Healthcare software that's HIPAA-compliant from the first line of code.
HIPAA compliance isn't a compliance checkbox you add at the end — it's an architecture decision that affects every database, every API endpoint, and every data access pattern in the application. Built correctly from the start, not retrofitted after launch. Fixed scope, fixed price.
You're building a health or wellness application that handles patient data and you need a developer who understands HIPAA's technical safeguards — not one who treats compliance as a post-launch concern.
Healthcare software built without HIPAA compliance architecture has one of two outcomes: a security incident that exposes protected health information (PHI) and triggers HIPAA breach notification requirements; or a compliance audit that finds the technical safeguards missing and requires a remediation effort that costs more than building correctly would have.
The technical safeguard requirements that affect architecture: access controls (unique user identification per HIPAA §164.312(a)(1); automatic logoff per HIPAA §164.312(a)(2)(iii)); audit controls (activity logging per HIPAA §164.312(b)); integrity controls (data alteration protection per HIPAA §164.312(c)); and transmission security (encryption in transit per HIPAA §164.312(e)).
The vendor BAA requirement is architectural too: every vendor that processes PHI must sign a Business Associate Agreement. This affects which vendors can be used for hosting (Vercel signs BAAs for enterprise customers), database (Neon signs BAAs for business customers), authentication (Clerk signs BAAs for enterprise customers), and email (PHI can't go in email bodies — link to the secure portal instead).
The FHIR standard is increasingly relevant: interoperability requirements for healthcare applications are moving toward FHIR R4 as the standard data exchange format. Building the patient data model as FHIR-compatible from the start supports future interoperability requirements without a data model migration.
A production HIPAA-compliant healthcare application with the technical safeguards (encryption, audit logging, access controls, BAAs with all vendors) that HIPAA's Security Rule requires.
Patient/member management
Patient registration and profile management. FHIR R4-structured patient data model. Demographics, insurance information, medical history, current medications, and the consent management records required for HIPAA-compliant data processing.
Provider and care team management
Provider profiles with specialty, licensure, and availability. Appointment scheduling with provider calendars. Provider-specific access controls (a provider sees records for their patients, not all records).
Secure messaging
HIPAA-compliant messaging within the portal — no PHI transmitted via standard email. Message retention per HIPAA's 6-year retention requirement. Audit trail of message creation, read, and deletion events.
Audit logging
Every access to PHI logged with user ID, patient record, action type, timestamp, and IP. Audit log retention per HIPAA requirements. Admin audit viewer for compliance reviews.
Technical safeguard architecture
Database encryption at rest (AES-256 via Neon). TLS 1.2+ for all data in transit. Automatic session timeout (configurable, default 15 minutes for clinical users accessing PHI). Parameterised queries throughout (SQL injection prevention). BAAs executed with all infrastructure vendors before any PHI is written.
One honest number to start.
Fixed-scope, fixed-price. The number below is the starting point — final scope is built from your brief.
A production HIPAA-compliant healthcare application with the technical safeguards (encryption, audit logging, access controls, BAAs with all vendors) that HIPAA's Security Rule requires.
Three steps, every time.
The same repeatable engagement on every project. No surprises, no mystery, no billable ambiguity.
Brief & discovery.
We send you questions, then get on a call. Output: a written scope with every step, feature, and integration listed.
Build & ship.
Fixed schedule, weekly reviews. No scope creep unless you change the scope — and if you do, we reprice it transparently.
Warranty & retainer.
30-day warranty on every launch. Most clients stay on a monthly retainer for ongoing features and maintenance.
Why Fixed-Price Matters Here
HIPAA compliance has a defined set of technical requirements. The scope is defined by the regulatory requirement and the application's feature set. Fixed price.
Related engagements.
HIPAA compliance is not a checkbox. It's an architectural requirement that must be built in from the start.
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Read moreQuestions, answered.
Any application that creates, receives, maintains, or transmits protected health information (PHI) as part of a covered entity's operations, or as a business associate of a covered entity. PHI includes identifiable health information — patient name + health condition, patient name + treatment, patient name + billing for healthcare. General wellness apps that don't connect to a covered entity's operations may not be covered entities — the specific determination depends on the application's function and business relationships.
General wellness apps (step counters, meditation apps) that don't connect to a covered entity's operations are typically not covered. Apps that connect providers to patients, handle clinical data, or process billing for healthcare services are typically covered. The specific determination should be made with legal counsel familiar with HIPAA's covered entity definitions.
Each infrastructure vendor has a BAA process: Vercel (enterprise plan required), Neon (business plan required), Clerk (enterprise plan required). The BAA coordination is part of the project setup — the BAAs are executed before the production environment receives any PHI. The BAA documentation is delivered as part of the project handoff.
HIPAA-compliant applications carry a complexity premium over standard applications because of the audit logging infrastructure, the additional access control requirements, and the BAA coordination. Typical range: $35k–$65k depending on the feature set. Fixed-price.
Healthcare applications typically take 12–18 weeks, accounting for the additional compliance architecture work and BAA coordination.
Tell Ryel about your project.
Describe what you’re building and what outcome you need. You’ll have a written, fixed-price scope within the week.