HIPAA & Compliance

24—7 Helpdesk

US-based engineers who pick up before the third ring.

24×7
24×7 helpdesk coverage staffed by US-based engineers who answer and triage issues
All calls routed to Little Rock-based team
95%
Calls answered before the third ring (average over the last 12 months)
Measured via VoIP call logs
0
Client-reported HIPAA reportable breaches attributable to our helpdesk support
in last 24 months
8,600/yr
IT support tickets resolved annually through our helpdesk (remote & phone-first triage)
Average across active clients in last 12 months
What you get

What 24—7 helpdesk delivers.

US-based engineers who pick up before the third ring.

01 — Helpdesk

Signed 24x7 Helpdesk SLA

Guaranteed response times with US-based engineers and documented escalation paths.

02 — Inventory

Asset Inventory Export

Downloadable inventory of devices and software with serials and warranty dates for audits and replacement planning.

03 — HIPAA Logs

HIPAA Audit Ticket Logs

Searchable log of access and incident tickets for compliance review and investigations.

04 — Onboarding

New Site Onboarding Plan

Fast, documented setup for new clinics with asset mapping, user accounts, and security baseline checks.

05 — Reporting

Monthly IT Performance Report

Clear metrics on uptime, ticket trends, and SLA compliance delivered monthly for leadership and audits.

06 — Roadmap

Quarterly IT Roadmap Review

Aligned technology plan with prioritized projects, timelines, and budget impacts for leadership decisions.

How it works

Our 3-step process.

Humanized and logical — handled by real humans, not a ticket bot.

Kickoff & scoping

We meet your team, map your stack, and agree on what counts as done.

Build & integrate

We set up secure access, connect your systems, and train staff on how to reach us.

Run & report

We answer calls before the third ring, resolve issues

What makes ours different.

Metro Relay’s 24–7 Helpdesk delivers faster resolution and clearer audit trails so your clinic stays open and compliant. US-based engineers answer before the third ring, follow documented incident steps, and provide the logs and timelines needed for HIPAA tracking and breach decisions.

Common questions

Frequently asked.

How is your 24/7 Helpdesk priced and what does a contract typically include?
We price with a base monthly retainer plus per-provider or per-location add-ons; a custom signed PDF SOW and invoice spell out the exact line items for your clinic before any billing. Our standard engagement has a 12‑month minimum (month‑to‑month is available at a higher rate) and includes unlimited Tier 1/2 remote support, phone pickup before the third ring, and a capped number of Tier 3 vendor escalations; professional services like on‑site remediation or major projects are quoted separately. A detailed price proposal and Statement of Work are provided as a signed PDF prior to kickoff.
Will you sign a Business Associate Agreement and how do you demonstrate HIPAA compliance?
Yes — we execute a Business Associate Agreement (BAA) as a signed PDF before any engineer is granted access to PHI or protected systems. Our controls and reporting map to HIPAA Security Rule requirements (Administrative safeguards 45 C.F.R. §164.308, Physical safeguards §164.310, Technical safeguards §164.312 and organizational requirements §164.314), and we deliver monthly audit logs and a compliance summary report for your records. All support engineers are U.S.-based, background‑checked, and access is provisioned per an access matrix documented during onboarding.
What does 'pick up before the third ring' mean in concrete SLA terms?
Phone calls to our helpdesk are answered live within two rings (typically under 10 seconds) during all hours; if an engineer does not pick up we fail over to a secondary on-call and the call is logged automatically. For ticketing SLAs we provide initial contact within 15 minutes for Critical incidents, within 2 hours for High, and within 24 hours for Routine issues, with monthly SLA performance reports delivered as part of your contract. Emergency on‑site dispatch (where contracted) is targeted within four hours for sites inside our defined service area.
Will you escalate issues to our EMR or telehealth vendors, and how is that handled?
Yes — we open and manage vendor escalations on your behalf with major EMR and telehealth vendors such as Epic, Cerner, Athenahealth, eClinicalWorks, NextGen, Doxy.me and Zoom for Healthcare, using your authorized escalation credentials or contact list documented in the SOW. Each vendor ticket is tracked in our ticketing system and we include vendor ticket numbers, timestamps, and resolution notes in your incident record so you have a complete audit trail. If vendor access requires separate agreements, we coordinate execution of those documents and record them alongside your BAA.
What happens after kickoff — what are the onboarding deliverables and how do we exit at contract end?
Onboarding is a 30‑day program that begins only after we receive an executed BAA and SOW: deliverables include a signed BAA (PDF), a network and systems inventory, an access matrix, remote‑access tooling configured with MFA, a baseline security review tied to 164.308/164.312 controls, and helpdesk portal credentials. You’ll also receive a runbook and escalation matrix, and we schedule staff orientation/training during week two of onboarding. Standard contract exit requires 30 days’ written notice after the minimum term; on termination we provide 30 days of transitional support and deliver encrypted exports of configuration files, audit logs, and the final SLA/compliance report as signed PDFs to facilitate vendor handoff.
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