Healthcare APIs that connect your product to the clinical data it needs to deliver value.
We build HIPAA-compliant APIs for healthtech startups — FHIR integrations with Epic, Cerner, and athenahealth, HL7 data pipelines, insurance eligibility and claims APIs, and the clinical data infrastructure that makes interoperability real. Fixed scope, fixed price.
Your healthtech product needs patient data from the EHR to do what it promises. The EHR has the data. Your product doesn't. The distance between those two facts is an API integration project.
Healthcare interoperability has historically been the hardest technical problem in healthtech — not because the underlying technology is impossible, but because the standards (HL7, FHIR) have been inconsistently implemented and the vendor incentive to be interoperable has been low. FHIR R4 and the 21st Century Cures Act's information blocking rules have changed the landscape: Epic, Cerner, and athenahealth are now required to support FHIR R4 patient data APIs, and the data access that was previously gatekept behind expensive enterprise agreements is increasingly available to third-party developers.
The practical challenge is that each EHR's FHIR implementation has quirks. Epic's FHIR API covers more clinical data than Cerner's but requires navigating Epic's App Orchard approval process. athenahealth's API has good coverage of scheduling and encounter data but different authentication requirements. Each EHR requires specific API registration, OAuth 2.0 configuration, and testing in a sandbox environment before production access is granted.
Beyond EHR integration, healthtech products often need insurance eligibility verification (does this patient's plan cover this service?), real-time benefit verification (what are the patient's cost-sharing obligations?), and prior authorization status (has PA been approved?). These require connections to payer APIs or clearinghouse APIs (Availity, Change Healthcare) that operate with their own authentication and data standards.
A HIPAA-compliant API integration layer that connects your healthtech product to the clinical data sources it needs — EHR data, insurance eligibility, lab results, or prescription data — with the audit trail that healthcare compliance requires.
FHIR R4 EHR integration
API registration and OAuth 2.0 configuration for your target EHR (Epic, Cerner, athenahealth, Allscripts). FHIR resource queries: Patient, Condition, Medication, MedicationRequest, Observation, Encounter, Appointment. Sandbox testing and production certification support.
SMART on FHIR launch context
For products that launch within the EHR workflow, SMART on FHIR app registration and launch context extraction — so the product receives the authenticated patient and provider context from the EHR session without requiring a separate login.
HL7 v2 message processing
HL7 v2 ADT, ORU, ORM, and SIU message parsing for health systems that send HL7 feeds rather than FHIR. Message routing to the appropriate processing workflow.
Insurance eligibility and verification
Real-time eligibility queries via Availity API or Change Healthcare API (270/271 EDI transactions) — patient coverage, deductible status, and cost-sharing for a specific service code. Prior authorization status query for applicable services.
HIPAA-compliant PHI handling
All API integrations handle PHI with encryption in transit, minimum-necessary data access, no PHI in logs, and access audit logging. BAA with integration partners where required. Built on Next.js API routes, Postgres, FHIR client library, OAuth 2.0 with PKCE, and Availity/Change Healthcare for payer APIs.
One honest number to start.
Fixed-scope, fixed-price. The number below is the starting point — final scope is built from your brief.
A HIPAA-compliant API integration layer that connects your healthtech product to the clinical data sources it needs — EHR data, insurance eligibility, lab results, or prescription data — with the audit trail that healthcare compliance 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
Healthtech API integrations have a business context: the EHR integration is required before a health system pilot can start, or the eligibility API is required before the product can quote patient costs. Fixed scope with a defined delivery timeline is what allows those business milestones to be planned with confidence.
Related engagements.
Questions, answered.
Epic's review process for third-party applications currently takes 4–12 weeks from application submission to production credentials. We begin the application process in parallel with development to minimise the delay to production access. Sandbox development can proceed while the approval is pending.
Core resources for most healthtech products: Patient (demographics), Condition (problem list), MedicationRequest (prescriptions), Observation (lab results and vitals), Encounter (visit history), and Appointment (scheduling). Coverage depends on the EHR's FHIR implementation and the scope of your product's data requirements.
Yes — a multi-EHR integration strategy requires an abstraction layer that normalises data from different FHIR implementations into a consistent internal data model. We design that abstraction layer as part of the integration architecture so adding a new EHR is an incremental addition, not a structural change.
FHIR EHR integration (one EHR), SMART on FHIR launch, insurance eligibility API, and HIPAA-compliant data handling typically runs $35k–$75k. Multi-EHR integration and HL7 v2 pipeline add scope. Fixed-price.
12 to 16 weeks for a production FHIR integration including EHR vendor approval process.
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.