Patient expectations of healthcare providers have dramatically changed in the last decade. The introduction of technology and the widespread adoption of digital communications in other industries have increased the pressure on healthcare providers to provide a comparable experience.
The 2023 Healthcare Consumer Perspectives on Digital Engagement and AI report conducted by Dynata Research found that more patients are adopting digital tools to manage their health and want their providers to provide a consistent experience across all channels. To improve the patient experience, a personalized patient engagement strategy is necessary.
Personalized Patient Engagement Improves the Patient Experience
Healthcare organizations manage so much data that can be used to improve the patient experience. As audience segmentation and personalization techniques have become more common in other industries like e-commerce and personal care, consumers are starting to expect the same experiences from their healthcare providers.
For example, media streaming services make personalized recommendations for new shows based on what you have previously watched. People like these features because it helps them discover new content they may not know about. Likewise, patients are beginning to expect a similar personalized patient engagement experience from their healthcare provider. Suppose a patient wants to control their diabetes diagnosis and communicates with their provider about this at an appointment. Afterward, when they log into the patient portal or receive follow-up information, they expect to receive relevant information that aligns with that provider’s conversation.
Proactive, personalized patient engagement can also drive patients to make the right choices in managing their health. By sending patients the correct information at the right time in the context of their individual health journey, it is easier for them to manage their own health.
Shifting Preferences for Digital Tools Enable Personalized Patient Engagement
As more people are open to incorporating digital tools into their healthcare journeys, it has revealed new patient engagement opportunities. Several reasons led healthcare organizations to embrace digital tools. The coronavirus pandemic kicked off a necessary wave of digital transformation because of the rapid transmission of the disease through close contact. The desire to use these tools has remained strong even after institutions largely reopened in 2021. Patients have also shown no desire to go back to the way things used to be. Digital channels and tools like patient portals, email, medical devices, and mobile applications all make it easier for patients to manage their health on the go.
As patient preferences have shifted to embrace digital channels and technologies, organizations that can implement digital-first personalized patient engagement strategies intelligently are more likely to have satisfied and healthier patients. However, healthcare organizations must strive to provide a consistent experience across both in-person and digital avenues. According to the survey, the number one reason consumers would consider changing their healthcare provider is “complex or confusing experiences.” Poorly implemented and executed patient engagement can negatively impact the patient experience and retention, so it’s essential to be thoughtful in your approach.
How to Personalize the Patient Experience
Traditionally, HIPAA compliance requirements have made it difficult for healthcare providers to utilize protected health information (PHI) in personalized patient engagement efforts. Using PHI in communications is vital to craft messaging relevant to the patient’s health journey. However, when transmitting and storing PHI, HIPAA regulations must be followed to protect patient privacy.
The first step to executing personalized patient engagement involves selecting the right tools. Many traditional digital engagement tools are not designed to meet these stringent encryption and security requirements. By selecting tools that meet HIPAA’s technical requirements (like LuxSci’s Secure Marketing and Secure High Volume Email) and properly training employees, healthcare teams can employ the same segmentation and personalization techniques to reach patients with relevant and consistent communications.
Conclusion
Personalizing patient engagement is one way to improve patient marketing and retention. Contact us today to learn more about improving the patient experience with secure email communications.
Secure email is not the same as “email with encryption turned on.” True secure email requires enforced automated encryption, a signed BAA, access controls, audit logs, and documented processes — not just a feature toggle.
Standard email platforms like Gmail and Microsoft 365 rely on opportunistic TLS by default, which can silently fall back to unencrypted delivery if the recipient’s server doesn’t support encryption.
HIPAA’s encryption safe harbor means a misdirected but properly encrypted email is a non-event. The same email sent unencrypted is a presumed breach unless a risk assessment shows otherwise.
A signed Business Associate Agreement (BAA) with your email provider is non-negotiable — without one, you cannot legally send or store PHI through that provider.
The proposed 2025 HIPAA Security Rule update, planned for finalization in 2027, would make encryption of ePHI in transit and at rest a mandatory requirement rather than “addressable,” raising the stakes for organizations still relying on opportunistic TLS.
Best for: Healthcare IT Directors, Compliance Officers, Privacy Officers, and Marketing Managers at provider, payer, and supplier organizations that handle protected health information (PHI).
In healthcare IT, the term “secure email” gets thrown around loosely. Vendors slap the label on anything with a padlock icon, and internal teams often assume that because their provider offers TLS, they’re covered. They’re not, and the gap between what’s assumed and what’s actually required is where data breaches occur and HIPAA violations happen.
This guide breaks down exactly what secure email means from a technical and regulatory standpoint, why the email platform your staff uses every day probably isn’t compliant out of the box, and what to look for when evaluating a provider that needs to protect PHI at scale. If you want the full picture of what compliance requires beyond email specifically, our HIPAA Compliance Checklist is a useful companion read.
What Is Secure Email?
Secure email refers to an email system that protects the confidentiality, integrity, and availability of message content — specifically PHI — through a combination of technical safeguards and contractual protections. It’s not a single feature. It’s a stack of controls working together.
At minimum, secure email in a healthcare context includes:
Enforced encryption in transit, so messages can’t fall back to plaintext delivery
Encryption at rest, so stored messages remain protected on the server
Authentication protocols (SPF, DKIM, DMARC) that prevent spoofing and impersonation
Access controls and audit logs that track who accessed what, and when
A signed Business Associate Agreement (BAA) with the email provider
The distinction that trips up most organizations is this: encryption is a component of secure email, not the whole picture. A provider can offer encryption and still fail to meet HIPAA requirements if that encryption isn’t enforced, if there’s no BAA in place, or if audit logging doesn’t exist. Secure email is the combination of all these pieces functioning as a system, which is why it needs to be evaluated holistically rather than checked off feature by feature.
For healthcare provider, payer, and supplier organizations, this matters because email remains one of the highest-volume channels for PHI exposure, from clinical referrals to patient billing statements to routine staff communication. Getting the definition right is the first step toward closing the compliance gap.
Why Standard Email Is Not HIPAA-Compliant
Many healthcare organizations run on Gmail (Google Workspace) or Microsoft 365, and most assume they’re protected because encryption exists somewhere in the stack. That assumption is the single most common — and most dangerous — misconception in healthcare email security.
Here’s the problem: standard email services use opportunistic TLS by default. TLS is attempted between mail servers, but if the receiving server doesn’t support it, the message is delivered anyway — unencrypted, in plaintext. Neither the sender nor the recipient typically sees a warning. The email just goes through.
This isn’t a hypothetical edge case. IT professionals managing healthcare email infrastructure have flagged this exact issue directly: opportunistic TLS is often enabled by default and creates a false sense of security, since it offers no guarantee that a given message, including one containing PHI, won’t be transmitted in plaintext if the recipient’s mail server doesn’t support encryption. Organizations assume they’re protected simply because TLS is technically “on,” without realizing it isn’t enforced.
That gap has real consequences under HIPAA. The Security Rule currently treats transmission encryption as an “addressable” safeguard, meaning covered entities can, in theory, implement an equivalent alternative measure instead. In practice, regulators and auditors from the Office for Civil Rights (OCR) expect enforced encryption as the standard of care. “Addressable” has never meant optional — it means an organization needs a documented, defensible reason if it isn’t doing enforced encryption, and few reasons hold up under scrutiny. Finally, under OCR’s proposed changes to the HIPAA Security Rule for ePHI, scheduled for final publication in July 2027, email encryption moves from addressable to mandatory.
Beyond the encryption gap, standard consumer and even most business email plans typically lack:
A BAA that’s actually offered and signed (available on some enterprise tiers, but not automatic)
Audit logging sufficient to meet HIPAA Security Rule requirements
Built-in encryption at rest guarantees for stored messages
None of this means Gmail or Microsoft 365 are inherently insecure products. It means their default configuration is built for general business use, not for an environment where every misrouted or intercepted message carries breach notification liability. Making either platform HIPAA-appropriate requires layering on additional tools, policies, and critically, a provider relationship that includes a signed BAA covering the exact services in use.
The Technical Components of Secure Email
Secure email is built upon five technical layers. Understanding each one, and where it fails in standard email, clarifies exactly what a compliant solution needs to deliver.
Encryption in Transit (TLS)
Transport Layer Security (TLS) encrypts the connection between mail servers as a message travels from sender to recipient. There are two flavors, and the difference between them is the crux of most healthcare email compliance failures:
Opportunistic TLS attempts an encrypted connection but falls back to unencrypted delivery if the receiving server doesn’t support it. This is the default across most consumer and business email platforms.
Enforced TLS requires an encrypted connection for delivery to succeed. If encryption can’t be established, the message fails to send rather than going out in plaintext, or a link to secure portal can be sent to securely access the information.
HIPAA’s Security Rule lists encryption as addressable, but enforced TLS has become the de facto standard that auditors and OCR expect from covered entities and business associates handling PHI over email. As one healthcare IT professional put it while debating this exact tradeoff internally: the goal is to require TLS for all outbound email and then document the remaining controls around it, treating enforced TLS as the technical baseline, with policy and process built on top.
Encryption at Rest
Transit encryption only protects a message while it’s moving. Once it lands on a mail server — sender’s outbox, recipient’s inbox, backups, archives — it needs to remain encrypted in storage. This is encryption at rest, and it’s where many organizations underestimate their exposure.
Encryption in transit alone offers zero control over a message after it’s been delivered. If the destination server isn’t itself encrypting stored data, or if a backup snapshot is taken without encryption, PHI sitting in an inbox is exposed regardless of how securely it arrived. HIPAA’s Security Rule requires safeguards for ePHI both in transit and at rest, a compliant secure email provider needs to guarantee both, not just one.
End-to-End Encryption (S/MIME, PGP)
End-to-end encryption (E2EE) encrypts message content itself, not just the connection it travels over — meaning even the email provider can’t read the content. Two standards dominate here:
S/MIME uses certificate-based encryption and is common in enterprise environments, such as healthcare, particularly where organizations already manage a public key infrastructure.
PGP (Pretty Good Privacy) uses a public/private key model and is more common in technical or security-conscious communities, though it’s less frequently deployed at scale in healthcare due to key management complexity.
E2EE isn’t a baseline requirement for every PHI-containing email, enforced TLS plus encryption at rest satisfies most use cases. But it becomes necessary for especially sensitive communications, cross-organization data sharing where you don’t control the recipient’s infrastructure, or when a business associate agreement specifically requires it.
Authentication (SPF, DKIM, DMARC)
These three protocols work together to prevent domain spoofing and email impersonation, a growing attack vector against healthcare organizations specifically, given how often phishing campaigns impersonate providers, payers, or patients.
SPF (Sender Policy Framework) specifies which mail servers are authorized to send email on behalf of a domain.
DKIM (DomainKeys Identified Mail) adds a cryptographic signature verifying a message wasn’t altered in transit.
DMARC (Domain-based Message Authentication, Reporting & Conformance) tells receiving servers what to do when SPF or DKIM checks fail, and provides reporting visibility.
Without these configured correctly, an organization’s domain can be spoofed to send convincing phishing emails to patients or staff, creating a security failure that compounds the compliance risk of email interception.
Digital Signatures
Digital signatures verify sender identity and confirm a message hasn’t been tampered with between sending and receipt. Paired with encryption, they close the loop on message integrity, confirming not just that content was protected, but that it came from who it claims to have come from and arrived unaltered.
Standard Email vs. Secure Email: Feature Comparison
Feature
Standard Email
Secure Email (HIPAA-Compliant)
Encryption in Transit
Opportunistic TLS — attempted but not enforced
Enforced TLS — connection fails if encryption unavailable, can include delivery via secure portal option
Encryption at Rest
Not guaranteed; provider-dependent
Required — server-side encryption of stored messages
End-to-End Encryption
Not available
Supported via S/MIME and/or PGP
Digital Signatures
Not available
Included — verifies sender identity and message integrity
Authentication (SPF / DKIM / DMARC)
Optional, rarely enforced
Required — spoofing and impersonation protection
Business Associate Agreement (BAA)
Not provided on standard plans
Required — must be signed before sending PHI
Audit Logs
Basic or none
Full audit trail — required under HIPAA Security Rule
Access Controls
Basic password only
Role-based access, MFA, admin controls
Misdirected Email
Reportable HIPAA breach
Non-reportable if properly encrypted (safe harbor)
HIPAA Compliant by Default
No
Yes
What Makes Email HIPAA-Compliant Specifically
Technical safeguards alone don’t make email HIPAA-compliant. Compliance is a combination of technology, contracts, and documented processes — all four need to be in place simultaneously. This includes:
A signed BAA with your email provider – Any vendor that transmits, processes, or stores PHI on your behalf is a business associate under HIPAA, and business associates are legally required to sign a BAA before handling that data. Email providers have persistent access to ePHI — even end-to-end encrypted messages pass through their infrastructure at some point — which makes this requirement absolute, not situational. If a provider won’t sign a BAA, using them to send or store PHI isn’t a compliance risk you can mitigate; it’s a violation from the start.
Encryption as an addressable safeguard – Under 45 CFR §164.312(e)(2)(ii), the HIPAA Security Rule lists encryption of ePHI in transit as “addressable” rather than strictly “required.” In practice, this doesn’t mean optional, it means an organization must implement it, or document and justify an equivalent alternative safeguard. Enforced encryption has become the expected standard, and with the newly proposed HIPAA Security Rule planned for July 2027 publication, NPRM would formalize that expectation by making encryption of ePHI in transit and at rest mandatory rather than addressable. Organizations still relying on opportunistic TLS as their “equivalent alternative” should treat this as a closing window.
Access controls and audit logs – HIPAA requires the ability to track who accessed PHI, when, and what they did with it. This means role-based access permissions, multi-factor authentication, and a complete, retained audit trail — not just for compliance reporting, but for identifying and responding to incidents quickly.
The encryption safe harbor – This is one of the most consequential, and most underused, provisions in HIPAA. If PHI is sent via properly encrypted email and ends up misdirected to the wrong recipient, it is not a reportable breach under the Breach Notification Rule, because the encrypted content is considered unreadable and therefore not “unsecured PHI.” The exact same misdirection with unencrypted email is a reportable breach, triggering notification obligations to the individual and to HHS/OCR. Encryption isn’t just a security best practice here, it’s the line between a non-event and a formal breach investigation.
HITRUST certification as a trust signal – When evaluating vendors, HITRUST CSF certification is a strong external indicator that a provider’s security controls have been independently assessed against a recognized healthcare-specific framework. It’s not a HIPAA requirement in itself, but it meaningfully reduces the diligence burden on your side when vetting a provider.
Types of Healthcare Email That Must Be Secure
Not all internal debate here is about “should we secure email” — it’s about scope. Which specific email flows actually carry PHI, and therefore need to run through a compliant channel? In practice, the answer is broader than most teams initially assume.
The common thread: if a message references anything that could identify a patient in connection with health information — a name next to a diagnosis, an account number tied to a service date, an annual test reminder — it needs to move through a secure channel, regardless of whether it’s clinical, financial, or administrative in nature.
How to Evaluate a Secure Email Provider for Healthcare
Vendor evaluation in this category tends to go one of two ways: teams either take a provider’s “HIPAA-compliant” label at face value, or they get buried in RFP questions without knowing which answers actually matter. Ask these key questiosn to focus the evaluation on what’s operationally and legally significant.
“Does the provider sign a BAA? This is the first filter, not the last. If a vendor won’t sign a BAA — or offers a heavily limited one — everything else is irrelevant. Some organizations go a step further and negotiate indemnity or make-whole clauses into the BAA itself, seeking financial protection beyond the baseline liability allocation.
What encryption methods are supported? Confirm specifically whether the provider offers TLS only, or also supports S/MIME and/or PGP for end-to-end encryption where needed. TLS-only coverage is sufficient for most standard PHI communication; organizations with cross-border data sharing or especially sensitive use cases may need E2EE options available.
Is encryption enforced or opportunistic? This is the single most important technical question to ask directly, in those terms. A vendor that describes its encryption vaguely, without distinguishing enforced from opportunistic delivery, hasn’t answered the question. Push for specifics.
How are large attachments handled? Lab results, imaging files, and clinical documents often exceed standard attachment size limits. Confirm the provider has a secure, compliant method for large file transfer that doesn’t force users onto an unencrypted workaround.
What audit logging and reporting capabilities exist? You need visibility into delivery, access, and any failed encryption attempts, not just a generic sent/received log. Ask whether logs are retained for a period consistent with your organization’s HIPAA documentation requirements.
Do they support high-volume transactional email? Appointment reminders, billing notices, and patient communications at scale require infrastructure built for volume without sacrificing per-message compliance. Confirm the provider’s platform is built for this your specific pattern, not just person-to-person messaging.
Is the platform US-based with US data residency? For many healthcare organizations, where data physically resides — and under which jurisdiction — is a material factor in vendor risk assessment, particularly for payers and larger provider organizations with strict data governance policies.”
One operational factor worth weighing alongside these questions: secure email portals — the kind that require recipients to click through to a separate web page to read a message — solve the encryption problem but often create a real adoption problem. IT teams have reported a direct conflict between phishing-awareness training and portal-based workflows: staff and patients trained not to click suspicious links in emails are, understandably, reluctant to click the “secure link” a portal email contains. This is a legitimate reason many organizations increasingly prefer platforms that enforce encryption transparently in the background — like LuxSci’s SecureLine encryption technology — rather than routing every message through a separate portal experience.
Secure Email Checklist for Healthcare Organizations
Every safeguard covered in this guide comes down to a handful of concrete, verifiable actions. Use the checklist below as a working reference for what needs to be in place across your legal agreements, technical controls, and internal processes. This is not a one-time setup task, but something worth revisiting as your email volume, vendors, and regulations evolve. Share it across your compliance and IT teams as a starting point for an internal audit.
Legal and Contractual – BAA signed with email provider and all third-party vendors handling PHI.
Encryption – Forced TLS, not opportunistic only for emails in transit and all stored data encrypted with AES-256 bit encryption.
Access and Audit – Unique user IDs, role-based access, and login monitoring with advanced MFA enabled for all email accounts; audit logs active and maintained.
People and Processes – Staff trained in PHI handling, established breach response plan, annual email security policy review.
What Should I Do Now?
Secure email isn’t a single setting you switch on — it’s a combination of enforced encryption, a signed BAA, access controls, and documented process working together. Get any one piece wrong, and the rest doesn’t hold up under an OCR audit or a breach investigation.
If your organization is still relying on opportunistic TLS, an unsigned or incomplete BAA, or a patchwork of workarounds to move PHI through email, now is the time to close that gap, especially with the proposed 2025 HIPAA Security Rule update poised to make encryption a mandatory requirement rather than an addressable one in 2027.
Below are three ways you can continue your journey to securing your healthcare email:
Email can be HIPAA compliant, but only when the right safeguards are in place — enforced encryption, a signed BAA with your email provider, access controls, audit logs, and staff training on PHI handling. Standard email without these safeguards is not compliant.
2. Do I need to sign a BAA with my email provider?
Yes. Email providers have persistent access to ePHI — even encrypted messages pass through their servers — making them Business Associates under HIPAA. A signed BAA is required. If your provider won’t sign one, you cannot legally use them to send or store PHI.
3. What is the difference between opportunistic TLS and enforced TLS — and which does HIPAA require?
Opportunistic TLS attempts encryption but falls back to plaintext if the recipient’s server doesn’t support it. Enforced TLS stops delivery rather than sending unencrypted. HIPAA’s Security Rule treats transmission encryption as an addressable specification, in practice, enforced TLS is the standard auditors and OCR expect. The proposed 2025 HIPAA Security Rule NPRM would make encryption of ePHI in transit a mandatory requirement in 2027.
4. What happens if I send PHI in an unencrypted email?
It is an impermissible disclosure under HIPAA’s Privacy Rule and triggers the Breach Notification Rule, requiring you to notify the individual and HHS/OCR within 60 days. Penalties range from $100 to $50,000 per violation. Had the email been properly encrypted, the same incident would qualify for HIPAA’s encryption safe harbor, meaning no notification required.
5. Is Gmail or Microsoft 365 HIPAA compliant for sending patient emails?
Neither is compliant in their default configuration. Both use opportunistic TLS, meaning PHI can be sent in plaintext if the recipient’s server doesn’t support encryption. A signed BAA is available on enterprise plans but doesn’t close the technical gap alone. A purpose-built HIPAA-compliant email platform is the reliable solution.
If you’ve been waiting for the final word on the new HIPAA Security Rule before you touch your email encryption strategy, you now have an official reason to keep waiting.
Our advice: Don’t do it.
What is the new HIPAA Security Rule for ePHI?
The Department of Health and Human Services’ Office for Civil Rights had targeted May 2026 for a final rule implementing the most significant update to the HIPAA Security Rule in over two decades. The proposal eliminates the “addressable” standard and makes encryption of ePHI in transit and at rest mandatory for every covered entity and business associate. That deadline came and went quietly. Now we know why: an updated federal regulatory agenda shows OCR’s timeline has moved to July 2027, with the rule-making downgraded from “final rule stage” to “long-term action.” OCR is still working through more than 4,700 public comments on the January 2025 proposal.
For an industry that had been expecting a tighter deadline, a year-plus delay is the kind of news that invites a collective exhale — and a shelved project plan. At LuxSci, we think that would be a mistake, for three reasons:
The current rule already requires you to address encryption. “Addressable” was never “optional.” It has always meant you must implement the safeguard, implement an equivalent alternative, or document in writing why neither is reasonable for your organization. Most healthcare organizations have never done that documentation rigorously, and OCR’s existing enforcement authority applies today, not in 2027.
Breach costs haven’t waited for the rule.IBM’s 2025 Cost of a Data Breach Report puts the average healthcare breach at $7.42 million, still the highest of any industry. At the same time, email remains the number one attack vector into healthcare organizations. None of that risk is paused by a regulatory delay.
Delay is not withdrawal.OCR has not signaled it’s abandoning the encryption mandate, only that it’s taking longer to finalize it. Organizations that build now toward the standard already proposed will be ahead (and more secure) regardless of exactly when, or in what final form, the rule lands. Organizations that wait risk a compressed scramble once it does.
What should healthcare IT and compliance leaders actually do with this news?
Reevaluate your ePHI security posture, recalibrate its urgency, and use the extra runway to do the job right, instead of racing against a deadline. This includes:
Getting a real inventory of where ePHI moves by email today, inbound and outbound, and where encryption is inconsistent or absent.
Closing the documentation gap on “addressable” now, while you have time to do it well rather than defensively.
Pushing your email vendor for concrete answers on encryption standards, MFA enforcement, audit logging, and breach notification — the same technical controls the proposed rule would make mandatory.
Building (or updating) a written, enforcement-ready posture: policies, vendor agreements, certifications and verifications, test results, and training records that would hold up under an OCR investigation today, not just in a future compliance deadline.
Get LuxSci’s new Definitive Guide on the new HIPAA Security Rule
From Addressable to Mandatory: Email Encryption Under the New HIPAA Security Rule provides the latest update on the rule, what it means for healthcare email encryption, and what you can do now to properly prepare for what’s coming in 2027. The guide also includes an interactive scorecard that lets you evaluate your current email set up and vendor across seven security and compliance dimensions in under two minutes, no email address required.
If you want a second set of eyes on where your organization stands, our team offers a free 30-minute compliance assessment of your current email environment against the proposed rule’s requirements.
Most healthcare organizations view email as a utility, a necessary tool for sending messages between staff, communicating with patients, sending out newsletters, connecting workflows, and so on. Historically, IT teams focused on keeping it running, security teams worried about phishing, and compliance teams made sure sensitive emails were encrypted.
Today, however, that view is rapidly becoming outdated.
Email has evolved into one of healthcare’s most critical digital infrastructure components, and also one of it’s biggest security threats. It’s a core channel for patient engagement, care coordination, revenue cycle operations, digital marketing, remote monitoring, and increasingly, AI-powered communications. The organizations that recognize this shift are building communications platforms designed for security, performance, automation, and growth. With the new HIPAA Security Rule requiring email encryption on the horizon, those companies that don’t may find themselves constrained by systems that were never intended to support modern healthcare.
Email Is No Longer Just a Messaging Tool
Healthcare organizations now depend on email to support dozens of mission-critical workflows every day.
Patients receive appointment reminders, registration instructions, imaging results, billing notifications, Explanation of Benefits (EOBs), prescription updates, preventive care reminders, patient education, and post-discharge follow-up. Marketing teams deliver personalized wellness campaigns and service line promotions. Clinical systems generate transactional notifications. Revenue cycle teams rely on secure digital communications to accelerate payments and reduce paper costs.
For many organizations, mission-critical patient communications flow through email every month.
When viewed collectively, email is more than a simple communications channel. It has become operational infrastructure with high levels of security needed and increasing compliance requirements.
The Stakes Continue to Rise
As healthcare becomes more digital, every communication carries greater business and clinical importance.
A delayed billing email may postpone payment. A failed appointment reminder can increase no-show rates. An undelivered care management message may impact patient outcomes. A misconfigured security policy can expose protected health information (PHI). Poor deliverability can undermine expensive patient engagement initiatives before they ever reach the inbox.
These are no longer isolated IT issues. Email can affect revenue, patient satisfaction, operational efficiency, compliance, and organizational reputation.
Today’s healthcare leaders require email infrastructure to provide the same reliability and visibility they demand from electronic health records, identity management systems, and other core infrastructure.
AI Is Raising the Bar Even Higher
There’s little doubt that artificial intelligence (AI) promises to transform patient communications.
Healthcare organizations everywhere are exploring AI-generated patient education, personalized outreach, intelligent scheduling, multilingual communications, and automated follow-up programs.
But AI also increases the importance of the underlying communications infrastructure.
Generating more personalized emails means little if organizations cannot:
Automatically protect PHI.
Apply consistent security policies.
Maintain complete audit trails.
Deliver messages reliably.
Integrate with EHRs, RCM and CRM platforms, and customer data platforms.
Demonstrate compliance during an audits.
In many ways, AI amplifies both the opportunities and the risks. Your email platform can help determine whether AI initiatives succeed or create new compliance and operational challenges.
Infrastructure Matters More Than Features
Healthcare buyers have traditionally evaluated email platforms based on individual features such as encryption, spam filtering, or secure portals.
Those capabilities remain important, but they no longer tell the whole story.
Today’s healthcare organizations should be evaluating communications platforms the same way they evaluate any mission-critical infrastructure.
Questions increasingly include:
Can it support both transactional and marketing communications?
Does it automatically enforce security policies without relying on user decisions?
Can it integrate with EHRs, CRM systems, CDPs, and business applications?
Will it scale during peak communication periods?
Does it provide detailed audit logging and reporting?
Can it adapt as regulatory expectations evolve?
Does it maintain high deliverability at enterprise scale?
Does it support single-tenant dedicated infrastructure for high performance and increased security?
These infrastructure characteristics often determine long-term success far more than any single feature comparison.
Email and the Future Of Secure Healthcare Communications
Healthcare is steadily moving toward a world where nearly every patient interaction is digital, personalized, and data-driven.
Healthcare leaders often ask whether they need a more secure email solution. That may be the wrong question.
The better question is whether their communications infrastructure is ready for where healthcare is headed over the next decade.
If you want talk about the future of your healthcare email infrastructure, reach out today and schedule a 30-minute assessment call with our experts.
HIPAA emailing patient information requires healthcare organizations to implement encryption protocols, authentication controls, and business associate agreements that protect electronic protected health information during transmission and storage. Federal privacy regulations mandate that all email communications containing patient data meet stringent security standards to prevent unauthorized access, interception, or disclosure. Healthcare providers must understand which types of patient information can be transmitted via email, what security measures are necessary, and when alternative communication methods provide better protection for sensitive health data.
Permitted Uses of Email for Patient Communications
Healthcare providers can use email to communicate with patients about treatment, payment, and healthcare operations without obtaining specific authorization under HIPAA regulations. Appointment reminders, general health education materials, and prescription refill notifications fall within permitted communications that do not require patient consent. Laboratory results, medication instructions, and follow-up care guidance can be transmitted through secure email channels when proper encryption protects the information.
Treatment coordination between healthcare providers allows email communication about patient care without patient authorization when all parties are involved in the patient’s treatment. Referrals to specialists, consultation requests, and care plan discussions can occur through encrypted email platforms that meet security requirements. Payment communications including billing statements, insurance verification, and claim status updates are permissible through secure channels.
Healthcare operations activities such as quality improvement initiatives, case management, and care coordination support email communication when security measures protect patient information. Staff training scenarios using de-identified patient cases can be shared via email without violating privacy rules. Administrative functions including appointment scheduling and general practice information distribution do not require patient authorization when conducted through secure systems.
Limitations exist for certain types of sensitive health information that require extra protection beyond standard email security. Psychotherapy notes, substance abuse treatment records, and HIV test results need enhanced safeguards or alternative communication methods. Mental health information and genetic testing results may warrant more secure transmission methods than standard encrypted email provides.
Encryption Requirements for Patient Data Transmission
Message-level encryption converts email content into unreadable code before transmission, ensuring that only intended recipients can decrypt and read patient information. Advanced Encryption Standard 256-bit encryption provides strong protection that meets healthcare industry standards for securing electronic protected health information. Transport Layer Security protocols create secure connections between email servers during message delivery, preventing interception while communications travel across networks.
End-to-end encryption protects messages throughout their entire journey from sender to recipient, maintaining security even if intermediate servers are compromised. Automatic encryption activation eliminates human error by securing all outbound messages without requiring staff to remember manual encryption procedures. HIPAA emailing patient information demands consistent encryption application across all communications containing protected health information regardless of content sensitivity.
Key management systems protect the encryption keys that secure patient communications while enabling authorized recipients to decrypt necessary messages. Secure key storage prevents unauthorized access while backup procedures protect against data loss during system failures. Certificate-based authentication verifies recipient identity before allowing message delivery, reducing risks of misdirected emails containing patient information.
Digital signatures provide verification that messages originated from legitimate healthcare sources and were not altered during transmission. Integrity checks detect any unauthorized modifications to email content, alerting recipients when communications may have been tampered with during delivery. These verification mechanisms build trust in email communications while meeting regulatory requirements for data integrity.
Access Controls and User Authentication
Multi-factor authentication requires users to provide multiple forms of identification before accessing email accounts containing patient information. Password combinations with mobile verification codes, biometric scans, or hardware tokens create layered security that prevents unauthorized account access. Authentication systems should integrate smoothly with existing healthcare technology to avoid creating workflow barriers that encourage security shortcuts.
Role-based permissions ensure healthcare staff can only access patient communications relevant to their job functions and care relationships. Physicians need different access levels compared to billing specialists or administrative personnel, with granular controls preventing inappropriate information viewing. Automatic permission adjustments when staff change roles or departments maintain appropriate access restrictions as organizational structures evolve.
Session management protocols automatically log users out after inactivity periods, preventing unauthorized access from unattended workstations. Concurrent login monitoring detects unusual access patterns such as simultaneous logins from different geographic locations that might indicate account compromise. Immediate access revocation procedures ensure departing employees lose email access promptly to protect patient information.
Audit logging tracks all user activities within email systems including message viewing, sending, forwarding, and administrative actions. Detailed logs capture who accessed which patient communications, when access occurred, and what actions were performed. These records support security investigations, regulatory audits, and compliance monitoring while deterring inappropriate information access.
Business Associate Agreements and Vendor Responsibilities
Written contracts between healthcare organizations and email service providers establish clear responsibilities for protecting patient information during transmission and storage. Agreements must specify encryption standards, security measures, incident reporting timelines, and procedures for handling patient data when contracts terminate. Liability allocation clauses define financial responsibilities when security breaches result from provider system failures or negligence.
Vendor security certifications demonstrate that email providers maintain appropriate controls for protecting healthcare information. SOC 2 audits verify security measure effectiveness while HITRUST certification indicates healthcare industry experience and compliance knowledge. Current certifications provide assurance that providers maintain security standards consistently rather than just during initial implementations.
Incident response procedures outlined in agreements specify how providers will notify healthcare organizations when security breaches occur involving patient information. Notification timelines should allow organizations to meet their own breach notification obligations to patients and regulatory authorities. Provider responsibilities for breach investigation, containment, and remediation should be clearly defined in contractual terms.
Data retention and destruction procedures govern how providers handle patient information when business relationships end or retention periods expire. Secure deletion methods ensure patient data cannot be recovered after authorized destruction. Healthcare organizations conducting HIPAA emailing patient information need verification that providers completely remove all patient communications from their systems when required.
Patient Consent and Communication Preferences
Healthcare organizations should obtain written consent before emailing detailed medical information to patients, even though regulations may not require authorization for treatment communications. Consent forms should explain security measures while acknowledging inherent risks in electronic transmission despite encryption protection. Patients need clear information about how to protect their own email accounts from unauthorized access that could compromise their health information.
Communication preference documentation helps healthcare organizations understand which patients are comfortable receiving health information via email versus those preferring telephone calls or postal mail. Preference tracking systems ensure staff use appropriate communication methods for different patients based on their documented choices. Alternative communication options should remain available for patients who decline email communications or lack secure email access.
Content appropriateness guidelines help staff determine what patient information is suitable for email transmission versus what requires more secure communication methods. Routine test results and medication changes may be appropriate for encrypted email while complex diagnoses or poor prognosis discussions warrant telephone or in-person conversations. Emergency situations and urgent symptoms require immediate communication methods rather than email that patients might not check promptly.
Patient education about email security helps individuals understand their role in protecting their health information during electronic communications. Instructions about recognizing legitimate healthcare emails, maintaining strong passwords, and reporting suspicious activities empower patients to participate in securing their information. Healthcare organizations benefit from providing clear guidance about email security practices and potential risks.
Compliance Monitoring and Risk Management
Security assessments evaluate whether email systems maintain appropriate protections for patient information throughout their operational lifecycles. Penetration testing identifies vulnerabilities that could allow unauthorized access while security audits verify that controls function as intended. Assessment schedules should include testing after system updates, configuration changes, or security incident discoveries.
Policy development establishes clear guidelines about what patient information can be transmitted via email and what security measures staff must follow. Written policies should specify encryption requirements, recipient verification procedures, and content appropriateness criteria. Policy review schedules ensure guidance remains current as technology and regulations evolve.
Staff training programs educate healthcare workers about proper procedures for HIPAA emailing patient information through secure channels. Training should cover encryption activation, recipient verification, content appropriateness, and incident reporting responsibilities. Documented training records demonstrate compliance efforts during regulatory inspections while reinforcing security culture within organizations.
Incident response planning prepares healthcare organizations to handle security breaches involving email communications containing patient information. Response procedures should include immediate containment measures, breach scope assessment, affected patient notification, and regulatory reporting. Practice drills help ensure staff can execute response plans effectively during actual security emergencies that threaten patient information.
In a world of increasing and more frequent healthcare communications, secure, scalable, and HIPAA compliant email is a necessity for large scale operations. Whether you’re engaging patients, members, customers, or healthcare professionals, email remains one of the most effective and preferred channels for reaching people with timely, relevant information.
But when Protected Health Information (PHI) is involved, and your campaigns exceed tens or hundreds of thousands of emails per month, the challenge becomes more complex.
How do you scale email outreach without compromising data security, HIPAA compliance, deliverability, or performance?
To help answer that question Download the How-To Guide: HIPAA-Compliant High Volume Email Campaigns.
This educational guide is purpose-built for executives, compliance officers, IT security teams, and digital marketers across the healthcare ecosystem — including providers, payers, and suppliers — who are looking to advance their email communications to better engage with targets, increase conversions, and improve the patient experience — all while meeting the highest standards for privacy and security.
Why You Need This Guide
With more than 20 years of experience helping organizations securely deliver billions of healthcare emails and messages, at LuxSci we’ve seen just how challenging and mission-critical high volume email campaigns can be when HIPAA is in play and high performance is a requirement. Too often, teams are forced to choose between usability and security — leading to clunky workarounds, manual processes, or worse, non-compliance.
This guide lays out the foundation for doing things right from the start — so your organization can confidently scale email engagement, reduce operational inefficiencies, and improve outcomes without risking a breach.
Here’s a preview of what’s inside:
Understanding HIPAA Compliance in Email
The guide begins with a clear explanation of what qualifies as PHI — and how even something as simple as an email address can become identifiable under HIPAA rules. It explores how to:
Secure PHI both at rest and in transit
Choose the right encryption methods for different types of email (e.g. TLS vs. portal-based delivery)
Ensure you have a Business Associate Agreement (BAA) in place with any vendor handling PHI
Avoid common compliance pitfalls that lead to fines — some exceeding $2 million per year
Strategies for High Volume Email Success
Sending email at scale isn’t just a compliance issue—it’s a deliverability challenge. That’s why the guide also dives into the infrastructure and best practices needed to ensure your emails land in the inbox and not the spam folder. Highlights include:
Why using dedicated servers and IPs is critical for both security and performance
How to gradually warm up new IP addresses to establish a strong sender reputation
The importance of list hygiene, opt-in management, and CAN-SPAM compliance
How to implement SPF, DKIM, and DMARC to improve authentication and reduce spoofing risks
These insights are supported by real-world examples of how organizations are using PHI to personalize communications, closing care gaps, increasing patient satisfaction, and driving higher ROI.
Built for the New Era of Healthcare Engagement
At LuxSci, we believe that personalized healthcare communication can—and should—coexist with the highest standards of compliance and security. That’s why we’ve built hipaa compliant marketing solutions like our Secure High Volume Email and Secure Marketing solutions to empower healthcare teams to reach the right people, with the right message, at the right time — safely.
Download the Guide Today
Whether you’re launching a new patient outreach campaign, looking to streamline transactional emails, carrying out a healthcare email marketing campaign, or planning to scale communications across your business, this guide offers the practical insights and technical guidance you need to move forward — securely and compliantly.
Encryption is a critical security measure for protecting electronic protected health information (ePHI) included within email communications, and a key technical safeguard under the HIPAA Security Rule. However, despite its efficacy in helping protect sensitive patient data from malicious actors, encryption can be difficult to successfully implement.
Technical complexity, user resistance, and compatibility issues across different email systems can emerge as persistent problems, leading to frustration, risky workarounds, and, ultimately, increased risk of ePHI exposure and compliance violations. Without thoughtful deployment and support, encryption can become a barrier to successful secure email communication in healthcare, as opposed to a measure that underpins it.
To help you ensure secure, HIPAA compliant email communication, this post discusses the main encryption challenges you’re likely to encounter, how they can diminish your email security posture, and the measures you can take to overcome them.
What Is Email Encryption?
Before we discuss the most frequent email encryption challenges faced by healthcare organizations, here’s a quick refresher on what email encryption is and why it’s so important for securing sensitive patient data.
Email encryption is the process of scrambling the content of a message to make it unreadable as it’s sent to recipients or stored in a database. Only the intended recipient, who has the encryption key, can decrypt the email and access the data within.
Consequently, in the event an encrypted message is intercepted by malicious actors in transit or exfiltrated from a data store during a security breach, they won’t be able to make sense of it. This renders any ePHI included in the message unintelligible and, therefore, worthless, adding another layer of security that preserves patient privacy – and keeps your business safe.
Common Email Encryption Challenges
Let’s move on to detailing some of the most frequent encryption challenges that must be overcome by healthcare organizations to ensure secure email communication and HIPAA compliance.
Decrypting Messages Is Too Difficult
The more difficult or drawn out it is for recipients to decrypt their email messages, the more likely they’ll simply go unread or end up deleted. If the decryption process is too cumbersome, which could include requiring a user to log into a separate site (i.e., a web portal), verify their identity multiple times, create a new account, or install additional software, it adds complexity. This can drive users to seek workarounds or cut corners, such as having information sent to them through unsecured channels, which puts your company at risk.
Similarly, email clients, browsers, and security settings may impact the decryption process, causing compatibility issues that prevent users from accessing their messages. Within a healthcare setting, where timely communication is crucial, such obstacles can disrupt workflows, slow down patient care, and lead to HIPAA compliance violations if users resort to unencrypted alternatives.
Encryption that Requires Manual Intervention
Some email encryption tools require users to manually encrypt messages. If users forget to apply encryption or misconfigure settings, sensitive patient data could be exposed, leading to compliance violations and ePHI exfiltration.
For employees who handle ePHI and need to send encrypted emails, remembering to enable encryption (vs. automated encryption) is an extra step that introduces the risk of human error into the process. To offer a related, and more relatable, example: how many times have you forgotten to include an attachment when sending an email, even when referencing the attachment in the message? It’s all too easily done. In the same way, an inexperienced, tired, or distracted user could simply neglect to turn on or correctly configure encryption before sending an email, putting patient data at risk.
Increased IT and Administrative Overhead
The two email encryption challenges outlined above contribute to a third overarching difficulty for healthcare organizations: an increased workload for its IT, security and operations teams.
First of all, IT, security and operations must establish and continuously enforce encryption policies, configuring rules that ensure sensitive patient data is encrypted while non-sensitive, business communication continues to flow unobstructed. Misconfigured policies can cause over-encryption, resulting in user inaccessibility and disruptions, or under-encryption, leading to exposure of ePHI and HIPAA compliance violations.
Second, IT support teams must troubleshoot user issues: namely employees and external recipients who are unfamiliar with encryption protocols and need support in overcoming difficulties in message decryption. These could be caused by compatibility issues between different email clients or systems, expired or missing digital certificates, incorrect key exchanges, or confusion surrounding accessing encrypted messages through portals or attachments.
Lastly, IT and governance teams must keep up-to-date with changing regulatory updates and email security threats. As compliance requirements evolve, healthcare organizations must reassess encryption standards, upgrade outdated protocols, and ensure that their workforce adheres to best practices. Without an adequate strategy and the right systems in place, managing encryption can become a constant drain on IT bandwidth, taking personnel away from other aspects of their work that contribute to patient care.
Effective Strategies For Email Encryption
Having discussed the most common encryption challenges and how they can impact a company’s email security posture, let’s look at some of the most powerful mitigation strategies, which will improve the email encryption experience for both senders and recipients.
Balance Security With Ease of Use
To overcome the challenges of user inaccessibility, human error, and excessive administrative overhead, healthcare organizations must balance the ease of use of their encryption solutions with the level of security they provide.
While opting for the most secure encryption protocols intuitively seems like the best option, extra security often comes at the expense of usability, which can render the encryption irrelevant if users decide to circumvent it altogether, as outlined earlier. Instead, it’s essential to evaluate the sensitivity of message content and select a corresponding level of encryption.
Moving onto practical technical examples, Transport Layer Security (TLS) is a widely used email encryption standard, thanks to its ease of implementation and use, i.e., once activated, no further action is required by the user to encrypt the message content. However, TLS only encrypts ePHI in transit, i.e., when being sent to recipients, which may prove insufficient for highly sensitive patient data.
In contrast, encryption protocols such as Secure/Multipurpose Internet Mail Extensions (S/MIME), AES-256 and Pretty Good Privacy (PGP) provide more comprehensive encryption, safeguarding the ePHI contained in email communications both in transit and at rest, i.e., when stored in a database. Now, while this makes them more effective at securing patient data and achieving HIPAA compliance, these standards are more complicated to implement and to use than TLS encryption.
S/MIME requires users to obtain and install digital certificates from a Certificate Authority (CA), which verifies their respective identities and provides the public key for encryption. Consequently, both the sender and recipient must have valid certificates; if either party’s certificate is revoked or expires, they won’t be able to encrypt or decrypt the message, respectively.
With PGP, meanwhile, users must manually generate and exchange public/private keys. This offers greater flexibility than S/MIME but requires careful key management, which can be confusing for non-technical users. If a recipient doesn’t have the sender’s public key, they won’t be able to decrypt the message. Additionally, both S/MIME and PGP require a public key infrastructure (PKI), which can add considerable administrative overhead, particularly in regards to the management of certificates, public keys, and user credentials.
Accounting for this, healthcare organizations can balance security with accessibility by employing a tiered encryption strategy: using TLS for lower-risk communication while opting for S/MIME or PGP for more sensitive communications.
Enable Automatic Encryption
Subsequently, the challenge of balancing security with accessibility can be remediated by deploying an email delivery platform that not only removes the need for manual user intervention but also automatically applies the appropriate encryption standard based on message content and delivery conditions. Rather than relying on users to choose the correct method—or worse, bypass encryption altogether—modern email solutions like LuxSci can intelligently enforce encryption without affecting the user experience.
Many healthcare companies rely on TLS encryption because it eliminates the need for encryption keys or certificates, additional log-ins, etc. For this reason, it’s often referred to as ‘invisible encryption’ for its lack of effect on the user experience.
However, to be most effective, both the sender’s and recipient’s email servers must support enforced TLS (i.e., TLS 1.2 and above). In the event the recipient’s email server doesn’t support TLS, the email message will be delivered unencrypted or fail to send altogether, depending on the server configurations. Additionally, once the email is delivered to the recipient’s inbox, unless the recipient’s email infrastructure encrypts messages at rest, it will be stored in an unencrypted format.
Consequently, while TLS is ideal for email messaging that doesn’t contain highly sensitive ePHI, it’s insufficient for all healthcare communication. To ensure the secure and HIPAA compliant inclusion of patient data in emails, healthcare organizations should opt for an email solution that supports automated, policy-based encryption, which can upgrade to S/MIME or PGP when necessary. This offers the combined benefits of optimal ePHI security, minimal administrative burden, and removing the need for staff intervention.
Invest in Employee Education
While a flexible encryption policy and deploying email solutions that support automation will go a long way towards overcoming email encryption challenges, these efforts can still be undermined if users aren’t sufficiently educated on their benefits and use. For this reason, it’s crucial that healthcare companies take the time to educate their employees on both the how and why of email encryption.
Even the most advanced encryption systems can fail if employees don’t understand how to use them properly, as well as what to look out for in their day-to-day email use. Some aspects of email encryption, such as recognizing secure message formats or troubleshooting delivery issues, may still require user awareness. With this in mind, employee training programs should focus on recognizing when additional encryption measures are necessary, how to ask for assistance, the dangers of unsecured channels, and how to report suspicious activity in addition to the practical aspects of using your email delivery platform.
Overcome Email Encryption Challenges with LuxSci
LuxSci is a leader in secure healthcare communication, offering HIPAA compliant solutions that empower organizations to connect with patients securely and effectively. With over 20 years of expertise, we’ve facilitated the delivery of billions of encrypted emails for healthcare providers, payers, and suppliers.
Luxsci’s proprietary SecureLine encryption technology is specially designed to help healthcare organizations overcome frequent encryption challenges and better ensure HIPAA compliance with powerful, flexible encryption capabilities. Its features include:
Comprehensive email encryption: ensuring the encryption of patient data in transit and at rest.
Automated encryption: “set it and forget it” email encryption guarantees security and HIPAA compliance – with no action required on the part of users once configured.
Flexible encryption: dynamically determining the optimal level of email encryption, as per the recipient’s security posture, job role and supported encryption methods. This makes sure messages are delivered securely while maintaining HIPAA compliance.
Ready to take your healthcare email engagement to the next level? Contact LuxSci today!
It’s hard to understate the benefits of using protected health information (PHI) in your patient engagement efforts. By effectively leveraging PHI, you can create highly-targeted and personalized email marketing campaigns, which have greater potential to connect with your patients and customers – and drive your desired outcomes.
However, before diving in, it’s essential to be aware of HIPAA’s complex compliance requirements and how they govern healthcare organizations’ marketing communications. Chief among these considerations is the concept of PHI identifiers and the role they play in classifying and protecting sensitive patient data. With this in mind, let’s explore HIPAA’s 18 PHI identifiers
What is a PHI Identifier?
Before we detail the 18 different PHI identifiers, it’s crucial to first distinguish between what counts as PHI and what, in reality, is personally identifiable information (PII).
PHI (as well as its digital equivalent or electronic protected health information (ePHI)), is defined as “individually identifiable protected health information” and specifically refers to three classes of data:
An individual’s past, present, or future physical or mental health or condition.
The past, present, or future provisioning of health care to an individual.
The past, present, or future payment-related information for the provisioning of health care to an individual.
In short, for an individual’s PII to be classed as protected health information it must be related to a health condition, their healthcare provision, or the payment of that provision. So, a patient’s email address in isolation, for example, isn’t necessarily PHI. However when combined with any information about their healthcare – such as in a patient engagement email campaign – it would constitute PHI.
Put another way, as HIPAA is designed to enforce standards and best practices in the healthcare industry, it’s concerned with protecting health-related information. While the protection of general PII is of the utmost importance, that’s a significantly larger remit – and, consequently, one that’s shared by a variety of data privacy regulations covering different industries and regions (PCI-DSS, GDPR, etc.).
What are the 18 PHI Identifiers?
With the above background in mind, we now have a clearer understanding of what is classed as PHI and, as a result, what data needs to be de-identified. The HIPAA Privacy Rule provides two methods for the de-identification of PHI: the Expert Determination and Safe Harbour methods.
Expert Determination requires a statistical or scientific expert to assess the PHI and conclude that the risk of it being able to identify a particular patient is very low. Safe Harbour, meanwhile, involves systematically removing or securing specific data types to mitigate the risk of patient identification. It’s from the Safe Harbour method that we get the following 18 PHI identifiers:
Patient Names
Geographical Elements: street address, city, and all other subdivisions lower than the state.
Dates Related to Patient’s ID or Health History: eD.O.B, D.O.D, admission and discharge dates, etc.
Telephone Numbers
Fax Numbers
Email Addresses
Social Security Numbers
Medical Record Numbers
Health Insurance Beneficiary Numbers
Account Numbers
Certificate or License Numbers: as these can confirm an individual’s professional qualifications or credentials, and when combined with PHI, are exploitable by malicious actors.
Vehicle Identifiers: i.e., license plate and serial numbers
Device Identifiers and Serial Numbers: those belonging to smartphones, tablets, or medical devices, because they communicate with healthcare companies during provision and can be linked back to the patient
Digital Identifiers: namely website addresses used by healthcare companies that patients may visit (for healthcare education, event registration, etc.)
Internet Protocol (IP) Addresses: the digital location from where a patient’s device accesses the internet; this can be used to acquire subsequent PHI
Biometric Identifiers: e.g., fingerprints, voice samples, etc.
Full Face Photographs: in additional to other comparable images
Other Unique Numbers, Codes, or Characteristics: not covered by the prior 17 categories
As illustrated by the above list, HIPAA’s list of PHI identifiers is comprehensive, covering all aspects of an individual’s identity and digital footprint. In light of this, when handling patient data it’s crucial to use platforms and digital solutions that have been designed with the secure transmission and storage of PHI in mind.
Harness the Benefits of Using PHI for Better Patient Engagement
As the most experienced provider of HIPAA-compliant communications, LuxSci specializes in secure email, text, marketing and forms for healthcare providers, payers and suppliers. LuxSci’s Secure Healthcare Communications suite offers flexible encryption, customizable security policies, and automated features to ensure HIPAA compliance and the protection of PHI data.
Interested in discovering how LuxSci’s solutions can help you securely engage with your patients and customers?