Ship AI Features Without Worrying About PHI
An HTTP API and MCP server for fast PHI de-identification with full reversibility. Strip all 18 HIPAA identifiers, route to any consumer LLM, and re-identify on return. Self-hosted or cloud.
Consumption-based credits • Self-hosted or managed • No minimums
Two Interfaces. Any LLM. Full Reversibility.
De-identify clinical text in milliseconds, send it to any model, and get back a response with all patient context restored.
HTTP API
Drop-in replacement for OpenAI and Anthropic endpoints. Same request format, same streaming — MedScrub handles de-identification transparently.
MCP Server
Model Context Protocol interface for agent workflows. Use MedScrub as a tool in any AI pipeline — de-identify, process, re-identify in one call.
Any Model, No BAA
PHI is stripped before data leaves your infrastructure. Use GPT-4o, Claude, Gemini, or local models — no BAA required with AI providers.
One API Call
Send clinical text with PHI. Get back an AI response with PHI restored. MedScrub handles de-identification, LLM routing, and re-identification transparently.
- Drop-in replacement for OpenAI/Anthropic endpoints
- MCP server for agent and pipeline workflows
- Streaming supported — de-identification happens before the stream starts
- Deterministic tokenization — same input always produces the same tokens
curl -X POST https://api.medscrub.ai/v1/chat \
-H "Authorization: Bearer $API_KEY" \
-H "Content-Type: application/json" \
-d '{
"model": "gpt-4o",
"messages": [{
"role": "user",
"content": "Summarize this patient:
John Smith, DOB 3/15/1979,
MRN 847291, HbA1c 7.8%,
BP 138/88, BMI 31.2"
}]
}'"[PATIENT_001], [AGE] yo,
HbA1c 7.8%, BP 138/88, BMI 31.2"How It Works
MedScrub sits between your application and any AI provider. PHI never reaches the model.
Your app sends PHI → MedScrub strips it → Clean data reaches the LLM → Response re-identified on return
Your Self-Hosted Platform
Monitor and manage your self-hosted MedScrub platform — PHI Proxy, NER Engine, CDR Server, Session Store, and Database all running on your infrastructure.
Platform Capabilities
PHI Proxy
Strips all 18 HIPAA identifiers with high accuracy on structured FHIR data. Deterministic, auditable, 100% reversible.
FHIR Integration
Backend systems integration for Epic and athenahealth. Read patient data, write clinical notes back via FHIR R4.
FHIR CDR
Self-hosted clinical data repository. Your patient data in a FHIR-native store you control — not locked in a vendor's cloud.
Multi-Model Routing
Route to GPT-4o, Claude, Gemini, or any OpenAI-compatible endpoint. Switch models without changing your code.
MCP Interface
Model Context Protocol support for agent workflows. Use MedScrub as a tool in your AI pipeline.
Self-Hosted
Deploy on your infrastructure. Docker, Kubernetes, or bare metal. Air-gapped deployments supported for maximum security.
What Teams Build with MedScrub
Any AI feature that touches clinical data — made HIPAA-compliant in one line
Clinical Decision Support
Differential diagnosis, treatment suggestions, drug interactions — powered by any LLM
Clinical Documentation
Generate notes, summaries, discharge instructions, or patient communications from de-identified data
Patient-Facing AI
Chatbots for intake, symptom checking, health coaching, or care navigation — safely personalized
Medical Coding & Billing
AI-assisted ICD-10, CPT, or SNOMED coding from clinical documentation
Care Coordination
AI-powered patient routing, referral management, or care plan generation
Dev & Testing
Use de-identified production data in staging environments without HIPAA risk
Built for Every Stage
Early-Stage Startups
Go from idea to HIPAA-compliant MVP in weeks, not months. No enterprise contracts or BAA negotiations.
- Pay-as-you-go credits
- Self-hosted Docker
- No minimums
Growth-Stage Companies
Integrate clinical AI into existing products without rebuilding your compliance infrastructure.
- Volume discounts
- Multi-model routing
- FHIR integration
Health Systems & Research
Self-host for maximum control. Run AI workloads on clinical data without PHI leaving your network.
- Air-gapped deployment
- SSO & admin controls
- Dedicated support
Compliance & Security
PHI de-identified before AI processing
On structured FHIR data, deterministic approach
Full re-identification for EHR write-back
Air-gapped deployment, your infrastructure