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Direct-to-Consumer Virtual Care
Branded D2C telehealth brands with payer and self-pay flows.
Healthcare / Telemedicine SaaS Platform
Telemedicine SaaS Platform
Virtual care operators need video visits, prescribing and billing that keep working across states, payers and EHRs. Agnotic Technologies builds the telemedicine SaaS platform for you: white-label, multi-tenant and connected to the EHRs and pharmacies your clinicians already use.
WebRTC
Video visits that recover on weak networks
SMART on FHIR
Visits launched from inside the EHR
EPCS
Controlled-substance e-prescribing flows
Trusted by global innovators
Industry Overview
What is a telemedicine SaaS platform?
A telemedicine SaaS platform is multi-tenant virtual care software that one company runs for many clinics, brands or employers: video visits, scheduling, intake, e-prescribing, billing and EHR integration on one shared core. Agnotic Technologies builds these platforms for digital health companies and health systems, who run them under their own brand.
Industry Challenges
Why do telehealth platforms break at scale?
The problems we see when virtual care grows past one clinic or one state.
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
How do we build a telemedicine SaaS platform?
Engineering choices for virtual care that has to work in real clinics.
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, Oracle Health (Cerner) or athenahealth, not in a separate app.
Capabilities
What goes into the platform?
Capabilities we build into telemedicine platforms.
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
How is the platform structured?
How tenants, video, clinical workflow and billing fit together.
Tenant & Identity Layer
Per-tenant isolation, SSO, provider licensure directory, and patient identity resolution.
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1
Video & Realtime Core
WebRTC SFU cluster, session lifecycle service, and clinician-grade call controls.
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2
Clinical Workflow Engine
Visit types, triage, intake, documentation, and order-entry flows.
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3
Billing & Compliance
Eligibility, claims, EPCS, PDMP, licensure, and parity rule packs.
04
4
EHR & Partner Surface
SMART on FHIR, FHIR write-back, HL7 v2 interfaces, and partner APIs for pharmacy, labs, and imaging.
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5
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
What should a telemedicine platform measure?
Measures we build reporting around, agreed with you before launch.
Completion
Booked visits that start and finish on video
Join time
Time from waiting room to clinician
Documentation
Visit notes written back to the EHR
Prescriptions
E-prescriptions sent and confirmed
My Lauren Maternal Health Platform | Built by Agnotic
A HIPAA-ready maternal health platform enabling remote patient monitoring, care coordination, and personalized engagement from pre-pregnancy through postpartum.
Case Study
LERA Health: Women's Health App Platform
A women’s health product experience focused on guided care journeys, education, and compliance-aware workflows to support long-term engagement.
Case Study
Use Cases
Which virtual care models does it support?
Common platforms we design for.
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Health System Virtual Clinic
Branded virtual clinic inside a health system, embedded in Epic or Cerner.
03
Specialty Telehealth
Dermatology, behavioral health, men's/women's health, weight-loss, and HRT programs.
04
Employer Virtual Primary Care
VPC offerings with eligibility-file intake and employer reporting.
05
Payer Virtual Care
Payer-owned virtual-first offerings with tight claims and benefit integration.
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International Teleclinics
Multi-country deployments with GDPR-compliant data residency.
Integrations
Which systems does it connect to?
We connect to the systems your teams already know.
EHR
EpicOracle Health (Cerner)athenahealth
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 standards-based 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, keeping performance steady whether you're serving ten or ten million.
Accelerated Time-to-Market
Using our suite of internal tools and proven frameworks, we cut setup work so your first release reaches users sooner.
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
How does an engagement work?
A scoping call, a fixed-scope first release, then scale and support.
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Scoping call
We map your visit types, states, payers, EHRs and pharmacy partners.
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Fixed-scope first release
One visit type for one brand, with video, scheduling and notes working end to end.
03
Prescribing and billing
E-prescribing, eligibility and claims added before more tenants go live.
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Scale and support
More tenants, states and integrations, with our team supporting the platform.
Facts and sources
Which rules shape a telemedicine platform?
Short facts we design around, each linked to its primary source.
The HIPAA Security Rule requires administrative, physical and technical safeguards for electronic protected health information.
Source: 45 CFR Part 164 Subpart C (eCFR)HHS ended its COVID-19 enforcement discretion for telehealth in August 2023, so covered health care providers must now use remote communication technologies in line with the HIPAA Rules.
Source: Federal Register, April 13, 2023 (HHS Office for Civil Rights notice)Under 21 CFR 1311.100, a practitioner may sign an electronic prescription for a Schedule II to V controlled substance only with an electronic prescription application that meets DEA's Part 1311 requirements; otherwise the prescription is not valid.
Source: 21 CFR 1311.100 (eCFR)The SMART App Launch implementation guide uses OAuth 2.0 and OpenID Connect so that apps can launch from an EHR with the user's and patient's context and only the access scopes they were granted.
Source: HL7 International (SMART App Launch)WebRTC, a W3C Recommendation, defines browser APIs for sending and receiving audio, video and data in real time with another browser or device.
Source: W3C, WebRTC: Real-Time Communication in Browsers
Voice 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 combines deep technical expertise with strong domain knowledge. They understand the business context, anticipate challenges, and make collaboration smooth and effective.”
John Pasmore
Founder, Latimer
“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
Related services
Where should you start?
Detailed pages for the services virtual care teams ask us about.
Telemedicine platform development
Video visits, scheduling and intake for one provider or many.
Remote patient monitoring software development
Device readings and alerts that feed virtual visits.
EHR software development
Charting and records that virtual visits write back to.
Healthcare software development
All the healthcare products and integrations we build.
More in Healthcare
More Healthcare Solutions
Explore other production-grade engineering platforms we deliver across healthcare.
Cross-Industry Reach
The Same Engineering Patterns, Across Other Industries
The technical patterns behind this platform translate naturally into adjacent verticals.
Frequently Asked Questions
It depends on how many tenants and visit types the first release serves, which EHRs and pharmacies it connects to, whether controlled substances are prescribed, and how many states and payers the billing rules must cover. We set the plan after a scoping call.
SaaS development adds what one clinic never needs: tenant isolation, per-brand theming, per-tenant settings and billing, and releases that roll out to every tenant safely. We design those into the core so a new clinic or brand is configuration, not a new build.
Yes. The first release is scoped to one workflow, such as one visit type for one brand with video, scheduling and notes, and later releases add tenants, prescribing and billing.
Yes. We build DrFirst and Surescripts EPCS flows with PDMP checks, two-factor signing, DEA validation and state-specific controlled-substance rules.
Yes. We design deployments for GDPR, with data residency in the EU and other regions and country-specific telemedicine rules.
Yes. We build SMART on FHIR launches so the virtual visit runs inside the clinician's chart, with FHIR write-backs for documentation and orders.
AI tools help our engineers draft code and tests, but a person reviews every change, and it passes the same automated tests and security checks as any other code. Which tools may see your code or data is agreed with you at the start.
Industries
A Unified Vision that Caters to Diverse Industry Demands
Planning a telemedicine platform?
Tell us which visit types and states you want to start with, and we will scope a first release with you.
contact@agnotic.com
Partnerships
contact@agnotic.com