Bolt Group
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    HEALTHCARE · WebRTC · HIPAA · EHR

    Virtual care that disappears

    HIPAA-compliant telehealth for 100,000+ patients.

    REGIONAL HEALTHCARE PROVIDER · 50 CLINICS // 18 WEEKS // BOLT GROUP

    100k+Patients on platform
    Built with
    WebRTC
    Next.js
    React Native
    Node.js
    PostgreSQL
    HL7 FHIR
    Twilio
    AWS
    The situation

    A provider running 50 clinics and 200 physicians was stuck on phone-only triage. Three-week appointment waits were sending patients to urgent care and competitors. Any virtual care solution had to clear HIPAA, SOC 2, and state-level privacy — and integrate cleanly with Epic and Cerner — without adding friction to the clinical workflow.

    Why it mattered
    3+ weeksAverage appointment wait
    PhoneNo video or async care
    HIPAASOC 2 + state-level compliance
    EHRIntegration with Epic and Cerner
    client
    Regional Healthcare Provider · 50 clinics
    duration
    18 weeks
    services
    Product Engineering, Cloud, Security
    sector
    Healthcare
    The approach

    Four moves, built to compound.

    1. 01

      WebRTC video engine

      Custom consultation engine with adaptive bitrate, screen sharing, and recording — optimized for low-bandwidth connections.

    2. 02

      AI triage

      NLP-driven symptom checker routes patients through pre-consultation intake to the right specialist with the right context.

    3. 03

      EHR integration

      HL7 FHIR-compliant connections to Epic and Cerner. Patient data, scheduling, and clinical notes flow seamlessly in both directions.

    4. 04

      E-prescription

      HIPAA-compliant e-prescriptions with interaction checks, pharmacy routing, and automated refill management.

    Delivery discipline
    • Principal-ledSenior engineers and architects on the keyboard from week one. No staffing pyramid, no handoffs to juniors mid-engagement.
    • Production-firstEvery artefact ships behind a load balancer. We measure success in throughput, latency, and uptime — not slides.
    • Outcome-boundScope, milestones, and acceptance criteria locked at kickoff. We commit to the metric that moves your P&L.
    Technology
    1. 01WebRTC
    2. 02Next.js
    3. 03React Native
    4. 04Node.js
    5. 05PostgreSQL
    6. 06HL7 FHIR
    7. 07Twilio
    8. 08AWS
    18 WEEKS · PRODUCT ENGINEERING · CLOUD · SECURITY · SHIPPED
    The outcome

    What shipped. In production.

    0k+
    Patients served
    Active platform users
    0%
    Virtual visits
    Of total consultations
    0%
    Wait cut
    Weeks → days
    4.8/5
    Patient rating
    Virtual visit satisfaction
    HIPAA
    Fully compliant
    SOC 2 + state regulations
    18wk
    Delivery
    End-to-end platform
    The insight
    "Telehealth doesn't win on video quality. It wins on invisibility — the moment EHR integration becomes seamless, physicians stop noticing the tool and start using it."
    BOLT GROUP // PARTNER'S NOTE // BOLT GROUP // PARTNER'S NOTE // HEALTHCARE
    How we engage

    Three shapes. One delivery standard.

    A / Fixed-scope build

    Defined outcome. Fixed price.

    We scope, build, and ship a discrete production system end-to-end. Best when the brief is sharp and the deadline is real.

    B / Retained capacity

    Embedded pod. Monthly cadence.

    A senior pod plugs into your team for a multi-quarter horizon. Roadmap evolves; the engineers stay constant.

    C / Advisory & audit

    Senior eyes. Surgical scope.

    Architecture review, model audit, or technical due diligence. Days to weeks. Written recommendations, not slideware.

    Start the conversation

    Let's build what's next.

    No SDR queue. No discovery deck. Pick a slot or send a note — Dean replies within four business hours.

    01 — SynchronousBook a 30-min callcalendly.com/d/cymx-83d-tym
    02 — Asynchronousdean@boltgroup.io