Frontier models for PHI.
Under one BAA.

from openai import OpenAI

client = OpenAI(
    base_url="https://api.openai.com/v1",
    base_url="https://gateway.accountablehq.com/v1",
    api_key=os.environ["GATEWAY_API_KEY"],
    max_retries=0,  # retry with an Idempotency-Key instead
)

reply = client.chat.completions.create(
    model="gpt-6-luna",
    messages=[{"role": "user", "content": note}],
)

import OpenAI from "openai";

const client = new OpenAI({
  baseURL: "https://api.openai.com/v1",
  baseURL: "https://gateway.accountablehq.com/v1",
  apiKey: process.env.GATEWAY_API_KEY,
  maxRetries: 0, // retry with an Idempotency-Key instead
});

const reply = await client.chat.completions.create({
  model: "gpt-6-luna",
  messages: [{ role: "user", content: note }],
});

curl https://gateway.accountablehq.com/v1/chat/completions \
  -H "Authorization: Bearer $GATEWAY_API_KEY" \
  -H "Idempotency-Key: intake-2291" \
  -H "Content-Type: application/json" \
  -d '{
    "model": "sandbox-chat",
    "messages": [{"role": "user", "content": "Hello"}]
  }'