Engineering for clinics that cannot afford a bad deploy.
Referral intake, patient portals, and clinical workflow automation built by engineers who understand that a lost record is not a bug ticket.
Healthcare software fails in a particular way: it is not usually slow or ugly, it is untrustworthy. Records go missing between systems, integrations break silently, and staff quietly build a shadow spreadsheet to compensate. We build the layer that makes the systems agree with each other.
The four things healthcare teams tell us first.
If none of these describe you, we are probably not the right call. If two or more do, the conversation is usually worth fifteen minutes.
Referrals arrive as faxes and scanned PDFs
Coordinators retype them into the practice management system, which is slow, error-prone, and puts scheduling and billing a day behind intake.
The EHR does not talk to anything else
Every new tool needs a custom integration, so operational data ends up reconciled by hand or not at all.
Prior authorisation eats clinical time
Staff chase payers through portals and phone queues instead of doing work only they can do.
Compliance is treated as paperwork, not architecture
Access control lives in policy documents rather than in the code path that actually serves the record.
What we build for healthcare teams.
Each of these maps to one of our four practices, so the same team carries it from architecture through to production.
Document intake that knows when to stop
Layout-aware extraction from referrals, insurance cards, and clinical documents, validated against reference data with a human review queue for anything below confidence threshold.
Integration layer over your EHR
HL7 and FHIR interfaces with idempotent writes, reconciliation jobs, and alerting, so a failed sync becomes a notification rather than a missing record.
Clinical and administrative workflow automation
Scheduling reminders, recall lists, eligibility checks, and payer follow-up automated with full audit trails on every action taken.
PHI protection enforced in code
Row-level access control, encryption at rest and in transit, immutable audit logging, and tested backup recovery — the technical half of your compliance obligations.
Systems we already integrate with
And the ones we do not, we read the documentation for. Integration risk is priced during the architecture sprint, never discovered halfway through a build.
A comparable engagement, in detail.
How working with us actually goes.
No discovery phase that bills for six weeks and produces a slide deck. You get a plan with a number attached in the first week, and something running in the second.
- 01
Discovery call
15 minutesYou describe the problem. We ask the four or five questions that determine the approach, and tell you on the call whether this is something we should build.
- 02
Architecture sprint
5 working daysA fixed-fee week that produces the system design, the risk register, a phased plan, and a real number. You own the document either way, and it credits against the build.
- 03
Build in weekly slices
3 to 14 weeksEvery Friday there is something in staging you can click. Types at the boundaries, tests on the paths that matter, and a changelog you can read without us in the room.
- 04
Handover or embed
OngoingArchitecture walkthrough, runbooks, and onboarding docs for whoever inherits it. Or we stay on as your engineering function. Both are fine outcomes.
Healthcare questions, answered
Yes. We work inside your cloud accounts under a business associate agreement, and we architect so that protected health information stays within the boundary you control.
No. We deliberately scope AI to administrative and document work — extraction, routing, summarisation for a human reader. Clinical judgement stays with clinicians, and every automated action is logged and reversible.
Other industries we work in
Let us look at your healthcare systems.
Two ways to start, both of them short. Bring the problem, not a specification — the first useful thing we do is tell you what we would build and roughly what it costs.
Book an architecture call
Fifteen minutes, no deck. We map your problem to an approach and tell you what a realistic scope and budget look like.
- A specific technical recommendation
- A budget band you can plan against
- An honest answer if we are the wrong fit
Send a written brief
Prefer to write it down? Email us the shape of the problem and we will reply with a first take, usually under 12 hours.
- Goes straight to an engineer, not a sales inbox
- We reply with an approach, not a brochure
- Attach anything: repos, docs, screenshots