Secure Signing
Multi-factor signer verification and cryptographic signatures that preserve evidentiary value for contracts and meet U.S. electronic signature requirements.
Using an eSignature-enabled proposal streamlines approvals, improves traceability, and helps maintain compliance with U.S. electronic signature laws and healthcare privacy rules.
Leads technical scoping, coordinates EHR and API requirements, and ensures acceptance testing criteria are included. Manages timelines and validates that security controls and integration points are clearly documented in the proposal.
Manages vendor selection, contract negotiation, and Business Associate Agreement (BAA) needs. Reviews pricing, SLA terms, and compliance statements to ensure procurement aligns with institutional policies and regulatory obligations.
Healthcare IT, procurement, legal, and vendor sales teams coordinate to produce, review, and sign development proposals.
Collaborative reviews with clear roles reduce rework and support timely, auditable approval of contracts and BAAs.
Multi-factor signer verification and cryptographic signatures that preserve evidentiary value for contracts and meet U.S. electronic signature requirements.
Ability to execute a Business Associate Agreement with covered entities and vendors to govern PHI handling for proposal review and post-contract operations.
Comprehensive, tamper-evident audit logs capturing signer identity, timestamps, and activity for compliance and dispute resolution.
Automated routing, reminders, and conditional steps to reduce manual follow-up and accelerate multi-stakeholder approvals.
Connectors to EHRs, Google Docs, CRMs, and cloud storage to streamline document generation, versioning, and archival.
Reusable, role-specific templates that standardize clauses, appendices, and signature placement to reduce errors and speed approvals.
| Workflow Setting Name and Configuration | Default configuration values used for proposal routing and lifecycle |
|---|---|
| Reminder Frequency Setting | Send reminders 72 hours before expiration and weekly thereafter |
| Signing Order Mode | Sequential signing with conditional parallel steps when required |
| Authentication Methods Allowed | Email link, SMS code, and optional SSO verification enforced |
| Document Retention Policy | Retain signed proposals seven years with secure archival |
| API Callback Endpoint | Webhook URL for signature events and status updates |
Ensure the proposal solution supports the devices and authentication methods your stakeholders use for reliable signing and review.
Verify compatibility with desktop browsers, mobile OS versions, and single sign-on providers; confirm that mobile apps provide the same security and audit features as the web experience before rollout.
A large academic hospital issues a proposal request for EHR integration with a third-party scheduling app
Resulting in an auditable contract and expedited integration timeline that meets procurement requirements
A regional health system evaluates telehealth vendors and requests proposals that include BAAs and authentication flows
Leading to selection of a vendor with appropriate HIPAA controls and defined onboarding steps
| Key Feature Comparison Across Vendors | signNow (Recommended) | DocuSign | Adobe Acrobat Sign |
|---|---|---|---|
| HIPAA compliance available | |||
| Bulk Send capability | Bulk Send | Bulk Send | |
| API and SDK access | REST API | REST API | REST API |
| Audit trail completeness | Comprehensive | Comprehensive | Comprehensive |
Set a firm RFP response date for vendor submissions
Allow two to four weeks for internal legal review
Specify a signing window, commonly 7 to 30 days
Define kickoff within a set timeframe after signature
Retention begins on final signature date
| Plan and Pricing Comparison | signNow (Recommended cloud eSignature with HIPAA options) | DocuSign (Industry standard eSignature platform) | Adobe Acrobat Sign (Enterprise eSignature suite) | PandaDoc (Document automation and eSignature) | HelloSign (Simple API and signature tools) |
|---|---|---|---|---|---|
| Free trial length | 14-day trial available for new accounts | 30-day trial option | 30-day trial available | 14-day trial available | 30-day trial available |
| Starting monthly price point | Affordable tier for small teams with per-user plans | Entry plans with per-user pricing | Enterprise-focused pricing tiers | Mid-market plans with document limits | Simple monthly plans for small teams |
| API and developer access | Full REST API, SDKs, and developer docs included | Comprehensive REST API and SDKs available | REST API with enterprise tooling | REST API and developer resources provided | REST API with developer documentation |
| HIPAA-compliant option | BAA available and HIPAA configuration guidance provided | BAA available for eligible plans | BAA available at enterprise level | Limited HIPAA support, contact sales | BAA available for business accounts |
| Enterprise support and SLA | Custom enterprise plans with SLA and onboarding services | Enterprise support and SLAs offered | Enterprise SLAs with dedicated support options | Enterprise customer success and SLA options | Business support tiers with SLA options |