Telemedicine App Development

Telemedicine App Development for Practices and Health-Tech Teams.

We build telemedicine and telehealth software: video visits, scheduling, intake, payments and visit notes, connected to your EHR. Houston-based, working with healthcare organizations across the US, with a BAA signed before we handle PHI.

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Overview

What a telemedicine app is made of.

A video call is the easy part. Patients need to find a time, fill out intake, pay, join from a phone without installing anything confusing, and trust that the visit is private. Clinicians need the visit, the chart and the note in one place. A telemedicine app is the set of those pieces working together, which is why a "video visit" project is really a healthcare software project. It is the same discipline we describe on our healthcare software development page, applied to a visit workflow.

This page is for practice owners, medical groups and health-tech founders deciding whether to build, buy or white-label, and who want a team that is clear about what HIPAA does and does not require.

Features

Telemedicine features we build.

Video visits

One-to-one and group visits in the browser or an app, with a waiting room, a clinician start flow and a graceful fallback when bandwidth drops, such as switching to audio.

Scheduling

Availability by provider and location, time zone handling, reminders by text or email without PHI in the message, rescheduling and no-show rules.

Intake and consent

Forms, insurance details, identity checks and consent to treatment captured before the visit and filed to the right chart.

E-prescribing integration points

Prescribing is regulated and almost always done through a certified e-prescribing service or the EHR. We build the handoff, the context passed and the confirmation shown, rather than inventing a prescribing engine.

Payments

Copays, self-pay visits and package pricing through a payment processor, with receipts that do not expose clinical details.

Visit notes

Structured notes written during or after the visit, signed by the clinician and written back to the EHR. We can add dictation-based drafting that the clinician reviews and signs.

Patient and clinician apps

iOS, Android and web experiences designed for each role. See our mobile app development service for the app side.

Admin and reporting

User management, visit logs, audit trails and the reports your office manager actually uses.

Compliance

HIPAA issues that are specific to video.

Everything on our hub page about the Security Rule applies here: access control, audit controls, integrity, authentication and transmission security, all published in 45 CFR 164.312 at the Electronic Code of Federal Regulations (read 2026-11-01). Video adds a few specific questions:

A BAA with the video provider. If a vendor carries or can access the video, audio or chat of a clinical visit, it is a business associate and the contract rules in 45 CFR 164.308(b) and 164.314 apply. The BAA must cover the product you actually use. Cloud platforms publish this; for example, Google says its BAA covers a listed set of Google Cloud products (Google Cloud HIPAA, read 2026-11-01), and AWS says PHI should only be processed in the HIPAA-eligible services named in its BAA (AWS HIPAA, read 2026-11-01).
Recording and storage. Decide whether visits are recorded at all. If they are, the recordings are ePHI: they need access control, audit logging, encryption and a retention rule. If they are not, make sure the video service is not recording by default.
Identity and access. The rule requires that the system verify a person is who they claim to be. For video, that means signed-in clinicians, single-use visit links for patients, and no way for a stranger to guess a room URL.
Notifications. Text and email reminders should not include diagnoses, visit reasons or clinician specialties that reveal a condition. Keep them to a time and a link.
Analytics and tracking. Marketing pixels and analytics scripts do not belong on visit, intake or portal pages. We keep tracking off those pages. Marketing sites are a different job; see our medical SEO and medical website design pages.

HHS publishes guidance on telehealth and HIPAA at hhs.gov; ask your compliance advisor which flexibilities currently apply. Also remember that there is no HIPAA certification, only compliance, as the Azure HIPAA page makes plain (Microsoft Azure HIPAA, read 2026-11-01), so a vendor claiming a "HIPAA certified video API" deserves questions.

We sign a BAA before handling PHI. Signing a BAA with a host or video vendor supports compliance but does not make an application compliant by itself.

Build or buy

Build custom or use a white-label telemedicine platform.

There is no universal answer, and we will not push custom work you do not need. A simple way to decide:

White-label fits when you need standard video visits under your own brand, quickly, and your workflow looks like most practices. You trade control and per-visit fees for speed.
Custom fits when your visit flow is what differentiates you, when you need deep EHR integration, when you have unusual roles (for example care teams and family members on one visit), or when you expect volume at which platform fees outgrow the cost of owning your software.
A hybrid is often best: a white-label or third-party video component inside a custom patient experience and workflow. We can build the app and integrate the video service, with its BAA, behind it.

Whichever you choose, ask for the BAA and the list of covered services in writing before you commit.

Process

How we build a telemedicine app.

1
Discovery
Who the patients and clinicians are, the visit types, the EHR and the vendors involved. We list every vendor that will need a BAA.
2
Scope and fixed estimate
A written first version: which visit types, which platforms, which integrations. A fixed estimate follows.
3
Design
Patient and clinician flows designed and tested with real users, including the join-the-visit experience on a phone.
4
Build in short iterations
Working software every two weeks. Test data is synthetic.
5
Security review and pilot
We check the build against the Security Rule safeguards and run a pilot with a small group of clinicians before launch.
6
Launch and support
Store submission if you need an app, monitoring, and support after launch.

Cost depends on integrations, platforms and how much of the workflow you want in version one; see the cost section on the healthcare software development page. A fuller breakdown is in what healthcare app development costs.

Healthcare software and app development, the hub for everything we build in healthcare.
EHR integration services for connecting visits and notes to the chart.
Mobile app development for the patient and clinician apps.
HIPAA-compliant hosting, where the visit data will live.

Frequently asked questions.

How much does it cost to build a telemedicine app?

It depends on what surrounds the video call. The call itself is the smaller part; scheduling, intake, payments, notes, EHR connections and the patient and clinician apps are where cost comes from. We do not publish a telemedicine price. Our starting prices (web applications from $1,000, mobile apps from $10,000) are on our pricing page, and we give a fixed estimate after a discovery call.

Do we need a BAA with the video provider?

Yes, whenever the video service could carry protected health information, which a clinical visit will. HIPAA's Security Rule requires satisfactory assurances, through a business associate contract, from any business associate that creates, receives, maintains or transmits ePHI for you (45 CFR 164.308(b) and 164.314). Check that the BAA covers the specific video product you will use, not only the company's other products.

Should we build a custom telemedicine app or use a white-label platform?

White-label is faster and cheaper to start when your needs are standard: video, scheduling and payment, under your brand. Custom makes sense when the visit workflow is the product, when you need specific EHR integration, or when per-visit platform fees would exceed the cost of owning the software. We will tell you if a white-label product fits and we are happy to build the integration around it.

Can the app work with our EHR?

Usually, through FHIR APIs, SMART on FHIR launch or an HL7 v2 interface, depending on what your EHR vendor offers. See our EHR integration services page for what that involves.

Does the app need to be on the App Store and Google Play?

Not always. A browser-based visit link that a patient opens from a text message avoids a download and works for many practices. A native app makes sense for repeat patients and for notifications. We handle store submission for both stores when you need an app.

Who owns the code?

You do. You own the code and intellectual property for what we build for you, and we help you move it to another team or provider if you choose.

Planning a telemedicine app?.

Tell us the visit types, the EHR and whether you are leaning custom or white-label. We will give you a straight view of what to build first and what to buy.

Start with a free discovery call

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Still have questions?.

We're ready to answer your questions and jump start your project