Healthcare

For operations and revenue-cycle leaders at health systems, clinics and healthcare SaaS

HIPAA-compliant automation for patient and billing workflows

Document processing, scheduling, claims and EHR integration for health systems and clinics — every PHI event logged.

Hospital systemspayershealthcare SaaSlife sciences
Referral intake · prior authorisation
Simulated

Inbound fax · 3 pages

OCR → structured fields

Extracted · PHI masked for the model

Patient
J▮▮▮▮ M▮▮▮▮
DOB
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Prior authorisation

  1. Eligibility
  2. Medical necessity
  3. Submitted to payer
  4. Approved

Coding checked against payer rules before submission — a coder approves anything below 0.9 confidence.

audit · PHI access · intake-svc · purpose: OCR

PHI access events logged

100%

Coding checked vs. payer rules

Every claim

Held for coder review

1

Prior-auth target

< 24h

A human approves every change the AI proposes.
Where it hurts

The four problems buyers bring us

  1. 01

    Fragmented patient data

    Clinical, billing and admin data spread across EHRs, labs and departmental tools.

  2. 02

    Scheduling complexity

    Multi-provider scheduling with insurance checks and referrals delays care.

  3. 03

    Claim rejections

    Manual coding and payer-specific rules leak revenue.

  4. 04

    Paper intake

    Faxed records and manual entry consume hours meant for care.

Numbers link to the case study they come from.

What we build

What we ship for healthcare

HIPAA-compliant automation, AI document intelligence, and clinical-data platforms for healthcare providers, payers, and digital-health companies.

  • 01 AI does this

    Clinical document processing

    Medical records, lab reports, imaging metadata, referrals, and prior-authorization documents extracted into structured fields with audit trail.

  • 02

    Prior authorization automation

    Automated PA workflow with payer integration, clinical criteria evaluation, and exception routing for utilization-review nurses.

  • 03

    Revenue cycle automation

    Claims submission, denial management, payment posting, and patient billing automation integrated with your EHR and PM systems.

  • 04

    Patient engagement & intake

    Digital intake, eligibility verification, appointment scheduling, and patient-facing portals built on HIPAA-compliant infrastructure.

  • 05 AI does this

    Clinical data pipelines

    HL7, FHIR, X12, and EHR-native pipelines turning fragmented clinical data into reliable analytics and AI-ready datasets.

  • 06

    Care-management workbenches

    Operations dashboards for care coordinators, case managers, and clinical-ops teams unifying data from EHR, claims, and patient-reported sources.

Compliance

Designed to pass review, not retrofitted after it

Audit trails, encryption and access controls are sprint-one work.

HIPAA (Privacy & Security)

Administrative, physical, and technical safeguards built in. BAAs with every vendor, minimum-necessary access, and PHI audit logging by default.

HITECH & breach notification

Audit trails, anomaly detection on PHI access, and prepared breach-response procedures.

SOC 2 Type II

Architected to SOC 2 standards in addition to HIPAA — increasingly required by health-system procurement.

FHIR / HL7 interoperability

FHIR R4 conformant APIs and HL7 v2 interfaces for EHR integration. Patient-data portability built in.

State PHI laws

California CCPA/CPRA, New York SHIELD Act, and other state privacy laws layered on top of HIPAA where applicable.

How it runs

Scope in a week, ship in sprints

Shadow mode, parallel run, staged cutover — and a rollback plan you'll hopefully never use.

Stage 01

Healthcare discovery & scoping

We map your existing workflow, integrations with core healthcare systems, and regulatory constraints. Define success metrics and produce a written scope.

  • Workflow audit
  • System inventory
  • Compliance review
  • Success criteria
run.log · engagement
 

A human approves every change the AI proposes.

  • EHR & clinical systems

    Epic (HL7, FHIR, App Orchard)Cerner / Oracle HealthAthenahealthAllscriptsVeradigm

  • Interoperability

    HL7 v2FHIR R4X12 (EDI 837/835)C-CDADICOM

  • Document AI

    AWS Textract MedicalAzure Health BotCustom LLMs (HIPAA-safe)Unstructured.io
Case study
Custom softwareMulti-location services company

One operations dashboard for 25 locations

Role-based dashboards, real-time KPIs, automated reporting and mobile access — replacing spreadsheet operations across 25 offices.

2 days/wk

Reporting time saved

Read the case
Services

What we bring to healthcare

Questions

Before you email us

What healthcare buyers ask first.

Yes. We sign BAAs with every client, architect to HIPAA Privacy & Security Rule requirements, and use only BAA-covered cloud and SaaS vendors. PHI access logging and minimum-necessary controls are sprint-one work.

Tell us the healthcare workflow that hurts most.

A senior engineer who has shipped in your industry replies within 24 hours with scoping questions and a real timeline.

Talk to an engineer
See the case studies

  • 50+

    Production systems shipped

  • 97%

    Client retention

  • 4–8 wk

    Typical time to production

  • 24h

    Reply from a senior engineer