hello@sterling-grc.com +1 201 263 4443 New York ISO & GRC consulting in 60+ countries
SterlingInternational Consulting Talk to a consultantTalk to us
← All videos

Integrated programme

PCI DSS, SOC 2 and HIPAA together: what US healthcare and payments clients ask for: video

A film on the three frameworks US healthcare and payments clients ask service providers for most, and how one control set prepares for all of them.

  • Integrated programme
  • 3 min 14 s

Key takeaways

  • None of the three is an ISO certification.
  • SOC 2 is attested by a licensed CPA firm; PCI DSS is validated by a QSA or self-assessment.
  • HIPAA compliance is documented and demonstrated, with no certificate.
  • One control set maps card data requirements, Trust Services Criteria and HIPAA safeguards.
  • Plan the PCI DSS assessment, SOC 2 period and HIPAA risk review together.

The three US clients ask for most

Service providers to US healthcare and payments clients are typically asked for three things: a SOC 2 report, PCI DSS compliance and HIPAA safeguards. None of them is an ISO certification. The SOC 2 report is an attestation issued only by a licensed US CPA firm; PCI DSS compliance is validated by a Qualified Security Assessor or through the self-assessment route the acquirer accepts; and HIPAA compliance is documented and demonstrated, because the law has no certificate.

This short film walks through how one control set prepares a provider for the QSA and the CPA firm while building the HIPAA documentation clients expect.

The combination fits providers to US healthcare and payments clients, who typically ask for exactly these three.

None of the three produces a certificate: PCI DSS is validated by a QSA or self-assessment, SOC 2 is a CPA firm's attestation report, and HIPAA obligations follow the protected health information through business associate agreements.

One evidence base for the QSA, the CPA firm and HIPAA

The programme maps card data requirements, the SOC 2 Trust Services Criteria and the HIPAA safeguards to one control set, with the cardholder data environment and health data scoped deliberately. Whether PCI DSS needs a Report on Compliance or a self-assessment questionnaire is confirmed from the provider's level before the plan is fixed, and the SOC 2 report type is chosen to match client requests and deadlines.

One evidence base then serves the QSA, the CPA firm and the HIPAA documentation, and the PCI DSS assessment, the SOC 2 report period and the HIPAA risk review sit on one calendar. The outcome is a set of documents ready for US healthcare and payments procurement, without three separate projects competing for the same engineers.

Sterling prepares the controls, evidence and SOC 2 system description with one engagement team in a shared Effivity workspace, for one agreed fee. It never issues the SOC 2 report and does not validate PCI DSS itself.

PCI DSS at a glance

Purpose
Protection of payment card account data wherever it is stored, processed or transmitted, through twelve requirements validated every year
Relevant to
Merchants, service providers, BPOs, payment facilitators, hosting and software providers: anyone who handles cardholder data or can affect its security
Version
PCI DSS v4.0.1 (June 2024); v4.0 was retired on 31 December 2024 and the formerly future-dated requirements have been mandatory since 31 March 2025
Validation
Assessed by a PCI SSC-qualified QSA (Report on Compliance and Attestation of Compliance), or by self-assessment questionnaire where your acquirer and the card brands allow it; quarterly ASV scans where they apply
Sterling's role
Scoping, gap analysis, remediation with your team, Effivity, training, internal assessment and QSA readiness, then Sustain™ through every annual cycle
Cost and timing
Total investment for PCI DSS compliance depends on the current maturity of your processes, the scope, locations and number of employees. The process typically takes 3 to 9 months

PCI DSS: the complete guide →

PCI DSS: questions people ask

Is PCI DSS a certification?

No. There is no PCI DSS certificate and no certification body. Compliance is validated at least annually, by a Qualified Security Assessor who produces a Report on Compliance and signs an Attestation of Compliance, or by a self-assessment questionnaire with its own AOC where your acquirer and the card brands allow it.

Do we need a QSA, or can we self-assess?

That depends on your merchant or service-provider level, which the card brands define by annual transaction volume, and on what your acquirer or customers require. The largest merchants and most service providers are assessed by a QSA; many smaller merchants and some service providers may self-assess. Some brands also accept a Report on Compliance completed by a trained Internal Security Assessor on your staff, where the acquirer permits it.

Which self-assessment questionnaire applies to us?

The PCI Security Standards Council publishes SAQs for different payment environments: SAQ A and SAQ A-EP for e-commerce and mail or telephone order merchants that outsource card data functions to differing degrees; SAQ B and SAQ B-IP for imprint and standalone terminal environments; SAQ C and SAQ C-VT for payment application and virtual terminal environments; SAQ P2PE for validated point-to-point encryption; SAQ SPoC for approved software-based PIN entry; SAQ D for merchants who fit none of the others; and SAQ D for service providers, the only SAQ open to them. Eligibility criteria are strict; your acquirer has the final word.

Are the PCI DSS v4.0 future-dated requirements now mandatory?

Yes. They were best practice until 31 March 2025 and have been required in every assessment since, under PCI DSS v4.0.1, the only active version since v4.0 was retired on 31 December 2024.

How can we reduce our PCI DSS scope?

By keeping card data out of your systems: hosted payment pages or redirects, tokenisation, validated point-to-point encryption, agent-assisted payment tools in the contact centre, and outsourcing to providers with a current AOC; what remains is isolated with tested segmentation. Reducing scope does not remove PCI DSS: an e-commerce merchant eligible for SAQ A still has requirements to meet, including quarterly ASV scans of the systems hosting its payment page or redirect.

More PCI DSS questions and answers →

The complete guide

Everything on PCI DSS

Start with the PCI DSS page · SOC 2 · HIPAA, or go straight to the guide you need.

Talk to a consultant

Plan your PCI DSS compliance with confidence.

Tell us your goals, locations and target date. We’ll help you define the scope, timeline and next steps.

hello@sterling-grc.com

+1 201 263 4443 (global headquarters) · your nearest office and its number are at the top of this page

What would you like to achieve?

Choose a starting point. The enquiry form takes about a minute.

Your goal
Book my free discovery call

Continue to the enquiry form to share your details. Please do not include passwords, sensitive personal information or confidential files. A Sterling consultant replies within one working day. Privacy notice