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Healthcare · United States
Building the operating system for a 60-clinic primary-care network
Helm replaced three point solutions with a unified operating system across 60 clinics.
Client
Helm Health (placeholder)
Services
Custom Software, UI/UX Design, Cloud & DevOps
Duration
12 months
Year
2024
The challenge
Providers were toggling between three systems for scheduling, charting, and billing. Front-office staff manually reconciled schedules against the EMR every night. Patient no-shows exceeded 25%.
Our solution
A unified workspace: consolidated scheduling, structured charting, and billing that flows automatically once a visit is signed. Patient-side reminders, self-scheduling, and telehealth built in.
How we approached it
01
Clinician co-design
Two clinicians embedded with the design team for the first eight weeks — every screen validated against real patient encounters.
02
Bi-directional EMR sync
Kept legacy EMR authoritative for six months during transition; migrated cleanly once trust was earned.
03
Billing automation
Rules engine coded charges the moment a visit is signed, cutting the billing cycle in half.
Technologies
Next.jsNode.jsPostgreSQLTwilioStripe
Results
Outcomes measured against the goals we agreed to.
-52%
Billing cycle time
-38%
Patient no-shows
+21pts
Provider satisfaction
60
Clinics onboarded
“This is the first software our clinicians have actively defended in board meetings. That alone is worth the investment.”
Dr. Malik Reyes
Chief Medical Officer · Helm Health
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