TruthNexus
Enterprise Security

Regulatory-grade security for healthcare AI

Skippy is built for environments where evidence is on the line. Our security architecture meets the rigorous demands of healthcare, finance, and regulated industries.

Regulatory Requirements

Three frameworks. Three active deadlines.

Healthcare AI now operates under enforceable regulatory frameworks that require what most AI architectures cannot provide: a traceable evidence chain from output to source. Skippy is built to satisfy these requirements structurally.

EU AI Act (Regulation 2024/1689)

Enforcing

High-risk obligations: August 2026

What it requires
  • Article 13: Technical documentation of knowledge base and how outputs are derived
  • Article 17: Quality management system with audit records for every decision
  • Article 14: Human oversight measures — knowledge boundary must be disclosed
  • Post-market monitoring with incident reporting to national authorities
How Skippy satisfies it

Skippy's architecture generates Article 13 and 17 documentation by construction — every output carries source lineage, confidence, and an immutable audit record. No post-processing required.

CMS Prior Authorization Rule (CMS-0057-F)

Active

PA API: January 2026 · Full compliance: January 2027

What it requires
  • PA denials must include a reason specific enough for the provider to understand which criterion was not met
  • AI-driven PA rationale must be traceable to specific clinical criteria — publicly available and versioned
  • Audit trail must reproduce the original denial rationale at appeal time
  • 72-hour turnaround requirement for urgent PA decisions
How Skippy satisfies it

Skippy Auth returns a named clinical criterion, version date, and source citation with every decision. Every response is logged to an immutable audit record anchored to a versioned evidence snapshot — reproducible at appeal.

FDA Software as a Medical Device (SaMD)

Active

Ongoing — AI/ML Action Plan

What it requires
  • Predetermined Change Control Plan required for knowledge updates
  • CDS exemption requires clinician to independently review the evidence basis
  • Algorithm Change Protocol must gate all model updates affecting safety
  • Post-market monitoring with performance thresholds and incident reporting
How Skippy satisfies it

Skippy returns the full evidence chain underlying every recommendation — enabling independent clinician review, which is the structural requirement for the CDS exemption. Change gates run automatically on every evidence update.

Audit Trail Architecture

Cryptographically chained. 7-year retention. Tamper-evident by design.

Every API call produces an immutable audit record. Records are SHA-256 chained — any modification to a historical record invalidates every subsequent hash, detectable in a single linear scan.

Audit record schema
{
  "request_id":   "UUID per API call",
  "timestamp":    "UTC — NTP-synced",
  "query":        "submitted claim or query",
  "outcome":      "SUPPORTED | NOT_COVERED | ...",
  "confidence":   0.94,
  "sources_used": ["PubMed:12345", "ClinVar:67890"],
  "prev_hash":    "SHA-256 of previous record",
  "record_hash":  "SHA-256 of this record"
}
Chain integrity verification: any gap or modification detectable in a single linear scan. Export available for compliance review.
Regulatory compliance
RequirementFrameworkImplementation
Audit trail for all actionsFDA 21 CFR Part 11Every API call logged
Tamper detectionFDA 21 CFR Part 11SHA-256 hash chain
7-year retentionFDA 21 CFR Part 11Active + compressed archive
Record & examine activityHIPAA §164.312(b)Full query + outcome + sources
Decision documentationEU AI Act Art. 13Source lineage per output
Decisions replayableEU AI Act Art. 13Versioned evidence snapshot
Security Architecture

Defense in depth, from data to deployment

Data Encryption

  • AES-256 encryption at rest (all persistent data)
  • TLS 1.3 encryption in transit (all API traffic)
  • Key management via AWS KMS with automatic rotation
  • Encrypted backups with separate key storage

Access Controls

  • Role-based access control (RBAC) for all admin interfaces
  • Single Sign-On (SSO) via SAML 2.0 for enterprise customers
  • Multi-factor authentication (MFA) required for all users
  • Audit logging of all access attempts and admin actions
  • Session timeouts after 15 minutes of inactivity

Network Security

  • VPC isolation for all production services
  • Web Application Firewall (WAF) with OWASP Top 10 rules
  • DDoS protection via Cloudflare Enterprise
  • Private endpoints for all data and monitoring services
  • No ports exposed to public internet (localhost only in dev)

Audit & Compliance

  • Immutable audit logs (7-year retention)
  • SOC 2 Type II certified
  • HIPAA Business Associate Agreement (BAA) available
  • GDPR-compliant data handling and deletion
  • Regular third-party security assessments
Shared Responsibility

What Skippy owns. What you own.

Skippy retains zero PHI after a request resolves. Audit records contain only metadata — hash, outcome, source IDs, confidence tier — enabling 7-year compliance retention without re-identification risk.

Skippy's responsibility
  • Encryption in transit (TLS 1.3) and at rest (AES-256)
  • API authentication and rate limiting
  • Audit trail integrity — SHA-256 Merkle chain, tamper-evident
  • 7-year audit log retention on immutable storage (S3 Object Lock)
  • Zero PHI retention after request resolves
  • Verifier gate enforcement — no response issued on critical violation
  • PCCP gate compliance — blocks deployment on calibration failure
  • Incident detection, triage, and breach notification
Customer's responsibility
  • User authentication and identity management within your environment
  • Network perimeter and access controls between your systems and the API
  • Audit log access authorization (who in your org can read exports)
  • API key rotation and credential management
  • PHI de-identification before submitting queries (for additional assurance)
  • User training and acceptable use policy enforcement
No customer data is used for model training or improvement. Customer submissions are not shared across tenants.
Compliance & Certifications

Meeting the world's toughest standards

FrameworkStatusTarget DateDetails
SOC 2 Type IICertifiedActiveComprehensive audit of security, availability, and confidentiality controls — certified.
HIPAAReadyAvailable NowFull BAA available. Infrastructure configured for HIPAA-compliant deployments.
GDPRCompliantActiveData residency options for EU customers. Right to deletion implemented.
Penetration TestingAnnualLast: Q1 2026Third-party pen test by accredited firm. Zero critical findings. Executive summary available in security package.
FedRAMPIn Progress2027FedRAMP Moderate authorization in progress. FISMA Moderate architecture available now on Government plan.
ISO 27001In ProgressQ2 2027Information security management system certification.
Data Residency

Where your data lives matters

Skippy offers data residency options to meet regional compliance requirements:

US East (Virginia)

Primary region. HIPAA-compliant infrastructure. SOC 2 Type II certified.

EU West (Ireland)

GDPR-compliant. EU data residency. Enhanced encryption controls.

On-Premises

For organizations with strict data sovereignty requirements. Full control of infrastructure.

Subprocessors

Third-party services and their compliance posture

Skippy notifies customers 30 days before adding or changing a subprocessor. No subprocessor receives PHI — audit logs are metadata-only. All subprocessors are bound by Data Processing Agreement.

SubprocessorPurposePHI accessCertifications
Amazon Web Services (AWS)Compute, storage, primary infrastructureNo — metadata onlySOC 2, ISO 27001, HIPAA BAA, FedRAMP High
AWS KMSEncryption key managementNoFIPS 140-2, SOC 2
Cloudflare EnterpriseDDoS protection, WAF, CDNNoSOC 2 Type II, ISO 27001
DatadogInfrastructure monitoring and alertingNo — metrics and traces onlySOC 2 Type II, HIPAA BAA available

Complete subprocessor list with DPA references available in the security documentation package. Request it →

Independent Verification

Verify Skippy responses without trusting our servers

Every Skippy response carries a cryptographic signature. skippy-verify is an open-source Python package that performs offline verification — checking Ed25519 signatures, Merkle root integrity, key revocation, and optional transparency-log inclusion proofs. No Skippy infrastructure required.

01
Signature present
Rejects any response missing the signature block — no fallback
02
Key lookup
Fetches the Ed25519 public key from your configured registry with TTL caching
03
Key revocation check
Confirms the signing key has not been revoked before accepting the signature
04
Merkle root recomputation
Canonically reconstructs the signing payload and verifies the Merkle root hash
05
Ed25519 signature
Cryptographically validates the signature against the recomputed payload
06
Response hash
Confirms the response text has not been modified after signing
Install
pip install skippy-verify
Verify a response
from skippy_verify import ResponseVerifier
verifier = ResponseVerifier(
key_registry_url="https://keys.your-org.com"
)
result = verifier.verify(signed_response)
if result.verified:
# response is cryptographically intact
else:
# result.failures lists each failed step
Signing payload schema
spec_version: "skippy-sig/v1"
key_id · issued_at · skippy_version
request_id · audit_log_id
response_hash (SHA-256)
citations (pass-through)
All open source packages →
Incident Response

Breach notification and incident response

Skippy maintains a documented incident response plan covering detection, triage, containment, eradication, recovery, and post-incident review. Customers are notified before applicable regulatory deadlines.

Customer notificationWithin 24 hours of confirmed breach
HIPAA breach notificationWithin 60 days (per HHS requirements)
GDPR breach notificationWithin 72 hours to supervisory authority
Critical incident triage SLAAcknowledged within 1 hour
Security contact
Responsible disclosure & urgent incidents:
security@skippy.ai
Bug bounty program in progress. Responsible disclosure acknowledged within 24 hours.
Penetration testing

Annual third-party pen test by accredited firm. Last engagement: Q1 2026. Zero critical findings. Executive summary available on request.

Need security documentation for your evaluation?

We'll send you our complete security whitepaper, SOC 2 progress report, and HIPAA BAA template.

Request Security Package