Video consultations
HIPAA-compliant live video with recording, in-session notes, and screen share — built on Daily, Twilio, or Vonage depending on fit.
Telehealth Platform Development
Telemedicine software that scales across healthcare environments
We engineer telemedicine platforms that connect patients and providers, integrate with clinical systems, and maintain HIPAA-grade security — from solo clinics to enterprise health systems.
HIPAA Video SDKEHR Sync ReadyAsync + SyncMulti-Environment
Trusted by global innovators
Telehealth that actually integrates with clinical workflow
Most telemedicine products ship as video widgets. We ship them as clinical systems with EHR sync, scheduling, documentation, and billing integration.
40%
Faster time-to-visit with proper scheduling
6+
EHR systems we integrate telehealth with
99.9%
Uptime target for live consultation infra
What we build
Telemedicine is clinical infrastructure, not a video call
A good telehealth platform connects patients and providers, enables real-time and asynchronous interaction, integrates with clinical systems, and maintains the security posture of the rest of the health system.
We build all five layers: the patient-facing flow, the provider console, the scheduling and intake engine, the EHR integration layer, and the observability and compliance stack underneath.
Platform capabilities
What we build, end to end
The telehealth components we ship — from solo clinic MVPs to multi-tenant enterprise platforms.
Async consultations
Store-and-forward workflows for non-urgent care, dermatology, second opinions, and ongoing chronic management.
Scheduling engine
Provider availability, specialty routing, patient self-service booking, and rescheduling — integrated with EHR calendars.
EHR sync
FHIR R4 and HL7 v2 sync with Epic, Cerner, Athenahealth, and others — visit notes, diagnoses, orders, and billing.
Notifications & reminders
SMS, email, push, and in-app notifications per HIPAA channel rules — reducing no-shows and improving adherence.
AI triage
NLP-based intake with symptom triage, specialty routing, and urgency classification.
NLP documentation
Post-visit note generation, ICD-10 code suggestion, and provider review workflow.
Predictive analytics
Demand forecasting, no-show prediction, and capacity planning across specialties.
Billing & claims
Integration with billing systems, ePrescription flows, and claims submission pathways.
Video SDK decision
HIPAA video SDK comparison — Daily, Twilio, Vonage
The video backbone is one of the most consequential decisions in a telehealth build. Here's how we think about the trade-offs.
| Dimension | Daily | Twilio Video | Vonage Video |
|---|---|---|---|
| HIPAA posture | BAA available, healthcare-focused | BAA available, broad SDK | BAA available, enterprise-oriented |
| Developer experience | Fast setup, modern SDK | Mature, extensive docs | Solid, slightly heavier |
| Recording & storage | Cloud recording, HIPAA-safe | Cloud + compliant storage | Cloud + archiving features |
| Scale profile | Startup-friendly, scales up | Any scale | Enterprise strong |
| Price shape | Competitive at mid scale | Predictable usage-based | Bundled enterprise pricing |
| Fit | MVPs and mid-market telehealth | Any telehealth with broad needs | Enterprise health systems |
There's no universally right answer — we pick per build based on clinical workflow, recording needs, scale, and existing vendor relationships.
Environments we ship into
Telehealth across healthcare environments
Hospitals & health systems
Enterprise telehealth consultation platforms, scheduling systems, EHR-integrated workflow automation, and IoT monitoring.
Specialty clinics
Specialty-specific workflows — derm, mental health, chronic care, women's health — with clinical protocols baked in.
Labs
Remote diagnostics intake, results delivery, and patient consultation with lab data integration.
Pharmacies
Medication tracking, ePrescription, and pharmacist-patient consultation flows.
Home care
Remote monitoring alerts, family member interfaces, and caregiver coordination.
Insurance
Telehealth-enabled claims workflows, prior authorisation, and utilisation analytics.
How we ship
Our telehealth delivery process
A phased delivery approach that treats scheduling, video, EHR integration, and compliance as parallel workstreams with their own milestones.
Step 01
Environment & integration discovery
Map target EHR systems, existing workflows, and clinical stakeholders.
Step 02
Video SDK & architecture selection
Pick Daily, Twilio, or Vonage based on HIPAA posture, recording, and scale needs.
Step 03
Patient-facing flow design
Intake, scheduling, and visit UX for mobile and desktop.
Step 04
Provider console development
Clinical workflow, session tooling, and documentation experience for clinicians.
Step 05
EHR integration & billing
FHIR / HL7 integration, visit note exchange, and billing flow.
Step 06
Compliance hardening & launch
Audit logs, BAA execution, penetration testing, and phased rollout.
What usually goes wrong
Telehealth build risks — and how we handle them
Challenge
Video quality degrades under real-world network conditions
Agnotic approach
SDK selection tuned to fallback paths, network-adaptive bitrate, and graceful audio-only failover.
Challenge
EHR integration stretches timeline by months
Agnotic approach
Integration discovery in the first two weeks — target EHR, data model, sandbox access, and realistic go-live window.
Challenge
No-shows erode clinical capacity
Agnotic approach
Multi-channel reminders, intelligent rescheduling, and ML-based no-show risk scoring with targeted interventions.
Challenge
Compliance drift post-launch
Agnotic approach
Compliance monitoring in production — audit log integrity checks, BAA inventory, and quarterly compliance reviews.
Standards we build against
Telemedicine standards in our SDLC
HIPAAHITECHFHIRHL7GDPR
Engineered for Healthcare Compliance, Backed by Global Standards
Every Agnotic healthcare build is architected for privacy, interoperability, and regulatory readiness from the first commit — not retrofitted before launch.
Health Insurance Portability and Accountability Act
Protect PHI with privacy-first architecture, encrypted storage and transmission, strict access controls, and traceable audit logs.
General Data Protection Regulation
Implement lawful consent flows, data minimization, retention controls, and secure processing for sensitive reproductive and health data.
Fast Healthcare Interoperability Resources
Enable standardized health data exchange across apps, care teams, and systems through robust FHIR-ready APIs and mappings.
Health Level Seven International
Support enterprise-grade interoperability with HL7-based integrations for records, events, and clinical messaging workflows.
Health Information Trust Alliance
Align security programs to healthcare-specific controls and risk management practices trusted by providers and partners.
Health Information Technology for Economic and Clinical Health Act
Design with breach notification readiness, digital record safeguards, and operational controls that support regulated care programs.
Food and Drug Administration Software as a Medical Device
Plan software quality, traceability, and documentation pathways for products that may require SaMD review and regulatory submission.
Medical Device Regulation (European Union)
Prepare EU market-ready processes for risk classification, evidence tracking, and lifecycle governance under MDR expectations.
Substance Abuse and Mental Health Services Administration (42 CFR Part 2)
Apply confidentiality controls and consent-aware sharing models for behavioral and mental health related data experiences.
We Are Technology-Agnostic
With a diverse technology stack, we deliver solutions using a technology-Agnostic approach to meet your unique needs.
Wireframe & Ideation
User Experience
Real-Time Projects
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."
John Pasmore
Founder, Latimer
Frequently Asked Questions
It depends on your recording needs, scale, and existing vendor relationships. Daily is great for MVPs and modern stacks, Twilio Video is a mature any-scale choice, and Vonage suits enterprise deployments. All three offer BAAs. We pick per build rather than defaulting to one.
Get a telehealth estimate
Tell us about your clinical environment, target EHR, and specialty scope. We'll return a scoped plan and timeline.