Healthcare software built around the systems you already run.
An independent engineering partner for care providers, digital health companies and health plans. We build, integrate, modernize and support the software around your EHR, practice management, billing and care platforms.
- Independent of EHR vendors
- Your code, your IP
- US · Canada · UK/EU · Middle East · ANZ
New services, sites and partners, without replacing your EHR.
Projects in flight
Today's queue · Automation prepares, people decide
- Referral · New patientFax read. Intake form drafted.Front desk to confirm
- Prior auth · MRI requestPayer criteria checked. Notes attached.Clinician to sign
- Claim · Visit 30418Code mismatch flagged before submission.Billing to review
- Remittance · Payer batchPosted and reconciled. No breaks.Done
Patient app
- Lab resultsReleased with a note from your clinicianReady
- Prescription refillSent to your pharmacyDone
Illustrative screens, not client data.
Who we work with
Every patient. Every step of care.
Pick the segment you serve or the kind of business you run. Each page starts with that segment's patients, workflows and rules.
By segment
Hospitals & Health Systems
Multi-site providers: integrations, patient flow and clinical workflow tools around the EHR.
- Integration
- Patient flow
- Clinical tools
Clinics & Specialty Practices
Outpatient and specialty groups: scheduling, intake, referrals and billing.
- Scheduling
- Referrals
- Billing
Behavioral & Community Care
Mental health, counselling and community services: intake, care plans and outcomes.
- Intake
- Care plans
- Outcomes
Senior & Home Care
Home health, aged care and care homes: visits, care notes and family updates.
- Visits
- Care notes
- Families
By type of business
Care Providers
Mid-market providers modernizing around the EHR and billing systems they run.
- EHR integration
- Intake
- Revenue cycle
Digital Health Companies
Series B–D teams building care, wellness and clinical products.
- Platform
- Integrations
- Scale-up
Health Plans & Benefits Administrators
Payers and administrators: member apps, prior authorization and claims data.
- Members
- Prior auth
- Claims
Healthcare Services Companies
Revenue cycle, staffing and care-management firms: tools for the teams behind care.
- Revenue cycle
- Operations
- Reporting
Problems we solve
From referral to final claim, the work we're asked for most.
Six problems we hear from healthcare teams. Each row names the problem the way your team describes it, and what we typically build to fix it.
HL7 and FHIR integrations, EHR integration through supported APIs, and referral and document intake.
Prior authorization workflows, claim checks before submission, denial tracking and remittance reconciliation.
Documentation assistants with clinician sign-off, inbox triage, and templates that write back to the EHR.
Online scheduling, digital intake, reminders and patient apps connected to your systems.
Virtual care and remote monitoring platforms that connect to the EHR.
A healthcare data platform, quality and operational dashboards, and population reporting.
AI in the workflow
AI does the busywork. Your clinicians make the calls.
AI reads referrals, clinical notes, claims and remittances, checks them against your own rules and payer policies, and prepares the work. Pick a task to see it on the file.
Illustrative examples, not patient data.
Modernize without starting over
No platform to sell. Just the right system for how you work.
Care can't pause for a system switch. We build, integrate and modernize around the systems you already run, one clinic, service line or workflow at a time.
Starts from how your care teams actually work
Builds what your EHR doesn't cover
Works across EHR, practice management, billing and homegrown tools
Senior teams sized to the problem
Can build, run and evolve the same system
We don't resell or implement any EHR. We build around the EHR, practice management and billing systems you already run, using their supported APIs and standards such as HL7 and FHIR.
-
01
Start contained
One clinic, service line or workflow.
Week 1 -
02
Keep proven systems
Your EHR and billing systems stay. We connect around them.
No rip and replace -
03
Prove it in clinic
A scoped release with real patients and staff, measured against a baseline.
Measured -
04
Expand on the same foundation
Add the next clinic, service or workflow without restarting.
Clinic by clinic
- C ClarifyTarget: referrals reach the schedule the same day, without re-keying
- L Locate · most effortFax lines, shared inboxes, the EHR, scheduling and the spreadsheets between them
- E Evaluate · most effortDocument reading with a human check, EHR APIs and a HIPAA risk review
- A ArchitectIntake service, review queue and write-back to the EHR
- R RoadmapOne clinic first, then every site
Engagement models
Clarity before code. Evidence before scale.
Start small and expand, or bring us in for a defined program. Models can change as the work changes.
Discovery sprint
Fixed scope. Map one workflow and agree what to build, with a clickable prototype.
Fixed-scope project
Defined outcome, timeline and price for a well-understood build, integration or migration.
Dedicated team
A cross-functional Chapter247 team on your product and care roadmap, scaling as you need.
Managed support
Maintenance, integrations and monitoring under agreed service levels, with clear escalation for anything that affects patients.
Proof
Built for real care teams. Measured on real results.
A healthcare product we built and still run, measured against the baseline we agreed during CLEAR.
Security & compliance
Built for patient data and clinical safety.
Healthcare systems hold protected health information and support decisions about patients. These controls are part of how we design, not a review at the end.
Patient data protection
Protected health information kept under control
- PHI masked outside production
- Encryption and MFA by default keys in your cloud account
- Business associate agreements in place before any access to PHI
Interoperability and compliance
Standards first, audit-ready from the first release
- Standards-based integration HL7 v2 and FHIR through supported EHR APIs
- Audit trails to support HIPAA, PIPEDA, GDPR and Australian Privacy Act obligations
- Accessible patient apps WCAG 2.1 AA
Responsible AI in care
Every AI step explainable to your clinicians
- Clinician sign-off on anything clinical or patient-facing
- No training on patient data without explicit consent
- Audit trails on every automated step and approval
“Think first. Then build.” is not a delay before delivery. It is how we make delivery more dependable.
Connect
Clarity before code.
We will help clarify the workflows, data, users, risks, and build path before your team commits engineering budget.
- Workflows
- Data
- Users
- Risks
- Build path