Software for healthcare, built by people who run it.
The engineers behind eKlotho's IPA platform, EMR, care programs and laboratory solutions take on partner work: custom platforms, legacy EMR migrations, payer and device integrations, AI features and the infrastructure underneath.
What we take on
Each of these describes work we have done on our own products. Ask for the specifics and we will walk you through it.
Custom development
Web, mobile and back-office systems for clinics, IPAs, labs and care programs, built on the same foundation we run our own products on.
Access follows the real relationships between organizations, so a health plan, an IPA and a clinic can share one system and each see only their slice.
EMR & data migration
Move off a legacy EMR or practice-management system: patients, encounters, problems, medications, orders, results, documents and charge history carried into the new system.
We built this for Aprima, including family history, recall tasks and superbills, with counts reconciled at every stage and a written migration record you keep.
Integrations & interoperability
Payer connections — enrollment files, claims and remittance tracking, prior-authorization requests — e-prescribing with controlled-substance support, laboratory results, partner connections with per-organization credentials, and device readings that never double-count.
Standard clinical code sets (medications, lab tests, diagnoses, provider directory) are built in and kept current, so lookups are fast and dependable.
Infrastructure designed for HIPAA
Cloud hosting with encrypted connections, protected sign-in, document storage behind time-limited links, and an audit trail on the records that matter — signatures, controlled-substance prescribing, result verification.
Designed for HIPAA obligations under a BAA: we document the controls, hand over the operating procedures and keep what is running identical to what was approved, so drift is visible.
AI in clinical workflows
An ambient scribe that turns visit audio into a draft note, suggests diagnosis codes and maps them to HCC categories — every draft reviewed and signed by the clinician, nothing filed automatically.
AI reading of faxed requisitions and scanned documents, with every extracted field confirmed by a person. AI features are optional: without them the product still works, it just does less.
Advisory & fractional CTO
Product strategy, vendor evaluation, security review and a phased roadmap for organizations without an in-house engineering lead.
We write the spec, run the reviews and sit in the vendor calls, then either build it or hand a buildable plan to whoever does.
Discover. Design. Build. Operate.
The same process we use for our own releases, with you as the approver at each phase boundary.
Discover
We map the workflows, the data you already hold and the obligations you carry — payer contracts, delegation scopes, BAA terms — before anything is designed.
Design
A written spec with acceptance criteria, and a phased plan that says what each phase delivers and how it will be checked.
Build
Every feature is checked against its acceptance criteria before it is shown, with a weekly demo on realistic sample data. You accept each phase before the next starts.
Operate
Launch, monitor, support and iterate. Operating procedures and user guides ship with the software, not after it.
Deliverables, not just a launch
Every engagement leaves the artifacts your team needs to run and extend the system without us.
Written specification
Scope, data model, acceptance criteria and the phase plan — the document the build is measured against.
Automated checks
Every feature carries its own checks, run on every change and handed over with the system.
Weekly demos
Working software on sample data every week, with a self-check report of what passed and what did not.
Operating procedures
Launch, rollback, backup, migration and incident procedures for the people who will operate the system.
User guides
Per-feature guides — overview, quick start, how-to, edge cases, FAQ — surfaced inside the product.
Questions buyers ask first
Are you HIPAA certified?
There is no government HIPAA certification, and we do not claim one. We design and operate systems for HIPAA obligations under a Business Associate Agreement: access control, encryption, audit logs, documented controls and operating procedures you can show an auditor.
Do we have to use your products to work with you?
No. Engagements stand on their own. If the work touches a chart, claims or a care program, our services can be part of the answer, but many engagements are migrations, integrations or infrastructure for systems we did not build.
Who owns the code and the data?
You do. Work is delivered into an account you control, with the spec, checks, operating procedures and guides. Migrated data is reconciled and documented so you can verify it without us.
How do you handle a migration from a legacy EMR?
Extract from the old system, translate into the new one with every rule written down, load in stages with counts reconciled at each one, then keep carrying over new records so the clinic keeps working until cut-over.
What does an engagement cost and how long does it take?
It depends on scope, so we do not publish a rate card. Discovery produces a phased plan with a cost and timeline per phase, and you can stop at any phase boundary.