trophy Trusted By 100+ Providers & Clinic Owners

We Build Custom EHRs, Exactly for Your Needs

No monthly fees  ·  No vendor commitment  ·  YOUR system, YOUR wayYOUR custom EHR with the exact features you need - fully yours to own!

A&I Custom EHR — Scheduling Dashboard Preview
Pain Points

What's Holding Your EHR back?

Here's what healthcare teams tell us before choosing a better EHR solution:

68%

EHR Doesn't Fit Your Specialty Workflows

Specialists say their EHR still falls short on functionality.

Specialty fit
58%

Overpaying for Licensing & Add-Ons

EHR costs often exceed the original estimate.

Hidden fees
61%

Still facing After-Hours Documentation

Physicians spend 8+ hours weekly on EHR tasks after hours.

After-hours
55%

Labs & Pharmacy Systems Don't Integrate Seamlessly

Hospitals can't perform core interoperability functions.

Integration gap
48%

Can't find Healthcare-Skilled Developers

Healthcare organizations struggle to hire qualified IT professionals.

Talent gap
44%

Stuck Waiting on Vendor Roadmaps

Health IT leaders say vendor roadmap dependence is a major barrier.

Vendor control

"Is this actually cheaper in the long term?"After the one-time build, your EHR costs $0/month — permanently. Most practices break even in 18–24 months and save $20K–$40K over 5 years.

"How long does this really take?"Your custom EHR goes live in ~10 weeks — from discovery to deployment. With a dedicated PM, weekly updates, and a fixed scope — no delays, no surprises.

"What happens if I need changes later?"You own 100% of the code, so you can work with us or any developer. No vendor dependency. No waiting on someone else's roadmap.

Specialty-Specific EHR Features

Specialty-Specific EHR Features Built Around Your Workflows

We design feature-rich EHR modules tailored to your clinical processes, operational model, and specialty-specific documentation needs.

Scheduling

Specialty-Driven Appointment and Practice Management Software Workflows.

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Real-Time Appointment Availability
Customer Stories

Trusted by Healthcare Leaders Driving Scalable EHR Transformation

Across primary care, specialty clinics, and enterprise health systems, building and scaling custom EHR software.

Primary Care

Riverside Internal Medicine

The Challenge
  • Rigid off-the-shelf EHR limited workflow customization
  • Slowed chronic care documentation across multiple providers
  • Difficult to align with specialty workflows
The Result
  • Customized documentation templates aligned with specialty workflows
  • Integrated RPM and CCM modules
  • Reduced redundant data entry
900+Patients added
$120,000+Annual Revenue added
38%Time Saved
★★★★★
"Our previous system forced us to adapt our workflows to the software. The customized EHR reversed that. Documentation is now streamlined, CCM tracking is accurate, and our providers spend less time clicking and more time focusing on patients"
Dr. Michael Carter

Dr. Michael Harper

Medical Director

Will It Work For My Practice?

Built for Your Specialty. Engineered for Your Workflows

Tailor your custom EHR software to the unique workflows, documentation standards, and compliance requirements of your medical specialty — built to scale with your practice.

Primary Care

Comprehensive Care Delivery Infrastructure

Primary Care Dashboard Interface
  • Chronic condition dashboards (CCM-ready)
  • Preventive screening & wellness reminders
  • ePrescribing with drug interaction alerts
  • Lab ordering with real-time results sync
  • Multi-condition SOAP documentation templates

Don't Find Your Specialty?

Let's talk about yours and build an EHR that suits your needs.

Book a Free Discovery Call →
Development Process

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
Discovery
(Duration: 1-2 Weeks)
design
Design
(Duration: 2-3 Weeks)
development
Development
(Duration: 8-10 Weeks)
deployment
Deployment
(Duration: 1-2 Weeks)
support
Support
(Duration: Ongoing)

Understanding requirements deeply

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

  • Requirement gathering
  • Workflow mapping
  • Compliance alignment

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

Building core functionalities

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

  • Feature coding
  • API integrations
  • Security compliance

Seamless go-live transition

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

  • Testing & QA
  • Data migration
  • User training

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
Integrations

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.

Connect Your Entire Clinic — Without Disruption

We integrate your EHR with the systems you already use, so everything runs smoothly without added complexity or workflow changes.

Compliance-First EHR Development

Compliance-First EHR Development Built for Modern Regulatory Requirements

Design and deploy a HIPAA-compliant EHR that meets all federal and industry EHR compliance requirements, including ONC certification, interoperability standards, and healthcare security frameworks.

HIPAA Compliance

Architect a HIPAA-compliant EHR system with strict privacy controls, encryption standards, audit logging, and role-based access management.

ONC Certification

Ensure your EHR software aligns with ONC certification standards for usability, safety, interoperability, and federal EHR compliance requirements.

FHIR/HL7

Implement FHIR and HL7 interoperability standards to meet modern EHR compliance requirements for secure, real-time data exchange.

21st Century Cures Act

Design your EHR system to comply with information blocking regulations and patient access mandates under the Cures Act.

Medical Coding Standards

Support CPT, ICD-10, and HCPCS coding frameworks to ensure billing compliance and regulatory accuracy.

SOC 2 Type II Certification

Build secure infrastructure aligned with SOC 2 controls for availability, confidentiality, and operational integrity.

ISO 27001

Adopt globally recognized information security management standards for healthcare data protection.

FDA 510(k) Clearance

For clinical-grade applications, design systems aligned with FDA regulatory pathways where applicable.

Speed Advantage

Launch Your Custom EHR Faster — Without Starting From Scratch

Instead of building everything from the ground up, we use a modular platform and customize it for your clinic — reducing time, cost, and complexity.

Healthcare Platform
Patient Management
Onboarding
  • Self onboarding
  • Intake forms
  • Assessments
  • Preferences
  • Consents forms
Patient Interface
  • Patient web portal
  • Patient mobile app
  • Patient CheckIn Kiosk
Patient Review & Feedback
  • Patient survey
  • Rating for Provider
Payment Gateways
  • Payment Gateway
  • Invoice
  • Payment Receipt
  • Statement
Patient Charting
Patient Clinicals
  • Facesheet
  • Timeline
  • Vitals
  • Diagnosis
  • Allergies
  • Medication
  • Vaccinations
  • Symptoms
  • Medical History
  • Family History
  • Social History
  • Documentation
Order Management
  • E-prescription
  • Lab order & results
  • Radiology orders
Visit Details
  • Encounter summary
  • Previous charts
  • Previous reports
  • Clinical Data
Patient Engagement
Video & Audio Call
  • PC, Mac, Browser
  • No software to install
  • Encrypted connection
  • Phone Call
  • Web voice call
In-Call Chat
  • Screen sharing
  • Image capturing
  • Call recording
  • In call assessment
  • Session chat & file sharing
  • Patient joining alert
Patient
  • Patient educations & webinars
  • Clinical directory
  • Announcements
  • Preferred languages
  • 24×7 patient support
  • Virtual Assistant
Media Channel
  • Text message
  • Email / Fax
  • Chat
  • Instant video call
  • Bulk SMS & email
File Sharing
  • Image & video sharing
  • Contact sharing
  • Visit note sharing
Scheduling
  • Self scheduling
  • Calendar widget
  • Reminders
Notifications
  • Alerts
  • Auto SMS / email reminder
Practice Management
Practice Setup
  • Provider group
  • Multiple Locations
  • Specialists
  • Practice hours
Master Management
  • CSV, XLS import
  • Data Migration & Import
Reports & Analytics
  • Clinical
  • Financials
  • Systems
  • Patients
  • Configure reports
Inventory Management
  • Inventory Tracking
  • Multi-location Support
  • Stock Optimization
User Setup
  • Role-based Access
  • User Authorisations
  • Flexible roles & permissions
Data Catalogues
  • Patients
  • Providers
  • ICD-10, CPT codes
  • Drugs catalogue
  • Labs & radiology order set
  • Service master
Form Builder
  • Intake form
  • Clinical notes
  • Consent form
Settings
  • Notification Setting
  • Print Configurations
Provider Management
Scheduling
  • Recurring scheduling
  • Waitlist
  • Individual / group / personal
  • Multiple practitioner availability
  • Coloured appointment types
Provider Setting
  • Availability setting
  • Fee schedule
  • Report configuration
  • Custom intake
  • Custom SOAP notes
  • Notification setting
Referral
  • Outbound & Inbound referral
  • Attach Visit Notes
  • Response
  • Closed Loop
Encounters
  • Check in
  • Intake
  • Audio Transcription
  • Load Previous Note
  • Exam
  • Sign visit
  • Follow up
Visit Notes
  • Visit encounters
  • In-person encounters
  • Patient chart review
  • Chats
  • Assessment
Customized Template
  • Intake forms
  • Encounter forms
  • Assessments
  • Questionnaire
  • Care Plans
  • SOAP notes
  • Micro
RCM & Financials
Super Bill
  • Generate Superbill
  • Medical coding
  • Charge entry
  • Superbill with Codes
Payment
  • Statements
  • Credit card processing
  • Payment Posting
  • Apply Payment
  • Account receivables
  • Account statement
  • Refund Unapplied Amount
  • Overdue account alerts
  • Automatic Receipt
Services & Plans
  • Membership Management
  • Package Management
Insurance
  • Batch Eligibility
  • Benefit Verification
  • Pre authorization
Claims
  • Fee Schedule
  • Electronic claim
  • Paper claim
  • Auto track claim status
  • Code Scrubbing
  • Electronic Remittance Advice (ERA)
  • Explanation of Benefits (EOB)
  • Denial Management
Invoices
  • Configure invoices & receipts
  • Automatic generate Invoice
  • Send Past Invoices
Compliant and Secure IT Infrastructure
API's and Integrations
E-Prescription
Surescripts ScriptSure MD Toolbox DrFirst
Lab & Radiology
Quest Diagnostics LabCorp Rupa Health
Payment & Claim
Stripe Stax Square Waystar Office Ally TriZetto
AI Module & Communication
Zoom Twilio Freed AI AWS HealthScribe
Marketing & CRM
High Level Marketing Mailchimp SendGrid Sfax

Want to see how much of your EHR is already built?

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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.
The development timeline for building a production-ready EHR typically ranges from eight to 10 weeks. However, it can vary based on the project scope, features, and other requirements, such as integration and additional AI-powered capabilities.
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.
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.
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.
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.
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.
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.
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.
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