We build HIPAA-grade telehealth in house, including the video layer most healthcare dev shops rent. 250+ real-time projects since 2005, 2,000,000+ dev-hours worked.
Primary care, in-hospital language access, and AI voice work already in production.
Direct Primary Care platform with a full EMR.
Read the case study →Video and phone interpretation platform on a UK national framework. 30,000+ interpreters, 75+ languages, interpreter access inside the consult instead of a separate call.
Communication platform running inside the customer's own network, used by 5,000+ businesses. The AI voice layer carries over 600 million minutes a month.
“A detailed wireframing and user stories are done in a fantastic way and timely fashion. All my requirements are taken care of, and the result is that it greatly facilitated development cost estimation and technology stack analytics. Highly recommended for all projects large and small!”
Telemedicine software development means building the clinical workflow, the video, and the compliance layer as one product: scheduling, the consult itself, the note, the prescription, the payment, and the patient record behind all of it. Fora Soft has shipped 250+ real-time video and AI products since 2005, including HIPAA telemedicine platforms in live clinical use.
Most telehealth projects come apart in one of two places. Either the video degrades the moment a patient joins from a phone on a weak connection, or the visit data never reaches the chart and clinicians go back to typing everything twice. Both are engineering problems. Both are why we write the media layer and the integration layer ourselves instead of buying them from a vendor whose roadmap is not ours.
Eight things decide whether clinicians keep using the product after month one.
Clinical video that survives a bad network. We build on WebRTC with mediasoup, LiveKit, Janus, or Pion depending on your topology, hold latency under half a second, and fall back to audio or a phone bridge over SIP when the connection will not carry video. Multi-party consults, screen share, and consented recording included.
AI telehealth video platform development →
AI notes and medical charting that write back to the chart. This is the block an AI telemedicine software developer is usually hired for. The consult is captured, transcribed with medical speech recognition, and drafted into a structured note the clinician edits and signs. Nothing is filed automatically. The draft is a draft until a human approves it, which is the only version a compliance officer will accept.
EHR integration into Epic, Oracle Health (Cerner), and athenahealth. We work over HL7 v2 and FHIR, including SMART on FHIR launch, and use an aggregator like Redox or Health Gorilla when you need many systems at once instead of one deep integration. Which route is cheaper for you is a scoping question, and we answer it before we quote.
EHR and FHIR integration, in depth →
E-prescribing and lab orders wired into the visit. Surescripts for prescriptions, EPCS where controlled substances are in scope, LOINC-coded orders and results back into the patient record. The clinician finishes the consult and the order is already gone.
Booking, intake, and reminders built on the same access model as the rest of the product. Insurance eligibility over 837 and 835, payment capture, automated reminders, and AI voice booking with ID verification where you want the front desk unloaded.
Device data with a clinician queue at the end of it. We ingest readings, set thresholds with your clinical team, run anomaly detection over the stream, and route what crosses the line to a person, so nobody is watching a dashboard hoping to catch something.
Real-time interpretation and captioning inside the visit. Live speech-to-speech translation, interpreter dial-in over SIP, and captions in the call, so a patient who does not speak the clinician's language still gets seen the same day.
HIPAA handled in the architecture. We sign a BAA, encrypt in transit and at rest, build role-based access with audit logging that a HIPAA audit can read, set retention and de-identification rules with you, and keep production in your cloud. HITECH breach-notification duties, the information-blocking rules under the 21st Century Cures Act, and 42 CFR Part 2 where substance-use records are in scope. GDPR health data and PIPEDA where your users sit outside the US.
Telemedicine glossary: HIPAA, BAA, FHIR, WebRTC →Five steps. You get something you can act on at the end of each one.
One call, then structured requirements, a recommended stack, and a block-level estimate broken down by feature. Free after that first call.
You click through the product and change it before anyone writes code. Cheapest place to change your mind.
Scope, integrations, and the compliance surface written down and signed off. This is where the EHR route and the BAA chain get decided, not later.
Engineers orchestrate AI agents and review every change by hand. You get technical documentation as we go and a written status report every week.
Deployment, app store submission, and support. Demos monthly or whenever you ask for one.
Honest answer first: most clinics should buy. Read this before you brief anyone, including us.
Standard consults, standard notes, standard billing, and you can live inside someone else's roadmap
The platform covers the clinic but blocks one thing your business depends on
The product is the business: your workflow, your integrations, or your video is the thing patients pay for
We build at every level. Start with a ready platform, extend it with the features and integrations it cannot provide, or build the product from scratch — we can support all three paths. Our role is to help you choose the right architecture and then build the capabilities your business depends on, whether that means filling the gaps in an existing platform or owning the entire product stack.
Telemedicine software guide →
One number is honest, and it is the floor. What sits above it depends entirely on what you add.
A first working version a clinic can pilot and charge for. Not a platform, and we will not describe it as one.
Each block is quoted on its own; under each one — what moves its price. Add as many as you want, drop any one without touching the rest. No tiers.
2 of 12 blocks picked
Scheduling and remindersRoles and permission levels
Insurance eligibility and claims837 / 835 · how many payers
E-prescribing with EPCSControlled substances change the compliance surface
Lab orders and resultsLOINC mapping per lab
EHR integrationHow many EHRs · direct or via aggregator
AI note draftingWhere PHI may go: vendor BAA, your cloud, on-prem
Real-time interpretationLanguages · interpreter dial-in over SIP
Remote patient monitoringDevice types · thresholds set with your clinicians
Native iOS and Android appsTwo more platforms to build and release
Clinician desktop appA third platform, Electron
On-premise deploymentData may not leave your building
Records migrationOut of a system you already runHow most of our clients work
When you need one number signed off
Five questions worth asking every vendor on your shortlist, including us. Open each one for our answer.
Tell us what you want to launch and who it's for. You get back the scope split into what ships first and what waits, the stack we'd pick with the reasoning, and the questions that decide the budget.
Get it free →
Inherited a codebase nobody can explain? We read it and tell you three things: what's worth keeping, what fails under real load, and what a security or compliance review would catch.
Get it free →
Send us how your product works today: what carries the media, where the data lands, and what you've already built. You get back the architecture we'd build instead, what it costs to run at your volume, and which parts you shouldn't build at all.
Get it free →
It works on your machine and falls apart for real users. We put your product through the conditions that break it — weak networks, more people than the demo had, the session that has to be recorded — and hand you each failure with the place in the stack that caused it.
Get it free →Cost, timeline, compliance, stack, IP and takeovers.
Ask an engineer
See how we approach the engineering challenges behind real-time communication, AI, and healthcare software.
Named clients, real numbers: a primary-care platform, an on-premise clinical comms stack, an interpreter network.
Cost, compliance and voice AI — the three questions every telehealth brief opens with.
One call, then structured requirements, a recommended stack, and an estimate broken down by feature. Free, and yours to keep whether you hire us or not.
Within 24 hours you get a realistic estimate, technical recommendations and next steps. Free, no obligations.
