Healthcare

Fastest way to integrate Passkeys & MFA for Healthcare

The proposed HIPAA Security Rule is making MFA mandatory for all ePHI access. Add passkeys and adaptive MFA on top of your existing identity provider in weeks — no migration, no rip-and-replace.

Fastest way to integrate MFA and Passkeys

Rapid deployment with pre-built UI, components, SDKs, and rules engine.

Unified authentication user experience

Combine passkeys, biometrics, and MFA into a seamless user experience.

Integrates with your Identity-Provider (IDP)

Integrate MFA and passkeys into any identity stack.

Implement best practices with expert support

Receive expert guidance and support to achieve top-tier passkey adoption rates.

Why healthcare authentication is different

Shared workstations, constant rotation

Clinical staff move between nursing stations, labs, and exam rooms dozens of times a shift. Blanket MFA prompts slow down care and create workarounds, including shared sessions, written-down credentials, propped-open access. The answer is not more prompts. It is smarter prompts: adaptive step-up authentication that applies the strong check where the risk is and leaves routine access fast.

Legacy systems that were never built for modern auth

EHR modules, medical devices, and older clinical applications often cannot speak SAML or OIDC. Some have no integration path to a modern identity provider at all. Healthcare teams need an authentication layer that works with the identity stack already in place, not one that requires re-architecting it.

Patient portals where friction kills adoption

Telehealth platforms and patient portals need MFA that works for every patient, including those who struggle with SMS codes or authenticator apps. Passkeys let patients authenticate with a fingerprint or face scan on their own device. No codes, no friction, phishing-resistant by default.

Business associates multiply the surface area

Every vendor, MSP, and third party with ePHI access needs to enforce MFA and produce audit evidence. The authentication challenge in healthcare is not one system, but hundreds of systems, spread across cloud, on-prem, and hybrid environments, each with its own login story. A unified orchestration layer brings them under one set of policies.

HIPAA is making MFA mandatory. Here is what is changing.

The proposed HIPAA Security Rule update removes the distinction between "required" and "addressable" implementation specifications. For authentication, that means multi-factor authentication would become an explicit requirement for every system that creates, receives, maintains, or transmits ePHI. The final rule has not been published yet, but the direction is clear enough to plan around.

1.

MFA becomes mandatory across all ePHI access

Not just remote access and admin accounts. Clinicians, billing staff, contractors, and vendors all fall inside the requirement.

2.

Business associates are covered

Every third party with ePHI access must enforce MFA and demonstrate it in updated business associate agreements.

3.

Phishing-resistant methods are favoured

The proposed rule leans on NIST SP 800-63B, which means passkeys (FIDO2/WebAuthn) and hardware security keys are the preferred options. SMS OTP is the weakest acceptable method.

4.

Audit evidence is expected from day one

The rule does not ask for a policy document that says MFA exists. It expects evidence that controls are deployed and operating — who authenticated, with which method, against which policy, and what happened on high-risk events.

5.

The compliance window is roughly 240 days

Once the final rule publishes: 60-day effective date, then 180 days to comply. That is about eight months, and most of it goes to procurement and rollout.

For the full regulatory breakdown, the MFA method comparison, and an eight-step preparation framework, read our guide: HIPAA MFA requirements and what to do before the final rule lands

How Authsignal helps healthcare teams

FAQs

Frequently asked questions

Does Authsignal replace our existing identity provider?

No. Authsignal is a drop-in authentication layer that sits on top of your existing identity stack. Whether that is Azure AD B2C, AWS Cognito, Auth0, Keycloak, or another provider, or your own database. You keep your current identity stack and add passkeys, adaptive MFA, and step-up authentication on top.

Does the proposed HIPAA rule require phishing-resistant MFA?

The proposed rule leans on NIST SP 800-63B, which favours phishing-resistant methods like passkeys and hardware security keys for privileged and remote access. SMS OTP is classified as a restricted authenticator — not banned, but treated as the weakest acceptable option. The practical direction is toward passkeys as the primary method.

How does Authsignal work with legacy healthcare systems that cannot support modern authentication?

For systems that can integrate via SAML, OIDC, or API, Authsignal adds the MFA layer directly. For legacy systems that cannot support modern auth protocols, Authsignal's rules engine can enforce compensating controls such as network-based policies, restricted access windows, and enhanced logging. The proposed HIPAA rule includes provisions for documented compensating controls on genuinely constrained systems.

What compliance certifications does Authsignal hold?

Authsignal is SOC2 Type II certified, ISO 27001 certified, and FIDO Certified. These certifications directly address the security and audit requirements that healthcare organisations evaluate when selecting authentication vendors.

How long does it take to deploy Authsignal in a healthcare environment?

Most teams are live in weeks, not months. Authsignal's pre-built UI, SDKs, and no-code rules engine are designed for rapid deployment on top of existing identity infrastructure with no migration required.

Frequently asked questions

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Resources
The passkey UX patterns that drive adoption in 2026
Passkey adoption stalls in the moments around the WebAuthn ceremony. Four configurations that decide whether users actually keep using passkeys in 2026.
What is silent network authentication, and how does it work?
Silent network authentication verifies a phone number through the carrier, no SMS code. How the SIM-based and network methods work, and where each fits.
HIPAA MFA requirements and what to do before the final rule lands
HIPAA MFA requirements are changing. The proposed Security Rule would make MFA mandatory for all ePHI access. Here's what it covers and how to prepare now.
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Authenticate callers in seconds with passkeys and MFA

Cut call handling time and stop fraud with our multifactor authentication solution designed to authenticate callers without disruption.

Protect every call with phishing-resistant authentication

Verify callers instantly using passkeys, biometrics, push, WhatsApp OTP, or SMS, before agents handle sensitive requests. Integrates with ServiceNow, AWS Connect, and other major contact center platforms.

Lighting fast deployments

Drastically cuts call handle times

Mitigate fraud and social engineering

Trusted by leading businesses and built to integrate seamlessly

Features

Key capabilities

Drop‑in verification for contact center

Deploy authentication into your call and ticket flows. Securely verify customer identity with passkeys, OTP, biometrics, and more

Omnichannel methods

Authsignal offers modern, phishing-resistant authentication like FIDO2 / Passkeys, plus flexible options including push, SMS, WhatsApp OTP, email links, and biometric verification.

Agent & workflow benefits

With Authsignal, agents can verify callers instantly, cutting handle times and keeping calls efficient.

No‑code rules

Ship policies fast; create rules and adapt to fraud patterns without developers.

Compliance‑ready

Authsignal is built with enterprise-grade security and meets the highest industry standards. We’re fully compliant with SOC 2 Type II, AICPA SOC, and FIDO Certified.

Audit & analytics

Gain full visibility into every user interaction with detailed, real-time event timelines. Track key actions like sign-ins, transaction attempts, challenges, and completions to support security reviews, fraud investigations, and compliance audits.

Developer‑friendly

Authsignal deploys easily with pre-built UI components, SDKs, and a flexible rules engine that integrates with existing contact center systems.

Get started with Authsignal

Book a demo with our team to see how Authsignal can secure and streamline authentication in your contact centre workflows.

Use cases

Account recovery / password reset

Verify the right person before unlocking or resetting access.

Verification caller identity

Step‑up auth for high‑risk privilege changes.

Sensitive ticket updates / closure

Require strong proof before closing or altering sensitive records.

High‑value transactions data access

Verify identity before exposing or moving sensitive data.

Answering your questions about contact center workflow and authentication

Does this work with AWS Connect and IVR?

Yes. You can trigger verification from IVR flows (robot‑initiated) or let agents trigger it post‑call transfer. Both patterns are supported.

How long does implementation take?

Most teams stand up a pilot in days. Pre‑built flows, SDKs, and a no‑code rules engine minimize custom work.

What authetication methods are supported?

Passkeys (WebAuthn/FIDO2), push authentication, WhatsApp OTP, SMS OTP, and hardware security keys like YubiKey. You can mix methods per policy.

Will this reduce handle time and improve CSAT/NPS?

Yes. Replacing slow KBA with modern verification typically lowers AHT and removes escalations caused by uncertainty—without compromising security.

Is Authsignal compliant?

Authsignal is SOC 2 Type 2. Deployments can help support PCI DSS, ISO 27001, HIPAA, GDPR/UK GDPR, and PSD2/SCA requirements.

Ready to improve your workflow and authentication?