liability protection
GLACIS transforms enterprise conversations from "trust us" to "here's mathematical evidence." This collapses months of legal review into technical validation.
nVoq stores audio on tablets for offline use. GLACIS can attest encryption status and data boundaries even before upload--addressing the "lost device = HIPAA breach" concern.
Your legal team wants expert determination as the gold standard. GLACIS provides cryptographic proof that your de-identification pipeline executed correctly for each record--evidence your expert can rely on.
Integration
GLACIS wraps your existing PHI detection pipeline. No rip-and-replace. Comprehend continues to do the work; GLACIS provides the proof.
Runs on Cloudflare Workers or AWS Lambda@Edge. Latency added: <50ms. No centralized SaaS bottleneck.
We only see hashes and policy results. Raw audio, transcriptions, and PHI never leave nVoq infrastructure.
// Consent attestation
const consent = await glacis.attest({
event: 'consent_verified',
clinician_id: clinician.id,
timestamp: Date.now()
});
// PHI redaction attestation
const result = await glacis.attach(
comprehendCall,
'hipaa_phi_redaction'
);
Replaces Point Solutions: GLACIS provides continuous verification without the complexity of stitching together multiple AWS services like Macie.
Proposal
Deploy GLACIS sidecar alongside existing Comprehend pipeline. Observe mode--attestations generated but not enforced. Zero production risk.
Test with subset of pilot agencies. Validate attestation coverage, latency impact, and audit export format.
Full enforcement. Every transcription from pilot agencies generates cryptographic receipt. Build case study for enterprise deals.
Upon successful completion: 12-month enterprise license at $25K ARR
✓ Production attestation pipeline
✓ Enterprise-ready compliance documentation
✓ OSCAL export for auditors
✓ Offline verification toolkit
✓ <50ms p95 latency in production
✓ 100% of pilot transcriptions attested
✓ Audit exports approved by nVoq compliance
✓ Joint presentation to enterprise customer
with cryptographic proof that PHI stays protected
Ready to explore the pilot?
[email protected] | glacis.io
AI2 Incubator | Cloudflare Launchpad