Tech Services & Custom Builds
HIPAA-compliant software, EHR integrations, and AI agents — engineered by a team that actually runs telehealth operations.
Service Overview
Off-the-shelf platforms force your workflow to fit their software. We do the opposite.
We build the systems your clinical operations actually need — intake that talks to your EHR, billing logic that matches your CPT mix, and dashboards your team will open every morning. Every build is HIPAA-aligned from the first sketch and engineered to scale with your patient volume.
The difference: our team has operated inside major health systems and run telehealth practices firsthand. We know what breaks in production because we've fixed it.
What We Do
Custom Telehealth Platforms
End-to-end builds on Canvas Medical, athenahealth, or your stack of choice — patient portals, clinician workstations, async visit queues, e-prescribe, and billing engines tuned to your practice.
EHR & Device Integrations
HL7/FHIR pipelines, RPM device integrations, real-time eligibility (270/271), and claim submission (837) — wired into your existing EHR or PM system.
AI Agents for Doctor's Offices
Pre-visit chart prep, refill automation, lab routing, prior-auth tracking, and intake automation — agentic workflows that reduce front-desk and clinical labor by 40–60%.
RPM & Compliance Software
Custom Remote Patient Monitoring platforms with built-in CPT 99453 / 99454 / 99457 / 99458 time tracking, escalation workflows, and audit-ready reporting.
Our Build Stack
We only recommend technology we've shipped on. Every layer below is something we run in production.
EMR & Clinical
Canvas Medical, athenahealth, eClinicalWorks, and other major EHRs — selected based on your async vs. synchronous mix, e-prescribe needs, and integration scope.
Frontend & UX
React, Next.js, TypeScript, Tailwind — clinical UIs designed around how your team actually works, not generic dashboards.
Backend & Infrastructure
Modern Node.js stacks deployed to HIPAA-aligned cloud environments, with encryption at rest, TLS in transit, and audit logging built in.
AI & Automation
Production-grade AI agents and workflow orchestration — chart summarization, claim scrubbing, refill triage, and more.
Devices & Integrations
RPM devices, telephony, payments, identity, and clearinghouse connections — fully orchestrated, with signed BAAs across the chain.
Compliance Foundation
Encryption, access controls, audit logs, BAA management, and 7-year retention defaults — engineered into every build, not bolted on at the end.
Our Process
1. Architecture & Discovery
We map your clinical workflow, EHR, payer mix, and integration points. You get written architecture documentation, technical diagrams, and a clear scope before any code is written. When credentialing or 270/271 work is in scope, we coordinate with our payer enrollment team.
2. Phased Build Contract
Architecture is one contract. Build is the next. This separation lets you confirm scope and pricing before committing — no surprise change orders mid-project.
3. Build, Test, Deploy
Iterative development with weekly demos. HIPAA-aligned deployment. Audit logs, BAAs, and access controls in place from day one.
4. Handoff & Ownership
You receive the source code, infrastructure, and documentation. We can stay on for managed support — or hand the keys to your team.
What We've Built
RPM Platforms
Custom Remote Patient Monitoring CRMs for chronic-care populations across multiple states. Device data aggregation, clinical workstations, and a billing compliance engine for CPT 99453 / 99454 / 99457 / 99458 — including escalation workflows and a HIPAA-compliant call-tracking dialer. Pairs with our provider network capacity work.
Insurance Verification & Patient Onboarding
Real-time eligibility verification and patient creation built directly against major EHR APIs. Reduced new-patient intake from 15+ minutes to under a minute.
Healthcare API Tooling
Internal tooling purpose-built for healthcare integrations — testing, monitoring, and AI-assisted scaffolding for athenahealth, FHIR, and clearinghouse endpoints.
Provider License & Credentialing Tracker
Automated license-expiration monitoring, document collection, and credentialing workflows — replacing the spreadsheets credentialing managers usually live in.
Why Build With Us
Operators, not just engineers
Our team has spent years inside major health systems and Fortune 100 healthcare technology divisions. We bring that operational depth to every line of code.
Built to ship, not to sit in design
Most healthcare builds stall in 6-month requirements phases. Our phased contracts get you a working system in weeks, not quarters — without cutting corners on compliance.
HIPAA from day one
Compliance posture is engineered into the architecture — encryption, BAAs, audit retention, access controls — not retrofitted before launch.
Right-sized today, ready for tomorrow
We build what your business needs now — no bloated frameworks, no enterprise overkill. But every system ships on a scalable architecture from day one, so growth never means a rebuild.
Ready to Build?
Schedule a consultation to scope your project. We'll walk through your architecture options and provide a fixed-scope quote before you commit to a single line of code.
Book Consultation Free initial consultation · No commitment required