What is a HIPAA-compliant video API?

A HIPAA-compliant video API is a programmable interface that enables developers to embed video conferencing, recording, and transcription into healthcare applications while satisfying the administrative, physical, and technical safeguards required by the HIPAA Security Rule. This includes encryption of protected health information (PHI) at rest and in transit, comprehensive audit logging, role-based access controls, and a signed Business Associate Agreement (BAA) between the API provider and the covered entity.

Does V100 sign a Business Associate Agreement (BAA)?

Yes. V100 provides a BAA on Pro and Enterprise plans. The BAA covers all video conferencing, recording, transcription, and storage services processed through the V100 API.

HIPAA COMPLIANT

HIPAA-Compliant Video API
for Healthcare Applications

A HIPAA-compliant video API is a programmable interface that lets developers embed video conferencing, recording, and transcription into healthcare applications while meeting every administrative, physical, and technical safeguard required by the HIPAA Security Rule. V100 provides AES-256-GCM encryption at rest, TLS 1.3 in transit, post-quantum end-to-end encryption, tamper-proof recording signatures, comprehensive audit logging, and a signed Business Associate Agreement (BAA) -- so your engineering team can ship telehealth features without building a compliance layer from scratch.

Get API Key View Integration Guide

14 HIPAA compliance tests passing

Post-quantum encryption (FIPS 203/204)

BAA available on Pro+

Why Healthcare Needs a Purpose-Built Video API

The telehealth market is projected to exceed $380 billion by 2030. As healthcare organizations shift from generic conferencing tools to embedded telehealth video integration, compliance gaps become dangerous liabilities.

Zoom and Teams Fall Short

Consumer video platforms were not built for embedded healthcare workflows. Their SDKs lack granular audit logging, per-session encryption key management, and the ability to enforce HIPAA-specific session policies within your own application. You inherit their compliance surface area without controlling it.

The BAA Gap

Many video API providers either do not offer a Business Associate Agreement or restrict it to enterprise tiers with six-figure minimums. Without a BAA, your organization bears full liability for any PHI transmitted through the video service -- regardless of what their marketing page says about encryption.

Regulatory Trajectory

The HHS telehealth enforcement flexibilities that relaxed HIPAA requirements during COVID-19 have expired. OCR is now enforcing the full HIPAA Security Rule against telehealth platforms. Organizations that relied on temporary waivers need a compliant video API for healthcare today, not later.

V100's HIPAA Security Architecture

HIPAA compliance is not a checkbox -- it is an architecture decision that must be present at every layer of the stack. V100 implements the technical safeguards required by 45 CFR 164.312 as native middleware, not as an aftermarket addition.

Three Layers of Encryption

Every video session, recording, and transcript is protected by three independent encryption layers. Even if one layer were compromised, PHI remains protected.

AT REST AES-256-GCM encryption for all stored recordings, transcripts, and session metadata in S3 with server-side key management.

IN TRANSIT TLS 1.3 for all API calls, webhook deliveries, and CDN asset retrieval. No fallback to older TLS versions.

E2E (PQ) Post-quantum end-to-end encryption using ML-KEM-768 + X25519 hybrid key exchange (FIPS 203). Future-proof against quantum computing threats to recorded PHI.

Comprehensive Audit Logging

HIPAA requires that covered entities track access to PHI. V100's audit logging captures every event with sufficient detail for compliance audits and breach investigations.

Session creation, join, leave, and termination events

Recording start, stop, access, and download events

Transcript generation and retrieval events

User identity, IP address, and timestamp on every entry

Immutable log storage with tamper detection

Access Controls and Session Management

The minimum necessary standard requires limiting PHI access to authorized individuals. V100 enforces this at the API level with multiple controls.

Role-based access control (RBAC) for meetings, recordings, and transcripts

Multi-tenant isolation tested against real PostgreSQL instances

httpOnly cookie authentication (no localStorage token exposure)

Automatic session invalidation on account changes

Scoped API keys with per-resource permissions

Tamper-Proof Recording Integrity

Healthcare recordings may serve as medical records or legal documentation. V100 cryptographically signs every recording and transcript to prove they have not been altered after creation.

ML-DSA-65 (Dilithium) post-quantum digital signatures (FIPS 204)

Signatures cover recording content, metadata, and timestamps

Independent signature verification via public API endpoint

Quantum-resistant -- signatures remain valid even against future quantum attacks

Features for Telehealth Applications

V100 is not a stripped-down compliance wrapper around a generic video service. It is a full healthcare video platform API with the clinical and operational features that telehealth applications require.

Video Conferencing

WebRTC-based video with support for up to 200 participants. Built on V100's proprietary RustTURN media server for low-latency, high-reliability connections. Ideal for group therapy sessions, multi-disciplinary consultations, and grand rounds.

Real-Time Transcription

Live transcription in 40+ languages with word-level timestamps and speaker diarization. Powered by Deepgram and Whisper. Enables real-time clinical documentation, interpreter-free multilingual visits, and accessible care for hearing-impaired patients.

AI Meeting Notes

Automatic summaries and structured notes generated from session transcripts. Reduces clinician documentation burden. Summaries are signed with the same Dilithium signatures as recordings, ensuring the integrity of AI-generated clinical notes.

HIPAA Video Recording API

Record sessions to encrypted S3 storage with CloudFront CDN delivery. Every recording receives an ML-DSA-65 Dilithium signature. Configurable retention policies for compliance with state medical record requirements.

Virtual Backgrounds

AI-powered background replacement protects patient and clinician privacy. Patients connecting from home can conceal their environment. Clinicians can present a consistent, professional setting regardless of location.

Screen Sharing

Share diagnostic imaging, lab results, or treatment plans during sessions. Screen sharing streams are encrypted with the same post-quantum E2E encryption as the video feed. Noise suppression ensures clear audio even in clinical environments.

Integration Guide

Add HIPAA-compliant video to your healthcare application in three steps. V100's HIPAA compliance middleware activates automatically when you enable the hipaa: true flag.

Get Your API Key

Create a HIPAA Session

Send a POST request with hipaa: true to enable encryption, audit logging, and access controls automatically.

Embed in Your App

Use the returned session token to initialize V100's client SDK in your web or mobile application. All compliance controls apply automatically.

create-hipaa-session.js

// npm install v100-sdk
import { V100 } from 'v100-sdk';

const v100 = new V100('YOUR_API_KEY');

// Create a HIPAA-compliant telehealth session
const session = await v100.meetings.create({
  name: 'Patient Consultation',
  hipaa: true,               // Enables all HIPAA safeguards
  recording: true,           // AES-256-GCM encrypted, Dilithium-signed
  transcription: {
    enabled: true,
    language: 'en',          // 40+ languages supported
    diarize: true            // Identify clinician vs patient
  },
  encryption: 'post-quantum', // ML-KEM-768 + X25519 hybrid E2E
  maxParticipants: 10,
  accessControl: {
    roles: ['clinician', 'patient'],
    recordingAccess: ['clinician']  // Only clinicians can retrieve recordings
  }
});

// session.id       → "mtg_hipaa_abc123"
// session.joinUrl  → "https://meet.v100.ai/mtg_hipaa_abc123"
// session.token    → Client SDK initialization token

Or use the REST API directly:

terminal

curl -X POST https://api.v100.ai/v1/meetings \
  -H "Authorization: Bearer YOUR_API_KEY" \
  -H "Content-Type: application/json" \
  -d '{
    "name": "Patient Consultation",
    "hipaa": true,
    "recording": true,
    "transcription": { "enabled": true, "language": "en", "diarize": true },
    "encryption": "post-quantum"
  }'

HIPAA Compliance Checklist

The following table maps HIPAA Security Rule requirements to the specific technical controls V100 implements. This is the level of detail your compliance officer and security team need to evaluate a healthcare video platform API.

HIPAA Requirement	CFR Reference	V100 Implementation	Status
Encryption at rest	164.312(a)(2)(iv)	AES-256-GCM for all stored PHI	Implemented
Encryption in transit	164.312(e)(1)	TLS 1.3, no fallback to older versions	Implemented
Access controls	164.312(a)(1)	RBAC, scoped API keys, session invalidation	Implemented
Audit controls	164.312(b)	Comprehensive event logging with immutable storage	Implemented
Integrity controls	164.312(c)(1)	ML-DSA-65 Dilithium signatures on recordings and transcripts	Implemented
Person or entity authentication	164.312(d)	httpOnly cookie auth, session invalidation on account changes	Implemented
Transmission security	164.312(e)(2)	Post-quantum E2E encryption (ML-KEM-768 + X25519)	Implemented
Business Associate Agreement	164.502(e)	BAA available on Pro and Enterprise plans	Available
Unique user identification	164.312(a)(2)(i)	Multi-tenant isolation with per-user audit trails	Implemented
Automatic logoff	164.312(a)(2)(iii)	Configurable session timeouts, automatic session termination	Implemented

SOC 2 Type II ready -- all required controls are implemented and operational. Formal SOC 2 Type II audit is scheduled. Contact us for a detailed controls mapping document if your compliance review requires it.

Pricing

V100 offers the lowest per-minute video rates in the industry. HIPAA compliance features -- encryption, audit logging, access controls -- are included at no additional cost. The BAA is available on Pro and Enterprise plans.

Free Tier

$0/mo

Evaluate HIPAA features in development.

60 minutes/month

AES-256-GCM encryption

Audit logging

Post-quantum E2E

No BAA

RECOMMENDED

Pro

Usage-based

Production telehealth with full compliance.

$0.002/min video

$0.006/min transcription

All HIPAA safeguards

Post-quantum E2E

BAA included

Enterprise

Custom

Dedicated infrastructure, custom BAA terms.

Volume discounts

Dedicated infrastructure

Custom data residency

Priority support

Custom BAA

Start Building HIPAA-Compliant Video Today

Free tier available for development and evaluation. All HIPAA technical safeguards are active from your first API call. BAA available on Pro and Enterprise plans.

Get API Key — Free Tier Request BAA

Related Resources

Feature

HIPAA-Compliant Video API
for Healthcare Applications

Why Healthcare Needs a Purpose-Built Video API

Zoom and Teams Fall Short

The BAA Gap

Regulatory Trajectory

V100's HIPAA Security Architecture

Three Layers of Encryption

Comprehensive Audit Logging

Access Controls and Session Management

Tamper-Proof Recording Integrity

Features for Telehealth Applications

Video Conferencing

Real-Time Transcription

AI Meeting Notes

HIPAA Video Recording API

Virtual Backgrounds

Screen Sharing

Integration Guide

Get Your API Key

Create a HIPAA Session

Embed in Your App

HIPAA Compliance Checklist

Pricing

Start Building HIPAA-Compliant Video Today

Related Resources

Video Editing API

Post-Quantum Video Encryption

V100 AI Video Platform

HIPAA-Compliant Video APIfor Healthcare Applications

Why Healthcare Needs a Purpose-Built Video API

Zoom and Teams Fall Short

The BAA Gap

Regulatory Trajectory

V100's HIPAA Security Architecture

Three Layers of Encryption

Comprehensive Audit Logging

Access Controls and Session Management

Tamper-Proof Recording Integrity

Features for Telehealth Applications

Video Conferencing

Real-Time Transcription

AI Meeting Notes

HIPAA Video Recording API

Virtual Backgrounds

Screen Sharing

Integration Guide

Get Your API Key

Create a HIPAA Session

Embed in Your App

HIPAA Compliance Checklist

Pricing

Start Building HIPAA-Compliant Video Today

Related Resources

Video Editing API

Post-Quantum Video Encryption

V100 AI Video Platform

HIPAA-Compliant Video API
for Healthcare Applications