Healthcare Patient Management System
A HIPAA-compliant patient management platform serving 50+ healthcare facilities and 100,000+ patients. Built to handle everything from EHR and appointment scheduling to telemedicine and insurance billing — without creating compliance risk.
Project Information
Client
Confidential - Cannot Disclose
Category
Healthcare Software
Location
Boston, USA
The Challenge
The client was running patient records on a mix of spreadsheets and a decade-old system that had no audit trails, no encryption at rest, and no telemedicine capability. Their administrative staff spent 15+ hours per week per facility manually processing insurance claims. A HIPAA audit was coming, and their CTO knew the existing infrastructure wouldn't pass. They needed a complete rebuild — fast — that wouldn't disrupt care delivery during the transition.
Our Solution
We built on React with TypeScript and NestJS to keep the codebase auditable and testable from day one — healthcare software that fails silently is a liability. PostgreSQL with AES-256 encryption at rest handles patient data, with row-level security ensuring doctors only see their patients. We integrated Twilio Video for HIPAA-compliant telemedicine and built an automated insurance claim processor with eligibility verification via HL7 FHIR APIs. Every data access is logged with timestamp, user, and action — a full audit trail that took zero engineering effort to produce because it was built into the architecture.
The Results
Now operating across 50+ facilities serving 100,000+ patients. Appointment no-show rate dropped 28% after automated SMS and email reminders launched. Insurance claim processing that took 15 hours per week per facility now takes under 2 hours. Zero HIPAA security incidents since go-live. Telemedicine accounts for 40% of all consultations — up from zero. Administrative costs down 25%, patient satisfaction up 32%.
Technologies Used
Technologies & Tools
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