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Healthcare ·Confidential, US healthcare RCM provider

The revenue cycle runs from eligibility check to coded claim, and staff step in only where one stalls.

A US healthcare provider needing both a patient-facing application that scales and an internal console where staff move through patient data fast, without loosening a single control.

Where this fits

Best for healthcare platforms whose interface carries compliance logic, where a UI change is also a PHI exposure and audit decision.

18+ months in production, 20+ healthcare clients. HIPAA and SOC 2 Type II.

  • Epic and ModMed over HL7/FHIR
  • Role-based PHI access
  • Retool to React migration

What we did

  • Took ownership of the entire production frontend
  • Built multi-payer eligibility verification and real-time claim status
  • Enforced role-based PHI access across patient and claim data
  • Migrated the internal console off Retool onto custom React

Result

The platform carries the full revenue cycle under daily clinical load, with manual touches per claim tracked as a headline metric rather than an afterthought. It has run for over 18 months across 20+ healthcare clients.

Workers dashboard: claim volume by workflow state and age, with manual human touches per claim tracked as a headline metric. Client name redacted.

The hard part

The frontend here is not a view layer. Every screen carries compliance logic: what a role may see, what has to be logged once it is seen, and which payer rule applies before a claim can move. Nothing can be cached aggressively either, because a stale eligibility response is a denied claim. Owning an RCM frontend is a compliance job written in React.

Stack
ReactNext.jsTypeScriptMCPOpenAIClaude APIRetool
Focus
Healthcare AIHIPAASOC 2RCMEHR Integration

Facing a similar problem?

Tell us where it stalls today, and we'll tell you how we would approach it.