Telehealth App Development

Telehealth app development for practices that have outgrown off-the-shelf tools.

We build telehealth platforms for practices that have outgrown off-the-shelf tools. 1-on-1 and group video sessions, HIPAA-compliant storage, booking and reminders, EHR integration, scoped and priced before any code is written.

  • 1-on-1 and group video sessions, audio, and secure text messaging

  • HIPAA-compliant, encrypted storage, audit trails, and role-based access

  • Booking, reminders, and follow-up automation built in

  • Works on any device, iOS, Android, and web browser

  • Built for general practitioners, specialists, therapists, and senior living care

See our work

Bring the problem, the current workflow, or the existing code. We reply with a practical next step within one business day.

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The brief

Start with what is not working.

Good software decisions begin with the constraint, not a list of features or a preferred technology.

01

Patients dropping off because video calls freeze or appointments are hard to book?

02

Clinical staff spending hours on scheduling, reminders, and follow-ups that software should handle?

03

Per-user licensing fees that grow faster than your patient list?

04

Previous platform that breaks every time you add a new provider?

Plain answer

RaftLabs builds custom telehealth apps for practices across the US, UK, Europe, Canada, GCC, South Africa, and Southeast Asia. Services include video consultations, HIPAA-compliant storage, EHR integration, and booking automation. Scope and a fixed price are locked before any code is written.

What to remember

  • Telehealth platforms are delivered at a fixed price with scope locked before any code is written.
  • Every build includes encrypted storage, audit trails, and role-based access control as part of the base architecture.
  • EHR integration is built against Epic, Cerner, Athenahealth, and Greenway Health using HL7 FHIR R4.
  • One telehealth build onboarded 50+ clinics in 12 weeks and cut in-person visits by 60%.

The video froze, and the patient never rebooked.

A patient with a mobility limit books a follow-up and waits for the call to connect. It drops once, then twice. She gives up, and she doesn't rebook. Down the hall, the front desk spends the afternoon on reminder calls the software should be placing on its own. And every new provider the practice brings on nudges the per-seat licence bill up again.

The care was never the problem. The platform was.

According to Deloitte's 2024 Global Health Care Consumer Survey, 44% of patients had a virtual visit in the previous 12 months, and 94% of those patients said they would do it again. Practices that have not built a reliable telehealth channel are losing return visits to competitors who have.

RaftLabs builds telehealth platforms for practices across the US, UK, Europe, Canada, the GCC, South Africa, and Southeast Asia. One recent build onboarded 50+ clinics in 12 weeks and cut in-person visits by 60%. The team that scopes your platform in Week 1 is the team that ships it. RaftLabs has shipped production software since 2015 for clients across the US, UK, Europe, Canada, and the UAE.

This fits a practice that has outgrown off-the-shelf telehealth.

Everything on the left should already be true for your practice. Even one thing on the right, and a configured off-the-shelf tool is the smarter first step.

A fit

An established practice, general practice, specialist clinic, therapy group, or senior living provider, already running repeat virtual or in-person visits.

An existing EHR such as Epic, Cerner, Athenahealth, or Greenway Health that the platform needs to read from and write back to.

Budget for a fixed-price build, and a decision-maker who can define the clinical workflow.

Not a fit

A solo provider who just needs the occasional one-to-one video call an off-the-shelf tool already covers.

A standard scheduling-and-video need a configured white-label tool already handles well.

No budget yet, or clinical requirements still forming.

What we build

What you get with every telehealth build

HIPAA compliance built in

Encrypted storage, audit trails, and role-based access control are part of the base architecture, not an add-on. PHI is encrypted at rest with AES-256 and in transit with TLS 1.3, access control is enforced at the API layer so a front-end bypass cannot expose records, and every record access is written to an immutable audit log. BAAs are signed before development begins.

Healthcare domain experience

We have shipped telehealth platforms, remote patient monitoring apps, and patient portals for practices in the US, UK, and Ireland, so HIPAA safeguards, NHS DSP Toolkit requirements, and GDPR health data obligations are familiar ground. We know how a GP's follow-up booking differs from a specialist's referral queue, and those differences shape data models, not just UI. You are not paying for our learning curve.

Milestone-based pricing

Scope and price are locked before a line of code is written. You receive a fixed price at the end of Week 1 discovery, after we map your patient population, providers, systems, and compliance requirements. Payment is structured against working-software milestones: design sign-off, MVP feature complete, QA sign-off, production launch. The fixed price you receive in Week 1 is the number you pay.

8 weeks post-launch support

Eight weeks of post-launch support is included in every project, covering the period when real patient and provider load exposes issues staging cannot: concurrent booking edge cases, video degradation on poor networks, EHR sync failures. Critical bugs are resolved within 24 hours, and we monitor production error rates and latency with CloudWatch or Datadog so problems are caught by our alerts, not your patients.

Connects to your existing stack

HL7 FHIR R4 is our integration standard for EHR connectivity, with read/write integrations built against Epic, Cerner, Athenahealth, and Greenway Health, so patient demographics, appointments, and clinical notes sync bidirectionally where the EHR allows. Twilio Video or Daily.co handles sessions, Stripe handles payments and co-pay collection, and Twilio SMS and SendGrid handle reminders. Your existing tools stay in place.

Bi-weekly demos

Working software is demonstrated every two weeks, not slides or status meetings. Every sprint ends with a live demo in a staging environment that mirrors production, where you and your clinical team test the flows as a real provider and patient would. Problems surface when they are cheap to fix, and you see what you are paying for at every demo.

Built for how patients and providers actually use it

Every choice, from scaling to accessibility, is made around real clinical use.

Tech that grows with you

Telehealth platforms built on AWS with auto-scaling handle busy periods without manual provisioning. The application layer scales horizontally against session count, PostgreSQL with read replicas and connection pooling prevents exhaustion under load, and Twilio Video keeps sessions stable with automatic relay fallback. Multi-tenancy is designed in from the start.

Improved patient care

Software designed around clinical workflows fits clinical work better than generic SaaS patterns. We map your actual workflow in Week 1: how a GP books follow-ups, how a specialist handles referrals, how a chronic-disease nurse tracks RPM alert thresholds. That mapping drives the data model and the UX, so clinical staff recognize their workflow on screen instead of adapting to what the software expects.

Works on any device

Patient and provider interfaces are tested on iOS, Android, and desktop browsers in every sprint QA cycle, not at launch. Video sessions use WebRTC (Twilio Video or Daily.co) and run in-browser on all modern platforms, no plugin or download for occasional patients, while native iOS and Android apps are available where push notifications and offline care-plan access matter.

Compliance and security

HIPAA Technical Safeguards are part of the infrastructure, not patched on later: unique authentication for every user, automatic session timeout, and MFA for admin roles. TLS 1.3 is enforced on all API and video traffic, immutable audit logs record every PHI access stored separately, and penetration testing against OWASP Top 10 and the HIPAA Security Rule runs before launch.

Boosts efficiency

Manual scheduling, reminder calls, and follow-up coordination are the largest time sinks in telehealth operations, and the most automatable. Automated reminders via Twilio SMS and SendGrid email at 48, 24, and 2 hours before appointments cut no-shows, and cancellation and rescheduling policies enforce themselves, returning slots to availability without staff involvement.

Patient accessibility

The patients who benefit most from telehealth, those with mobility limits, chronic conditions, or low comfort with complex interfaces, are the most likely to abandon a poorly designed platform. We design for them: large touch targets, three taps from reminder link to live video session, and readable default typography, with multi-language and RTL support and WCAG 2.1 AA accessibility guidance applied to all patient-facing web interfaces as standard.

The technologies behind our telehealth apps

See the scope before you commit.

Walk us through your clinical workflow and what your current platform can't handle. The call is the intro; a costed scope follows within about two business days.

How it works

How we build your telehealth platform

Every telehealth project follows the same phases. Compliance is designed in from Week 1, not bolted on before launch.

  1. Phase 1
    01

    Discovery

    Discovery is a structured working session with your clinical and operational leads, not a questionnaire. We map your patient population and care pathways: what conditions are being managed, what appointment types exist (initial consultation, follow-up, group session, crisis check-in), what documentation is required post-session (session note, care plan update, prescription, referral). We map your existing systems: EHR vendor and version, billing system, practice management software, and any current video or messaging tools your providers are already using. We identify the compliance context: US HIPAA, UK NHS DSP Toolkit, GDPR, or state-specific telehealth regulations for interstate practice. By the end of Week 1, we have a scope document, a technical architecture outline, and a fixed price. You approve it before development begins. Nothing is built on an estimate.

  2. Phase 2
    02

    Design

    Every patient and provider flow is wireframed and prototyped before any code is written. Patient flows cover registration, booking, pre-appointment forms, session join, and follow-up scheduling. Provider flows cover the daily schedule, patient queue, session notes, prescriptions, and referrals. Each wireframe is reviewed with the clinician who will use it daily, not just the project sponsor. Design sign-off is a formal milestone: you approve the product before it is built, so there are no mid-sprint surprises.

  3. Phase 3
    03

    Build

    Two-week sprints, each with a clear goal and a working demo at the end. Sprint order puts the highest-risk integrations first: video infrastructure and authentication in Sprint 1, booking in Sprint 2, EHR FHIR integration in Sprint 3, then session notes, messaging, billing, and advanced features per your scope. Each demo runs in staging with anonymized test patient data. Engineers, QA, and your clinical reviewer attend every demo so feedback is immediate.

  4. Phase 4
    04

    QA

    QA runs in parallel with development, not as a phase after the build. Automated end-to-end tests with Playwright cover critical patient and provider journeys. Manual testing targets clinical edge cases: a patient joining 20 minutes early, a provider switching devices mid-session, an EHR sync failure mid-appointment. A HIPAA compliance review covers PHI access paths, encryption, and audit log completeness before anything ships. Penetration testing against OWASP Top 10 is completed before go-live.

  5. Phase 5
    05

    Launch

    Production deployment follows a defined runbook: infrastructure via Terraform, database migration with tested rollback scripts, and load testing with k6 at twice your expected peak before the first patient is onboarded. App Store and Google Play submission is handled if native apps are in scope, including healthcare category review preparation. For large practices we recommend a phased rollout: a pilot cohort first, 48 hours of monitoring, then full rollout. The 8-week support period begins at go-live.

  6. Phase 6
    06

    Iteration

    After launch, the platform improves on data from real clinical use, not assumptions. We monitor error rates, session completion, and booking abandonment, with structured provider check-ins at weeks 2, 4, and 8. The monitoring setup (CloudWatch or Datadog dashboards) is handed to your team with runbooks for the most common operational issues. Improvements found during the support period are prioritized and delivered in post-launch sprints. Ongoing feature development is available afterwards as a fixed monthly retainer.

What clients say

What our clients say

Three-year average engagement. Founders and operators describing the work in their own words. No marketing varnish.

Testimonial 1 of 3: Dr.J. Ayo Akinyele
"I was pleased with RaftLabs team's quality, consistency and execution."

Dr.J. Ayo Akinyele

President, Co-Founder, Yeletech Security Inc & Bolt

"RaftLabs elevated my ideas and brought them to life when everything seemed impossible."

Grady Lakshmono

CoFounder, Gula (acquired by Runchise)

"What distinguished RaftLabs from other providers was their fantastic ability to build real-time engagement-based products."

Georgina D.

CEO & Co-Founder, People Supported Technologies

Work with us

Tell us where the work is stuck.

Bring the rough workflow, half-built product, or messy brief. We will map the smallest useful first move, then send scope, timeline, and price in plain English.

  • Scope and cost agreed before work starts. No surprises. No obligation.
  • Working prototype within 3 weeks of kickoff.
  • Pay by milestone. You see progress before each invoice.
  • 60-day post-launch warranty. Bug fixes, UI tweaks, and deployment support. No retainer.
  • All conversations are NDA-protected.

Common questions

Telehealth apps reduce no-show rates, cut travel time for patients with mobility or location constraints, and lower per-visit operational costs for providers. For chronic disease management, remote monitoring through a telehealth platform can catch deterioration earlier than quarterly in-person appointments.

We build custom telehealth platforms, not white-label tools. That includes 1-on-1 and group video consultation systems, asynchronous messaging platforms for specialists, remote patient monitoring apps connected to CGM and BPM devices, and patient portals that connect to your existing EHR and billing system. We've shipped telehealth apps for general practitioners, therapists, senior living providers, and specialist clinics.

It depends on feature scope and EHR integration requirements. We map your exact requirements in the first week and lock scope and a fixed price before any code is written; the timeline comes out of that scoping, not before.

Yes. Every telehealth platform we build is custom-scoped to your clinical workflow, patient population, and compliance requirements. We map your provider types, scheduling logic, and existing tools in Week 1. Nothing is off-the-shelf.

Every build is custom-scoped to your clinical workflow, patient population, and compliance requirements. We map your exact requirements in the first week and lock scope and a fixed price before any code is written. Request a 30-min call to get a number for your specific project.

Compliance is the sum of safeguards maintained over time: encrypted video and storage, role-based access with multi-factor authentication, auto timeouts, audit trails, BAAs with every subprocessor including the video vendor, PHI-free notifications, and a tested breach plan. We do not certify HIPAA compliance; only your compliance team can assess that. We build the technical foundations that make it achievable.

Video: one-to-one with audio-only fallback, screen share, and reconnect. Defer multi-party, whiteboard, and recording. Every video vendor needs a signed BAA. E-prescribing in phases: non-controlled via a certified vendor in the MVP; controlled substances, with identity proofing, two-factor signing, and prescription monitoring checks, in a later phase. EHR vendor review queues and controlled-substance rules are the two timeline stretchers, so scope them in week one.

Active insurance does not automatically mean telehealth coverage. Verify telehealth benefit eligibility, covered service types, provider eligibility, state rules, and payer billing rules, down to CPT code, specialty, place of service, and modifiers. Run eligibility checks 48 hours before and again the morning of the visit.

Run the MVP split: waiting-room device test, consent and intake, secure messaging, copay collection, non-controlled e-prescribing, EHR read-demographics and write-signed-note belong in the MVP. Defer interpreter joining, AI scribe, order sets, real-time eligibility and claims. Check the compliance story: is every third-party integration carrying a BAA?

Yes. We sign a mutual NDA before any project discussion begins. For healthcare projects, we also sign a Business Associate Agreement (BAA) as required under HIPAA before any protected health information is shared. Both documents are standard for us and are provided at the start of discovery with no negotiation delay on our side.