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Healthcare • Case Study

Building a HIPAA-Compliant Telehealth Platform for 50K+ Patients

A fully compliant telehealth platform with HD video consultations, e-prescriptions, EHR integration, and automated appointment management.

50K+
Patients Served
HIPAA
Certified
40%
Fewer No-Shows
4.8★
App Store Rating
The Challenge

A Regional Health Network Needed to Go Digital

Our client, a multi-location healthcare provider in the Midwest, was losing patients to telehealth competitors. Their legacy scheduling system generated a 35% no-show rate. They needed a HIPAA-compliant virtual care platform that integrated with their existing Epic EHR — without disrupting clinical workflows.

🏥

35% No-Show Rate

Appointment no-shows were costing the practice $2M+ annually in lost revenue.

🔒

HIPAA Compliance Required

All video, messaging, and data storage needed full HIPAA compliance with BAA coverage.

🔗

EHR Integration

Seamless bi-directional integration with Epic EHR for patient records, scheduling, and billing.

Our Solution

A Complete Telehealth Platform — Built for Clinicians and Patients

We designed and built a cross-platform mobile app and provider dashboard with HD video consultations, automated reminders, e-prescriptions via Surescripts, and deep EHR integration — all within a HIPAA-compliant infrastructure.

📹

HD Video Consultations

WebRTC-powered video with adaptive bitrate, screen sharing, and HIPAA-compliant recording with patient consent management.

📋

Smart Scheduling & Reminders

AI-optimized scheduling with automated SMS/email reminders at 48hr, 24hr, and 1hr intervals, reducing no-shows by 40%.

💊

E-Prescriptions

Integrated Surescripts EPCS for electronic prescribing including controlled substances, with pharmacy network lookup.

🔄

Epic EHR Integration

HL7 FHIR R4 bi-directional integration for patient records, visit notes, lab results, and automated billing via HL7v2 ADT messages.

Technology

Tech Stack

Frontend
React NativeTypeScriptReact (Provider Portal)TailwindCSS
Backend
Node.jsExpressGraphQLBull Queue
Video & Comms
WebRTCTwilio VideoTwilio SMSSendGrid
Healthcare
HL7 FHIR R4Surescripts EPCSICD-10CPT Codes
Database
PostgreSQLRedisS3 (encrypted)Elasticsearch
Infrastructure
AWS HIPAAECS FargateCloudWatchWAF
Process

Development Timeline

7 months from discovery to HIPAA-certified production launch.

1
Weeks 1-3

Clinical Discovery & Compliance Planning

Shadowed clinicians, mapped patient journeys, identified HIPAA requirements, designed HL7 FHIR integration architecture.

2
Weeks 4-10

Core Platform & Video Engine

Built WebRTC video infrastructure, patient/provider portals, scheduling engine, and notification system.

3
Weeks 11-18

EHR Integration & E-Prescriptions

Implemented HL7 FHIR R4 interface with Epic, Surescripts e-prescribing, lab result viewer, and clinical note templates.

4
Weeks 19-24

HIPAA Compliance & Security Audit

Penetration testing, HIPAA risk assessment, BAA execution with all vendors, encryption audit, and access control review.

5
Weeks 25-28

Pilot Launch & Iteration

Soft launch with 3 clinic locations, clinician training, patient onboarding flow optimization, and bug resolution.

Results

Measurable Impact

Within 4 months of launch, the platform transformed patient engagement and clinic revenue.

50K+
Patients Onboarded
In-person only previously
HIPAA
Fully Certified
Independent third-party audit
40%
Reduction in No-Shows
35% no-show rate before
4.8★
App Store Rating
2,400+ patient reviews
$1.2M
Annual Revenue Recovered
From reduced no-shows alone
92%
Patient Satisfaction
Post-visit survey score

“Our clinicians were skeptical about telehealth. Within 3 months, it became their preferred workflow. Codazz understood healthcare — the compliance, the integrations, and most importantly, the patient experience.”

Chief Medical Officer
Regional Healthcare Network, Midwest US

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