Healthcare Tools
Healthcare Tools

Is Stripe HIPAA Compliant?

May 28, 2025

When it comes to managing patient information and handling financial transactions in healthcare, the question of compliance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) is always relevant. Stripe, a popular payment processing platform, is often used by businesses of all kinds, including those in healthcare. But is Stripe HIPAA compliant? Let's break down what this means, why it matters, and what you should know if you're considering using Stripe for healthcare-related transactions.

Understanding HIPAA Compliance

Before we get into the specifics of Stripe, let's make sure we're on the same page about what HIPAA compliance entails. HIPAA is a federal law that was enacted to protect sensitive patient health information from being disclosed without the patient's consent or knowledge. This is crucial for maintaining patient trust and privacy.

HIPAA compliance involves several key components:

  • Privacy Rule: Establishes standards for the protection of health information.
  • Security Rule: Sets standards for securing electronic protected health information (ePHI).
  • Transaction and Code Set Standards: Ensures uniformity in the electronic exchange of health information.
  • Identifiers: Requires unique identifiers for providers, employers, health plans, and patients.
  • Enforcement Rule: Provides guidelines for investigations and penalties for non-compliance.

For any entity dealing with patient health information, understanding and adhering to these rules is critical. But what does this mean for a payment processor like Stripe? Let's take a closer look.

Stripe's Role in Payment Processing

Stripe is a technology company that builds economic infrastructure for the internet. Businesses of all sizes use Stripe's software and APIs to accept payments, send payouts, and manage their businesses online. It’s widely known for its simplicity and ease of integration, making it a favorite among startups and established companies alike.

In the healthcare sector, Stripe can be used to process payments for services, manage subscriptions for digital health services, or even handle copayments. However, when it comes to handling ePHI, things get a bit more complicated. Stripe's primary function is to process payments, not to manage health information. Therefore, it's important to understand where the lines are drawn between these functions.

What Makes a Service HIPAA Compliant?

For a service to be considered HIPAA compliant, it must have several safeguards in place to protect ePHI. These include:

  • Administrative Safeguards: Policies and procedures designed to clearly show how the entity will comply with HIPAA.
  • Physical Safeguards: Physical measures, policies, and procedures to protect electronic information systems and related buildings and equipment from natural and environmental hazards and unauthorized intrusion.
  • Technical Safeguards: Technology and the policy and procedures for its use that protect ePHI and control access to it.

Additionally, any third-party service that handles ePHI on behalf of a covered entity must sign a Business Associate Agreement (BAA) to ensure HIPAA compliance. This agreement outlines how the third-party service will protect ePHI and comply with HIPAA regulations.

Stripe and Business Associate Agreements

One of the most important aspects of HIPAA compliance is the Business Associate Agreement. This is a legal contract that defines the responsibilities of both parties in handling ePHI and ensuring compliance. So, does Stripe sign BAAs?

Stripe explicitly states that it is not a HIPAA-compliant service and does not sign BAAs. This means that if you're using Stripe to process payments in a way that involves ePHI, you may be putting yourself at risk of non-compliance with HIPAA regulations. Stripe is designed for secure payment processing, but it’s not set up to manage or protect health information in the way that HIPAA requires.

Alternatives to Stripe for HIPAA-Compliant Payment Processing

If your healthcare business requires HIPAA-compliant payment processing, you may need to look beyond Stripe. Here are a few alternatives that do provide HIPAA-compliant services and are willing to sign BAAs:

  • Square: While Square itself isn't inherently HIPAA-compliant, they offer a healthcare-specific solution through Square Appointments that can be configured for compliance.
  • PayPal: Offers a Braintree Payments platform that is HIPAA-compliant and can be used for healthcare transactions.
  • CardConnect: Provides a HIPAA-compliant payment processing solution specifically designed for healthcare providers.

These alternatives can provide the same level of service as Stripe but with the added assurance that they're compliant with HIPAA regulations.

Working Around Stripe's Limitations

Even if Stripe isn't HIPAA-compliant, there might still be ways to use it safely if you absolutely must. For example, you could separate the payment processing from any health information entirely. Here’s how you might consider doing it:

  • Separate Systems: Use one system for managing patient information and a completely separate system for payment processing. Ensure that no ePHI is transmitted to Stripe.
  • De-identification: Strip any health information of identifying details before engaging in payment processing. However, this can be a complex and risky process if not done correctly.

These workarounds can be tricky and might not fully protect you from compliance issues. It's often best to use a solution that’s built from the ground up to handle all aspects of HIPAA compliance.

Stripe's Security Measures

While Stripe doesn’t sign BAAs, it does take security seriously. Stripe is certified as a PCI Level 1 Service Provider, which is the highest level of certification available in the payments industry. This means that they adhere to stringent security measures to protect payment data.

Stripe uses encryption and tokenization to protect sensitive data, employs 24/7 monitoring, and has robust fraud prevention measures in place. While these measures are excellent for payment security, they don't encompass the specific needs for protecting ePHI as required by HIPAA.

Why HIPAA Compliance Matters

HIPAA compliance is not just about avoiding fines or legal trouble; it's about building trust with patients. When patients know their information is being handled securely, they're more likely to trust your services. This trust is crucial in healthcare, where sensitive information is exchanged regularly.

Failing to comply with HIPAA can result in hefty fines and damage to your reputation. Health data breaches are serious, and the consequences of mishandling ePHI can be severe. That's why it's essential to choose tools and services that meet HIPAA requirements.

Making the Right Choice for Your Practice

Ultimately, whether or not to use Stripe for healthcare transactions depends on the specifics of your situation. If you can ensure that no ePHI is involved, then Stripe might still be a viable option. However, for most healthcare providers, using a service that is explicitly HIPAA-compliant will be the safer choice.

Consider what aspects of your workflow involve patient information and assess the potential risks. It might be worth consulting with a compliance expert to ensure that your payment processing solutions are safe and secure.

Final Thoughts

Stripe is a fantastic tool for payment processing, but when it comes to HIPAA compliance, it doesn't quite fit the bill. If you're handling sensitive health information, your best bet is to explore other options that offer full compliance. That said, if you're looking for ways to streamline your healthcare admin tasks, Feather offers HIPAA-compliant AI that can help reduce your workload. It's a secure, efficient way to handle documentation, coding, and more, ensuring you spend less time on paperwork and more on patient care.

Feather is a team of healthcare professionals, engineers, and AI researchers with over a decade of experience building secure, privacy-first products. With deep knowledge of HIPAA, data compliance, and clinical workflows, the team is focused on helping healthcare providers use AI safely and effectively to reduce admin burden and improve patient outcomes.

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