Healthcare & insurance
Software Development for Healthcare and Insurance
Peregrine builds software for healthcare networks and insurers: practice management that unifies patient records, telehealth, scheduling and insurance billing, and claims automation with document extraction and a full audit trail.
Both published case studies below deal with regulated data: a HIPAA-compliant practice management platform across 35 clinics, and a claims automation platform processing 45K+ claims a year.
Fit
Is Custom Healthcare & Insurance Software the Right Fit?
A good fit when
- A clinic group has grown by acquisition, and each location runs different record, scheduling and billing systems.
- Claims or intake documents are read and re-keyed by staff, and the backlog or denial rate shows it.
- Telehealth, scheduling or billing sit outside the clinical record, and staff move data between them by hand.
- You need every access to patient or claim data logged in a form you can show an auditor.
Probably not the right fit when
- A single practice whose needs a commercial EHR or practice management system already meets.
- You need a certified product, or a firm that holds a specific certification or attestation. Ask any firm, this one included, for the document itself; this site publishes none.
- You need advice on what regulations require of you. That comes from your compliance officer or counsel; software implements their decisions.
What we build
What Healthcare & Insurance Software Includes
Unified patient records across locations
One record that follows the patient between clinics, with data migrated from the systems each location used before. In our clinic case study, 120K+ patient records were migrated from four legacy EHR systems.
Shown in: Unified Clinic Management System for a Multi-Location Healthcare Network
Access control and audit logging
Role-based access and a log of every read, write and export of patient data. The clinic platform in our case study uses 12 role types and field-level encryption for protected health information.
Shown in: Unified Clinic Management System for a Multi-Location Healthcare Network
Telehealth inside the record
Video visits over WebRTC with visit documentation written into the patient record, so clinicians do not switch tools.
Shown in: Unified Clinic Management System for a Multi-Location Healthcare Network
Claims coding and eligibility checks
CPT and ICD-10 code validation, eligibility checks and electronic claim submission with a denial workflow. The case study reports claim denials falling from 18% to 4.2%.
Shown in: Unified Clinic Management System for a Multi-Location Healthcare Network
Claims document extraction with human review
Extraction from PDFs and scans with AWS Textract, validators for codes, dates and amounts, a review queue for anything below the confidence threshold, and HL7 FHIR endpoints for provider systems. The insurer in our case study processes 45K+ claims a year.
Case studies
Healthcare & Insurance Case Studies
Unified Clinic Management System for a Multi-Location Healthcare Network
How we built a HIPAA-compliant practice management platform — unifying patient records, telehealth, and insurance billing across 35 clinic locations.
35 Clinic Locations · 120K+ Patient Records · 99.99% HIPAA Uptime · 12 Months
Read the case study · Service: SaaS DevelopmentInsurance Claims Automation for Claims Processing
How we built an InsurTech claims platform processing 45K+ claims/year — with document extraction, multi-carrier rules, and 60% faster processing.
45K+ Claims/Year · 60% Faster Processing · HIPAA Compliant · 14 Months
Read the case study · Service: AI AutomationServices
Services for Healthcare & Insurance Companies
SaaS Development
Multi-tenant SaaS platforms, from MVP architecture to scaling an existing product.
AI Automation
AI features and automated workflows scoped to a specific business problem.
Related work: Insurance Claims Automation for Claims Processing
API Integration
Reliable integrations between your product, your vendors and your internal systems.
Scope
What Determines the Scope of Healthcare & Insurance Software?
These are the inputs that change the effort. None needs a final answer before the first call, but each one you can answer makes the estimate tighter.
- Locations and source systems
- The number of sites and the distinct record, scheduling and billing systems to migrate from. Each source system is its own migration.
- Data classification
- Which data counts as protected health information, who may see which fields, and where it may be stored and processed. Your compliance officer decides; the build follows.
- Roles
- The staff types, and what each may read, change and export.
- Integrations
- Clearinghouses, payers, labs, pharmacies and existing EHRs, and whether each offers HL7 v2, FHIR or a proprietary interface.
- Claims rules
- The number of payers or plans and how often their rules change, since rules are maintained as configuration long after launch.
- Document quality
- For extraction: the mix of clean PDFs, scans and faxes, and how sure the system must be before a claim skips human review.
- Agreements and reviews
- Which agreements your organization requires vendors and hosting providers to sign, and which security review or risk assessment must pass before go-live.
- Rollout
- Pilot sites, staff training, and how long old and new systems run side by side.
A sensible first phase
A sensible first phase is a review of data flows and access before any feature work: what data exists, where it lives, who touches it and what has to be logged. Both of our case studies began that way, one with a gap analysis across 35 clinics and the other with rule modeling and an encryption strategy.
What to bring to the scoping call
- The number of locations and the systems each uses for records, scheduling and billing.
- Your compliance officer or security lead, or their written requirements, including any agreement a vendor must sign.
- The staff roles and what each needs to see.
- The payers or plans you bill, and the current denial rate and backlog if billing is in scope.
- Sample documents with patient data removed.
- The systems you must exchange data with, and the interface each supports.
- The questions your reviewers will ask about hosting region, encryption and audit logging, so they can be answered in writing.
Partial answers are fine. Whatever is missing becomes the first item on the call.
Technical consultation
Building Healthcare or Insurance Software?
Tell us about the workflow, the systems involved and the compliance requirements. Your first conversation is with an engineer.
- A 30-minute technical discovery call with an engineer, not a salesperson.
- Fixed-scope projects, monthly retainers, or a combination, agreed after the call.
- Small, well-defined tasks get a scoped estimate. We reply within 1 business day.
Prefer to pick a time? Book a call on Calendly
