Do you handle EPCS for controlled substances?

Yes. DrFirst and Surescripts EPCS flows with PDMP checks, 2FA, DEA validation, and state-specific controlled-substance rules are shipped as part of the core.

Do you support international deployments?

Yes. GDPR-compliant deployments with data residency in the EU and other regions are supported, including country-specific telemedicine-rule packs.

Can the platform embed inside Epic or Cerner?

Yes. We ship SMART on FHIR launches so the virtual visit runs inside the clinician's chart, with FHIR write-backs for documentation and orders.

Healthcare / Telemedicine SaaS Platform

Telemedicine SaaS Platform

We engineer HIPAA-grade telemedicine SaaS platforms — white-labeled for health systems, digital-health startups, and payers — with high-fidelity video, e-prescribing, EHR write-back, and multi-state licensing baked into the core.

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12–16 wks

From kickoff to first branded deployment

99.99%

Video-session success rate under load

50 states

Licensing and state-specific rule support

Trusted by global innovators

Industry Overview

Telemedicine SaaS Platform: Engineered End-to-End

Telemedicine is no longer a feature — it's an operating model. We build platforms that survive contact with real clinical operations: multi-state licensing, DEA and EPCS-ready e-prescribing, payer-specific billing, and a clinician UX that doesn't drop them out of the chart mid-visit.

Industry Challenges

What Stops Most Teams From Solving This Today

Common friction points we hear from healthcare teams scoping this kind of platform.

Video Fragility: Consumer-grade video stacks fail under load, on poor networks, and across clinical devices, damaging trust on every dropped call.
Licensing Complexity: Cross-state telehealth needs per-provider, per-state licensure, DEA, and controlled-substance rule handling — hard to get right.
Billing Breakage: Telehealth place-of-service codes, modifier 95 / GT, state-specific parity, and payer variance quietly erase margin.
Clinician Context Loss: Generic telehealth apps force clinicians out of the EHR, killing the productivity case for virtual care.

Our Approach

Our Engineering Approach

We engineer for the operational reality — not the demo.

Clinical-Grade Video

Purpose-built WebRTC SFU with adaptive bitrate, lossy-network resilience, and session replay for audit.

Licensing & Identity

Per-provider, per-state licensure, NPI/DEA validation, and EPCS-ready e-prescribing flows.

EHR-Embedded Visits

SMART on FHIR launch so the visit lives inside Epic, Cerner, or Athena — not in a separate app.

Capabilities

Production-grade features the platform ships with from day one.

HIPAA WebRTC Video

Adaptive-bitrate, lossy-network-resilient video with session replay and audit logging.

White-Label Theming

End-to-end theming, custom domain, app store shipping, and tenant-level brand control.

e-Prescribing & EPCS

DrFirst / Surescripts integrations with EPCS, PDMP checks, and med-reconciliation flows.

Multi-State Licensing

Per-provider, per-state licensure, DEA, controlled-substance, and cross-border rules.

Payer-Ready Billing

POS 10/02, modifier 95/GT, state parity, and Availity-backed eligibility and claims.

EHR Integration

SMART on FHIR launch, FHIR write-back, HL7 v2 interfaces, and CDS Hooks.

Async & Store-and-Forward

Messaging, secure photos, and store-and-forward visits for dermatology, ophthalmology, and more.

Patient Intake & Triage

Dynamic intake with clinical decision support and triage to the right visit type.

Analytics & Quality

Visit KPIs, clinician productivity, and quality measures exported to your analytics stack.

How It Works

Reference Architecture

How data and decisions flow end-to-end.

Tenant & Identity Layer

Per-tenant isolation, SSO, provider licensure directory, and patient identity resolution.

Video & Realtime Core

WebRTC SFU cluster, session lifecycle service, and clinician-grade call controls.

Clinical Workflow Engine

Visit types, triage, intake, documentation, and order-entry flows.

Billing & Compliance

Eligibility, claims, EPCS, PDMP, licensure, and parity rule packs.

EHR & Partner Surface

SMART on FHIR, FHIR write-back, HL7 v2 interfaces, and partner APIs for pharmacy, labs, and imaging.

Engineering Stack

Technology Stack

A pragmatic stack chosen for reliability, speed, and ease of operation.

Realtime

WebRTCLiveKitTwilio VideoWebSocketAPNs / FCM

Standards

FHIR R4SMART on FHIRHL7 v2USCDI v3CDS HooksUDAP

Clinical Integrations

DrFirst / SurescriptsPDMPLabCorpQuestAvaility

Apps

React NativeNext.jsTypeScriptTailwind

Backend

Node.jsPythonGraphQLPostgreSQLRedisKafka

Infra

AWS HIPAAAzure HIPAAKubernetesVaultOpenTelemetry

Measured Impact

Quantified outcomes from production deployments.

99.99%

Video session success rate

12–16 wks

From kickoff to branded launch

3.4×

Clinician productivity vs. legacy telehealth

100%

HIPAA + HITRUST audit-ready

National Virtual Urgent Care Rollout

A national virtual-care operator needed to replatform off a stitched-together telehealth stack that was dropping 3% of visits and blocking expansion into six more states. We delivered a white-labeled platform on a HIPAA-grade WebRTC core with EPCS e-prescribing, 50-state licensure support, and Epic SMART on FHIR integration for partner health systems.

Within 14 weeks the platform handled 380,000 visits/month at 99.99% session success, cut clinician per-visit documentation time by 41%, and let the operator open six new state markets inside the following quarter — now underpinning three employer and two payer contracts worth $46M ARR.

Case Study

Use Cases

Where This Earns Its Keep

Common deployment patterns we see across customers.

Direct-to-Consumer Virtual Care

Branded D2C telehealth brands with payer and self-pay flows.

Health System Virtual Clinic

Branded virtual clinic inside a health system, embedded in Epic or Cerner.

Specialty Telehealth

Dermatology, behavioral health, men's/women's health, weight-loss, and HRT programs.

Employer Virtual Primary Care

VPC offerings with eligibility-file intake and employer reporting.

Payer Virtual Care

Payer-owned virtual-first offerings with tight claims and benefit integration.

International Teleclinics

Multi-country deployments with GDPR-compliant data residency.

Integrations

Integrates With Your Existing Stack

We connect to the systems your teams already know.

EHR

EpicCernerAthenahealth

e-Prescribing

DrFirst / Surescripts

Eligibility & Claims

Availity

Labs

LabCorpQuest Diagnostics

Video

LiveKit

Comms

Twilio

Payments

Stripe

Compliance-First Development Services Backed by Global Standards

We build secure, scalable products designed for privacy, interoperability, and regulatory readiness from day one across every sector we serve.

Health Insurance Portability and Accountability Act

Protect PHI with privacy-first architecture, encrypted storage and transmission, and strict access controls.

General Data Protection Regulation

Implement lawful consent flows, data minimization, and secure processing for global data privacy.

Service Organization Control 2

Verified controls for security, availability, and confidentiality of enterprise data systems.

Health Information Trust Alliance

Healthcare-specific security controls and risk management practices trusted by global partners.

Fast Healthcare Interoperability Resources

Enabling standardized health data exchange through robust, modern API mappings.

Health Level Seven International

Supporting enterprise-grade interoperability for clinical messaging and record workflows.

Our Edge

Why Global Leaders Choose Us

We combine deep technical expertise with industry-specific knowledge to deliver solutions that aren't just functional, but transformational.

Enterprise-Grade Security

We implement rigorous security protocols and compliance standards (HIPAA, GDPR, SOC2) across all industrial solutions to protect sensitive data.

High-Performance Scaling

Our architectures are built to handle massive data loads and user bases, ensuring seamless performance whether you're serving ten or ten million.

Accelerated Time-to-Market

Leveraging our suite of internal tools and proven frameworks, we reduce development cycles and get your product to market 40% faster.

Embedded AI Integration

Beyond simple wrappers, we build deep-learning integrations and predictive analytics directly into the core of your industry-specific workflows.

Engagement Model

Predictable, structured delivery from kickoff through long-term ownership.

Discovery & Scoping

We map the existing systems, constraints, and stakeholders to scope a focused 8–12 week first delivery.

Architecture & Pilot

A working slice on a representative environment — proving the data flow end-to-end before scaling.

Production Engineering

Hardened services, observability, access controls, and audit logging go live behind your IAM.

Operate & Iterate

We stay on as the embedded engineering team — closing tickets, tuning models, and shipping new value.

Voices of Success

We don't just build products; we forge lasting partnerships. See how we've helped industry leaders transform their vision into technical reality.

"I can clearly see how Agnotic has a unique way of handling end-to-end development. They are always active on quick chat and provide support quickly."

Aaron Phelan

Founder, Benchmark

"Agnotic is the best technical team we evaluated. Their engineering excellence made our work dramatically easier and allowed us to stay focused on what matters most for maternal care outcomes. They took full ownership of the technical execution, and we are always happy to continue working together."

Kim Smith

Founder, My Lauren

"Agnotic combines deep technical expertise with strong domain knowledge. They understand the business context, anticipate challenges, and make collaboration smooth and effective."