Skip to main content
Notifications
You're all caught up.
View all notifications
Backsplice
  • Product
  • Watney AI
  • Why us
  • Pricing
  • Docs
  • Security
  • About
  • Log in
  • Start free
Log in Start free
← Docs
← All documentation

Access reviews

Access reviews are included in Premium and Enterprise, and they work
on the Free plan too.

Knowing who can reach a system — an AI system's prompts, data, configuration and outputs, or a system that holds electronic protected health information — and confirming that access is still appropriate is a routine governance control. For a system that handles ePHI, reviewing a user's right of access is one of the policies the HIPAA Security Rule's access establishment and modification specification names (45 CFR § 164.308(a)(4)(ii)(C), Addressable); the review records your decisions, and whether it meets the rule is for your organization to decide. An access review captures one such review — who was looked at, and what you decided for each person.

Starting a review

Create a review with a title, an optional system it covers (any system in your registry, AI or not) (or leave it as a general review), a period label (e.g. "Q1 2026"), an optional due date, and notes. When you create it, every active team member is added as a row to review, each starting as pending.

Working through it

For each person, record their access level and a decision — keep, remove, or modify — with optional notes. Save as you go. You can also set a decision on several rows at once. The review moves Open → In review → Completed; once you complete it, the rows lock so the record is a faithful snapshot of what you decided and when.

Due dates

If you set a due date and the review isn't complete by then, it's flagged overdue in the list, and once a week an overdue review also notifies your org admins so it doesn't sit unnoticed. That reminder rides your ordinary "remediation overdue" notification preference, so you can turn it off.

Reviews are still created manually — the period label is for your own cadence (quarterly, annually); there's no automatic recurrence.

Who can do what

Org admins create reviews, record decisions, and complete or delete them. Everyone else can view completed reviews read-only.

Backsplice

HIPAA compliance and AI governance, in one program.

View our security posture →

Product

  • Why Backsplice
  • Frameworks
  • Watney AI
  • HIPAA Records
  • Review & Approval
  • Governance Registers
  • Reporting
  • Integrations & API
  • Pricing

Company

  • About Us
  • Team
  • Mission
  • Contact

Legal

  • Privacy Policy
  • Terms of Service
  • Data Processing Agreement
  • Business Associate Agreement
  • Security

Resources

  • Documentation
  • Guide to HIPAA
  • Blog
  • Status Page

© 2026 Backsplice LLC. All rights reserved.

Backsplice provides tools to run a HIPAA and AI governance program; it does not confer compliance with any law or standard and does not constitute legal advice. Consult qualified legal counsel for specific compliance guidance.