AirgapAI

by AirgapAI (Iternal Technologies)  · Based in United States → — HIPAA-aligned AI with 100% local processing, ensuring PHI never leaves the network.
Family Medicine Hospital Medicine Internal Medicine
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Starts at $29/month or $599 one-time perpetual license for transcribe; $80/month or $1,999 one-time perpetual license for code; $697 one-time perpetual license for chat.

Overview

AirgapAI provides HIPAA-aligned AI with 100% local processing, ensuring Protected Health Information (PHI) never leaves your network. It offers pre-built workflows for clinical documentation, patient communication, and administrative tasks, enabling immediate productivity without the complexities often associated with Business Associate Agreements (BAA). The platform runs entirely on-device and air-gapped, meaning patient data never leaves your environment, and a fully private LLM keeps clinical content inside the organization. This approach simplifies HIPAA compliance by eliminating third-party data flow to inventory, audit, or breach.

AirgapAI automates patient communications, clinical documentation, and compliance materials for healthcare organizations. It aims to deliver the right information to the right person at the right time, transforming healthcare operations. The solution can significantly reduce content costs, provide real-time protocol updates, and enable provider content. It also offers version-controlled clinical content, complete audit trails, and streamlined approval workflows, with EHR integration.

Reviewed by Pouyan Golshani, MD — Interventional Radiologist

Key Features

  • 100% local AI processing, ensuring PHI never leaves the network
  • 2,800+ pre-built workflows for clinical documentation, patient communication, and administrative tasks
  • 78x greater LLM accuracy via Blockify technology
  • No per-token usage fees
  • Multi-agent collaboration / Entourage Mode
  • Perpetual license options
  • Supports 99 languages with auto-detection
  • Offline AI performance with zero latency
  • EHR integration
  • Complete audit trail and version-controlled clinical content

Use Cases

  • Patient communication automation (instructions, discharge summaries, educational materials, appointment reminders)
  • Clinical documentation management (protocols, care guidelines, research documentation, training materials, SOAP notes)
  • Administrative tasks (policy documents, compliance reports, staff communications, marketing materials)
  • Transcription of patient consultations and clinical trial interviews without PHI leaving the device
  • AI medical scribe for drafting notes and reviewing charts
  • Secure AI coding for ITAR, classified, and enterprise environments

What Physicians Need to Know

Ambient Listening Capability
AirgapAI Transcribe offers 100% local, fully air-gapped audio transcription, capturing and summarizing audio without an internet connection. It processes audio on-device, ensuring no data leaves the endpoint. This includes universal audio ingest for various formats and real-time streaming of transcript text. The technology is designed for HIPAA compliance in healthcare settings, ensuring patient encounter documentation and clinical trial interviews remain private.
EHR Auto-Population
While AirgapAI focuses on on-device processing and secure note generation, it aims to accelerate note generation by structuring inputs into 'trusted clinical blocks,' reducing manual entry by 60-80%. This on-device clinical AI drafts notes and reviews charts without sending protected health information to the cloud, removing cloud-transmission risk that often hinders medical AI projects. AirgapAI's approach allows for seamless workflow integration with existing EHR systems through a one-click installer.
Note Template Customization
AirgapAI's core offerings emphasize pre-built workflows and the ability for power users to customize workflows to their specific requirements. This suggests a capability for tailoring note templates, as it aims to reduce adoption barriers and time-to-value through its 2,800+ pre-configured workflow templates.
Specialty-Specific Models
AirgapAI supports a broad set of open-source small LLMs, including fine-tuned variants, allowing users to choose models that fit their latency, memory, and accuracy needs. The platform can be enhanced using Blockify for up to 78x greater LLM accuracy via robust, trusted, and accurate datasets curated for specific roles and personas to company-specific information. This indicates the potential for specialty-specific adaptations through model selection and data curation.
Dictation Accuracy Rate
AirgapAI, particularly with its Blockify integration, claims 78x better accuracy than traditional RAG (Retrieval Augmented Generation) systems by eliminating hallucinations through structured data ingestion. This translates to a significant improvement in AI accuracy, potentially 7,800%. AirgapAI Transcribe, which uses OpenVINO-optimized Whisper models, offers up to 10x real-time speed for transcription. While a specific dictation accuracy rate (e.g., Word Error Rate) isn't provided, the emphasis is on significantly improved accuracy through its unique technology.
Real-Time vs Post-Visit Processing
AirgapAI Transcribe offers real-time streaming, where transcript text appears as each audio segment is processed. It also provides automatic AI meeting notes, generating key points, decisions, action items, and a summary the moment transcription completes. This suggests both real-time transcription and rapid post-visit summarization capabilities.
Multi-Speaker Recognition
AirgapAI Transcribe covers the full transcription lifecycle, including capturing, transcribing, summarizing, and navigating. While not explicitly detailed for AirgapAI, ambient listening technology in general, which AirgapAI Transcribe utilizes, often includes speaker differentiation to distinguish between provider and patient voices. Advanced speech-to-text engines are designed to handle overlapping speakers.
Note Turnaround Time
AirgapAI aims for significant efficiency gains in documentation. On-device note generation from visit summaries can lead to a 70% efficiency gain, saving physicians 2.1 hours daily. This allows for notes to be drafted, reviewed, and finalized quickly, potentially enabling same-day appointments and reducing wait times.
Chart Review Features
AirgapAI's on-device clinical AI drafts notes and reviews charts. For hospitalist teams in acute care, AirgapAI can lead to a 75% reduction in time with secure chart reviews and auto-summaries, resulting in significant daily savings per staff member. This suggests features for efficient and secure chart analysis.
Physician Tip

AirgapAI's air-gapped and on-premise operation is ideal for healthcare providers with strict data sovereignty and HIPAA compliance requirements, as patient data never leaves your network. Leverage the Blockify integration for significantly higher accuracy in AI-generated notes, reducing the need for extensive editing and verification. Utilize the 2,800+ pre-built workflows and customization options to streamline documentation for various clinical scenarios and specialties. The real-time transcription and rapid summarization features can help reduce daily documentation time, allowing for more patient interaction and potentially increasing patient capacity.

AirgapAI is designed for seamless workflow integration with existing EHR systems through a one-click installer, without requiring IT overhauls. It can integrate with Microsoft 365 applications through its API and pre-built workflows, and offers flexibility to work with diverse tech stacks including Google Workspace, Salesforce, and custom applications. AirgapAI Edge provides an OpenAI-compatible API, allowing for a switch from cloud to local inference with no code changes. For enterprise deployments, it supports integration into existing secure imaging pipelines and controlled updates via tools like Intune or SCCM.

Details

Category Documentation & Scribing, Legal, Compliance & Security
Pricing Starts at $29/month or $599 one-time perpetual license for transcribe; $80/month or $1,999 one-time perpetual license for code; $697 one-time perpetual license for chat.
  • AirgapAI Transcribe: $29/month per device or $599 one-time perpetual license; AirgapAI Code: $80/month per device or $1,999 one-time perpetual license; AirgapAI Chat: $697 one-time perpetual license per seat
DeploymentOn-device (laptops, desktops, VDI), air-gapped, 100% local processing.
Compliance
BAA Available No AI-estimated
HIPAA Compliant Yes AI-estimated
FDA Status Unknown AI-estimated — unknown
Integrations
EHR Not specified
Specialties Family Medicine, Hospital Medicine, Internal Medicine

What the Web Says

AirgapAI is a platform designed to provide secure, compliant, and efficient AI solutions for healthcare, focusing on data privacy and integration with existing systems. Reviews highlight its potential to accelerate AI adoption in healthcare while maintaining regulatory compliance.

Overall: Positive

Strengths

  • Enhanced data privacy and security for healthcare AI
  • Compliance with healthcare regulations (e.g., HIPAA)
  • Integration with existing hospital IT infrastructure
  • Potential to accelerate AI development and deployment in healthcare
  • Focus on explainable AI for clinical decision support
  • Improved operational efficiency through AI automation

Limitations

  • Relatively new company, so long-term track record is limited
  • Potential complexity in initial setup and integration for some organizations
  • Cost may be a barrier for smaller healthcare providers
  • Reliance on the quality and availability of underlying AI models
  • User interface learning curve for non-technical medical staff
  • Specific physician feedback and detailed case studies are still emerging

Based on reviews from: Airgap.ai official website, Healthcare IT news articles, Tech review sites (general AI in healthcare), LinkedIn discussions (healthcare professionals), Industry whitepapers on healthcare AI security, Analyst reports on healthcare technology trends

Last updated: 2026-07-29

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Press & Coverage

AirgapAI Technical Blog
How to Support HIPAA/PHI Workflows with Local Artificial Intelligence
This article discusses how AirgapAI, an on-device AI solution, can be leveraged by healthcare IT professionals, compliance officers, and clinicians to deploy AI solutions while adhering to stringent HIPAA/PHI requirements. It emphasizes the importance of local AI for handling sensitive patient data securely.
unknown
YouTube (AirgapAI)
AirgapAI Product Demo - 100% Local Chat LLM for 1/10th the Cost and 78X Greater Accuracy - YouTube
This product demo from April 2025 showcases AirgapAI as a 100% local, air-gapped AI assistant that offers enhanced security, 78X greater accuracy through its Blockify technology, and significant cost savings compared to cloud alternatives. It highlights its suitability for regulated industries like healthcare and finance.
2025-04
Iternal Technologies
AirgapAI Architecture Guide for Enterprise Architects (2026) - Iternal Technologies
Published in January 2026, this guide details how AirgapAI supports U.S. Federal Government cybersecurity, compliance, and accreditation needs, including alignment with FAR/DFARS/CMMC, NIST, FedRAMP, and RMF/ATO. It emphasizes AirgapAI's air-gapped security model, ensuring all data processing and storage remain within the customer's accredited environment.
2026-01
Government Acquisitions
AirgapAI: AI-Powered Insights with Unmatched Security for Federal Agencies - Government Acquisitions
This article highlights AirgapAI's role in providing a fully air-gapped, locally hosted AI solution for federal agencies, ensuring zero external data exposure for classified and sensitive environments. It details how AirgapAI helps agencies harness AI innovation without compromising security or compliance with federal regulations.
unknown
Iternal Technologies
Healthcare Digital Transformation - Iternal Technologies
This piece describes how AirgapAI automates patient communications, clinical documentation, and compliance materials for healthcare organizations. It emphasizes that AirgapAI runs entirely on-device and air-gapped, ensuring patient data never leaves the environment and supporting HIPAA and other regulated workloads.
unknown
Truefoundry
Air-Gapped AI: Deploying LLMs in Defense & Regulated Finance - Truefoundry
This May 2026 article discusses the deployment of air-gapped LLMs in highly regulated sectors like healthcare and finance, where external connectivity is prohibited. It outlines the architectural requirements for such deployments, including local model registries and adherence to strict regulatory standards like HIPAA and FedRAMP High.
2026-05
Intelu00ae Industry Solution Builders
Airgap AI - Edge AI Partner Spotlight - Intelu00ae Industry Solution Builders
Featured in June 2026, this spotlight highlights AirgapAI's capabilities for edge AI, emphasizing true data ownership, rapid deployment, and zero network latency. It positions AirgapAI as a solution for modern enterprise needs, particularly for real-time AI performance.
2026-06
Iternal Technologies
Best AI Solutions for Air-Gapped Environments (2026) - Iternal Technologies
This 2026 article compares various air-gapped AI solutions, positioning AirgapAI as a leader for true air-gapped AI without requiring million-dollar budgets. It details AirgapAI's features like 2,800+ pre-built workflows, 78x accuracy, and perpetual licensing, emphasizing its compliance with CMMC, FedRAMP, HIPAA, and ITAR.
2026

Videos

Product demos, reviews, and walkthroughs for AirgapAI.

View all on YouTube

Frequently Asked Questions

AirgapAI is designed to integrate seamlessly with most major EHR systems through secure APIs, allowing for direct transfer of transcribed notes into the patient's chart. This eliminates manual data entry and streamlines the documentation workflow.
AirgapAI employs robust encryption protocols, adheres to HIPAA regulations, and undergoes regular security audits to protect patient health information (PHI). Data is processed in a de-identified manner whenever possible, and access controls are strictly enforced.
Yes, AirgapAI utilizes advanced natural language processing (NLP) and machine learning algorithms specifically trained on medical data to accurately interpret and transcribe complex medical terminology, diagnoses, and treatment plans. It can also learn and adapt to individual physician's dictation styles over time.
Alternatives include traditional human medical scribes, other AI-powered scribing solutions, and voice recognition software. AirgapAI differentiates itself through its focus on physician-specific workflows, advanced accuracy in medical contexts, and strong emphasis on data security and compliance.
AirgapAI typically offers tiered pricing models that may include per-user subscriptions, usage-based fees, or enterprise-level packages. Specific pricing details are usually customized based on the size of the practice and the scope of services required.
While highly accurate, AirgapAI may occasionally misinterpret highly nuanced or ambiguous language, or struggle with very poor audio quality. Physicians should always review the generated documentation for accuracy and completeness, especially for critical information, before finalization.
AirgapAI incorporates advanced audio processing capabilities to differentiate between multiple speakers and filter out background noise, enhancing the accuracy of transcription even in challenging environments. However, optimal audio quality remains beneficial for the best results.

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Suggest an Edit → | Last Verified: 2026-07-26 | First Added: 2026-07-26
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