AdvancedCare,
Enterprise EHR built for hospital networks
AdvancedCare — Healthcare Case Study
Comprehensive EHR system with integrated telehealth, insurance claims processing, and patient data management for hospitals and clinics.
Three numbers that
tell the story upfront.
Faster medical coding
Comprehensive EHR system with integrated telehealth, insurance claims processing, and patient data management for hospit…
Reduction in claim denials
Comprehensive EHR system with integrated telehealth, insurance claims processing, and patient data management for hospit…
Providers onboarded
Comprehensive EHR system with integrated telehealth, insurance claims processing, and patient data management for hospit…
Before we got here,
here's what wasn't working.
AdvancedCare is an enterprise-grade Electronic Health Record system built for hospital networks managing hundreds of providers and thousands of daily patient encounters. It unifies clinical documentation, revenue cycle management, and patient engagement in a scalable multi-tenant architecture.
We confirmed every challenge with the team before writing a line of production code. The right column lists the pain points we tackled head-on and how we approached each one.
What wasn't working
BEFOREHIPAA multi-tenant data isolation
Row-level security policies in PostgreSQL combined with AWS RDS encryption at rest and in transit.
Slow report generation for large patient datasets
Moved heavy aggregations to pre-computed Redis cache layers, refreshed nightly via scheduled Lambda jobs.
Don't over-engineer.
Solve what matters, ship fast.
The instinct on complex projects is to rebuild everything from scratch. We pushed back. A full rewrite often means months of regressions while engineering rebuilds features that were already working.
We mapped the existing workflow against actual usage. The result was clear: a small set of features accounted for the majority of user time. We rebuilt the core, shipped fast, and extended outward.
On the technical side, we made clear decisions early and held them. The right column shows what we chose, and why.
4 decisions we made early
CHOSEN / REJECTEDSecure Multi-User Authentication — how we built it
Custom Secure Multi-User Authentication — built for this product's exact needs and data model.
Generic SaaS tool that would require heavy workarounds and compromise the user experience.
Real-Time Eligibility Check — how we built it
Custom Real-Time Eligibility Check — built for this product's exact needs and data model.
Generic SaaS tool that would require heavy workarounds and compromise the user experience.
Utilization Review Work Center — how we built it
Custom Utilization Review Work Center — built for this product's exact needs and data model.
Generic SaaS tool that would require heavy workarounds and compromise the user experience.
Comprehensive Billing & Coding Workspace — how we built it
Custom Comprehensive Billing & Coding Workspace — built for this product's exact needs and data model.
Generic SaaS tool that would require heavy workarounds and compromise the user experience.
10 features that
define the product experience.
Every feature was scoped and shipped with the same priorities: speed, reliability, and staying out of the user's way.
Secure Multi-User Authentication
Users can log in securely with email/password or a magic link, with distinct patient and practitioner account types for proper access control.
Real-Time Eligibility Check
Users can instantly verify insurance coverage and review pending or denied claims before services are delivered.
Utilization Review Work Center
Users can monitor service requests and authorization statuses in one centralized workspace, including insurance IDs and request state.
Comprehensive Billing & Coding Workspace
Users can review medications, clinical details, and coding tools in one place to prepare complete records before final claim submission.
Automated Claim Creation & Tracking
Users can auto-generate claims and track them from submission to payment, with clear indicators for validated or manually reviewed claims.
Financial Reporting Dashboard
Users can view total payments, outstanding balances, and flagged errors, then generate filtered reports by payer, treatment, or date range.
Automated Credential Verification
Users can manage certification and verification tasks through a calendar-based workflow to track credentialing milestones and compliance.
Credentialing History & Exporting
Users can review provider license history, expiration timelines, and network affiliations, then filter and export administrative reports.
Social Outreach Management
Users can create, schedule, and track Facebook posts with visibility into run times, engagement, and audience insights.
Account Profile & Settings
Users can update personal details, manage profile images, and connect social media accounts from a single settings hub.
What changed,
measured against the day-one baseline.
We benchmark before we touch anything, logging every metric below against its state before we wrote a line of production code.
What this build had to get right,
beyond the feature list.
- Row-level security policies in PostgreSQL for multi-tenant HIPAA data isolation
- AWS RDS encryption at rest and in transit
Want to build
something like this?
We ship fast. Talk to us about your product idea and we'll tell you exactly how we'd approach it.