Industry

Healthcare

We build the systems behind healthcare operations. FHIR and HL7 interoperability, patient portals, claims workflows, and the audit trail each of them needs.

Overview

Who it is for

Provider groups, clinics, health systems, payers, and the technology and services companies that work with them. The operations behind care are regulated, deadline-driven, and still full of manual steps: a referral that travels by fax, a claims process that is tracked in a spreadsheet, a patient portal that does not know what the scheduling system knows, an HL7 feed that fails quietly on weekends.

Healthcare organizations need systems that move data correctly between the platforms they already run, present it to patients and staff clearly, and record everything they do.

What we deliver

Systems built for an industry where the audit trail is part of the product:

  • Interoperability. FHIR and HL7 integrations with validation, mapping, retries, and a log of every message, built to the interfaces your vendors support.
  • Patient portals that are accessible, mobile-friendly, and connected to scheduling, messaging, results, and billing through reliable integrations.
  • Claims workflows that validate, submit, track, and reconcile, with exceptions routed to people and denials visible early.
  • Operational dashboards for throughput, backlog, denials, and turnaround times, on one source of truth.
  • Cloud architecture with encryption, least-privilege access, audit logging, backup and recovery, and the documentation your security officer needs.
  • Runbooks and handoff so your own team runs the system after we leave.

How the engagement runs

  1. Listen. A 60-minute call about the workflow, the systems it touches, and who has to approve changes to it. A one-page scope within 48 hours.
  2. Discover. We map the real process with the clinical and administrative staff who run it, read the interface specifications, and build a prototype of the hardest integration or flow against test data. The sprint ends with a data flow diagram, a security and privacy review, and a build plan.
  3. Build. The system lands through your change process with weekly demos, parallel runs against the existing process, and security review as part of each increment.
  4. Hand off. Your internal owner runs the interfaces and the exceptions queue for two weeks while we taper, then a 90-day standby.

Typical stack

Your EHR, practice management, and billing systems stay where they are. Around them: integration services that speak FHIR and HL7, queues for durable message handling, a relational store with an immutable audit log, a secrets manager, encryption in transit and at rest, and the cloud’s native identity and logging services. Portals are built as accessible web applications with the same typed stack we use everywhere, hosted on infrastructure defined as code.

Common starting points

The requests we hear most in healthcare are an interface that fails silently, a portal that patients do not use because it is disconnected from everything, and a claims process that nobody can see the state of. Each becomes a fixed-scope engagement with a named lead, a written definition of done, and an internal owner at the end.

The services that come up most in healthcare are integrations, custom software consulting, and cloud architecture. Our Waqt product schedules Live Scan and fingerprinting appointments with a HIPAA-aligned audit log.

FAQ

Frequently asked questions

Do you work with protected health information?

We design systems that handle it correctly. Access control, encryption, audit logging, minimum necessary access, retention, and breach-ready logging are built in, and we work under the agreements your compliance program requires. Your privacy and security officers are part of the review from discovery onward.

What is FHIR and HL7 interoperability in practice?

Moving clinical and administrative data between systems that speak different dialects. HL7 v2 feeds from older systems, FHIR APIs from newer ones, and the mapping, validation, and error handling between them so that records arrive complete, in the right place, with a log of what moved.

Can you integrate with our EHR?

Usually, through its supported interfaces: FHIR APIs, HL7 interfaces, or vendor integration frameworks. We work within the vendor's rules and your IT department's change process, and we are clear early about what an interface can and cannot do.

What does a patient portal engagement look like?

Discovery with patients and staff, a prototype of the most used flow, then a build that is accessible, mobile-friendly, and connected to scheduling, messaging, billing, or results systems through reliable integrations. Security review is part of the build, not a step after it.

How do you approach claims workflows?

As an automated process with exceptions routed to people. Claims are validated, enriched, submitted, tracked, and reconciled, with every step logged, so that denials are visible early and the paper trail is complete.

Keep exploring

Services

  • Integrations

    Stripe, Salesforce, NetSuite, HubSpot, your warehouse, your ERP, the legacy SOAP endpoint nobody wants to touch. We connect the systems you already own and make them feel like one product.

  • Custom Software Consulting

    A team that listens, scopes, and writes code in your repository from day one. We build what your business actually needs, not a generic template, and we leave you with something you can extend.

  • Cloud Architecture

    AWS, GCP, Azure, whichever you live on. We design infrastructure that scales linearly with revenue, not exponentially with surprise bills. IaC by default; nothing manual.

Industries

Start a Project

Tell us what's on your roadmap.

A 60-minute call. We listen. If we're a fit, you have a one-page scope within 48 hours. If not, we'll point you at someone who is. Either way, you leave smarter.

  • No NDAs to read, no sales motion
  • Reply within 1 business day
  • Direct line to the people doing the work