Paubox
HIPAA compliant email, security, and forms
By Paubox, Inc. · HQ San Francisco, US · 4.0/5 Value-Position score (estimate)
Positioning guardrails
Best for
- Healthcare organizations that must send PHI by email and want HIPAA-compliant encryption without recipient portals or passwords
- Medical practices, behavioral health providers and telehealth teams that need an easy HIPAA layer on Google Workspace or Microsoft 365
- Healthcare developers who need a HIPAA compliant transactional email API
- Healthcare marketing teams that want to run compliant email campaigns
- Compliance and IT admins who want BAA coverage, archiving and DLP in one subscription
Ideal size: 5-500 senders people · Healthcare org with a compliance owner and an email/IT admin
Not for
- Organizations with no PHI and no healthcare compliance obligations
- Buyers looking to replace Microsoft 365 or Google Workspace email hosting entirely
- Teams needing on-premise deployment or data residency outside the United States
- Companies shopping for a general-purpose secure email gateway outside healthcare
- Buyers evaluating AI agent platforms or MCP-based tool integrations
Value metrics scorecard
Time-to-Value
Under 1 day
~1 days to first production value
Total Cost of Ownership
On request
Per-sender subscription (one sender = one email address), billed monthly or annually with 30% off annual; 5-sender minimum; 14-day free trial; published list prices are quoted on request.
Implementation Friction
1/5
Engineering + admin effort required
Value-Position score
out of 5 · model estimate
Full cost breakdown
Mandatory implementation fee
None
Seat tiers
5 senders minimum; slider scales to 100+ senders
Add-on costs
- Salesforce CRM integration: listed as an optional add-on on the Plus and Premium plans
- HIPAA compliant forms: included free with any paid plan (vendor claims over $1,000 per year of savings)
Company & support
Who is behind Paubox, and how your team gets help once it is live.
Company
- Founded
- Not recorded
- Headquarters
- San Francisco, US
How you get support
- PhoneAll plans
- EmailAll plans
- Live chatAll plans
- Support portal / ticketsNot listed
- Community forumNot listed
- Help centre / docsAll plans
- Dedicated account managerNot listed
- In person / on-siteNot listed
- Hours
- Business hours
- Response time
- Not stated
Pricing page states a US-based support team reachable by chat, phone or email on every plan, plus a help centre; the contact page lists office hours Monday-Friday 8:00 a.m.-5:00 p.m. PT excluding US holidays.
“Not listed” means the vendor’s public pages don’t mention that channel, not that it is unavailable. Ask about it during evaluation.
Market position
Where Paubox sits against its closest alternatives. Pick any two of cost, speed, friction and buyer score, and up to 9 companies to compare.
Quadrant view
Typical annual cost × Time-to-value
The lines cross at the median of the solutions shown, so about half sit on each side of each line.
Companies on the chart 6 / 10
- Paubox
- Qualio
- MedTrainer
- Nightfall AI
- Metomic
- Axcient
Add or change companies
Up to 10 companies including Paubox. Listed closest first.
Stack fit signal
Compatibility with standard B2B ecosystems.
No supported MCP path today, so it cannot be driven from an AI client.
AI & MCP readiness
What Paubox ships in AI, and what it asks of your ecosystem.
AI features shipped
Paubox describes generative-AI inbound security that analyses sender behaviour, tone and message intent, plus human-readable explanations for quarantined mail. No copilot, agentic or AI governance features are documented.
Your data & models
- Trains on your data
- Not recorded — ask the vendor
- Runs on
- Not recorded
- AI pricing
- Included in the plan
In your ecosystem
- AI connection
- Not supported
- Model key
- Not recorded
- AI usage audit
- Not recorded
Compliance attestations
* IAPP AIGP certifies individuals, not products. It means named staff hold the credential — not that the platform does.
Bottom line
Paubox is a HIPAA compliant email platform for US healthcare organizations. It layers encryption onto Google Workspace, Microsoft 365 and Exchange so PHI is protected in transit, with no recipient portals or passwords, and adds AI-assisted inbound email security, archiving, DLP and HIPAA compliant forms. The vendor reports 9,000+ healthcare customers, HITRUST certification and a business associate agreement on every account. Setup is vendor-assisted and marketed as a 15-minute change, making it one of the lowest-friction compliance buys in this category.
Frequently asked questions
What does Paubox add if we already use Google Workspace or Microsoft 365?
Google and Microsoft sign BAAs, but those cover email within their own servers and at rest. Paubox encrypts messages in transit outside those servers and delivers them straight to the recipient's inbox, so no portals, passwords or plugins are required.
How long does implementation take and is there a professional services fee?
Paubox markets a 15-minute setup and includes complimentary setup help with every plan, and customers describe onboarding as the easiest part of the purchase. No mandatory implementation fee is published.
How is Paubox priced?
Billing is per sender, where a sender is one email address. Plans run Standard, Plus and Premium on a monthly or annual basis with roughly 30% off annual, a five-sender minimum and a 14-day free trial. Published list prices are quoted on request, so confirm current rates and volume discounts before signing.
What certifications and agreements come with an account?
Every account includes a Business Associate Agreement at no charge. Paubox states its Email Suite is HITRUST certified, and that its AWS infrastructure carries ISO 27001, FedRAMP and SOC reporting. HIPAA compliance is claimed throughout the product pages.
Is Paubox useful for a non-healthcare company?
It can be, but the value is HIPAA compliance: encryption in transit, secure forms, archiving and DLP tuned for PHI. Organizations with no PHI obligations will struggle to justify the premium over native email security.
How does Paubox use AI, and does it train on our data?
Paubox describes generative-AI inbound security that analyses sender behaviour, tone and message intent and labels trusted senders. The vendor pages reviewed do not state whether customer content is used to train models, so ask for that commitment in writing during procurement.