Healthcare ERP for clinics, networks, and digital-health operators.
Custom ERP for healthcare operations — scheduling, billing, claims, credentialing, supply chain — with HIPAA-aware data handling and EHR integration. Not an EHR; the system your operations run on.
Healthcare ERPs are either too generic or too specialty-locked.
On one side: generic ERPs (NetSuite, Sage) that have no idea what an NPI is, can't process an 837, and treat the credentialing module as an afterthought.
On the other side: vertical-specific platforms (Athenahealth, Epic Resolute, eClinicalWorks billing) that are excellent at their niche but ossified, expensive, and bad at integrating with anything outside their ecosystem.
Healthcare operators with non-standard models — multi-specialty groups, network MSOs, digital health platforms, hybrid in-person/telehealth — sit awkwardly between both.
Healthcare ERP fitted to your operating model.
We build the operations layer that sits alongside your EHR (Epic, Athena, Elation, custom) and ties together everything else: scheduling that respects your provider rules, billing and claims through your clearinghouse, credentialing tied to license and DEA tracking, supply chain for clinical and admin consumables, payroll integration.
HIPAA-aware data handling throughout — minimum-necessary access patterns, audit logs on every PHI touch, BAA-compliant infrastructure choices. The system passes audits because the design assumes audits.
We don't replace your EHR. We integrate with it.
We ship the modules you need first, then add the rest. Most clients don't need every module on day one.
Patient & provider scheduling
Multi-provider, multi-location scheduling with provider rules (hours, modalities, specialty constraints). Telehealth-aware. Patient self-serve booking optional.
Billing & claims
837 generation, clearinghouse integration (Change Healthcare, Office Ally, Availity), ERA processing, AR follow-up workflows, denial management.
Credentialing
Provider credentials, licenses, DEAs, malpractice expirations. Re-credentialing workflow, payer enrollment tracking, primary source verification.
Authorization & referrals
Pre-authorization tracking, referral management, eligibility checks. Tied into scheduling so unauthorized appointments get flagged.
Patient communications
Appointment reminders, intake forms, follow-up sequences. Multi-channel (SMS, email, voice). HIPAA-aware.
Supply chain
Clinical and admin consumables ordering, vendor management, par levels, lot/expiration tracking for clinical supplies.
Payroll & contractor billing
Provider compensation models (W-2, 1099, productivity-based, RVU-based). Integration with payroll providers.
Reporting & quality
Operational metrics, quality measures, payer-required reporting, financial KPIs. MIPS support where applicable.
Audit & compliance
Audit logs on every PHI access, BAA tracking, breach detection patterns, HIPAA risk assessments documented in-system.
How a custom healthcare ERP gets built.
Same structure every time. We ship the first module to your team in 4–8 weeks, then build the rest while they're already using it.
- 01
Discover
1–2 weeks. We sit with your team, map workflows, and pick the first module to ship.
- 02
Architect
1–2 weeks. Data model, integrations, deployment topology. Documented before any code.
- 03
Build slice 1
3–5 weeks. First production module — usually the highest-pain part of your current workflow.
- 04
Build slices 2–N
1–3 months. Additional modules deployed continuously. Each integrates with the existing data model.
- 05
Run
Ongoing. We stay on after launch — bug fixes, new features, integrations as your business changes.
Built to integrate with the systems you already use.
The integrations below come up most often for healthcare operators. Anything with an API is fair game — these are just the common ones.
- Epic / Athenahealth / Elation / DrChrono / custom EHRs
- Clearinghouses (Change Healthcare, Office Ally, Availity)
- Stripe (with HIPAA-compliant configurations) / Instamed
- Payroll (Gusto, ADP, Paychex)
- QuickBooks / Xero
- Eligibility verification (pVerify, Eligible)
- Telehealth (Doxy.me, Zoom Healthcare)
- Identity verification (Persona, Veriff)
- BI (Metabase, Looker)
- Patient communications (Twilio with BAA, SendGrid)
Custom ERP for other industries.
Modern, boring, hireable.
We build on standard tools your future team will be able to hire for. No proprietary platforms.
- Next.js
- TypeScript
- React
- Tailwind
- Postgres
- Prisma
- Drizzle
- Redis
- Vercel
- Railway
- Fly.io
- Docker
- Clerk
- WorkOS
- Auth0
- Stripe
- Plaid
- QuickBooks API
- Postgres views
- Metabase
- Recharts
The proof we ship ERPs.
Clear answers
for complex builds.
Clear answers on timelines, pricing, ownership, and what shipping actually looks like with a senior engineering team.
Yes — and often more appropriate than generic ERPs that weren't designed with PHI in mind. We design with minimum-necessary access patterns, full audit logs on PHI touches, BAA-compliant infrastructure (AWS, GCP, or Azure with the right configurations), and HIPAA risk assessment baked into the project plan.
No. EHRs are clinical documentation systems with strong specialty workflows we're not trying to compete with. We build the operations layer that sits alongside the EHR — scheduling, billing, credentialing, supply chain, financial. Integration with the EHR is core to the design.
Epic via their App Orchard / Connect (or HL7/FHIR for inbound). Athena via their API. Both are real engineering work but standard in healthcare ERP builds. We've thought through both architectures.
Yes, with careful design. We use models with BAA (Anthropic, OpenAI via Azure with HIPAA configs, AWS Bedrock). Minimum-necessary inputs, audit logs of every model call, no model training on PHI. Common use cases: intake summarization, claim denial draft appeals, documentation review.
We build 837P / 837I generation and 835 processing as standard modules. Integration with your clearinghouse is a configuration step — most healthcare ERP builds support 2–3 clearinghouses for redundancy and payer coverage.
Tell us your current systems, what's breaking, and what you'd want a fitted ERP to do — we'll come back with a written scope and a fixed quote.