Teletherapy Platform Development

Platforms that clinicians and clients both keep using

The gap in most teletherapy platform builds is not the video call, it's everything around it: the structured intake that surfaces the right clinical context, the automated outcome measure scoring that tracks whether treatment is working, the cancellation workflow that recovers missed revenue, and the billing integration that gets the claim submitted correctly the first time. We build around the clinical workflow, with compliance and architecture built in from the start.

  • HIPAA-aware video sessions with encrypted media, audit logging, and signed BAAs with every infrastructure provider

  • Automated outcome measure administration, PHQ-9, GAD-7, PCL-5, with session-over-session score tracking and progress charts

  • Group therapy support for up to 12 participants with individual consent capture per participant

  • Asynchronous secure messaging, scheduling with cancellation and no-show management, and billing integration

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See our work

The problem

Sound familiar?

  • Using a generic video tool for teletherapy sessions but hitting HIPAA documentation gaps and missing structured clinical workflow support?

  • Tracking patient progress manually because the platform has no PHQ-9, GAD-7, or PCL-5 outcome measure integration?

Short answer

RaftLabs builds teletherapy platforms for behavioral health practices, digital mental health companies, and employee assistance program providers. We develop HIPAA-aware video consultation infrastructure, automated PHQ-9 and GAD-7 outcome measure scoring, group therapy sessions, asynchronous secure messaging, scheduling with cancellation management, and billing integration. Most teletherapy platform builds deliver in 12-16 weeks at a fixed cost.

Key takeaways

  • PHQ-9 item 9 (thoughts of self-harm) triggers an internal alert workflow the moment the response is above zero, a clinical risk management requirement, not just a UX detail.
  • Group therapy requires per-participant consent captured separately for every session, held in the waiting room until confirmed, distinct from individual-session consent models.
  • Billing integration maps behavioral-health-specific CPT codes (90837, 90834, 90853) and telehealth modifiers automatically based on session type and duration.
  • A focused MVP (video, scheduling, messaging, PHQ-9/GAD-7) runs $50,000-$90,000; group therapy and billing integration bring a full platform to $90,000-$160,000.

Trusted by

Vodafone logo
Aldi logo
Nike logo
Microsoft logo
Heineken logo
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Teletherapy platform delivery, by the numbers

week delivery
12-16
aware architecture
HIPAA
cost delivery
Fixed
products shipped
100+

Platforms that clinicians and clients both keep using

We build around the clinical workflow, not the other way around, compliance and architecture are constraints built in from the start, not retrofitted after the platform is already live.

Capabilities

What we build

  • 01
    HIPAA-compliant video sessions

    WebRTC with simulcast/SFU architecture degrades gracefully on constrained connections, with opt-in session recording requiring explicit timestamped consent before it begins.

    Built with
    Twilio · Daily.co
  • 02
    Outcome measure administration

    PHQ-9, GAD-7, and PCL-5 score automatically on submission as FHIR Observation resources, with severe-range or item-9 responses triggering an immediate provider alert.

  • 03
    Group therapy sessions

    Individual per-participant consent gates entry to the waiting room, with group-level and per-client notes enforced as separate records at the storage level, not just the UI.

  • 04
    Asynchronous secure messaging

    Encrypted between-session messaging with crisis-response routing that escalates flagged content to the on-call clinician and logs the event.

  • 05
    Scheduling and cancellation management

    Configurable cancellation and no-show policy enforcement, waitlist auto-invitation on cancellation, and recurring appointment series generated at booking.

  • 06
    Billing and insurance integration

    Automatic CPT code and telehealth modifier mapping, real-time eligibility verification at booking, and CMS-1500 compatible claim generation from the session note.

    Built with
    Availity · SimplePractice

How we work

From scope to live teletherapy platform

  1. Week 1
    01

    Clinical model and patient population scoping

    We map your clinical model, patient population, and where your current platform falls short. You leave week 1 with a written scope document and a fixed-price quote.

  2. Weeks 2-4
    02

    Outcome measure and billing design

    Outcome measure branching logic and billing code mapping designed against your actual practice model.

  3. Weeks 5-11
    03

    Build and integrate

    Video, outcome measures, and billing integration built in parallel, tested against real session scenarios.

  4. Final 2-3 weeks
    04

    Launch and clinical team training

    Clinicians trained on the outcome tracking and billing workflow before full rollout.

Why us

Why behavioral health practices choose RaftLabs

  • 01
    Senior engineers build what they scope

    The engineers who assess your clinical model also build the solution. No bait-and-switch, no offshore handoff after the contract is signed.

  • 02
    Fixed price before development starts

    We scope the work, calculate the cost, and lock it in writing before any development starts.

  • 03
    9 years and 100+ products shipped

    Clients include Vodafone, T-Mobile, Aldi, Nike, Cisco, and Lockheed Martin. Track record building HIPAA-compliant clinical platforms.

  • 04
    Built for behavioral health billing specifically

    Not generic E&M codes retrofitted for therapy sessions.

  • 05
    Risk alerts built into the clinical workflow

    Item-9 and severe-range outcome scores escalate automatically, not left for manual chart review.

Have a teletherapy project?

Tell us your clinical model, patient population, and where your current platform falls short. We will scope the build.

Talk about your teletherapy project

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Teletherapy Platform Development, scoped in one call.

Tell us what's broken. Within one business day you get a straight take on cost, timeline, and the right first step. No deck, no pressure.

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Frequently asked questions

Outcome measure administration (PHQ-9, GAD-7) is a core clinical function meeting payer documentation requirements, not an optional extra. Group therapy requires a consent model per participant per session. Billing codes are specific to behavioral health (90837, 90834, 90853 with telehealth modifiers) rather than the E&M codes most telemedicine platforms are built around.

Yes. Session dates, diagnoses, treatment notes, and outcome scores are all PHI. Requirements include AES-256 at rest, TLS 1.3 in transit, DTLS-SRTP for video media, role-based access control, and audit logs retained 6+ years, with BAAs for every third-party service touching PHI.

Yes, as structured digital forms with automated scoring on submission. PHQ-9 item 9 triggers an internal alert workflow when above zero. Scores store as FHIR R4 Observation resources, with session-over-session trend charts in the provider dashboard.

A focused MVP covering HIPAA-compliant video, scheduling, secure messaging, and PHQ-9/GAD-7 administration typically runs $50,000-$90,000 and delivers in 12-16 weeks. Adding group therapy, billing integration, and waitlist management brings the total to $90,000-$160,000.

Work with us

Tell us what you need. We'll tell you what it would take.

We scope Teletherapy Platform Development in 30 minutes. You walk away with a clear cost, timeline, and approach. No commitment required.

  • 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.

Go deeper

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