HIPAA compliant agent memory systems
Agent memory systems suitable for protected health information workloads — HIPAA-aware vendors that sign BAAs. Ranked by maturity tier.
99 systems match this filter— showing top 80 by tier and inbound citations.
Tier 1 — battle-tested (74)
- Anthropic Claude (foundation models) Frontier foundation model family (Sonnet 4 / Opus 4.5 / Haiku 4.5)
Claude family of frontier foundation models — Sonnet 4 (workhorse), Opus 4.5 (frontier capability), Haiku 4.5 (fast/cheap). Frontier model used as substrate by Claude Code, Anthropic Memory tool, Cline, Aider, Continue.dev, Cursor, Goose…
- OpenAI GPT family (GPT-5 / GPT-4o / o3 / o4) Frontier foundation model family (GPT-5 / GPT-4o / o3 / o4)
OpenAI's foundation model family — GPT-5 (2025-08 flagship), GPT-4o (multimodal workhorse), o3/o4 reasoning series. Substrate for ChatGPT, the OpenAI API, Microsoft Copilot, Azure OpenAI, and many downstream agents in this catalog (Devin…
- Mem0 Vector + graph + KV (hybrid)
Universal memory layer for AI agents. Three concurrent stores (vector + graph + KV); LLM-extracted facts; concurrent retrieval via ThreadPoolExecutor.
- Google Gemini 3 family Frontier foundation model family (Gemini 3 Pro / Flash / Nano)
Google DeepMind's Gemini 3 frontier model family — Gemini 3 Pro (top tier), 3 Flash (fast), 3 Nano (on-device). Substrate for Google Workspace AI, Vertex AI Agent Platform, Gemini Code Assist, Project Mariner, and Project Astra. Multimod…
- Zep & Graphiti Bi-temporal knowledge graph
Bi-temporal knowledge graph (event time + ingestion time). Strong on chronological reasoning and contradiction tracking. Graphiti is the open-source core.
- Qdrant Vector DB + DBSF + RRF
Distribution-Based Score Fusion + RRF. Sparse vectors native; filtering via ANN graph modification.
- Pinecone Managed vector DB + cascading retrieval
Managed vector DB. Cascading sparse + dense + rerank pipeline; pinecone-rerank-v0 .
- Amazon Neptune Analytics Vector + graph in one managed service
Vector index on graph nodes queryable via openCypher. Mem0 integration GA 2025; Cognee integration for agentic RAG. Combines semantic recall with multi-hop traversal in one managed service.
- Cartesia Sonic Real-time TTS + voice-agent platform (Cartesia)
Cartesia's Sonic TTS — state-space-model-based voice generation, lowest published TTS latency (~40ms). Cartesia raised $64M Series A Q1 2025 (Index + Lightspeed); founded by Mamba authors. Agent platform layer ('Cartesia Line') wraps Son…
- LanceDB Embedded Arrow-columnar vector DB
Embedded vector DB (Arrow columnar). RRF reranker. Petabyte-scale on disk.
- MongoDB Atlas Vector Search Vector embedded in document DB
Agent memory store for both short-term (document) and long-term (vector). LangGraph checkpointer for stateful agents. Vector search extended to Community Edition (Sept 2025).
- Milvus Multi-vector + hybrid + GPU
Multi-vector columns (10 simultaneous). Native hybrid search (v2.5). CAGRA + Vamana GPU/CPU (v2.6).
- Supermemory Memory graph + extraction + RAG
Memory engine with API, app, browser extension, and MCP server. Extracts facts, tracks updates, resolves contradictions, auto-forgets expired info. Plugins for Claude Code, OpenCode, OpenClaw, Hermes.
- Vapi Developer platform for AI voice agents (programmable telephony)
Voice-AI developer platform — STT + LLM + TTS pipelines wired to telephony (Twilio / SIP). Used to build outbound + inbound phone agents at scale. Raised $20M Series A from Bessemer + Y Combinator (Dec 2024) at $130M valuation; revenue r…
- Weaviate Hybrid vector DB + learned ranking
Hybrid Search 2.0 with learned ranking. BM25 + vector in unified index.
- xAI Grok 4 Frontier foundation model from xAI (Grok 4)
Elon Musk's xAI frontier model — Grok 4 launched 2025-07. Trained on Colossus (100k+ GPU supercluster in Memphis). Deeply integrated with X/Twitter (real-time tweet data access). Grok 4 Heavy variant for premium tier. No frontier-tier op…
- Abridge Grounded-transcript provenance
Clinician-assist ambient documentation. Source mapping: every AI-generated summary element traced back to the source utterance. Audit-and-trust layer over episodic memory. Built on proprietary 1.5M+ medical-encounter dataset.
- Alibaba Qwen 3 family Open-weights frontier model family (Qwen 3 dense + MoE; 0.5B–235B)
Alibaba Cloud's Qwen 3 family (2025-04) — open-weights frontier models from 0.5B to 235B-A22B MoE. Apache 2.0 (most sizes) — broadest open-weights family. Includes Qwen 3 32B dense, Qwen 3 30B-A3B MoE, Qwen 3 235B-A22B MoE. Qwen-Coder, Q…
- Amazon Q Developer AWS-hosted developer AI agent + IDE plugins
Amazon's developer-focused agent — formerly CodeWhisperer (renamed 2024-Q4). Available as IDE plugins (VS Code, JetBrains, Visual Studio, Eclipse), in AWS Console, and CLI. Strong AWS-tooling integration: Q can read CloudWatch, troublesh…
- Anthropic Auto Dream REM-style sub-agent memory consolidation
Background sub-agent in Claude Code that periodically scans ~/.claude/projects/<project>/memory/ + recent JSONL transcripts via grep, prunes stale notes, deduplicates, resolves contradictions, converts relative dates to absolute timestam…
- Anthropic Claude Memory File-backed + tool-driven + Auto Dream
Memory tool API + consumer "Memory" feature + Auto Dream consolidation. Document-as-memory rather than extracted-fact-as-memory.
- Apple Notes + Apple Intelligence Folder + tag hierarchy + Writing Tools
Folder + tag hierarchy; iCloud sync. Writing Tools (proofread / rewrite / summarise) across all note content; audio transcription + AI summary; smart search; reminders from to-dos.
- ArangoDB Multi-model: graph + doc + KV + vector
HybridGraphRAG combines vector search, graph traversal, full-text in one AQL query. ArangoGraphML for ML pipelines; LangChain integration.
- ASAPP GenerativeAgent Long-term interaction memory + preference
Treats memory as first-class architecture. Captures the digital footprint of every interaction; retrieves preference and history at engagement time. Public example: airline knowing a frequent flyer wants aisle seats with her son — prefer…
- Bland AI Developer platform for AI phone agents (vertically integrated)
Voice-AI platform with custom STT + LLM + TTS stack ('the whole pipeline'). Raised $40M Series A Apr-2024 (Lightspeed + Anthology). Distinguished by 'pathway' graphs (deterministic call flows) and aggressive outbound-calling positioning.
- Cognigy Two-tier short + long-term, shared across agents
Enterprise contact centre (voice + chat). Short-term covers current session; long-term persists across sessions and is shared by every agent a customer might encounter. Most explicitly engineered memory model in the segment.
- Cohere Command R+ / Command A Enterprise-focused frontier model family (Command A / Command R+ / Command R7B)
Toronto-based foundation-model lab (Aidan Gomez, ex-Google Brain 'Attention Is All You Need' co-author). Command family is enterprise / RAG-optimised: Command A (Mar-2025, 111B dense, 256k ctx), Command R+ (104B MoE), Command R7B (smalle…
- Coveo RAG-as-a-Service via hosted MCP
RAG-as-a-Service for AWS (Dec 2025) via hosted MCP server grounding Amazon Bedrock agents in enterprise knowledge. Passage retrieval + answer generation + ranked search + fetch in one API.
- Databricks Vector Search Storage-optimised + Unity Catalog governance
Storage-optimised index scaling to billions of vectors. Hosted MCP servers for UC functions, Genie, Vector Search. Agent framework integrates retrieval with Unity Catalog governance.
- Datadog Bits AI Observability AI agent / SRE copilot
Datadog's AI-assistant for observability — incident summarisation, root-cause hypotheses, runbook automation. Bits AI launched Aug-2023, GA 2024 across the Datadog suite. Datadog parent: $2.7B+ revenue 2024; NASDAQ:DDOG.
- Decagon Cross-channel conversation graph
Autonomous support agents resolving end-to-end (refunds, cancellations). Channel-agnostic memory: chat → call carries prior context. Agents recognise returning customers and recall prior issues.
- DeepScribe Longitudinal oncology pull-forward
Specialty-care ambient scribe (oncology focus). Pulls forward prior notes with precise dates; synthesises interval history (what changed since last visit); auto-populates disease-status and treatment-plan context.
- DeepSeek R1 / V3 family Open-weights reasoning-first frontier model family (R1 / V3 / V3.1)
DeepSeek (Hangzhou-based, Liang Wenfeng founder) — released DeepSeek-V3 671B MoE (37B active) Dec-2024, then R1 reasoning model Jan-2025 that matched o1 at ~3% of inference cost. Caused 'DeepSeek moment' in markets Jan-27-2025 — NVIDIA d…
- Drata Compliance automation platform with AI Trust Hub agent
Founded 2020; compliance automation (SOC 2, HIPAA, GDPR, ISO 27001) with hundreds of pre-built control libraries. $200M Series C Mar-2024 ($2B val; ICONIQ + GGV + Cowboy). Trust Hub launched 2024; AI Trust Hub auto-fills security questio…
- Elasticsearch / OpenSearch Mature hybrid search
Mature hybrid (BM25 + vector) implementations. RRF + weighted combination. Elastic ELSER sparse model.
- ElevenLabs Conversational AI Voice-agent platform from a TTS-first vendor (ElevenLabs)
ElevenLabs launched Conversational AI Nov-2024 — STT + LLM + their own market-leading TTS in one pipeline. Combines vendor's voice cloning + multilingual TTS strengths with hosted call orchestration. ElevenLabs raised $180M Series C Jan-…
- Filevine LOIS Whole-matter context as live LLM input
Embedded in case-management platform. Holds full scope of every matter — deadlines, billing, discovery, communications, negotiation history — as live context for every query. Case data is the context, not a separate retrieval corpus.
- Galileo (galileo.ai) Real-time intent / belief drift detection
Treats memory as first-class in multi-agent tracing. Luna-2 SLMs (3B / 8B) scan every interaction for intent drift and belief drift; 20+ checks at sub-200ms latency. Catches when agent A's view of the world splits from teammate B's. Open…
- Gemini Enterprise Agent Platform Memory Bank (rebrand of Vertex AI Memory Bank) Long-running agent memory with continuous event-streaming consolidation
GA at Google Cloud Next 2026 (2026-04-22). Vertex AI rebranded as Gemini Enterprise Agent Platform; Memory Bank now "Agent Platform Memory Bank" with new continuous event-streaming + automated memory generation triggered by configurable …
- Glean Enterprise search + per-user KG
Enterprise search with 100+ connectors. Personalised per-user knowledge graph. No governance layer.
- Google Gemini Memory Personal Context + Personal Intelligence
Personal Context setting + Personal Intelligence packing. Memory import from ChatGPT/Claude (Mar 2026).
- Hippocratic AI Polaris Longitudinal multi-call patient memory store
Patient-conversation / chronic-care staffing model. HIPAA-compliant Memory Store holds non-EHR salient facts from prior calls, persists across engagements, explicitly not used for model training. Shifts from transactional call-handling t…
- Hume EVI Empathic voice-AI platform (voice + emotion)
Hume's Empathic Voice Interface (EVI) — voice agent platform with vocal-affect understanding. Hume raised $50M Series B Mar-2024 (EQT). Distinguished from pure LLM voice agents by emotion/prosody modelling; uses Hume's proprietary speech…
- Jamba (AI21 Labs) SSM-Transformer hybrid + 256K KV-bypass context
Israeli production model. Interleaves Mamba SSM layers with Transformer attention (1:7 ratio) + MoE blocks every 2 layers. SSM layers maintain fixed-size recurrent hidden state — compressed long-context memory bypassing growing KV cache.
- Kiro Agentic IDE; spec-driven dev (Requirements → Design → Tasks)
Spec-driven agentic IDE from AWS — preview launch July 2025. Codifies the AI-coding workflow as Requirements / Design / Tasks files generated before code ("specs"); also persists "steering" files and Hooks. Built as a VS Code fork; runs …
- Lindy AI Memory Selective KV memory injected into prompt
Saves high-signal facts (scheduling preferences, communication patterns, recurring rules) selectively rather than raw transcripts. Memory entries editable, injected into every prompt call, persist across all future executions.
- LiveKit Agents Voice-agent framework on LiveKit WebRTC platform
LiveKit Agents — agent framework built on LiveKit's open-source WebRTC media server. LiveKit raised $45M Series B Sep-2024 ($300M val). Powers OpenAI Realtime API's WebRTC transport (LiveKit is the substrate OpenAI chose). Agents framewo…
- Lucidworks Conversational Q&A AI Agent Session-history conversational memory atop RAG
Enterprise Q&A agent powered by Luci patent-pending ultra-precise RAG. Embeds on product detail pages; consumes technical PDFs, spec sheets, images, tables, charts, graphs and product manuals. Maintains session history for multi-turn fol…
- Mem0 Security / OpenMemory SOC 2 + HIPAA + zero-trust + BYOK
Commercial Mem0 ships SOC 2 / HIPAA, zero-trust access controls, BYOK encryption, real-time monitoring, audit logs, workspace governance as defaults. OpenMemory is the local self-hosted variant (Docker + FastAPI + Postgres + Qdrant) for …
- Microsoft Copilot Memory Org / tenant-scoped (Exchange-backed)
Microsoft 365 Copilot memory stored in user's Exchange mailbox with compliance alignment. GA Jul 2025.
- Microsoft Edge Copilot Mode + Journeys Tab-context + Journeys session-grouping
Copilot Mode (Oct 2025): Journeys groups related browsing across sessions into resumable project cards with AI summaries. Copilot Actions execute multi-step tasks inside the browser. Assistant can see all open tabs with permission and dr…
- Modal Sandboxes Serverless container runtime + AI-agent sandboxes (Modal Labs)
Modal Labs ships a serverless container platform with first-class GPU support; Sandboxes feature (2024) adds ephemeral, AI-agent-friendly compute sandboxes. Founded 2021 by Erik Bernhardsson (ex-Spotify ML, author of Luigi + Annoy). $87M…
- Nabla + Navina Ambient + historical real-time reconciliation
Ambient scribe + longitudinal clinical intelligence (strategic partnership Jul 2025). Live encounter transcript reconciled against historical labs/imaging/notes; condition-suspecting + care-gap engine runs against the reconciled record.
- Notion AI Workspace-scoped context + custom instructions
Notion's first-party AI. Reads up to 50 pages per query (as of Jan 2026); Custom Instructions persist brand voice / team structure / preferences. Context follows you across model swaps. Notably not persistent cross-session learning — it …
- Omi Open-source wearable orb + memory graph
Wearable orb (necklace or clip) with open-source hardware + firmware. Continuous audio capture; real-time GPT-4o transcription; searchable memory graph. Supports app screen capture too. Hybrid privacy: cloud by default (SOC 2/HIPAA/AES-2…
- OpenAI ChatGPT Memory User-scoped persistent facts
First-party memory in ChatGPT; auto-extracts persistent facts about the user across sessions. Apr 2025 expansion to chat-history referencing.
- OpenAI Codex (cloud agent) File-backed ~/.codex/memories + Chronicle
Memory under ~/.codex/memories/ : summaries, durable entries, recent-input logs, supporting evidence — generated in background after sessions go idle. Chronicle (opt-in macOS preview) uses screen-capture to seed memory. Off by default; o…
- OpenAI Realtime API Speech-to-speech LLM API (OpenAI Realtime)
OpenAI's Realtime API for native speech-to-speech multimodal interaction with GPT-4o — launched Oct 2024 (DevDay). Skips the STT → LLM → TTS pipeline by passing speech directly to GPT-4o. The platform substrate that Vapi/Retell/Bland int…
- Otter.ai Meeting bot + browser extension + app
Joins Zoom / Meet / Teams as a meeting bot. Real-time transcription, speaker identification, searchable archive across past meetings. SSO + admin controls at Business tier.
- PagerDuty AIOps Incident-response AIOps platform with agents
PagerDuty's AIOps tier adds AI alert grouping, noise suppression, and AI agent suggestions for incident response. Includes the Jeli acquisition (May-2023, $73M) for incident retrospective AI. PagerDuty parent: $450M+ revenue.
- Palantir Ontology Operational digital twin
Proprietary operational ontology — semantic objects + kinetic actions wired to microservices. Not open-standards KG; closed platform.
- Perplexity Comet Conversation across pages + browser-history memory
AI-native Chromium-based browser. Assistant operates across tabs and sessions; persistent memory of preferences; multi-step agentic tasks without leaving the browser. Memory is opt-in and server-side; enterprise memory tier separately av…
- Perplexity Memory Auto-distillation across model swaps
Auto-infers facts from conversations and surfaces them in future responses (Pro subscribers). Cross-model: memories persist when user switches underlying model mid-session. Enterprise Memory adds org-scoped retrieval.
- Pipecat (Daily) OSS voice-agent framework (Daily.co)
Open-source Python framework for real-time voice + multimodal AI agents, maintained by Daily.co. Pipeline-style architecture (STT → context → LLM → TTS) wired over WebRTC. The OSS substrate that many of the voice platforms build on or co…
- Plaud NotePin Magnetic clip-on + AI transcription
Magnetic clip-on wearable. Records in-person conversations and calls; AI summaries, action items, searchable transcripts. AES-256 + TLS 1.2 in transit; doesn't retain audio after transcription. Also sells Note (card-form recorder) and No…
- Read.ai Meeting bot + analytics + Ada digital twin
Meeting bot + browser extension. Captures audio + video; engagement scoring (talk-time, sentiment, attention); enterprise search across all past meetings. "Ada" digital-twin feature builds an AI memory of work patterns.
- Retell AI Developer platform for AI voice agents (low-latency)
Voice-agent platform with vendor focus on sub-800ms turn latency and proprietary voice models. Y Combinator S24; raised $4.6M seed Aug 2024 (BoxGroup + others); >$1M ARR by month 6 per founders. Direct competitor to Vapi with proprietary…
- Salesforce Agentforce Multi-agent platform on Data Cloud (cross-listing harness)
Cross-listing: Salesforce Agentforce already exists under Vertical / Customer-support / voice memory; this row is the Agent-harness framing — Agentforce as the consumer-facing agent IDE / builder on Data Cloud. Agentforce launched Sep-20…
- Sierra Unified customer graph (Agent Data Platform)
Bret Taylor + Clay Bavor. Agent Data Platform links unstructured conversation data to enterprise systems (billing, inventory, policies, transactions); persists across channels and time. Memory accumulates across every interaction, not ju…
- Snowflake Cortex Search Hybrid vector + keyword + semantic rerank
Hybrid vector + keyword + semantic reranking. Cortex Agents (GA Nov 2025) orchestrate over Cortex Search for unstructured data. No separate vector infra needed inside Snowflake.
- Suki AI Pre-visit summary + prior-note synthesis
Doctor-assist ambient documentation. Pulls forward prior documentation into a pre-visit synthesis rather than waiting for the encounter. Patient summaries surface relevant insight from history before visit begins.
- Turbopuffer Object-storage-first vector DB
Object-storage-first vector DB. Powers Notion and Cursor. SPFresh indexing; ~10× cost reduction vs. memory-resident peers.
- Vanta Compliance automation platform with AI agent
Founded 2018; the largest compliance-automation platform by valuation/headline. $150M Series C Jul-2024 ($2.45B val; Sequoia + Atlassian Ventures + CrowdStrike Falcon Fund). Vanta AI launched 2024 — auto-evidence-collection, control mapp…
- Zep — governance posture Bi-temporal KG = structural provenance
Bi-temporal knowledge graph preserves full lineage of every stored fact — every memory write traceable and auditable by graph schema, not bolted-on logging. SOC 2 Type II; HIPAA BAA available; BYOK + VPC-isolated deployment for data resi…
Tier 2 — production-ready (6)
- LangGraph Persistence Checkpoints + Store System
Distinct from LangMem. Built-in checkpointer saves graph state per super-step (short-term, thread-scoped). Store System adds long-term hierarchical key-value memory across threads with optional vector search + TTL. Postgres / Mongo / Red…
- AWS Bedrock AgentCore Memory Managed memory in Bedrock AgentCore
AWS managed memory service for agents running on Bedrock AgentCore. Native integrations with LangChain/LangGraph and Strands. Drives long-running MCP servers + agent workloads.
- AutoGen Memory List + teachable vectors
ListMemory chronological context + teachable agents that vectorise corrections. Integrates with Mem0/Zep rather than building deep memory natively.
- AGiXT Adaptive Memory Adaptive provider-spanning + plugin storage
Open-source AI automation platform. Routes between short-term and long-term memory adaptively across any LLM provider; plugin system for storage backends. Memory managed at the instruction-management layer — task context, instruction sta…
- Amazon Nova family AWS-native foundation model family (Nova Pro / Lite / Micro / Premier / Canvas / Reel)
Amazon's first-party foundation model family, launched at AWS re:Invent Dec-2024. Nova Pro (multimodal mid-tier), Nova Lite (multimodal cheap), Nova Micro (text-only fast), Nova Canvas (image gen), Nova Reel (video gen). Premier frontier…
- CallRail Conversation Intelligence Conversation intelligence / call analytics platform
CallRail's AI-driven conversation intelligence layer atop their call-tracking product. Marketing-vertical voice analytics — auto-tagging, sentiment, lead scoring. CallRail is profitable / private (Sageview-backed); not a voice-agent runt…