Healthcare - Fixed-bid integration, data architecture, and AI for healthcare.

EHR ↔ CRM sync, claims integration, FHIR-native API platforms, HIPAA-compliant data warehouses, and audit-grade clinical AI. Senior-architect-led delivery for healthcare providers, payers, EHR vendors, and digital health startups.

Compliance posture - HIPAA + HL7 / FHIR by default.

Every healthcare engagement runs to the standards regulated buyers ask for. We do not retrofit compliance after delivery — it is built into the architecture from the first design review.

  • HIPAA + BAA. Every engagement runs under a Business Associate Agreement when PHI is in scope. Encryption at rest + in transit, audit logging, breach-notification protocols.
  • PHI de-identification. Safe Harbor and Expert Determination patterns for moving data out of the BAA boundary into analytics and AI workloads. No naive copy operations.
  • HL7 v2 / FHIR R4. Bidirectional HL7 v2.x and FHIR R4 integration patterns. ADT, ORM, ORU, CCD/C-CDA. FHIR Bundle, Subscription, and SMART-on-FHIR for app integration.
  • HITRUST + SOC 2. Architecture aligned to HITRUST CSF and SOC 2 Type II controls. Documentation passes vendor security questionnaires on first review.

What we ship - Six common engagement shapes in healthcare.

Each ships as a fixed-bid SOW with target-state architecture diagram, returned within 3 business days of intake. $25K floor, $25K increments.

  • EHR ↔ Salesforce Health Cloud sync. Bidirectional patient / encounter / claims sync between an EHR (Epic, Cerner, athenahealth, eClinicalWorks, Tebra, NextGen) and Salesforce Health Cloud via MuleSoft. Canonical patient model with HIPAA-compliant audit trail.
  • Claims integration platform. Payer-side claims ingestion + adjudication routing across multiple clearinghouses and provider networks. X12 837 / 835 / 270 / 271 with Workato or MuleSoft. Real-time eligibility + remittance.
  • Clinical AI with audit-grade observability. LLM-powered clinical documentation, prior-authorization triage, or chart-review automation. Structured-output JSON, confidence gating, human-in-the-loop checkpoints, prompt + response logging to Splunk / Datadog.
  • Data warehouse for population health. HIPAA-compliant medallion lakehouse on Snowflake or Databricks. Bronze inside BAA, de-identification at Silver, Gold for analytics + ML. Unity Catalog or Snowflake Horizon governance.
  • Patient-facing app + API platform. SMART-on-FHIR app integration, patient portal data exchange, scheduling and intake automation. Workato or MuleSoft as the integration spine, FHIR-native API gateway.
  • M&A integration (clinic / practice acquisition). Standardize EHR data across acquired practices into a single canonical model. Migration playbook + canonical model + rollout plan within fixed-bid scope.

Fixed-bid healthcare integration. HIPAA by default.

Submit a 6-step intake. Receive a fixed-bid SOW with target-state architecture diagram, returned within 3 business days.

Ready to scope an integration?

Six-step intake. Fixed-bid SOW returned in 3 business days. $25K floor, $25K increments.

Office