Integrations an Embedded iPaas

I want to reach out and see if anyone has any recommendations for an embedded iPaaS. How have you implemented integrations in your app?

We've been looking at make.com, tray.io, and embedded Zapier. Zapier would be great doesn't have the credentials to handle ePHI like HIPAA. Thank you in advance for your time!

In practice, a lot of teams end up choosing between two approaches:

Either you go with an enterprise-grade iPaaS (like Tray or similar platforms) where you can get proper security controls, audit logs, and BAAs in place — but you pay for it in complexity and cost.

Or you avoid embedding a third-party iPaaS for sensitive data entirely and instead build a thin internal integration layer (API gateway + webhook processing + a few managed connectors). It’s more engineering work upfront, but it gives you full control over compliance boundaries.

Tools like Zapier and Make are great for prototyping and non-sensitive workflows, but once you introduce HIPAA requirements, they usually fall out of scope unless you heavily isolate what data is flowing through them.