Sub-processors

Sub-processors handle specific functions on Medera’s behalf. The list below is current as of platform release; material changes trigger a 30-day notice to security and compliance contacts on file.

US tenants

Sub-processor	Purpose	Region
AWS	Compute, storage, KMS	US region
Medera reasoning	LLM inference (Medera-managed)	US
voice carrier	Voice / SMS for intake agents	US
Medera Voice	Voice orchestration	US
Medera STT	Medera STT transcription (Co-Therapy pipeline)	US
Medera voice	Voice synthesis (Intake, Care Coordinator, Referral Specialist, PA Specialist)	US
observability platform	Observability	US
error tracking	Error tracking	US
payment processor	Billing	US
the identity provider	Authentication	US

EU tenants

Sub-processor	Purpose	Region
AWS	Compute, storage, KMS	EU-West (Ireland), EU-Central (Frankfurt)
Medera reasoning (EU endpoints)	LLM inference	EU
voice carrier	Voice / SMS	EU
Medera Voice	Voice orchestration	EU
Medera STT	Transcription	EU
Medera voice	Voice synthesis	EU
observability platform	Observability	EU
error tracking	Error tracking	EU
payment processor	Billing	EU
the identity provider	Authentication	EU

MENA /

Customer VPC Sub-processors per customer agreement. Typical setup keeps sub-processors region-local; LLM inference may use a customer-hosted endpoint.

Change notification

Material changes (new sub-processor, region change, processing change) trigger:

30-day advance notice to your tenant security contact
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