M ManySignal

Healthcare & Providers

Protect clinical operations without slowing them down

Ransomware, PHI exfiltration, and compromised EHR credentials are the top three threats to every health system. ManySignal monitors biomedical devices, EHR access patterns, and identity in a single platform — with HIPAA evidence export built in.

133M+

Healthcare records breached in 2023 (HHS OCR)

$10.9M

Average cost of a healthcare data breach (IBM, 2023)

4.5 days

Median dwell time before ransomware detonation in health systems

725

Large HIPAA breaches reported to OCR in 2023

The three attacks defining healthcare security right now

Understanding how threat actors move through clinical environments is prerequisite to stopping them.

Attack 1

Ransomware on Clinical Systems

Healthcare ransomware operators — including ALPHV/BlackCat and Rhysida — target EHR servers, PACS imaging systems, and biomedical device management platforms because downtime directly endangers patient lives, maximising ransom leverage. Lateral movement from a phishing foothold to a domain controller averages 4.5 days in healthcare environments with large device inventories.

Attack 2

PHI Exfiltration via Insider & Third-Party Access

Protected Health Information commands $250–$1,000 per record on dark-web markets — 10–50x the value of a payment card. Exfiltration vectors include compromised EHR credentials, overprivileged contractor accounts, and misconfigured HIE (Health Information Exchange) integrations. The HHS Office for Civil Rights (OCR) recorded 725 large healthcare breaches in 2023 alone.

Attack 3

Business Email Compromise Targeting Billing & AP

BEC actors impersonate CFOs, insurance billing managers, and third-party billing services to redirect ACH payments and obtain EOB (Explanation of Benefits) data. Healthcare organisations average $4.1M in BEC losses per incident according to the FBI IC3. MFA fatigue and executive impersonation on Microsoft 365 are the dominant entry points.

How ManySignal protects healthcare environments

Medical device and IoMT visibility

ManySignal ingests Medigate, Claroty, and Asimily device telemetry alongside your EHR audit logs and network flows. The entity graph maps each biomedical device — infusion pumps, imaging systems, nurse-call servers — to its clinical unit, owner, and network segment, so lateral movement toward clinical assets triggers immediate alerting.

  • Passive network fingerprinting of FDA-regulated devices
  • Automated asset criticality from device type and unit assignment
  • Alerts the moment a device initiates unexpected outbound connections

Medical device and IoMT visibility

PHI access behaviour baselining

The behavioural analytics engine learns each clinician's normal EHR access pattern — patient cohort, access hours, record volume, note types. It flags outliers: a nurse reviewing 400 records on their day off, a contractor accessing oncology charts they've never touched, or a service account bulk-exporting the patient master index.

  • Per-user EHR access baseline across Cerner, Epic, and Meditech
  • Bulk-export and mass-print anomaly detection
  • Workforce termination monitoring — access after deprovisioning

PHI access behaviour baselining

HIPAA evidence collection and OCR-ready reporting

Every incident in ManySignal automatically collects the evidence required by HIPAA §164.312(b): access logs, entity timelines, the specific records accessed, and the detection timeline. The audit export path generates a PDF investigation report suitable for OCR breach notification submissions.

  • 60-day breach notification countdown built into case management
  • One-click OCR breach report export
  • Covered Entity and Business Associate event log segregation

HIPAA evidence collection and OCR-ready reporting

Regulatory requirements ManySignal supports

HIPAA Security RuleHIPAA Breach Notification RuleHITRUST CSF v11NIST CSF 2.0SOC 2 Type IICMS Cybersecurity RequirementsState breach notification laws

Healthcare security — common questions

Does ManySignal understand HIPAA's required audit controls under §164.312(b)?

Yes. ManySignal maps directly to HIPAA Security Rule §164.312(b) — Audit Controls. The platform ingests EHR audit logs, network access logs, and identity provider events. Every PHI access event is indexed against the workforce member's role and baseline. Case exports include the specific log entries, timestamps, and access scope required for OCR breach notification.

Can ManySignal monitor biomedical devices and IoMT that don't run agents?

Yes. ManySignal integrates with purpose-built healthcare device security platforms (Medigate, Claroty, Asimily) via API and ingests their telemetry. For devices not covered by those platforms, ManySignal can ingest network flow data from your NAC or next-gen firewall and apply passive fingerprinting. Agent installation on FDA-regulated devices is not required or recommended.

How does ManySignal help with the 60-day HIPAA breach notification timeline?

When an incident is confirmed in ManySignal, the case management system starts a 60-day countdown aligned to HIPAA §164.404. The platform tracks: the date of discovery, the suspected date of breach, the affected data types (PHI categories), and the number of individuals affected. The OCR notification export is pre-formatted to match the HHS breach report template.

What EHR platforms does ManySignal ingest logs from?

ManySignal has native integrations for Epic (via Clarity audit tables and Syslog), Cerner/Oracle Health (audit log API), Meditech Expanse (syslog + CEF), and Allscripts. For other EHR platforms, the universal log pipeline ingests syslog and CEF/LEEF formats. Epic's Syslog Audit Trail and Cerner's ClinCheck audit are the most commonly deployed.

Is ManySignal willing to sign a Business Associate Agreement (BAA)?

Yes. ManySignal executes BAAs with all healthcare customers before any PHI is processed. The BAA template is available at /legal/baa. Healthcare customers are deployed in HIPAA-eligible AWS infrastructure with encryption at rest (AES-256) and in transit (TLS 1.3). PHI is never used for model training.

Schedule a healthcare-specific demo

See how ManySignal monitors an Epic EHR environment, flags IoMT lateral movement, and generates HIPAA-compliant investigation reports — all in one session.