Claim intake
Bring EDI, API, portal, and manual submissions into a consistent workflow with validation at the point of entry.
Healthcare technology built around the work.
We design and build the systems behind healthcare operations: claims, patient and provider experiences, integrations, data, security, and the workflows that connect them.
Where we help
Claims and revenue cycle
Intake, validation, adjudication, payment, reconciliation, and operational reporting.
Patient and provider experiences
Portals, scheduling, communication, education, payments, and workflow tools.
Healthcare integrations
EHR, payer, clearinghouse, payment, identity, communications, and data connections.
Security and compliance
Architecture, access controls, auditability, data protection, and compliance support.
Claims systems without the extra layers.
We can modernize one part of the claims workflow or build the connected system around it. The goal is straightforward: less manual handling, cleaner data, clearer exceptions, and better visibility from intake through payment.
Eligibility and validation
Check coverage, required fields, coding, and plan-specific rules before a claim moves deeper into processing.
Rules and adjudication
Apply configurable benefit logic, fee schedules, coordination rules, and exception handling in a system your team can manage.
Denials and exceptions
Route issues to the right team with the supporting context needed to work them quickly and consistently.
Payments and reconciliation
Connect remittance, payment posting, member responsibility, and reconciliation into the same operating picture.
Reporting and auditability
Give finance, operations, compliance, and leadership a clear view of throughput, exceptions, changes, and outcomes.
A cleaner path from encounter to reporting.
Capture
Receive the claim and normalize the source data.
Validate
Check eligibility, coding, required data, and plan rules.
Process
Apply workflow, benefit, pricing, and exception logic.
Settle
Handle remittance, payment, balances, and reconciliation.
Measure
Track performance, exceptions, audit history, and trends.
Healthcare products and platforms we build.
Instead of a long menu of disconnected services, we organize the work around the systems healthcare organizations actually operate.
Patient experiences
Digital tools that make it easier for patients to schedule, communicate, understand care, manage information, and pay.
- Patient portals
- Scheduling
- Secure messaging
- Patient payments
Provider operations
Workflow tools for care teams and administrative staff that reduce handoffs and keep operational work moving.
- Provider portals
- Referral workflows
- Authorizations
- Internal operations
Health plan and TPA systems
Technology for benefits administration, enrollment, claims, billing, member service, and plan operations.
- Enrollment
- Benefits administration
- Claims
- Member service
Integrations and interoperability
Connect EHRs, clearinghouses, payers, vendors, and internal applications without creating another data silo.
- FHIR and HL7
- X12 EDI
- APIs
- Data pipelines
Data and analytics
Operational reporting and decision support built around the questions your teams need to answer every day.
- Operational dashboards
- Quality reporting
- Revenue cycle analytics
- Data warehousing
Automation and communications
Remove repetitive work from scheduling, outreach, intake, routing, follow-up, and back-office processes.
- Workflow automation
- Patient outreach
- Document routing
- Operations tooling
Virtual and connected care
Support telehealth, remote monitoring, care coordination, and connected device workflows with practical infrastructure.
- Telehealth
- Remote monitoring
- Mobile apps
- Care coordination
Security and compliance engineering
Build security into architecture and operations rather than treating it as a layer added at the end of the project.
- Access controls
- Encryption
- Audit logging
- Risk remediation
Security belongs in the architecture.
Healthcare projects often have tighter requirements around privacy, access, interoperability, and audit history. We design those requirements into the system and its operating process from the start.
Privacy and PHI
Data handling, encryption, access patterns, retention, and system boundaries designed with healthcare privacy requirements in mind.
Identity and access
Role-based access, least-privilege design, authentication, and administrative controls appropriate to each workflow.
Interoperability
Standards such as FHIR, HL7, and X12 used where they fit, with controlled interfaces around proprietary systems.
Auditability
Logging, change history, traceability, and reporting that help teams investigate issues and support compliance work.
We work with the systems already in the room.
Healthcare rarely starts from a blank slate. We can connect new applications to existing clinical, claims, payments, CRM, communications, and cloud infrastructure instead of forcing a full replacement.
Epic
Oracle Health / Cerner
Athenahealth
eClinicalWorks
Salesforce Health Cloud
FHIR / SMART on FHIR
HL7
X12 EDI
AWS
Microsoft Azure
Twilio
Payment platforms
Have a healthcare system that needs to work better?
Bring us the workflow, the integration problem, or the product you need to build. We will help you turn it into a practical technology plan.
