Pharmacies & PBMs

Protect Prescription and Claims Data Across the Pharmacy Ecosystem

Prescription, claims, eligibility, and member data moves across pharmacies, PBMs, adjudication platforms, switches, processors, payers, and other connected organizations. Seald Healthcare protects the environment you control first with zero-knowledge record-level security, then allows that same protection to extend connection by connection wherever the data moves or is stored. Existing dispensing, adjudication, and transaction workflows remain intact.

Prescriptions Protected

The Problem

Every Connection Creates Another Point of Exposure

Sensitive Data Exists Across the Entire Pharmacy Ecosystem

Prescription, claims, eligibility, prior authorization, member, and payment data is processed across multiple organizations and systems. Each environment that stores or processes readable PHI becomes another potential point of exposure.

Every Handoff Expands the Security Boundary

Pharmacy data routinely moves between dispensing systems, PBMs, adjudicators, switches, processors, payers, reporting partners, and other organizations. Transport encryption protects the connection, but the receiving environment may still require readable data to perform its authorized workflow.

High-Volume Platforms Concentrate Risk

Pharmacies, PBMs, switches, adjudication platforms, and processors can hold records for large patient populations. A compromise at any high-volume point in the ecosystem can therefore expose significant amounts of PHI.

How Seald Healthcare Solves It

Secure the Environment You Control, Then Extend Protection

Seald Healthcare integrates into the pharmacy workflows already in place. Start by protecting records inside the pharmacy, PBM, adjudication platform, processor, or other environment you control. Decryption is governed by organization-defined policy, while dispensing, adjudication, claims routing, reporting, and other business processes continue as they do today.

Secure Your Own Environment First

Encrypt patient data at the record level inside the environment you control and define which people, applications, and systems are authorized to decrypt specific records or fields.

Extend Protection Connection by Connection

As connected organizations integrate with Seald Healthcare, the same record-level protection can extend across additional workflows and systems. The protected path expands without requiring every participant in the pharmacy ecosystem to adopt Seald Healthcare at once.

Automatic Key Management and Audit Evidence

Seald Healthcare manages key issuance, rotation, rewrapping, signing, and revocation through zero-knowledge key management. Every decryption request, denial, policy change, and revocation is recorded in a tamper-evident audit trail.

Policies in Action

Examples of What You Can Enforce

Pharmacy data moves across dispensing, adjudication, reporting, reconciliation, and other connected workflows. Seald Healthcare starts by securing the organization's own environment with record-level decryption policy, then extends the same controls connection by connection to downstream partners and systems as they integrate.

Learn More About Policy Studio
Enforced

Pharmacists can decrypt prescription records only at their registered store location, during their scheduled hours.

WHOPharmacistsWHERERegistered storeWHENScheduled hours
Enforced

Alex Nguyen ([email protected]) can decrypt controlled-substance records only during his scheduled shift, from a store terminal, with MFA verified, and only as one of the 25 identities authorized for that store. Requests from any other identity or device do not decrypt.

WHOAlex NguyenEMAIL[email protected]WHATControlled-substance recordsWHENScheduled shiftDEVICEStore terminalMFARequiredLIMIT25 authorized IDs
Enforced

Pharmacy technicians can decrypt fill status and pickup fields only. Full medication history decrypts only for the pharmacist on duty.

WHOTechniciansWHATFill status only
Enforced

Floating staff can decrypt records only at the store where they are scheduled that day.

WHOFloating staffWHEREScheduled store
Enforced

Only identities on the Aldercross domain ([email protected]), MFA verified and on the roster of 25 authorized processors, can decrypt claims at adjudication only, from registered systems. Stored claims remain encrypted before and after, and authorization ends with the contract.

WHOAldercross AdjudicationEMAIL[email protected]MFARequiredLIMIT25 processorsWHATClaims at adjudicationWHERERegistered systemsEXPIRATIONContract end
Enforced

ClearRoute Switch can decrypt only the records and fields authorized for its role in the transaction. The existing claims-routing workflow remains unchanged.

WHOClearRoute SwitchWHATTransaction-authorized fields
Enforced

Tallgrass Reconciliation can decrypt claim totals only. Patient identifiers do not decrypt for the reconciliation workflow.

WHOTallgrass ReconciliationWHATClaim totals only
Enforced

Sentinel Rebate Services' access is revoked automatically when the contract expires.

WHOSentinel Rebate ServicesREVOCATIONContract expiry

HIPAA Safe Harbor

A Breach of Properly Encrypted PHI Is Not a Reportable Breach Per HHS

If protected health information is lost, stolen, or accessed by an unauthorized party, properly encrypted data remains unreadable and unusable. Under HHS guidance, properly encrypted PHI is not considered unsecured PHI when the decryption key or process has not also been compromised, and therefore does not trigger HIPAA breach-notification requirements. That means a security incident does not automatically become a reportable breach. The result can be reduced breach liability, lower cyber insurance costs, and a dramatically different outcome for your organization.

“Protected health information (PHI) is rendered unusable, unreadable, or indecipherable to unauthorized individuals if one or more of the following applies: electronic PHI has been encrypted as specified in the HIPAA Security Rule… such encryption renders the breach notification provisions of the HITECH Act inapplicable.”
— HHS Guidance Specifying the Technologies and Methodologies for Securing PHI · 45 CFR § 164.402

No Public Disclosure

No 60-day notification clock, no HHS portal listing, no press release.

Reduced OCR Exposure

Demonstrated safeguards reduce regulatory and enforcement exposure.

Lower Insurance Premiums

Seald Healthcare’s demonstrable controls may qualify for carrier premium credits.

80%+

Of stolen patient records are taken from third-party vendors, not providers directly

Prescription data moves through PBMs, clearinghouses, specialty pharmacies, manufacturer hubs, and fulfillment partners before it reaches the patient.

FAQ

Frequently Asked Questions

What does Seald Healthcare do?

Seald Healthcare protects patient data itself, not just the systems around it. Each record is encrypted individually, with decryption authority kept separate from the data. Records stay encrypted wherever they are stored, accessed, or shared and decrypt only during authorized use under policy for an approved person, device, application, or AI agent.

How does Seald Healthcare integrate?

Seald Healthcare supports multiple integration paths depending on how patient data is used. Secure Portal Access gives authorized users browser-based access without requiring a native vendor integration. Native Integration uses Seald Healthcare's API and SDK for applications, vendors, and AI agents that need to process patient data programmatically. Protected Storage keeps files and records encrypted across OneDrive, Google Drive, S3, databases, archives, backups, and disaster recovery while preserving authorized access. Seald Healthcare can also integrate into existing healthcare data flows such as HL7, FHIR, X12, SFTP, integration engines, APIs, and outbound file workflows.

What changes for our vendors?

That depends on the integration model. In many existing data workflows, vendors continue receiving data through the same connection, schedule, and format they use today. The difference is that protected PHI remains ciphertext unless an authorized user, application, service, or workflow is permitted to decrypt it. For human-review workflows, vendors can also access authorized records through Seald Healthcare's secure portal without requiring a native integration.

What happens if a vendor or cloud environment is breached?

Seald Healthcare is designed so that compromising the environment storing the data does not, by itself, provide the authority required to decrypt the protected records. Patient data remains encrypted, and decryption still requires an authorized request that satisfies the active policy.

Take the Next Step

Ready to Protect Prescription and Claims Data?

See how Seald Healthcare secures the environment you control and extends the same record-level protection across pharmacies, PBMs, adjudication platforms, processors, and payers, without disrupting dispensing or adjudication workflows.

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