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BAA Directory

Is PayPal HIPAA compliant? Does it sign a BAA?

The answer

No public statement

No public statement offering a BAA. PayPal's Invoicing terms say a HIPAA covered entity or business associate will not use Invoicing in a way that causes PayPal to create, receive, maintain or transmit protected health information on its behalf.

Messaging and payments. Checked on the vendor's own pages on .

Using PayPal on a healthcare site? Curve Compliance keeps your ad tracking HIPAA-compliant around it, under a BAA on every plan. Book a call

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What PayPal says

“If you are subject to the Health Insurance Portability and Accountability Act of 1996 (HIPAA) as a Covered Entity or Business Associate (as defined in HIPAA), you covenant and agree that you will not use Invoicing in a manner that causes PayPal to create, receive, maintain or transmit Protected Health Information (PHI) on your behalf.”

Source: PayPal Invoicing Terms and Conditions, checked .

What this means for ad tracking

For a cash-pay clinic or a telehealth brand, the payment is often the conversion that matters most. Invoice line items and product names can reveal a treatment.

A purchase event sent to Meta or Google from a checkout or invoice page carries the page, the product and the value. For healthcare, that event should carry a neutral name and only the fields the platform needs.

Curve Compliance closes that gap: it sends the conversion itself server-side, under a BAA it signs on every plan, so your campaigns keep a conversion signal without a pixel carrying patient data. Book a call to see it on your own funnel.

A business associate agreement binds only the vendor that signs it, so each vendor that handles patient information for you needs its own.

How Curve helps

  • Curve gives you a conversion signal that does not depend on PayPal or a browser pixel carrying patient details.
  • Server-side conversion tracking in place of pixels: conversions reach your ad platforms from Curve's server, not from the patient's browser.
  • A fixed field list per platform, so each ad platform receives only the fields set for it.
  • PHI-like pattern detection checks every event before it goes out, and neutral event names keep conditions and treatments out of what the platforms see.
  • When identifiers are enabled, Curve hashes them with SHA-256.
  • Consent management for your site, alongside the tracking.
  • A HIPAA-compliant setup done by Curve's team, with a BAA signed on every plan.

Book a call with Curve and Curve's team will walk through your tracking setup with you.

Frequently asked questions

Is PayPal HIPAA compliant?

No public statement offering a BAA. PayPal's Invoicing terms say a HIPAA covered entity or business associate will not use Invoicing in a way that causes PayPal to create, receive, maintain or transmit protected health information on its behalf. Ask PayPal directly before sending it patient information.

Does PayPal sign a BAA?

No public statement offering a BAA. PayPal's Invoicing terms say a HIPAA covered entity or business associate will not use Invoicing in a way that causes PayPal to create, receive, maintain or transmit protected health information on its behalf. In PayPal's words: “If you are subject to the Health Insurance Portability and Accountability Act of 1996 (HIPAA) as a Covered Entity or Business Associate (as defined in HIPAA), you covenant and agree that you will not use Invoicing in a manner that causes PayPal to create, receive, maintain or transmit Protected Health Information (PHI) on your behalf.” We checked PayPal's own pages on October 5, 2026.

Can I use PayPal with patient data?

Keep Protected Health Information out of PayPal. Its Invoicing terms say a HIPAA covered entity or business associate will not use Invoicing in a way that causes PayPal to handle PHI on its behalf, and we could not find a statement from PayPal offering a BAA, so ask PayPal directly if your use needs one.

Can I still track ad conversions that come through PayPal?

Yes, when the conversion reaches your ad platforms without health information. Curve sends conversions server-side under a BAA it signs on every plan, with neutral event names and SHA-256 hashed identifiers.

Does Curve Compliance sign a BAA?

Yes. Curve Compliance signs a BAA on every plan, and Curve's team does the HIPAA-compliant setup for you. Book a call to get started.

Sources

Last checked . Vendors change their plans and terms, so confirm the current terms with PayPal before you send it patient data.

See every tool in the BAA Directory.

Track ad conversions under a BAA

Curve signs a BAA on every plan. Curve's team sets up HIPAA-compliant conversion tracking for you in about a week, sending conversions server-side in place of pixels.

Book a call