Recording consent
How Vantrexia applies one-party and two-party recording consent by patient state, and what is recorded as evidence.
Call recording law varies by US state. Vantrexia applies the correct rule per patient automatically, based on a per-state policy table that ships with the platform.
Tenants cannot customise the consent policy. It is seeded by the platform and read-only at runtime. This is deliberate: it is the control that keeps recording lawful, so it is not a tenant setting.
One-party and two-party states
| Policy | States | What the patient hears |
|---|---|---|
| Two-party (all-party) consent | CA, CT, DE, FL, IL, MD, MA, MT, NV, NH, PA, WA, and OR by default | An explicit prompt requiring the patient to affirm before recording starts. |
| One-party consent | All other states | A brief disclosure. Your staff member's consent is sufficient in law. |
Oregon is treated as two-party by default because the statute is ambiguous enough that the safe reading is the stricter one.
What happens when consent is refused
If a two-party patient does not affirm, the call is not recorded. The platform refuses rather than recording silently and flagging it later. You can still hold the call and write a manual draft afterwards.
What the consent evidence actually is
This matters for anyone preparing a compliance answer, so it is worth stating plainly.
The consent artifact is the database record and the audit row, not a captured audio clip of the disclosure. The disclosure plays to the callee before the call legs are bridged, which means recording starts after the notice was given. That ordering is what makes the recording lawful, but it also means the notice itself is not inside the recording.
If an auditor asks you to produce evidence of notice, produce the consent record and its audit trail.
Where to find the evidence
Each call session carries an audit trail covering consent outcome, who
placed the call, and every state change. Reach it from the call detail view
in the patient chart, or through the API at
GET /api/v2/voice/calls/{call_session_id}/audit-trail/.