Do you build the video yourselves or use a vendor?

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.

Can you support async (store-and-forward) as well as live visits?

Yes. Many virtual care flows don’t need a live call. A photo, a questionnaire, and a provider’s async review is enough, and it’s often better for both throughput and access. We architect the platform so synchronous video and async messaging share the same triage, scheduling, documentation, and EHR write-back, rather than being two separate products bolted together.

How do you handle cross-state provider licensure?

We build licensure-aware matching: a provider’s licensed states are part of their profile, and the scheduling and routing engine only offers a patient a provider licensed in the patient’s state, with geofencing on the patient side. The engineering is ours. Which states you operate in and the practice-of-medicine rules remain your clinical and legal team’s call.

Can patients get prescriptions through the platform?

Yes. We integrate e-prescribing via Surescripts or DoseSpot so a provider can send a prescription to the patient’s pharmacy at the end of a visit. Controlled substances add EPCS and Ryan Haight / DEA telemedicine requirements. We architect the EPCS flow and safety controls, but the prescribing policy and DEA determination stay with your medical director and regulatory counsel.

Can you write visits back to our EHR?

Yes. Visit summaries, structured notes, and orders write back to Epic, Cerner / Oracle Health, Athenahealth, and eClinicalWorks over FHIR R4 and HL7 v2.x, so the virtual visit lands in the same chart as in-person care. If your EHR exposes an integration path we can wire it in. If it doesn’t, we’ll tell you the honest workaround.

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.

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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.

The stage that decides whether they come back

A patient journey across five stages of a telehealth visit with a sentiment curve. Booking feels neutral, intake dips slightly as the patient answers triage questions, and waiting in the virtual lobby is the trough: there is no status and no estimated time. The consultation itself rates highest, and follow-up in the portal stays positive. — Teams instrument the consultation because it is the interesting part to build. The stage that loses patients is the one before it, and it is fixed with a queue position and an honest estimate rather than with more clinical features.

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.

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Ongoing Product Engineering

For scaling beyond MVP: a senior team that ships alongside yours as new visit types, specialties, and state coverage expand.

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Project Rescue

For assessing an existing platform: a written verdict on architecture, video reliability, and especially HIPAA and e-prescribing readiness.

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Compliance & clinical safety

Compliance and clinical-safety posture for AI telehealth builds. Status reflects how we engineer the controls into your platform: licensure scope, DEA prescribing rules, and clinical determinations stay with your medical director and counsel.
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.

Free

HIPAA Stance Builder

A guided walkthrough that maps your virtual care platform against HIPAA: PHI flows across video and messaging, BAA coverage, encryption, and audit logging. It hands you a defensible compliance stance.

Build your HIPAA stance

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.

Medical imaging displays in a clinical setting

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.

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