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Subprocessor List

Version 1. Published 3 November 2026. This list is part of our Terms of Service and Business Associate Agreement. It has not yet been through outside legal review; the facts in it are current and we will say so here when that review is done.

This list is part of the Terms of Service and the Business Associate Agreement.


What this list is

These are the companies that help us run ExamFlow and may process your practice's information. For each, the list says what it does, whether it ever handles protected health information (PHI), and, if it does, what agreement covers it.

The rule we follow. No company handles PHI for us until it has signed a business associate agreement with us. This is required by 45 CFR §164.502(e)(1)(ii) and §164.308(b)(2). A feature that needs a company whose agreement is not yet signed stays switched off (BAA §5.3).

Current subprocessors

CompanyWhat it does for usPHI?AgreementWhere
Microsoft Corporation (Azure)Hosts the application, the database, uploaded documents and backupsYesMicrosoft's HIPAA Business Associate Agreement, included in the Microsoft Products and Services Data Protection AddendumUnited States
Microsoft Corporation (Azure Communication Services)Sends recall text messages to drivers, only for practices that have turned reminders on. Not offered at launchYes, when a practice turns reminders onSame Microsoft agreement. Azure Communication Services is listed in scopeUnited States
Microsoft Corporation (Microsoft 365)Sends account email to your staff, such as password resets and invitationsNo. Messages are built to carry no patient informationSame Microsoft agreementUnited States
Stripe, Inc.Collects payment for your subscription to ExamFlowNo. Stripe collects card details on its own pages; we never receive themStripe Services AgreementUnited States

Not our subprocessors: services you connect

These receive information from ExamFlow only because you connected your own account. You choose the provider, you hold the account, and your own agreement with them governs (Terms §6; BAA §8(e)):

  • Your cloud drive (Microsoft 365, Google Workspace or Dropbox business tiers), if you turn on record copies. Not yet available.
  • The FMCSA National Registry, when your examiner submits results. Today your examiner does this under their own Registry login.

How we tell you about changes

  • Adding or replacing a subprocessor that handles PHI: we update this list and email your administrator at least 30 days before it begins processing your PHI.
  • Emergencies, such as a provider failing or a security problem that needs an immediate switch: we may make the change at once and tell you within 5 business days, with the reason.
  • Subprocessors that never handle PHI: we update this list. No advance notice.
  • If you object to a new PHI subprocessor, tell us within the 30 days. If we cannot address the objection, you may end your subscription and receive a pro-rated refund of prepaid fees for the unused period. That is your remedy for this objection. Your rights under the BAA are unaffected.

History

DateChange
3 November 2026First published