Secure Your Hospital. Empower Your Teams. Protect Your Patients.
Cross Identity gives every hospital a single, trusted platform to manage who gets access to what, so clinicians spend time on care, not logins.
🏥 Supports HIPAA Security Rule Controls ↗🔒 Zero Trust Security ↓🔌 Connects to the Apps You Run ↗🚀 Deploy in 90 Days ℹ☁️ CIEM · Multi-Cloud Governed ↗🧠 IRM · Risk Intelligence Built-In ↗🤖 AI Agent Governance · Xenetra ↗
$6.64M
Average cost of a healthcare data breach (IBM, 2026)
13yrs
Healthcare has been the costliest industry for breaches (IBM, 2026)
90days
Typical time to full deployment
What Cross Identity Does
One Platform. Every Identity.
From the moment a nurse joins your hospital to the day they leave, and every patient interaction in between, Cross Identity governs access automatically, securely, and in compliance with every regulation.
🔐
Access Management
One login. Every system. Clinicians tap a badge and they're in. No passwords, no delays.
📋
Identity Governance
The right people always have the right access, and nothing more. Automated, auditable, always current.
🔑
Privileged Access
Sensitive systems, IT infrastructure, admin tools, pharmacy, protected with strict, monitored, time-limited access.
👤
Patient Identity
Patients access their records, consent to treatment, and manage their data, securely, simply, from any device.
☁️
Cloud Entitlement (CIEM)
Cross Identity governs identities and permissions across AWS, Azure, and GCP, enforcing least privilege and cutting cloud waste.
🧠
Risk Intelligence (IRM)
Warchief Risk Engine detects threats in real time across every module, and takes automated action before damage is done.
🤖
AI Agent Governance (Xenetra)
AI agents in your hospital, such as diagnostic bots, scheduling tools and billing automation, are discovered, owned, and governed.
Why Cross Identity
Built for Hospitals. Not Adapted for Them.
Most IAM platforms are built for tech companies and retrofitted for healthcare. Cross Identity is designed from the ground up for the clinical environment, its pace, its roles, its regulations, and its stakes.
✓Clinical-first workflows: badge tap SSO, emergency break-glass, and pharmacy biometrics built in
✓Compliance out of the box: mapped to HIPAA Security Rule controls, with support for GDPR, ISO 27001 and other frameworks
✓Connects to what you run: Cross Identity builds connectors to the applications a hospital runs, including EHRs, without depending on vendor APIs
✓Deploy in 90 days: structured implementation with dedicated healthcare specialists
✓CIEM built in: multi-cloud governance for AWS, Azure & GCP
✓IRM included: identity risk intelligence included with any Cross Identity platform module. Check with Cross Identity for current promotions
✓AI Agent Governance (Xenetra): AI bots, diagnostic tools and automations discovered, owned, and logged for HIPAA audits
Customer Result
A leading hospital group
6,000 workforce users, 5,000 patient users and 54 integrated applications on Cross Identity.
⚡
Day-One Access
New hires get access in under an hour, down from 3 to 5 days.
🔒
Access Removed on Exit
Access is revoked in minutes when HR records an exit, down from days.
🎧
Fewer Help Desk Tickets
About 60% fewer password and access tickets.
Figures are approximate and based on this deployment.
Hospitals manage thousands of identities across hundreds of systems, and most do it manually, inconsistently, and at great risk.
Why It Matters
The Cost of Getting It Wrong
Every day without proper identity governance is a day your hospital is exposed, to data breaches, compliance failures, clinical inefficiency, and patient harm.
💸
$6.64M
Average cost of a healthcare data breach, the highest of any industry for 13 years running (IBM Cost of a Data Breach Report 2026). Many breaches start with compromised credentials.
⏱️
Time Lost to Logins
Clinicians lose time every shift to repeated logins across systems. That's time taken directly from patient care.
📋
Weeks of Audit Prep
Hospitals can spend weeks preparing for a single HIPAA audit, manually gathering evidence that IAM makes available on demand.
Common Pain Points We Solve
🔓
Shared Logins
Multiple clinicians sharing the same username and password on shared workstations, which breaks the HIPAA requirement for unique user identification and leaves activity untracked.
👻
Ghost Accounts
Terminated employees retaining system access for days or weeks. Former staff, vendors, and contractors with live credentials.
🐢
Slow Onboarding
New hires waiting 3–5 days for IT to manually set up access to every system, losing critical productivity from day one.
📦
Access Overload
Staff accumulating system permissions over time as roles change, creating toxic entitlement combinations and compliance risk.
🔑
Password Fatigue
Clinicians juggling 8–15 separate logins across clinical systems, leading to weak passwords, reuse, and help desk overload.
💊
Pharmacy Exposure
Insufficient controls on who can access controlled substance systems, creating drug diversion risk and regulatory liability.
☁️
Cloud Permission Sprawl CIEM
As hospitals adopt AWS, Azure, and GCP, thousands of ungoverned cloud identities accumulate excess permissions. Cross Identity CIEM governs all of it.
🚨
Undetected Identity Threats IRM
Without real-time risk intelligence, lateral movement, impossible travel, and compromised credentials go unnoticed until it's too late. IRM (Warchief) flags them and acts.
🤖
Ungoverned AI Agents Xenetra
AI diagnostic tools, scheduling bots, and billing automation are being deployed across hospital systems with no owner, no approval, and no audit trail, a HIPAA audit gap waiting to happen. Xenetra discovers AI agents across cloud, endpoints and network.
Cross Identity Addresses All of These.
One platform. Automated. Compliant. Deployed in 90 days. See exactly how ↓
Our Solutions
Everything Your Hospital Needs. Nothing It Doesn't.
Seven purpose-built modules that work together as one, covering every identity, every cloud, every risk, and every AI agent across your entire hospital ecosystem.
Access Management · SSO
Your Staff Should Be Caring, Not Logging In
Cross Identity's Single Sign-On means a clinician taps their badge once and gets instant access to every system they need, EHR, radiology, lab, pharmacy. No passwords. No delays. No friction.
✓Sub-second badge tap access to all clinical systems
✓Works across shared workstations, every user, every shift
✓Visiting doctors authenticate using their home hospital credentials
✓Adaptive security, higher-risk actions require an extra step, routine ones don't
✓Less time logging in, more time with patients
🔐
Access Management & SSO
One login. Every system. Every shift. Every clinician.
Single Sign-OnMFABadge TapAdaptive AuthFederated ID
📋
Identity Governance
The right access for the right people, always, automatically.
When a nurse joins, transfers departments, or leaves, Cross Identity handles all their access automatically. No IT tickets. No manual provisioning. No forgotten accounts.
✓New staff are fully provisioned in hours, not days
✓Role changes automatically update access, nothing is carried over that shouldn't be
✓Terminated employees lose all access in minutes
✓Quarterly access reviews for HIPAA audits, done in days, not weeks
✓Pharmacy and finance protected by separation-of-duties rules
Privileged Access · PAM
Your Most Sensitive Systems, Locked Down
IT infrastructure, admin configurations, and sensitive clinical systems need an extra layer of control. Cross Identity PAM ensures only the right people get in, for exactly as long as they need to.
✓Every privileged action is recorded and auditable, nothing goes untracked
✓Access is granted for exactly the time needed, then auto-revoked
✓Vendors and contractors get time-limited, fully monitored access
✓Emergency break-glass access for critical situations, controlled and logged
✓Shared passwords securely vaulted, no more sticky notes or spreadsheets
🔑
Privileged Access Management
Control, monitor, and audit every high-privilege action.
Patients deserve the same simplicity and security as your staff. Cross Identity makes it easy for patients to access their records, consent to treatment, and delegate access to family members, all digitally, all compliantly.
✓Simple, secure patient portal login with identity proofing
✓Digital consent for procedures, replacing paper forms entirely
✓Patients control who sees their data, family, caregivers, secondary providers
✓Full HIPAA and GDPR consent audit trail, automatically maintained
✓Simpler sign-in that makes portal registration easier
Cloud Infrastructure · CIEM
Your Cloud Has an Identity Problem
The Cross Identity platform governs human and machine identities across AWS, Azure, and GCP, enforcing least privilege continuously, eliminating shadow access, and cutting wasted cloud spend.
✓Single unified view of all identities, roles, and service accounts across multi-cloud
✓Zero Standing Privileges, JIT cloud access with automatic expiration
✓Automatically deprovisioned cloud roles tied to HR lifecycle events
✓Real-time spend analytics to find wasted cloud budget
✓Finds and removes permissions that are granted but never used
☁️
Cloud Infrastructure & Entitlement Mgmt
Every cloud identity, governed. Every permission, right-sized.
IRM is not a bolt-on, it's the intelligence layer built into every Cross Identity module. The Warchief Risk Engine continuously evaluates risk across all identity activity and takes automated action when threats are detected.
✓Correlates signals from IAM, IGA, PAM, CIAM, CIEM, network (Zscaler), and device (CrowdStrike)
✓Detects impossible travel, suspicious IPs, unknown devices, and concurrent sessions in real time
✓Auto-responds: block access, step-up MFA, or suspend identity, no manual intervention needed
✓Flags governance failures before they lead to compromise
✓Identity risk intelligence included with any Cross Identity platform module. Check with Cross Identity for current promotions
AI Agent Governance · Xenetra
Your Hospital's AI Agents Have No Governance. Yet.
Hospitals are deploying AI agents faster than they can track them, diagnostic bots, scheduling tools, billing automation, coding assistants. Xenetra discovers AI agents running across cloud, endpoints, and network, assigns ownership, enforces policy, and creates a tamper-proof HIPAA audit trail.
✓ARIA engine detects AI agents by behavior across 8 planes, without signatures
✓Every agent gets an owner, a policy, and a 12-state lifecycle from discovery to deprovisioning
✓Shadow AI discovery: surfaces AI tools your staff are using that IT doesn't know about
✓Maps agents to HIPAA §164, NIST AI RMF, ISO 42001 and the EU AI Act
✓Agentless, read-only deployment for a fast first inventory
✓HMAC-chained tamper-proof audit trail, with agent actions logged and audit-ready
🤖
AI Agent Governance
Agents discovered. Agents owned. Agents governed.
ARIA DetectionAIGA GovernanceShadow AIHIPAA §164EU AI Act
8
Detection planes
12
Lifecycle states
4
Compliance frameworks
3
Places scanned: cloud, endpoints, network
The Platform
One Dashboard. Your Entire Hospital Identity.
A single console where your team can see, manage, and audit every identity, every access request, and every compliance status, in real time.
Cross Identity · Healthcare Operations Console● Live
Xenetra (ARIA + AIGA): discovers AI agents, assigns owners and governs them; HIPAA §164 audit trail maintained
Application Ecosystem
Connectors for Hospital Applications
Our connector factory builds connectors to the applications your hospital runs. In-house applications are included. At one hospital group, Cross Identity connected 54 applications, including Active Directory, SAP, the hospital information system and applications built in-house.
🏥
Clinical
EHR and hospital information systems · Imaging · Lab · Pharmacy · Telehealth
⚙️
Workforce & HR
HR and payroll · Scheduling · Collaboration · Training
💰
Finance & Supply
ERP · Billing · Supply chain · Procurement
📱
Patient-Facing
Patient portals · Registration · Consent
🔬
Medical Devices & IoT
Infusion pumps · Ventilators · Smart badges · Surgical robots · RFID systems
🖥️
IT Infrastructure
Active Directory · Microsoft 365 · VPN · Service desk
☁️
Cloud & CIEM
AWS · Azure · GCP · Service accounts · API gateways
🧠
Risk & SIEM (IRM / Warchief)
Zscaler · CrowdStrike · SIEM platforms
🤖
AI Platforms (Xenetra)
AWS Bedrock · Azure OpenAI · GitHub Copilot · GCP Vertex · M365 Copilot · Slack AI · Salesforce Einstein · ServiceNow AI + 20 more
Automated Lifecycle
From Day One to Last Day, Automated
Every HR event triggers the right identity action. No IT tickets. No manual steps. No gaps.
1
Pre-Hire
Accounts ready before they walk in the door.
2
Day One
Full access activated at orientation.
3
Role Change
Old access removed. New access granted. Instantly.
4
Leave
Accounts suspended. Delegations set. Easy return.
5
Exit
All access revoked in minutes.
6
Rehire
Identity matched. Clean slate. New access provisioned.
Compliance
Every Regulation. One Platform. Always Ready.
Cross Identity is designed so that every IAM control you deploy is also a compliance control, for HIPAA and the frameworks US hospitals are audited against.
✓
Unique User IdentificationEvery staff member has their own identity. No shared accounts, ever. Automatically enforced across all connected systems.
✓
Emergency Access ProceduresControlled break-glass access for emergencies, immediate, logged, and notified to compliance officers in real time.
✓
Automatic LogoffIdle sessions time out automatically. Proximity-based lock on shared workstations, no manual action required from staff.
✓
Audit ControlsEvery access event is logged, tamper-proof, and searchable. Audit reports that used to take weeks are ready in minutes.
✓
Minimum Necessary AccessStaff only get access to what their role requires. Quarterly reviews automatically flag and remove any excess entitlements.
✓
Person Authentication (MFA)Multi-factor authentication enforced for all staff, patients, vendors, and devices, configured per role and risk level.
✓
Access Management PoliciesStructured request and approval workflows ensure access is only granted through a documented, auditable process.
✓
Workforce Training VerificationAccess to sensitive systems is automatically blocked until required privacy and security training is completed and verified.
✓
Risk-Based Access Controls (IRM)Warchief Risk Engine evaluates every login attempt in real time, enforcing step-up MFA or denying access based on risk score, supporting HIPAA's risk analysis and management requirements.
✓
AI Agent Accountability (§164.308, Xenetra)AI agents touching patient data are discovered, assigned an owner, and governed under a documented policy, supporting HIPAA's administrative safeguard requirements for automated systems accessing PHI.
✓
AI Agent Audit Trail (§164.312, Xenetra)Xenetra's HMAC-chained tamper-proof audit trail logs AI agent actions involving PHI, supporting HIPAA §164.312 technical safeguard requirements for audit controls on automated systems.
i
Proposed HIPAA Security Rule UpdateA proposed update to the HIPAA Security Rule (published January 2025, not yet final) would make multi-factor authentication and one-hour access termination explicit requirements. Hospitals that put these controls in place now avoid a rushed deadline later.
✓
Two-Factor Authentication for Prescribers (21 CFR 1311.115)DEA rules require two-factor authentication to sign electronic prescriptions for controlled substances. Cross Identity enforces a second factor for prescribers.
✓
Access Controls for Prescribing (21 CFR 1311.125)Role-based access limits who can sign controlled substance prescriptions. Changes to that access go through a documented approval.
✓
Audit Trail (21 CFR 1311.120)Sign-in and access events are logged against a named individual, so prescribing access can be reviewed and evidenced.
✓
Pharmacy Separation of DutiesSeparation-of-duties rules keep ordering, dispensing and approval of controlled substances with different people.
✓
Multifactor AuthenticationAn essential goal in the HHS Healthcare and Public Health Cybersecurity Performance Goals. Enforced for staff, vendors and remote access, by role and risk level.
✓
Revoke Credentials for Departing Workforce MembersAccess is removed automatically when HR records a departure, including contractors and vendors.
✓
Unique CredentialsEvery user has an individual account, including on shared workstations, so every action traces to a person.
✓
Separate User and Privileged AccountsAdministrator access is separate from day-to-day accounts, time-limited and recorded.
i
Voluntary, and Widely Used as a BaselineThe HHS goals are voluntary. Many auditors, insurers and grant programs use them as a baseline for healthcare cybersecurity.
✓
GOVERN, Policies & AccountabilityXenetra enforces AI governance policies across your hospital, every agent has an assigned owner, defined permissions, and a review cycle. Accountability is built into the platform, not bolted on.
✓
MAP, Risk Context & IdentificationARIA's 8-plane behavioral detection maps every AI agent to its risk context, cloud, endpoint, or network, and scores it against your hospital's risk tolerance automatically.
✓
MEASURE, Analysis & AssessmentContinuous risk scoring with confidence metrics (0.0–1.0) for every agent. Periodic re-certification campaigns ensure risk posture is measured and documented on schedule.
✓
MANAGE, Response & MonitoringWhen a policy violation is detected, Xenetra alerts the owner, creates a ticket, and logs the event in the tamper-proof audit trail, all without human intervention. Fully automated NIST AI RMF MANAGE function.
✓
Continuous MonitoringXenetra doesn't just scan on demand, it watches agent behavior continuously, flagging drift from approved behavior patterns and triggering re-certification when risk thresholds are exceeded.
✓
Lawful Basis for ProcessingCIAM captures and documents the lawful basis for every data processing activity, consent, contract, or legitimate interest.
✓
Data Subject RightsSelf-service portal supports access, rectification, erasure, portability, and restriction requests, all identity-verified and audited.
✓
Data MinimizationIGA enforces that staff only access data necessary for their specific role and current assignment, nothing more.
✓
Security of Processing (Article 32)End-to-end MFA, session encryption, privileged access controls, and audit trails satisfy Article 32 technical requirements.
✓
Breach NotificationReal-time anomaly detection and SIEM integration enables rapid identification and 72-hour breach notification as required.
✓
Data Protection by DesignAccess controls, consent management, and data minimization are built into the identity fabric, not bolted on after the fact.
✓
Real-Time Threat Detection (IRM)Warchief correlates identity, network, and device signals to detect anomalies, supporting GDPR's breach notification duty with rapid identification and evidence collection.
✓
Cloud Access Governance (CIEM)CIEM ensures cloud identities operate under least-privilege, satisfying GDPR's data minimization principle even across multi-cloud healthcare environments.
✓
Access Control (A.9)Formal access provisioning, role-based controls, and privileged access management map directly to ISO 27001 Annex A.9.
✓
Cryptography (A.10)Credential vaulting, encrypted sessions, and FIDO2 hardware keys meet cryptographic control requirements.
✓
Human Resource Security (A.7)Automated onboarding and offboarding ensure access aligns with employment status at every stage of the employee lifecycle.
✓
Audit Logging (A.12.4)Comprehensive, tamper-proof event logs across all identity and access activities satisfy ISO audit logging requirements.
✓
Supplier Relationships (A.15)Vendor access managed through PAM with time-limited, monitored sessions, full third-party access governance.
✓
Incident Management (A.16)Anomaly detection, real-time alerts, and break-glass procedures support rapid incident identification and response.
✓
Cloud Security (A.6.2 / A.13)CIEM enforces least-privilege across multi-cloud environments, satisfying ISO 27001 controls for cloud identity, network access, and information transfer.
✓
Risk Treatment (Clause 6.1)Warchief IRM continuously scores and enforces risk treatment, aligning with ISO 27001's requirement for risk monitoring, review, and treatment across all operational contexts.
✓
Article 9, Risk Management & AI InventoryXenetra maintains an inventory of the AI agents it discovers in your hospital, the foundational requirement of EU AI Act Article 9. Each agent is risk-scored and assigned an owner.
✓
Article 12, Record Keeping & Audit TrailXenetra's HMAC-chained tamper-proof audit trail logs every agent action, certification decision, and policy event, satisfying Article 12's immutable record-keeping requirements.
✓
Article 13, Transparency DocumentationEvery AI agent is documented with its purpose, owner, data access permissions, and risk classification, enabling the transparency reports required under Article 13.
✓
Article 17, Quality Management SystemAIGA's 12-state agent lifecycle (discover → certify → govern → review → retire) constitutes a full quality management system for AI agents, mapping directly to Article 17 requirements.
✓
Shadow AI ControlsARIA's behavioral detection finds unapproved AI tools being used by hospital staff, preventing unregistered high-risk AI systems from operating without oversight, as required by the Act.
✓
One-Click Compliance PDF ReportGenerate an audit-ready EU AI Act compliance report for your hospital at any time, with gap analysis, agent inventory, and evidence for each article.
✓
Lawful Purpose & Consent (Section 6)Patients give explicit, specific consent for each use of their data. Every consent is captured, timestamped, and stored with a full audit trail.
✓
Right to Access & Correction (Section 11)Patients view, update, and correct their personal data through a secure self-service portal, no manual requests, no delays.
✓
Right to Erasure (Section 12)When a patient requests data deletion, access is revoked and the request is tracked, ensuring compliance with retention policies.
✓
Data Fiduciary Obligations (Section 8)Staff can only access patient records within their assigned care context. Purpose-limited access, enforced automatically by IGA.
✓
Consent Withdrawal (Section 6.4)Patients withdraw consent at any time through the patient portal. Downstream system access updates automatically within minutes.
✓
Security Safeguards (Section 8.4)MFA, encrypted sessions, real-time anomaly detection, and access revocation all map directly to DPDPA's security obligations.
✓
Cloud Data Residency & Access (CIEM)CIEM enforces that patient data stored in cloud environments is accessed only by authorized identities, with least-privilege and JIT controls satisfying DPDPA's data minimization obligations.
✓
Access to Patient InformationOnly authorized care team members access patient records, enforced by role, credential, and department assignment.
✓
Confidentiality of Patient DataIGA and CIAM ensure patient data is accessed only on a need-to-know basis, with full audit trail for every access event.
✓
Staff Credentialing VerificationLicense-based access control, clinical systems access is tied to verified credentials and updated when credentials change.
✓
Medication Safety ControlsPharmacy system access requires biometric verification. Separation of duties prevents unauthorized controlled substance access.
✓
Emergency ProtocolsBreak-glass emergency access is available for critical situations, with immediate notification and complete audit documentation.
✓
Visitor and Contractor ManagementThird-party access is time-limited, role-scoped, and fully monitored, satisfying NABH requirements for external personnel.
✓
Continuous Risk Monitoring (IRM)Warchief Risk Engine monitors every identity activity in real time, supporting NABH's patient safety and security requirements with automated threat response.
Certifications
Certifications Cross Identity Holds
🔒
ISO 27001:2022
Information Security
☁️
ISO 27017
Cloud Security
🛡️
ISO 27018
Cloud Privacy
🌐
CSA
Cloud Security Alliance
📋
AICPA SOC
Service Organization Controls
Frameworks the platform supports: HIPAA Security Rule · DEA EPCS · HHS Cybersecurity Performance Goals · NIST AI RMF · GDPR · ISO 42001 · EU AI Act
Results
What Changes With Cross Identity.
Results from a Cross Identity deployment at a leading hospital group, and the changes hospitals typically see.
< 1hr
To day-one access, down from 3 to 5 days
~60%
Fewer password and access tickets
54
Integrated applications
6,000
Workforce users
From a Cross Identity deployment at a leading hospital group. Figures are approximate and may vary by process and application.
Before & After
What Changes When You Deploy Cross Identity
The first four rows reflect the hospital group deployment above. The rest describe typical changes. Actual results depend on the environment.
⚡Clinical Efficiency
Clinician sign-inA login for every system→One sign-in with MFA
New employee system access3–5 days→Under 1 hour
IT help desk password callsHigh ticket volume→About 60% fewer
Access revoked after terminationDays→Minutes
📋Compliance & Patient Experience
HIPAA audit preparationWeeks of manual work→Evidence on demand
Patient sign-inSeparate logins→One secure sign-in
Treatment consentPaper forms→Digital, with audit trail
Credential riskUnmanaged→MFA and least privilege
🤖AI Agent Governance (Xenetra)
Ungoverned AI agentsUntracked→Inventoried, with owners
First AI agent inventoryWeeks (manual)→Automated discovery
Shadow AI discoveryNot visible→Unapproved tools surfaced
HIPAA audit evidence for AIManual, incomplete→Automated, audit-ready
Cross Identity is structured for rapid deployment. Our dedicated healthcare implementation team follows a proven 3-phase playbook so your hospital goes live fast, with minimal disruption to clinical operations.
1
Days 1–30 · Discover & Design: We map your existing identity landscape, define roles, integrate with your HR and EHR systems, and configure the platform to your workflows.
2
Days 31–60 · Deploy & Test: SSO, MFA, IGA, and PAM go live in a controlled pilot environment. Staff are onboarded department by department to minimize disruption.
3
Days 61–90 · Go Live & Optimize: Full production rollout across all departments. Compliance dashboards activated. Your team trained and fully supported from day one.
