Healthcare software engineering · EHR integrations · Workflow automation

Healthcare software that connects your EHR and simplifies the work around it.

We build integrations, billing and eligibility workflows, patient intake, and practical AI tools for US medical practices and healthtech teams. From a single integration to a clinical operations platform, we help your staff spend less time moving information between systems.

Sound familiar?

The work that fills the day and never shows up in the EHR

  • Someone opens every incoming fax, works out what it is, finds the patient, and retypes the details.
  • Providers finish their notes at the end of the day. Or the next morning.
  • Billing waits on documentation that hasn't been written yet.
  • Eligibility gets checked one patient at a time, by phone or portal.
  • Refill requests sit in an inbox until someone gets to them.
  • Two systems disagree, and nobody notices until a biller is reconciling weeks later.

None of this is a failure of your EHR. It holds the record, and it does that well. The rest was never its job.

What changes

Services built around the way your practice works

EHR and third-party integrations

Connect your clinical and operational systems with two-way sync, OAuth2, webhooks, identifier mapping, and reconciliation. Experience includes DrChrono, WENO e-prescribing, DocuSeal consent, and outbound fax for lab, imaging, referral, and DME orders.

DrChrono · REST APIs · OAuth2 · Webhooks · Reconciliation

Billing and eligibility workflows

Build billing preparation and claim follow-up workflows around your appointments and documentation. Integrate X12 270/271 eligibility through Stedi, with staff review and confirmation where a workflow needs it.

Stedi · X12 270/271 · Billing preparation · Claim follow-up

Patient intake and workflow automation

Move intake, scheduling, medication, and refill workflows out of repetitive manual steps. Use n8n or custom Python automation, with IVR flows for appointment confirmations and refill requests.

Patient intake · n8n · Python · IVR · Refills

Fax, email, and document processing

Turn incoming fax and email into organized work: OCR, document classification, patient matching, and field extraction. Staff review the results before information is filed or acted on.

OCR · Classification · Field extraction · Staff review queues

Clinical AI with provider review

Turn dictation into notes using your practice templates, ready for the provider to review, correct, and sign. Extract ICD suggestions and problem-list information from what is actually written in the note.

Dictation · Templated notes · ICD extraction · Provider review

Backend engineering and ongoing support

Build and maintain healthcare applications with Python, FastAPI, Flask, Django, PostgreSQL, and AWS. Scope the architecture, deliver in phases, and support deployment and the integrations after launch.

Python · FastAPI · Flask · Django · PostgreSQL · AWS

Where this comes from

Experience from a platform used by a US medical practice.

A clinical operations platform for a multi-office US outpatient practice

Our lead engineer, Rajinder Mohan, was the main engineer on a team of three building a platform used daily by practice staff. His responsibilities include billing, scheduling, patient intake, medications and refills, and EHR synchronization.

That experience informs our integration and automation services. Individual projects are scoped around your systems, staff, and priorities.

70+projects on Upwork
5,500+hours on Upwork
Multi-officeUS practice experience
Small teamfor larger scopes

View Rajinder’s Upwork profile →

What you can hold us to

Three things we won't cut corners on

A person in front of every AI output

Documents land in a review queue. Notes are signed by the provider. Patient-submitted intake is verified before it touches the chart. Billing submission stays staff-confirmed. In a clinic, a confidently wrong extraction is worse than a blank one — a wrong date of birth on a lab result is worse than no date of birth.

Each system owns its own half

The EHR owns the record. The operations layer owns workflow state. Neither writes into the other's territory, and a scheduled job catches the drift, because webhook-based sync always drifts. Deciding that split late is what turns an integration into a data-cleanup project six months in.

We'll tell you what not to build

Some workflows aren't worth automating — the effort costs more than the time it saves, or the thing that exists already works. Saying so is part of the job. We'd rather scope a smaller project honestly than a larger one you regret.

PHI and security

Patient data stays yours

We can build in your cloud account, with ownership, access boundaries, and patient-data handling agreed before implementation. Security requirements are part of the project scope, alongside the workflow itself.

Your account, your ownershipCloud account, domain, repository and database stay in your name. When the work ends, we're removed and nothing needs handing over.
Access control by actionPermissions cover pages and individual actions, not just screens, checked server-side on every request.
MFA on staff loginsAuthenticator-based MFA and a defined recovery process, matched to your access requirements.
Audit loggingWho viewed a record, not only who changed it. With health data, that's the question that gets asked.
Documents behind permission checksFiles are never in a public folder. Access runs through short-lived links generated after a permission check.
Error reporting that scrubs PHIRequest bodies, cookies, auth headers and identifiers are stripped before anything reaches a third-party tool.

We won't call anything HIPAA compliant. Compliance is a property of your whole organisation, not of one piece of software, and no vendor can hand it to you. What we'll do is tell you exactly what's implemented and what isn't, so you can take that to whoever advises you.

Where to start

You don't have to commit to a build

Workflow assessment

We go through how your practice actually runs and write up where the time goes, what can realistically be taken off your staff, what should be left alone, and in what order. You get effort and cost ranges you can budget against — and it stands on its own, whoever builds it.

Focused scope · clear deliverables · practical recommendations

Build

We build the pieces you decide are worth it, in your own cloud account, with the source code yours from day one. Phased, so you have something working in front of your staff before you commit to the rest.

Phased · milestone-based · your infrastructure

Get in touch

Tell us what your systems and staff need next.

Tell us about your EHR integration, billing or eligibility workflow, patient intake, document processing, or healthcare application. Share the systems involved and what your team handles manually, and we’ll outline a practical approach.