BAA-eligible video
Twilio, Daily, Vonage — picked per use case (group visits vs 1:1 vs async). Fallback to PSTN when bandwidth fails.
Service · Telemedicine & telehealth
Telehealth that clinicians actually use, and patients can find.
HIPAA-compliant video, intake, scheduling, e-prescribing, and post-visit workflows. Mobile and web, designed for the workflow — not against it.
live session22:18
JSPatient
DKDr. K
Encrypted
Twilio BAA
HIPAA
What we build
Six things, in one engagement.
Async + sync visit flows
Store-and-forward for dermatology and behavioral health. Sync video for acute care. Same patient record either way.
E-prescribing integrations
Surescripts, DoseSpot, RxNT. EPCS compliance for controlled substances. State PDMP checks.
Intake + dynamic forms
Form engines that branch on patient responses, pre-populate from prior visits, and gate the visit on completion.
Patient-facing scheduling
Provider matching by license state, availability, language, specialty. iCal sync, SMS reminders, no-show prediction.
Post-visit workflows
Visit notes, e-fax to referring providers, automated follow-up tasking, patient-facing summary.
Recent work
One example, in numbers.
Tech we work with
Next.jsReact NativeTwilio VideoDaily.coSurescriptsDoseSpotPostgresAWS HIPAAStripeTwilio SMS
Compliance scope
- HIPAA Security Rule
- HITECH
- State medical licensing (per-state)
- DEA EPCS for controlled substances
- PDMP integration
Our process
Predictable delivery — even when the scope isn't.
015 days
Audit & plan
We review your code, infrastructure, and compliance posture. You get a written report, architecture diagram, gap analysis, and a fixed-price roadmap.
022-week sprints
Rescue or build
Weekly demo. Live dashboard with sprint velocity, open issues, and burndown. Read access to our repo from day one.
03Continuous
QA & compliance
Automated and manual testing, security review, HIPAA-readiness check, optional third-party penetration test.
04Ongoing
Deploy & optimize
Production launch with monitoring, on-call rotation if you want it, continuing development at a steady cadence.
FAQ
Questions we get on the first call.
Can you handle multi-state licensing routing?
Yes. Per-state provider rosters with license verification, automatic visit-routing by patient state of presence, and audit trails for every routing decision.
Do you support controlled substance e-prescribing (EPCS)?
Yes — full EPCS-compliant workflows with hardware token or biometric two-factor, PDMP integration in supported states, and the DEA-required audit retention.
What's the typical cost of a telehealth MVP?
Production-ready MVPs land between $80K-$150K (12 weeks) for single-state, single-specialty. Multi-state + multi-specialty + EPCS pushes toward $200K+.
Insights · Read more
Background reading for buyers.
EngineeringSep 12, 2025
Multi-state telehealth: the licensing routing problem (and what to build)
Every telehealth platform that grows past one state hits the same wall — every state has different licensing rules, scope-of-practice limits, and e-prescribing requirements. Here's the routing architecture that survives all 50.
Serhii Kholin · 10 min
InteroperabilityJul 23, 2019
FHIR for non-engineers: a 10-minute primer for product managers
If you're the PM on a healthcare project, you don't need to write FHIR code — but you do need to understand what your engineers mean when they say it.
Serhii Kholin · 10 min
ComplianceJun 19, 2021
What a HIPAA audit actually looks like — from the inside
Most teams build to a checklist and hope. We've sat across from the auditor — here's what they actually ask, and what surprises engineering teams.
Denis Sheremetov · 8 min
Start with the audit
5 days. Written report. No commitment.
Tell us what you're building or what's not working. We'll come back with a written audit and a fixed-price plan.