Trusted By 500+ U.S. Healthcare Providers

We Build Custom EHRs,
Exactly for Your Needs

No monthly fees No vendor commitment YOUR system, YOUR way

YOUR custom EHR with the exact features you need - fully yours to own!

View 25+ Testimonials

From Disruptive Start-Ups to NASDAQ Giants, Trusted by 150+ USA’s Industry Leaders

Custom EHRs That Fit Any Specialty
— Built Around Your Needs

Every healthcare specialty is different - mental, pediatrics, cardiology, and yours.
Stop forcing them into the same system. Choose a custom EHR designed for YOU.

psychology-icon icon image Psychology

right tick icon 15+ Psychology EHR Projects Delivered

A custom Psychology EHR supports progress notes, session tracking, and teletherapy workflows, reducing administrative effort while helping clinicians maintain continuity of care and client confidentiality.

Key Benefits

Reduced Documentation Time
Seamless Session Scheduling
Compliant with Mental Health Standards

Ready to Build Your Psychology EHR?

primary care -icon icon image Primary Care

right tick icon 30+ Primary Care Projects Delivered

Adopting a custom EHR for your Primary Care practice streamlines chronic disease management, wellness visits, and referrals, helping you improve documentation speed, patient engagement, and care coordination across visits.

Key Benefits

Streamlined Daily Workflows
Reduced Administrative Burden
Improved Continuity of Care

Ready to Build Your Primary Care EHR?

orthopaedics icon image Orthopedics

right tick icon 10+ Orthopedics EHR Projects Delivered

Orthopedic EHR supports imaging integration, injury documentation, and post-surgical follow-ups to improve workflow efficiency and continuity of care from diagnosis to recovery.

Key Benefits

Faster Pre-Op to Post-Op Transitions
Enhanced Ortho-Specific Reporting
Efficient Management of Surgical Supplies

Ready to Build Your Orthopedics EHR?

inpatient -icon image InPatients

right tick icon 12+ InPatient EHR Projects Delivered

A custom InPatient EHR centralizes charting, medication orders, and shift coordination, helping clinicians streamline communication, reduce errors, and deliver safer, continuous hospital care.

Key Benefits

Improves patient safety and clinical accuracy
Enhances coordination across hospital departments
Optimizes length-of-stay and resource utilization

Ready to Build Your InPatient EHR?

pediatric icon image Pediatrics

right tick icon 10+ Pediatric EHR Projects Delivered

A customized Pediatric EHR customizes growth charts, vaccination tracking, and parental communication to support safe, personalized care and improve family engagement.

Key Benefits

Improved Preventive Care & Immunization Tracking
Streamlined Child-Specific Documentation
Safer Prescribing with Weight-Based Dosing

Ready to Build Your Pediatric EHR?

urgent care -icon image Urgent Care

right tick icon 10+ Urgent Care EHR Projects Delivered

Urgent Care EHR can accelerate triage, documentation, and billing through real-time charting and lab integration, enabling faster patient turnaround and accurate encounter records.

Key Benefits

Faster Turnaround Times
Enhanced Operational Efficiency
Accurate, On-the-Spot Documentation

Ready to Build Your Urgent Care EHR?

wound care -icon imageon Wound Care

right tick icon 9+ Wound Care EHR Projects Delivered

A custom Wound Care EHR enables image capture, tracking of healing progress, and documentation of treatments, ensuring consistent monitoring, faster decision-making, and improved care outcomes.

Key Benefits

Enhanced Wound Monitoring
Improved Care Team Coordination
Reduced Documentation Time

Ready to Build Your Wound Care EHR?

dermatology icon image Dermatology

right tick icon 15+ Dermatology EHR Projects Delivered

A custom Dermatology EHR enables photo documentation, lesion tracking, and integrated pathology reports, simplifying follow-ups and improving diagnostic accuracy.

Key Benefits

Improved Accuracy in Skin Documentation
Streamlined Aesthetic & Medical Workflows
Faster Biopsy-to-Report Turnaround

Ready to Build Your Dermatology EHR?

physical therapy-icon image Physical Therapy

right tick icon 12+ Physical Therapy EHR Projects Delivered

A custom Physical Therapy EHR can simplify treatment planning, progress tracking, and scheduling, enhancing care documentation accuracy and improving therapist productivity across multiple sessions.

Key Benefits

Streamlined Patient Progress Monitoring
Reduced Paperwork & Manual Errors
Better Compliance with Therapy Standards

Ready to Build Your Physical Therapy EHR?

ophthalmology icon image Ophthalmology

right tick icon 5+ Ophthalmology EHR Projects Delivered

Ophthalmology EHR integrates imaging, diagnostic test results, and visual charting to streamline documentation and improve precision in assessments and treatment planning.

Key Benefits

Seamless Device & Imaging Sync
Reduced Manual Data Entry
Improved Diagnostic Accuracy

Ready to Build Your Ophthalmology EHR?

internal medicine -icon image Internal Medicine

right tick icon 12+ Internal Medicine EHR Projects Delivered

A customized Internal Medicine EHR can centralize patient data, track chronic conditions, and manage medications to enhance coordination across specialists and improve long-term patient outcomes.

Key Benefits

Better Continuity of Care
Proactive Preventive Interventions
Simplified Multi-condition Charting

Ready to Build Your Internal Medicine EHR?

chiropractor icon image Chiropractor

right tick icon 8+ Chiropractic EHR Projects Delivered

Chiropractic EHR streamlines SOAP notes, treatment plans, and billing, simplifying daily documentation and enhancing the patient experience through accurate care tracking.

Key Benefits

Enhanced Visual Charting for Spinal Care
Streamlined Therapy Session Management
Better Patient Engagement & Retention

Ready to Build Your Chiropractic EHR?

gastroenterology icon image Gastroenterology

right tick icon 12+ Gastroenterology EHR Projects Delivered

A Gastroenterology-specific EHR can integrate endoscopy reports, lab results, and treatment workflows to improve case tracking and enhance diagnostic accuracy across procedures.

Key Benefits

Faster GI Procedure Documentation
Streamlined Scope-to-Report Workflow
Seamless Coordination with Labs & Imaging

Ready to Build Your Gastroenterology EHR?

oncology icon icon image Oncology

right tick icon 11+ Oncology EHR Projects Delivered

Adopting a customized Oncology EHR can support chemotherapy planning, lab result tracking, and outcome monitoring to streamline multidisciplinary coordination and improve continuity of cancer care.

Key Benefits

Improved Safety in Chemo & Drug Administration
Centralized Cancer Care Documentation
Streamlined Tumor Board Coordination

Ready to Build Your Oncology EHR?

cardiology -icon image Cardiology

right tick icon 20+ Cardiac EHR Projects Delivered

Cardiology EHR integrates ECGs, imaging, and lab data to streamline diagnostics, improve treatment accuracy, and support ongoing cardiac care management.

Key Benefits

More Accurate Cardiac Risk Assessments
Streamlined Cardiology Documentation
Improved Continuity of Care in Heart Patients

Ready to Build Your Cardiac EHR?

neurology - icon image Neurology

right tick icon 5+ Neurology EHR Projects Delivered

A custom Neurology-specific EHR enables test result integration, progress documentation, and longitudinal tracking to help neurologists improve diagnostic accuracy and patient follow-up care.

Key Benefits

Quicker Documentation of Neuro Exams
Streamlined Imaging & Diagnostic Workflows
Better Tracking of Episodic Conditions

Ready to Build Your Neurology EHR?

Don't Take Our Word for It -
See How We Solved Problems for Each Specialty

We have helped Customers achieve real results globally. Explore success stories from a variety of our top Customers.

Optimized for Everyday Clinical Efficiency

"A&I Solutions built an EHR that truly reflects how primary care operates. From preventive care tracking to faster charting and prescription workflows, our providers now spend more time with patients instead of navigating software.” Show More

Dr. Ethan Caldwell

Medical Director, Greenfield Family Medicine

Supporting Better Clinical Documentation

“Our therapists needed flexibility without compromising compliance. A&I Solutions developed a behavioral health–focused EHR with intuitive therapy notes, treatment planning, and secure patient communication that fits naturally into our sessions.” Show More

Dr. Lauren Whitaker

Licensed Clinical Psychologist, Harbor Path Behavioral Health

Built for Modern Virtual Care

“We wanted a platform designed around virtual-first care, not adapted from traditional systems. A&I Solutions delivered a telemedicine-ready EHR integrating scheduling, video visits, and patient documentation into one seamless workflow.” Show More

Nathaniel Brooks

Founder & CEO, Horizon Virtual Care

Designed for Procedure-Driven Practices

“Orthopedic workflows are complex, but A&I Solutions created an EHR tailored to imaging, surgical documentation, and rehabilitation tracking. The customization has improved coordination between surgeons, therapists, and staff.” Show More

Dr. Mason Gallagher

Orthopedic Surgeon, Summit Orthopedic Specialists

Practice-Specific Feature Development for
Your Custom EHR Software

Equip your custom EHR software with features tailored to your specialty and workflows.
Streamline tasks, reduce admin effort, and improve patient care delivery.

Scheduling

Real-time appointment availability
Automated reminders and alerts
Centralized scheduling dashboard
Custom appointment types

Documentation

AI-powered clinical charting
Customizable note templates
Pre-consult intake forms
Centralized patient records

Telehealth

HIPAA-compliant video calls
One-click patient access
Share results during visits
Integrated billing workflows

Patient

Mobile-friendly patient portal
Secure two-way messaging
Authorized record sharing
Engagement & reminder tools

Insurance & Billing

Automated claim submission
Quick superbill generation
End-to-end revenue cycle
Streamlined patient payments

eRx & Labs

Electronic prescribing (EPCS)
Easy refill requests
Integrated lab orders
Automated result alerts

AI Features

Automated AI scribing
Smart medical coding
AI nurse assistance
Virtual receptionist support

Admin

Custom reporting dashboards
Role-based access control
Multi-location management
Easy data migration

Scheduling

Real-time appointment availability
Automated reminders & alerts
Centralized scheduling dashboard
Custom appointment types

Documentation

AI-powered clinical charting
Customizable note templates
Pre-consult intake forms
Centralized patient records

Telehealth

HIPAA-compliant video calls
One-click patient access
Share results during visits
Integrated billing workflows

Patient

Mobile-friendly patient portal
Secure two-way messaging
Authorized record sharing
Engagement & reminder tools

Insurance & Billing

Automated claim submission
Quick superbill generation
End-to-end revenue cycle
Streamlined patient payments

eRx & Labs

Electronic prescribing (EPCS)
Easy refill requests
Integrated lab orders
Automated result alerts

AI Features

Automated AI scribing
Smart medical coding
AI nurse assistance
Virtual receptionist support

Admin

Custom reporting dashboards
Role-based access control
Multi-location management
Easy data migration

Seamless Connectivity with EHR Integration
for Your Custom EHR Software

Simplify data exchange between your custom EHR and other healthcare platforms with the necessary integrations.

Surescripts

Integrate Surescripts for secure e-prescribing and real-time patient medication history within custom EHRs.

ScriptSure

Enhance efficiency by integrating ScriptSure for accurate, seamless prescription management inside your EHR system.

Quest Diagnostics

Integrate Quest to streamline lab test ordering, result retrieval, and improve care coordination across EHRs.

Labcorp

Integrating Labcorp enables smooth test scheduling, result tracking, and improved workflows within your EHR.

Fullscript

Add Fullscript integration to prescribe supplements and nutraceuticals directly within patient EHR records.

MD Toolbox

Integrate MD Toolbox for real-time clinical decision support, drug info, and streamlined provider workflows.

ACL Laboratories

Integrate ACL Labs to streamline test orders, result access, and provider communication within EHRs.

Dr. First

Integrate DrFirst for e-prescribing, medication safety, and stronger care coordination across healthcare teams.

Clinical Labs of Hawaii (CLH)

Add CLH integration to simplify test ordering, secure results, and enhance patient data access.

Rupa Health

Integrate Rupa Health with your custom EHR and Get Your Free prescriptions and lab results directly in your system.

Waystar

Integrate Waystar to streamline claims, reduce denials, and optimize revenue capture through AI automation.

Change Healthcare

Add Change Healthcare integration to enhance collaboration, data exchange, and cost-efficient workflows across payers and providers.

Office Ally

Integrate Office Ally RCM to simplify billing, coding, and claims while accelerating reimbursements and boosting revenue.

Availity

Integrating Availity ensures secure claims, eligibility checks, and authorizations, reducing errors and maximizing revenue capture.

Eligible

Add Eligible integration to verify insurance, simplify pre-registration, and reduce admin work for better patient focus.

Stripe

Integrate Stripe for secure online payments, boosting patient satisfaction and streamlining the payment process.

Authorize.Net

Add Authorize.net to enable secure EHR payment processing, reducing manual tasks and improving convenience.

Stax

Integrating Stax provides compliant, in-system payment processing, simplifying provider workflows and patient transactions.

Square

Integrate Square for one-click, secure EHR payments, streamlining co-pays, charges, and patient experience.

Claim.MD

Integrate Claim.MD into your custom EHR and provide secure payment gateways with streamlined billing process.

Sfax

Integrate Sfax for HIPAA-compliant faxing, ensuring secure data exchange and protecting sensitive patient communication.

SRFax

Add SRFax integration to replace fax machines, streamline workflows, and enable secure provider-patient communication.

Twilio

Integrate Twilio for secure SMS, calls, and video visits, improving reminders, telehealth, and patient engagement.

Zoom

Add Zoom integration to enable seamless virtual consultations, improving access, collaboration, and reducing in-person visits.

Jitsi

Integrate Jitsi for secure, open-source video consultations, supporting remote monitoring, follow-ups, and cost savings.

Zocdoc

Add ZocDoc integration to simplify scheduling, reduce calls, and fill appointment slots in real time.

WebMD

Integrate WebMD to provide reliable health education resources, empowering patients to understand conditions and treatments.

eMedicinehealth

Add eMedicineHealth integration for trustworthy medical content within EHRs, supporting informed patient decisions and engagement.

MedlinePlus

Integrate MedlinePlus to give patients direct access to NLM resources, improving education and health outcomes.

SendGrid

Integrate SendGrid for automated, HIPAA-compliant email communication, ensuring timely updates and stronger patient engagement.

Seamless Connectivity of Your Custom EHR with the Digital Healthcare Ecosystem

Integrate your custom EHR with a disparate healthcare software system for uninterrupted
workflow and seamless data transfer for timely care delivery.

Discovery to Deployment in Approximately 10 Weeks

Complete development of your custom EHR software, right from the discovery phase to deployment, while catering to your unique needs and requirements.

Discovery
(Duration: 1-2 Weeks)

Understanding requirements deeply

We gather clinical workflows, compliance needs, and integration goals to define your EHR roadmap.

Requirement gathering
Workflow mapping
Compliance alignment

Design
(Duration: 2-3 Weeks)

Crafting user-focused experiences

We design intuitive interfaces, specialty-specific workflows, and system architecture tailored to your practice.

UI/UX design
Workflow wireframes
System architecture

Development
(Duration: 8-10 Weeks)

Building core functionalities

Our engineers code, integrate APIs, and ensure interoperability while prioritizing security and scalability.

Feature coding
API integrations
Security compliance

Deployment
(Duration: 1-2 Weeks)

Seamless go-live transition

We handle testing, data migration, and user onboarding to ensure a smooth EHR launch.

Testing & QA
Data migration
User training

Support
(Duration: Ongoing)

Ensuring long-term reliability

We provide continuous monitoring, updates, and support to keep your EHR optimized and compliant.

Continuous updates
24/7 support
Performance monitoring

Discovery
(Duration: 1-2 Weeks)

Understanding requirements deeply

We gather clinical workflows, compliance needs, and integration goals to define your EHR roadmap.

Requirement gathering
Workflow mapping
Compliance alignment

Design
(Duration: 2-3 Weeks)

Crafting user-focused experiences

We design intuitive interfaces, specialty-specific workflows, and system architecture tailored to your practice.

UI/UX design
Workflow wireframes
System architecture

Development
(Duration: 8-10 Weeks)

Building core functionalities

Our engineers code, integrate APIs, and ensure interoperability while prioritizing security and scalability.

Feature coding
API integrations
Security compliance

Deployment
(Duration: 1-2 Weeks)

Seamless go-live transition

We handle testing, data migration, and user onboarding to ensure a smooth EHR launch.

Testing & QA
Data migration
User training

Support
(Duration: Ongoing)

Ensuring long-term reliability

We provide continuous monitoring, updates, and support to keep your EHR optimized and compliant.

Continuous updates
24/7 support
Performance monitoring

Let’s Calculate the ROI for
Developing Your Custom EHR

Know your investment and the value of your custom EHR software development project.

4.5/5

Demo Rating

90%

Choose Us After the Demo

4.7/5

Demo Availability

Necessary Healthcare Standards &
Compliance for EHR Software

Build secure, compliant EHR software by following essential healthcare standards for data protection and data exchange.

HIPAA Compliance

Protect patient health information by adhering to strict privacy and security safeguards.

Safeguards patient health information with strict protocols
Ensures privacy in all electronic health record exchanges
Mandates administrative, physical, and technical safeguards

Protects against unauthorized access and data breaches
Supports secure communication between providers and patients
Builds patient trust with compliant data handling

Process:

1. Policy

2. Development

3. Review

4. Completion

5. Certified

ONC Certification

Ensures that your EHR meets federal standards for safety, usability, and interoperability.

Validates EHR usability, interoperability, and safety standards
Ensures certified systems meet federal healthcare regulations
Improves reliability of clinical decision support tools

Enhances secure exchange of patient health data
Encourages innovation with trusted certified technologies
Establishes confidence in vendor-developed EHR systems

Process:

1. Policy

2. Development

3. Review

4. Completion

5. Certified

FHIR/HL7

The modern backbone of real-time, interoperable healthcare data exchange.

Enables seamless interoperability across diverse EHR systems
Standardizes health data for universal understanding
Simplifies integration with third-party healthcare applications

Supports mobile health apps and wearable device data
Facilitates real-time exchange of patient information
Strengthens cross-platform collaboration among healthcare providers

Process:

1. Policy

2. Development

3. Review

4. Completion

5. Certified

21st Century Cures Act

Empowers patients with data access and drives interoperability across systems.

Promotes nationwide interoperability and data transparency
Empowers patients with access to digital health records
Reduces information blocking across healthcare systems

Encourages innovation in EHR and health IT
Enhances data portability for better care coordination
Aligns EHR vendors with federal compliance standards

Process:

1. Policy

2. Development

3. Review

4. Completion

5. Certified

Medical Coding Standards

Standardizes clinical language to ensure accurate billing, reporting, and care.

Ensures accuracy in clinical documentation and billing
Standardizes diagnoses, treatments, and medical procedures
Supports compliance with payer reimbursement guidelines

Improves reporting, analytics, and health outcomes research
Minimizes claim denials through precise coding practices
Strengthens global interoperability in healthcare terminology

Process:

1. Policy

2. Development

3. Review

4. Completion

5. Certified

SOC 2 Type II Certification

Validates your system’s operational security, availability, and data integrity controls.

Validates operational security and risk management practices
Ensures ongoing monitoring of system reliability and performance
Protects data with strict access control measures

Demonstrates commitment to privacy and compliance standards
Establishes trust with healthcare providers and payers
Reduces risks of internal or external breaches

Process:

1. Policy

2. Development

3. Review

4. Completion

5. Certified

ISO 27001

Demonstrates a globally recognized commitment to managing healthcare data risks.

Provides international standard for information security management
Defines structured framework for risk assessment processes
Mandates continual improvement in security practices

Enhances trust through globally recognized certification
Protects sensitive healthcare data from cyber threats
Aligns EHR systems with global compliance standards

Process:

1. Policy

2. Development

3. Review

4. Completion

5. Certified

FDA 510(k) Clearance

Proves your software is safe and effective for clinical use under FDA regulations.

Confirms medical device software meets regulatory requirements
Validates EHR-integrated modules for safety and effectiveness
Enables commercialization of FDA-cleared digital health solutions

Ensures EHR features align with medical device standards
Reduces compliance risks in clinical data management
Builds confidence in patient-facing digital health applications

Process:

1. Policy

2. Development

3. Review

4. Completion

5. Certified

Ready for Compliant Custom EHR Software

Focus on patient care while we undertake your software compliance and adherence.

Frequently Asked Questions

Q. What is custom EHR software, and why is it better than off-the-shelf solutions?

Custom EHR software is just like any other EHR software, but its entire foundation is built around your practice’s unique workflows, specialties, and compliance needs. This typically cannot be done in an off-the-shelf software solution. In such cases, you have to align your practice to its workflow and not the other way around. That is why a custom EHR adapts to your practice, contributing to time saving, reducing clicks, and giving a delightful experience for both patients and providers.

Q. How long does it take to develop a custom EHR system?

Typically, a custom EHR system development project takes up to 6 to 12 months. The development timeline depends on factors such as features, integrations, compliance requirements, etc. However, to give you faster results, we first develop an MVP (Minimum Viable Product) and then expand based on your needs.

Q. What compliance standards do you ensure during development?

We follow all key healthcare regulations like HIPAA, ONC Certification, FHIR/HL7, Cures Act, SOC 2, ISO 27001, and FDA 510(k) (when applicable). This ensures your EHR is safe, interoperable, and future-ready.

Q. Can you migrate data from our existing EHR or legacy system?

Yes. We handle data migration carefully, whether it’s from spreadsheets, outdated EHRs, or modern systems. Our approach ensures your patient records, medical history, and billing data move over securely, without downtime or data loss.

Q. Do you provide ongoing support and maintenance?

Yes. We don’t just hand over the software and disappear. We understand that your software will need continuous updates, bug fixes, security patches, and feature enhancements to keep your EHR running smoothly as your practice grows.

Q. Can the system integrate with labs, imaging centers, pharmacies, or other third-party apps?

Yes. We build your EHR system with interoperability in mind. Whether it’s lab systems, radiology, e-prescriptions, telehealth, or billing software, integrations are seamless through FHIR/HL7 APIs and custom connectors.

Q. What makes your EHR software development approach unique?

We combine user-centered design, healthcare expertise, and AI-driven automation. That means we don’t just code, we understand clinical workflows, patient engagement, and compliance, so your EHR works the way your team actually works.

Q. Do you provide AI-powered features like scribing or predictive analytics?

Yes. Our EHRs can include AI scribing, medical coding, virtual assistants, and predictive analytics to reduce administrative burden and improve care quality. You can decide which AI features add value for your practice.

Q. How scalable is the system if my practice grows?

Scalability is built in. Whether you expand to multiple locations, add new providers, or integrate new specialties, your custom EHR grows with you, without forcing you to start over.

We Build Custom EHRs, Exactly for Your Needs

Custom EHRs That Fit Any Specialty — Built Around Your Needs

Don't Take Our Word for It - See How We Solved Problems for Each Specialty

Practice-Specific Feature Development for Your Custom EHR Software

Seamless Connectivity with EHR Integration for Your Custom EHR Software

Seamless Connectivity of Your Custom EHR with the Digital Healthcare Ecosystem

Discovery to Deployment in Approximately 10 Weeks

Let’s Calculate the ROI for Developing Your Custom EHR

Necessary Healthcare Standards & Compliance for EHR Software

Frequently Asked Questions

We Build Custom EHRs,
Exactly for Your Needs

Custom EHRs That Fit Any Specialty
— Built Around Your Needs

Don't Take Our Word for It -
See How We Solved Problems for Each Specialty

Practice-Specific Feature Development for
Your Custom EHR Software

Seamless Connectivity with EHR Integration
for Your Custom EHR Software

Let’s Calculate the ROI for
Developing Your Custom EHR

Necessary Healthcare Standards &
Compliance for EHR Software