How to Achieve HIPAA Compliance When Building a Chat/Messaging App

Building a chat or messaging app that complies with the Health Insurance Portability and Accountability Act (HIPAA) is essential for ensuring the security and privacy of sensitive health information. Achieving HIPAA compliance involves implementing various technical, administrative, and physical safeguards. In this blog post, we will guide you through the steps necessary to build a HIPAA-compliant chat/messaging app and compare chat-as-a-service platforms that offer HIPAA compliance.

Understanding HIPAA Compliance

HIPAA sets the standard for protecting sensitive patient data in the United States. Any app that handles protected health information (PHI) must ensure that all the required physical, network, and process security measures are in place and followed. Here are the key aspects you need to consider:

  1. Privacy Rule: Protects the privacy of individually identifiable health information.
  2. Security Rule: Sets standards for the security of electronic protected health information (ePHI).
  3. Breach Notification Rule: Requires covered entities to notify affected individuals, HHS, and in some cases, the media of a breach of unsecured ePHI.

Steps to Achieve HIPAA Compliance

1. Implement Administrative Safeguards

  • Risk Analysis and Management: Conduct regular risk assessments to identify potential risks and vulnerabilities.
  • Security Management: Develop policies and procedures to prevent, detect, contain, and correct security violations.
  • Workforce Training: Train all employees on HIPAA requirements and your organization’s policies and procedures.
  • Business Associate Agreements (BAAs): Ensure that you have BAAs with any third-party service providers that handle PHI on your behalf.

2. Implement Physical Safeguards

  • Facility Access Controls: Implement measures to control physical access to your facilities while ensuring that authorized access is allowed.
  • Workstation and Device Security: Develop policies and procedures to secure workstations and electronic devices that access ePHI.

3. Implement Technical Safeguards

  • Access Control: Implement technical policies and procedures to limit access to ePHI to authorized persons.
  • Encryption: Ensure that ePHI is encrypted both at rest and in transit.
  • Audit Controls: Implement mechanisms to record and examine access and other activities in information systems that contain or use ePHI.
  • Integrity Controls: Implement policies and procedures to ensure that ePHI is not improperly altered or destroyed.

Comparison of HIPAA-Compliant Chat-as-a-Service Platforms

Here is a comparison of some of the leading chat-as-a-service platforms that offer HIPAA compliance, including Dappros’ Ethora:

ParameterCometChatSendBirdTwilioDappros (Ethora)
HIPAA ComplianceYesYesYesYes
Data EncryptionIn transit and at restIn transit and at restIn transit and at restIn transit and at rest
BAA ProvidedYesYesYesYes
User AuthenticationOAuth, SSOOAuth, SSOOAuth, SSOSocial sign-on, OAuth, SSO
Multi-factor AuthYesYesYesYes
Access ControlsRole-based access controlRole-based access controlRole-based access controlRole-based access control
Audit LogsYesYesYesYes
Additional FeaturesVoice, video, moderationVoice, video, moderationVoice, video, SMS, emailDigital wallet, web3 gamification, AI chat bots

Detailed Analysis


HIPAA Compliance: Yes

  • CometChat provides HIPAA-compliant chat services with encryption of data both in transit and at rest. They offer BAAs and have strong access controls and audit logs in place. Their platform includes additional features like voice and video calling, as well as moderation tools, making it a comprehensive solution for healthcare providers.


HIPAA Compliance: Yes

  • SendBird ensures HIPAA compliance with robust encryption, BAAs, and role-based access controls. They provide extensive documentation and support for implementing HIPAA-compliant chat applications. SendBird’s features include voice and video calls, which are essential for telehealth applications.


HIPAA Compliance: Yes

  • Twilio offers a wide range of communication services, including HIPAA-compliant messaging. They provide encryption, audit logs, and BAAs. Twilio’s platform is highly customizable, supporting voice, video, SMS, and email, making it a versatile choice for healthcare communications.

Dappros (Ethora)

HIPAA Compliance: Yes

  • Ethora by Dappros is designed not only to comply with HIPAA but also to provide advanced features such as social sign-on, a digital wallet for documents and digital assets, web3 gamification, and AI chat bots. Ethora ensures encryption of data at rest and in transit, provides BAAs, and has role-based access controls and audit logging to meet HIPAA requirements. The high level of customizability makes it suitable for building sophisticated healthcare applications.


Achieving HIPAA compliance when building a chat or messaging app requires careful planning and implementation of various safeguards. By choosing a HIPAA-compliant chat-as-a-service platform, you can streamline this process and ensure that your application meets all regulatory requirements. Platforms like CometChat, SendBird, Twilio, and Dappros’ Ethora offer robust solutions, each with unique features and capabilities that can be tailored to your specific needs.

Evaluate your project requirements, budget, and desired features to select the best platform for your HIPAA-compliant chat application.

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