AI Telehealth & Virtual Care Platform Development
We build virtual care platforms: video visits, async messaging, AI triage, and e-prescribing. HIPAA is architected from day one, with EHR write-back ready.
What we build
Video visit platforms
HIPAA-tier WebRTC video, waiting rooms, in-visit chat, and screen/document sharing, built on Twilio Video, Zoom Healthcare, or a self-hosted stack.
Async (store-and-forward) visits
Message-based consults, photo and questionnaire intake, and provider inbox workflows for care that doesn’t need a live call.
AI triage & visit routing
LLM pre-visit triage that captures the chief complaint, flags red-flag symptoms, and routes each patient to synchronous, async, or in-person care.
Scheduling & provider matching
Availability engines, cross-state licensure-aware provider matching, no-show reminders, and on-demand queueing for urgent visits.
e-Prescribing & visit documentation
Surescripts e-prescribing, EPCS for controlled substances, visit summaries, and EHR write-back over FHIR R4 and HL7.
Patient engagement & remote monitoring
Post-visit messaging, refill and follow-up flows, and remote patient monitoring device intake feeding back into the care record.

Clinical tools that fit into real workflows
Reference architecture
- Patient App
- AI Triage & Intake
- Scheduling / Routing
- Video / Async Visit
- e-Prescribe + Visit Note
- EHR Write-back
A typical virtual care platform: the patient app captures intake, AI triage flags acuity and routes to a synchronous or async visit, the provider consults over HIPAA-tier video or messaging, and the visit note plus any e-prescription write back to the EHR over FHIR / HL7.
Integrations shipped across 20+ partners.
Video & real-time
- Twilio Video
- Zoom Healthcare
- Vonage
- Daily.co
e-Prescribing & labs
- Surescripts
- DoseSpot
- Change Healthcare
- Health Gorilla
EHR vendors (FHIR / HL7)
- Epic
- Cerner / Oracle Health
- Athenahealth
- eClinicalWorks
Communication (HIPAA tier)
- Twilio Programmable Messaging
- SendGrid (HIPAA tier)
Payments & eligibility
- Stripe
- Availity (eligibility)
- Claim.MD
LLM (HIPAA-eligible)
- Azure OpenAI
- AWS Bedrock
- Anthropic via AWS
Which engagement fits
Project Build
For a new virtual care platform: intake, triage, video/async visits, scheduling, and e-prescribing, in a focused 12–16 week scope.
Explore Project BuildEmbedded Squad
For scaling beyond MVP: a dedicated team that ships alongside yours as new visit types, specialties, and state coverage expand.
Explore Embedded SquadTech Audit
For assessing an existing platform: a 5-day diagnostic of architecture, video reliability, and especially HIPAA and e-prescribing readiness.
Explore Tech AuditCompliance & clinical safety
| Standard | Status | What we ship |
|---|---|---|
| HIPAA | Compliant | Compliant builds with PHI handling, access controls, encryption in transit and at rest, and audit logging architected from day one across video, messaging, and the visit record. See /compliance/hipaa. |
| State licensure & practice rules | In progress | We build cross-state licensure-aware provider matching and geofencing so patients only match with providers licensed in their state. Which states you operate in and the practice-of-medicine rules stay with your clinical and legal team. |
| Ryan Haight / DEA (controlled substances) | In progress | We architect EPCS and the safety controls for controlled-substance prescribing, but the applicable DEA telemedicine rules and prescribing policy stay with your medical director and regulatory counsel. |
| Clinical safety & disclaimers | Compliant | AI triage does not replace clinical judgment. We build red-flag escalation, in-visit emergency pathways, and the disclaimer language and audit trails that make that boundary explicit to patients and providers. |

Engineered for clinical delivery
Patient data, provider workflow, regulatory guardrails
Clinical systems are measured by uptime and auditability, not marketing slides. We build for the reality of busy practices, compliance deadlines, and the patients who depend on both.
Frequently asked questions
It depends on your requirements. For most platforms we build on a HIPAA-tier vendor: Twilio Video, Zoom Healthcare, Vonage, or Daily.co, because they solve global routing and reliability out of the box under a Business Associate Agreement. Where you need full control of the media path, we can stand up a self-hosted WebRTC stack instead, and we’ll tell you honestly which trade-off fits your budget and scale.
Building an AI telehealth platform? Schedule a meeting.
We’ve architected video visits, async care, AI triage, and e-prescribing with HIPAA and EHR write-back built in from day one. Tell us what you’re building.