Buyer's guide
The best HIPAA-compliant AI voice agent is the one you canactually run on patients
A voice agent that cannot legally touch PHI is a demo, not a product. The line that matters is the BAA, plus TCPA opt-out and a branded number. Here is what to look for, and where a free, BAA-included plan changes the evaluation.
HIPAA BAA included · TCPA opt-out honored · SOC 2 Type II
The short answer
Compliance is the spec, not a footnote
Any AI voice agent that answers or places patient calls is handling protected health information the moment a caller says why they are calling. That makes a signed Business Associate Agreement the first requirement, not a later upgrade.
The second requirement is TCPA discipline on outbound: opt-out honored on every call and text, every time. The third is caller identity, a branded number in your own area code, because pickup rate collapses on unknown or shared lines.
Most healthcare voice-AI vendors meet the compliance bar only on enterprise plans sold through demos, with no public pricing. Rivvi puts the signed BAA, TCPA handling, and a branded number on a free, self-serve plan with 10,000 conversation credits.
What matters
How to evaluate a HIPAA AI voice agent
The columns a compliance team and an office manager both care about.
rivviSigned BAA included
The prerequisite for PHI
rivvi
YesEnterprise voice AI
Not stated
Developer voice API
Not stated
Free, self-serve plan
rivvi
YesEnterprise voice AI
NoDeveloper voice API
Free trial
Public pricing
rivvi
YesEnterprise voice AI
NoDeveloper voice API
YesTCPA opt-out honored
rivvi
YesEnterprise voice AI
Not stated
Developer voice API
You build it
Branded phone number included
rivvi
YesEnterprise voice AI
Not stated
Developer voice API
Bring your own
Inbound + outbound + web chat
rivvi
YesEnterprise voice AI
Voice-led
Developer voice API
Build it
No engineering required
rivvi
YesEnterprise voice AI
YesDeveloper voice API
NoSOC 2 Type II
rivvi
YesEnterprise voice AI
Not stated
Developer voice API
Not stated
Competitor details are drawn from each vendor's public pricing and product pages as of July 2026 and may change. "Not stated" means the vendor does not publish that detail. Rivvi's free-trial details reflect the current published offer at rivvi.ai/pricing and rivvi.ai/sign-up.
Questions
HIPAA AI voice agents, answered
Is there a genuinely free HIPAA compliant AI for healthcare?
Yes. Rivvi's free trial includes a signed Business Associate Agreement, so you can run AI voice and web-chat agents on protected health information from day one. Most free tools gate HIPAA coverage behind a paid or enterprise plan; Rivvi's is HIPAA-ready on day one, and you can cancel anytime before the trial ends.
Do free AI tools sign a BAA?
Usually no. A Business Associate Agreement is the legal prerequisite for any tool that handles PHI, and most vendors gate it to paid or enterprise plans, or offer no self-serve signup at all. Rivvi includes the signed BAA on its free trial, e-signed in the app before any patient data moves.
Is Rivvi SOC 2 and HIPAA compliant?
Yes. Rivvi is SOC 2 Type II and runs on HIPAA-eligible infrastructure, signing a BAA with every organization before patient data moves. Patient information is never used to train third-party models, and TCPA opt-out is honored on every outreach path.
What is a conversation credit?
A conversation credit is a small unit of usage that meters per minute of conversation: a voice minute is about 40 credits and web chat costs less. Rivvi's free trial includes 10,000 credits (roughly 250 voice minutes), enough to run real appointment reminders, refill reminders, and recall calls end to end before you decide whether to move to a paid plan.
More on how the rules bind: Security and compliance