We build against the systems you already run.

Yes, before any access is granted rather than after the first sprint. It covers permitted uses, safeguards, incident reporting, what happens to data when the engagement ends, and any subcontractor we use. If we bring in a specialist, the agreement flows down to them.

It lives in your systems. We build against your charting system, your clearinghouse and your cloud accounts, and we do not copy PHI into infrastructure we own. Where a system genuinely has to hold data, it is your cloud account, your encryption keys and your audit log.

Engineers work under named accounts with multi-factor authentication and least-privilege access, and access is reviewed when someone joins or leaves the engagement.

The list on this page is the surface we work against. Where a vendor publishes a modern API we use it. Where they do not, the honest answer is that the integration runs on HL7 v2 messages, a scheduled export or a supported interface engine, and it takes longer to build and more care to keep running.

Ask us on the first call and we will tell you which of those three your system is, before you have committed to anything.

There are three rules, and we do not bend them. Nothing goes to a model provider without a signed agreement covering it. Nothing a model produces reaches a patient record or a payer without a person approving it. Every generation is logged with its input, its output and the person who approved it, so an audit can be answered with evidence rather than assurances.

We will also tell you when a task does not need AI. A rules engine that is right every time beats a model that is right most of the time, and it is cheaper to run.

We integrate them, we do not sell our own. That means helping you choose between the ambient vendors, wiring the output into your chart so the note lands in the right place, making sure the clinician signs it rather than a system filing it silently, and measuring the error rate against a labelled sample before it goes anywhere near a live clinic.

There are two honest caveats. Ambient tools are good at a straightforward single-clinician visit and weaker on multi-speaker visits, complex specialties and anything where the note is only half the job. If what you need is a person who also handles orders, referrals and the inbox in the same hour, that is a human scribe, which is a sister company rather than a piece of software. We will point you there instead of selling you a tool that does not fit.

We almost certainly will not, and the reason is security rather than capability. A bespoke portal means a second copy of patient data, in a second system, with a second attack surface, a second patching schedule and a second thing to explain at audit. Most of the time it exists to save patients a login.

Your EMR already holds that data and already carries the burden of protecting it. We would rather build inside its portal, extend what it can do, and put the work where the risk already lives. If your EMR genuinely cannot do what you need, we will tell you that and scope it properly, with the risk written down rather than glossed over.

We often can, and it is a large part of what we do. It starts with a fixed-cost review: we read the code, the infrastructure and the deployment process, and give you a written assessment of what is sound, what is fragile and what would have to be replaced.

Sometimes that assessment says rebuild. We will show you the reasoning rather than asserting it, because a firm that recommends a rebuild on every inherited system is selling, not assessing.

The healthcare work is built around United States practices, payers and standards, so that is where we are useful. The Medical Operations works from Dubai and the United States, and every company in the division serves United States practices.