Element34
Industries · Healthcare and MedTech

Healthcare test automation that's AI-native and never touches PHI.

For national healthcare providers, payers, HealthTech companies, and MedTech innovators whose PHI and device data cannot land in a public testing cloud. SBOX runs HIPAA-aligned in your tenant, scales EHR, member-portal, and device-companion test execution, and keeps audit logs you can show to compliance.

  • HIPAA-aligned architecture
  • PHI never leaves your tenant
  • EHR + portal coverage
ComplianceHIPAA-aligned DeploymentHIPAA-aligned tenant RegionUS · EU · UK · CH
Selenium Box · Healthcare deployment
Security posture · per-customer
🔒 grid.private.payer-us HIPAA-aligned
National health insurer, USManaged
SBOX operated by Element34 in HIPAA-compliant AWS. Single-tenant. 24x7 SLA. Customer-controlled keys via KMS.
us-east-1customer KMSHIPAA-alignedSSO + SCIM
National healthcare provider, EUPrivate Cloud
SBOX runs on customer Kubernetes in customer datacenter. EU residency end-to-end. Zero data egress.
eu-central-1dedicated infrazero egresscustomer ops
HealthTech platform, hybridVPC
SBOX deployed via Terraform into customer AWS account. Single-tenant inside VPC. PrivateLink at the edge.
BYO cloudPrivateLinkHIPAA-alignedSIEM streaming
Public SaaS test gridRejected
Multi-tenant cloud, shared inference, vendor master key. Compliance and security review block the trade.
multi-tenantvendor keyPHI egressno region pin
Element34 deployment Public SaaS (rejected)
Trusted across healthcare and regulated industries that share the same compliance bar
Healthcare challenges · Element34 solutions

Where healthcare and HealthTech testing breaks under public SaaS, and what compliance-first testing fixes.

For national healthcare providers, payers, and HealthTech companies that cannot use public SaaS, SBOX runs on a private testing grid the organization controls. PHI stays inside the HIPAA-compliant perimeter. The compliance officer signs on architecture.

Challenge 01 HIPAA Privacy Rule

PHI residency under HIPAA cannot accommodate vendor cloud.

HIPAA Privacy Rule requires PHI to stay within infrastructure the covered entity or business associate controls. Public-SaaS test grids move PHI in test data, screenshots, and session recordings into vendor multi-tenant cloud, which the HIPAA compliance officer cannot accept on the architectural review.

  • PHI in vendor screenshots and session traces
  • Vendor cloud regions shift
  • BAAs do not cure the architecture
Element34 solution Single-tenant in your region

SBOX single-tenant in your region, zero egress.

Managed Private Cloud is region-pinned at deployment inside your HIPAA-compliant infrastructure. VPC runs inside the customer AWS, Azure, or GCP account. Private Cloud runs in the customer datacenter. PHI never crosses into Element34 infrastructure in any deployment.

  • Single-tenant by default in every deployment
  • Customer-defined region in VPC and Private Cloud
  • Zero data egress to Element34
Challenge 02 EHR + portal coverage

EHR and member-portal coverage is wide, brittle, and slow.

Healthcare test surfaces span the EHR, member portal, provider portal, claims systems, eligibility engines, and connected mobile experiences. Selectors break on every portal release, regression cycles run for weeks, and brittle automation drives QA back to manual UAT.

  • Portal selectors break on every release
  • Selenium + Appium hybrid required
  • Regression cycles run for weeks
Element34 solution Selenium + Appium + Auto Heal

Selenium and Appium hybrid with Auto Heal for portal churn.

SBOX runs Selenium and Playwright tests on real browsers plus Appium on real mobile devices, all single-tenant in your environment. Auto Heal handles portal selector churn so the test pack survives redesigns. Studio authors new flows in plain English. Automated RCA explains failures so debugging clears in minutes.

  • Selenium and Playwright on real browsers
  • Appium on real iOS and Android devices
  • Auto Heal handles portal churn
Challenge 03 Compliance audit trail

Compliance officer audit trail demands outstrip vendor logging.

HIPAA Security Rule and state-level privacy rules require an audit trail that a compliance officer can produce on demand. Public-SaaS test grids store logs in vendor systems on vendor retention policies, which the healthcare organization cannot pin to a single region or stream to the compliance SIEM.

  • Vendor-side log retention
  • No SIEM integration
  • Compliance officer evidence incomplete
Element34 solution Immutable logs to your SIEM

Immutable audit logs streamed to your SIEM.

SBOX produces session-level and user-level audit logs that stream to Splunk, IBM QRadar, or Microsoft Sentinel. The healthcare organization defines retention. The compliance officer, internal audit, and the HIPAA reviewer get the same evidence trail without any vendor-side gap.

  • Splunk, QRadar, Sentinel export
  • Customer-defined retention
  • Session-level reconstructable evidence
Challenge 04 AI governance for healthcare

AI governance for healthcare workflows blocks vendor inference.

Healthcare AI use cases (claims triage, portal copilot, intake assistant) require strict model governance. AI prompts that flow through a vendor's shared inference endpoint cannot be cleared by HIPAA review or the AI governance review without a special exception, because PHI may appear in the prompt or response.

  • Vendor-side prompt storage
  • PHI risk in shared inference
  • Model governance escalates
Element34 solution BYO LLM, no PHI in training

BYO LLM, customer-controlled inference, no PHI in training.

Studio, Auto Heal, Automated RCA, and Pulse Report call your AI provider. Azure OpenAI, AWS Bedrock, GCP Vertex, OpenAI direct, Anthropic direct, or self-hosted. Prompts and responses never traverse Element34 infrastructure. PHI is never used as training data. Your AI governance review covers SBOX AI by default.

  • Bring-your-own-LLM across deployments
  • Customer KMS holds the LLM provider key
  • No PHI in training data
AI-native modules

AI in every layer. PHI never leaves your tenant.

AI runs inside the organization's tenant. AI calls the organization's model, not a vendor's. AI writes to the compliance audit trail. Every capability, every time.

AI test authoring

Studio

Plain-English EHR and member-portal test scenarios compiled into Selenium Java. AI authoring respects HIPAA boundaries.

Explore Studio →
Self-healing locators

Auto Heal

When the patient portal redesigns, Auto Heal updates locators inside your tenant. PHI never leaves.

Explore Auto Heal →
AI debug analyzer

Automated RCA

Failed regression on a clinical workflow gets a diagnostic for the dev team. No PHI in the diagnostic payload.

Explore Automated RCA →
Release readiness signal

Pulse Report

Daily readiness across EHR, member portal, claims systems. AI-summarized risk before each release.

Explore Pulse Report →
Customer-controlled inference

BYO LLM

Payer's HIPAA-compliant Azure OpenAI. Payer's audit trail. Payer's keys. Element34 never sees a prompt or response.

Explore BYO LLM →
Deployment options

One platform. Three deployment models. Same healthcare controls everywhere.

Pick the deployment that matches the organization's compliance and infrastructure environment. The product does not change. The controls do not change.

Within your network

Private Cloud (self-hosted)

Run SBOX on your dedicated infrastructure, fully behind your firewall. For organizations with hard data-residency mandates or disconnected operation requirements.

KubernetesHelmDockerAir-gap supported
  • Docker-based deployment with hub-and-executor architecture
  • Stateless licensing and full RBAC
  • Disconnected operation supported
  • No vendor telemetry after image pull
See deployment details →
Generally available
Most chosen by healthcare Dedicated cloud

Managed Private Cloud

Element34 runs a dedicated, single-tenant SBOX environment for you, pinned to your region. 24x7 SLA, white-glove operations.

Single-tenantRegion-pinnedEU / UK / CH / USPrivateLink
  • Single-tenant private grid, no shared infrastructure
  • Region pinning available across major jurisdictions
  • No public-cloud co-tenancy
  • 24x7 SLA with white-glove operations
Talk to sales for availability →
Available in select regions
Inside your cloud tenancy

Virtual Private Cloud (VPC)

Deploy SBOX inside your AWS, Azure, or GCP account. Single-tenant inside your VPC with PrivateLink at the edge.

AWSAzureGCPVPC peering
  • Runs in your cloud tenancy
  • No shared infrastructure with other customers
  • Native to your cloud network, IAM, and observability stack
  • Compatible with your existing GitOps pipeline
See deployment details →
Generally available

Same SBOX, same controls — only who operates it changes. Compare deployments →

Healthcare security · HIPAA-aligned controls

Built for the controls a healthcare compliance officer signs.

SBOX is HIPAA-aligned and GDPR-aligned by architecture. Six controls a healthcare compliance, audit, and procurement team actually checks before contract.

Zero PHI egress

Application data, PHI, session recordings, and AI prompts stay inside the healthcare organization perimeter across all deployment modes. Aligned to HIPAA Privacy Rule.

HIPAA-aligned

Single-tenant infrastructure

No shared compute, no shared storage, no multi-tenant database. Per-organization isolation across every deployment. Compliance signs on architectural review.

Always single-tenant

Network isolation

Runs without VPN tunnels or external connectivity back to Element34 infrastructure. The healthcare organization network is the only network in the chain.

Zero-trust posture

Customer-controlled AI

Your model subscription. Your prompts. Your AI governance review. SBOX AI calls the healthcare organization's own LLM provider; Element34 never sees a prompt.

BYO LLM

Full audit logging

Session-level and user-level logs, exportable to your compliance SIEM. Splunk, IBM QRadar, Microsoft Sentinel supported natively. Auditable end-to-end.

Customer SIEM export

HIPAA + GDPR architecture

PHI residency, role-based access via SSO and SCIM, encryption at rest and in transit. Architectural controls that carry the weight in a HIPAA Security Rule readiness review.

HIPAA + GDPR
See the reference architecture Talk to our security team
Also serving medical-device platforms

For medical-device platforms and connected health apps.

Same SBOX, same deployments, same controls. MedTech innovators get coverage across device-companion apps, clinician portals, and cloud-connected platforms. Selenium and Playwright for browsers. Appium on real iOS and Android. Hybrid cloud where device telemetry stays inside the boundary your regulators expect. Cochlear runs SBOX inside their environment today.

For MedTech

FDA + IEC 62304 alignment

Test evidence architecture aligned to FDA software-as-a-medical-device guidance and IEC 62304 lifecycle requirements. Session-level audit logs stream to the MedTech quality SIEM. Validation documentation reconstructable.

For device data

Device and patient data boundary

Device telemetry, patient identifiers, and PHI in companion-app screens never leave the hybrid cloud you control. Single-tenant in every deployment. Customer-controlled keys. AWS plus private datacenter supported.

For companion apps

Companion app and clinician portal coverage

Selenium and Playwright on real browsers for clinician portals and cloud platform consoles. Appium on real iOS and Android for patient-facing companion apps. Auto Heal handles selector churn across release cycles.

For real devices

Real-device cloud inside your perimeter

Real iOS and Android devices inside the private SBOX grid. No public device cloud, no patient data on shared infrastructure. Three deployment models. Device coverage scales with the test pack.

Customer success story

Why a top-five US health insurer moved member-portal QA into HIPAA-aligned infrastructure.

A top-five US health insurer replaced a manual UAT process and a public-SaaS test grid with SBOX, single-tenant in their HIPAA-compliant AWS environment. The driver: a member-portal release cycle blocked by manual testing and a hard rule that PHI cannot leave HIPAA-compliant infrastructure.

Top-five US health insurer Managed Private Cloud · HIPAA-aligned AWS · Selenium + Appium
Challenge

Member-portal release cycle blocked by manual UAT.

The member-portal release cycle ran on a manual UAT process plus an aging Selenium grid that could not scale to the parallel execution the portal needed. PHI prohibited from leaving HIPAA-compliant infrastructure. Compliance officer would not approve a public-SaaS test grid. Engineering throughput stalled.

Element34 solution

Managed SBOX in HIPAA-compliant AWS, Auto Heal for portal churn.

Element34 deployed SBOX as a Managed Private Cloud inside the insurer's HIPAA-compliant AWS environment, single-tenant, region-pinned. Auto Heal handled portal selector churn across redesigns. Integrated the insurer's AI provider for Auto Heal and Automated RCA. Wired session-level audit logs into the existing compliance SIEM.

Outcome

70% faster regression, zero PHI egress, compliance signoff in one cycle.

  • 70% faster regression cycle on the member portal
  • Zero PHI egress in normal operation
  • Compliance officer signoff on the architecture in one review cycle
  • Annual licensing structure cleared healthcare procurement review
Healthcare and HIPAA FAQ

Healthcare and HIPAA, answered.

Is Element34 SBOX HIPAA certified?
Element34 does not currently hold a HIPAA attestation. SBOX is HIPAA-aligned by architecture: zero PHI egress, single-tenant infrastructure, network isolation, customer-controlled AI, audit logs exportable to the compliance SIEM, and customer-managed keys. The architecture is designed so the healthcare organization's HIPAA compliance officer can clear it on the architectural review without retrofitted attestations.
Where does PHI live?
PHI, application data, session recordings, generated code, and AI prompts stay inside the healthcare organization environment in every deployment. In Managed Private Cloud, the environment is region-pinned (US, EU-Central, EU-West, UK, Switzerland, and others on request) and single-tenant. Element34 never holds or processes PHI.
Is the SBOX environment truly single-tenant?
Yes. SBOX is single-tenant by default across all three deployment models. No shared compute, no shared storage, no multi-tenant database. Per-organization isolation is part of the architectural review evidence the compliance officer can verify before contract.
How does SBOX handle AI without exposing PHI?
SBOX is bring-your-own-LLM. The healthcare organization connects its existing Azure OpenAI, AWS Bedrock, GCP Vertex, OpenAI direct, Anthropic direct, or self-hosted model. Prompts and responses move between SBOX and the healthcare organization's AI provider only. Element34 has no access to PHI, prompts, responses, or test data. PHI is never used as training data.
What EHR and portal coverage is supported?
SBOX runs Selenium and Playwright tests on real browsers across web portals (member portal, provider portal, claims portal, eligibility portal), plus Appium on real iOS and Android devices for connected mobile experiences. Auto Heal handles portal selector churn across redesigns so the test pack survives release cycles. Studio authors new flows in plain English.
How are audit logs streamed to the compliance SIEM?
SBOX produces session-level and user-level audit logs that export to Splunk, IBM QRadar, or Microsoft Sentinel. The healthcare organization defines retention. The compliance officer, internal audit, and the HIPAA reviewer get the same evidence trail without any vendor-side gap.
Is SBOX GDPR-aligned for EU healthcare operations?
Yes. SBOX is GDPR-aligned by design. Managed Private Cloud is region-pinned at deployment to EU-Central, EU-West, UK, or Switzerland. VPC runs inside the customer EU cloud account. Private Cloud runs in the customer EU datacenter. There is no cross-border data transfer between the SBOX grid and any Element34 infrastructure during normal operation.
Which deployment models are available for healthcare?
Three deployment models, same product. Private Cloud (self-hosted) for healthcare organizations with hard PHI-residency or air-gap requirements. Virtual Private Cloud (VPC) for organizations that want SBOX inside their existing HIPAA-compliant AWS, Azure, or GCP tenancy. Managed Private Cloud for organizations that want Element34 to operate a dedicated, single-tenant environment region-pinned to their jurisdiction with a 24x7 SLA.
How does the contract structure work for healthcare procurement?
SBOX uses annual licensing, not metered SaaS pricing. The contract is designed to pass a healthcare procurement review and a HIPAA architectural review. Pricing structure includes the three SBOX product editions (SBOX Core, SBOX AI, SBOX Managed) and four drivers (parallel execution capacity, AI consumption, deployment model, and support tier). No public pricing. Talk to sales for a scoped quote.
What does time-to-value look like for a healthcare deployment?
Managed Private Cloud delivers a working SBOX environment region-pinned to the organization's jurisdiction in weeks, not quarters. VPC drops into the organization's existing HIPAA-compliant cloud account via Terraform. Private Cloud installs into the existing Kubernetes platform. In each model, Element34 provides architecture documentation up front so the compliance review can run in parallel with the technical proof of value.

Tell us about your compliance environment.

Whether you are scoping SBOX against HIPAA, replacing a public-cloud testing SaaS that no longer clears your compliance review, or planning a Managed Private Cloud pinned to your HIPAA-compliant infrastructure, we are ready to talk. We will scope your deployment, share the architecture documentation your compliance officer needs, and run a working AI demo against a non-production healthcare app you choose.

Talk to our security team →