Is Paubox HIPAA Compliant? How to Check (2024 Update)

✅ Paubox states on their official website that they are a HIPAA compliant Email software suitable for use in healthcare.

Paulbox improves healthcare communication by providing a secure platform for healthcare professionals. Through its streamlined messaging, file sharing, and collaboration tools, Paulbox boosts efficiency, promotes seamless teamwork, and safeguards patient privacy. With enhanced communication, healthcare professionals can deliver top-quality care and improve patient outcomes.

They state on their website that Paubox is HIPAA compliant which is clearly a positive sign, but the Health Insurance Portability and Accountability Act (HIPAA) legislation states that you can’t stop here and you need to thoroughly vet the vendor.

According to the HIPAA rules for Covered Entities and Business Associates:

'If a covered entity engages a business associate to help it carry out its health care activities and functions, the covered entity must have a written business associate contract or other arrangement with the business associate that establishes specifically what the business associate has been engaged to do and requires the business associate to comply with the Rules’ requirements to protect the privacy and security of protected health information. In addition to these contractual obligations, business associates are directly liable for compliance with certain provisions of the HIPAA Rules.'

Below we provide some general guidelines on how to first quickly screen this vendor for the HIPAA compliance fundamentals, and if all initial checks pass successfully, then to proceed and do your own in-depth audit to ensure that this vendor will qualify as your HIPAA-compliant Business Associate.

Quick Check on HIPAA Compliance Fundamentals for Paubox

A. Does Paubox claim to be HIPAA compliant?

✅ They communicate they are HIPAA compliant which is a positive sign, as they legally commit from their side using such public statements.

'Paubox Email Suite is HIPAA compliant and HITRUST CSF certified to ensure your organization stays secure.'

Source: HIPAA compliance with Paulbox

B. Does Paubox sign a Business Associate Agreement (BAA)?

✅ They state they will sign their standard BAA with covered entities/business associates, which is again a good sign because if they don’t sign a BAA then it’s a deal-breaker for HIPAA compliance.

'Every Paubox account includes our BAA as part of our service If you are a larger organization and internal policies do not allow you to sign third party BAAs, we can still help. We are willing to review and sign BAAs for enterprise level customers.'

Source: Paulbox's Business Associate Agreement (BAA)

C. Does Paubox claim they take measures to keep patient data private & secure?

✅ They publicly outline various of the privacy & security safeguards they have in place, but these can be very broad statements and you need to check the low level details here.

'Paubox implements a set of network security features that are well aligned for HIPAA compliance.'

Source: Encryption and protection of PHI in Paubox

Vendor Audit for Checking if Paubox is HIPAA Compliant

There is no one-size-fits-all set of requirements when selecting a 3rd party vendor as one of your HIPAA-compliant Business Associates, but here are some general guidelines:

1. Eligible Plan

First, you need to determine on which plans they offer HIPAA compliance and whether pricing makes sense for you:

• Paulbox states, "every account includes the Paubox Business Associate Agreement. For enterprise customers, we are willing to review and sign other organizations' BAAs"

Source: Paulbox's Business Associate Agreement (BAA)

2. Legal Contracts

Then, you need to carefully review & sign their legal contracts, especially their Business Associate Agreement and Terms of Service (ask them for the latest versions - in some cases, you might need to sign an NDA):

• Paubox’s Business Associate Agreement
• Paubox's Terms of Service
• Paubox's Privacy Policy

3. HIPAA Safeguards

After that, you need to determine if they have implemented appropriate HIPAA safeguards in order to comply with the 3 HIPAA rules:

• HIPAA Privacy Rule: Ensure patient confidentiality, keep track of disclosures, disclose minimum amount of information, notify individuals of the use of their ePHI etc.
• HIPAA Security Rule: Implement & maintain administrative, physical & technical safeguards to protect patient ePHI such as having a disaster recovery plan, annual penetration tests etc.
• HIPAA Breach Notification Rule: Report on data breaches within the required timeframe & to the appropriate regulating body/affected individuals/media, as applicable.

In order to make this determination, you can:

• ask them for any externally-audited security certification they might have (i.e. SOC2 Type 2, HITRUST, ISO 27001 etc)
• review any publicly-shared security & privacy statements and ask them questions
• send them a Vendor Security Questionnaire

4. PHI Access

At the same time, you need to also review their auditing/logging capabilities for all activity related to electronic Protected Health Information (ePHI) access.

5. Re-assessment

Finally, at least once a year, reassess whether or not the vendor is still in compliance with HIPAA.

Source 1: U.S. Department of Health & Human Services HIPAA Privacy Rule Guidance Material

Source 2: U.S. Department of Health & Human Services HIPAA Security Rule Guidance Material

Final Remarks on Paubox’s HIPAA Compliance Status

HIPAA compliance has no one-size-fits-all vendor assessment methodology but we have covered here various best practices on how to thoroughly evaluate Paubox for HIPAA compliance, so that they can be eventually trusted to process or store your sensitive patient data.

Regardless of the above, for all your 3rd party vendors, you need to follow the fundamental HIPAA principle and always disclose to them the 'minimum necessary' information, which means only disclosing the amount of PHI you absolutely have to.

If you follow the 'minimum necessary' principle and you regularly evaluate your 3rd party vendors for their commitment to the HIPAA standards while having solid Business Associate Agreements with them in place, then you can minimize the risk of a potential HIPAA violation and decrease the probability of a damaging data breach happening in the first place.