We build telemedicine and telehealth apps for US clinics and digital health startups: booking, intake, video visits, messages and payment, on video and hosting vendors that sign a business associate agreement, and we sign one with you whenever our team handles patient data. We do not build EHR integrations.
Telemedicine app development is building the software a patient and a clinician use for a visit at a distance: booking, intake, a video or audio visit, messages and payment, plus the staff screens behind them. We build that layer for US clinics and digital health startups, as a web app, as iOS and Android apps or both, and we leave the clinical record in the EHR you already run.
Buyers use telemedicine and telehealth for the same product, and this page treats them as one service. Where a difference is drawn, telehealth is the wider word, taking in patient education and admin as well as the visit itself. To add developers to your own team rather than commission a build, see telehealth app developers for hire.
Most telemedicine products combine two or three of the kinds below. Choosing them first decides the screens, the vendors and the rules that apply, so our discovery starts here rather than at a feature list.
| Kind of care | How it works | Suits | What the build needs |
|---|---|---|---|
| Scheduled video visits | The patient books a slot and joins from a link; the clinician joins from a day view | Therapy, follow-ups, specialist consults | Calendars per clinician and state, a waiting room, a video provider, reminders |
| On-demand visits | The patient joins a queue and the next free clinician licensed in their state takes the visit | Urgent care, after-hours lines | A live queue, routing by licence, a wait time shown to the patient, a staffing view |
| Asynchronous review | The patient sends answers, photos or files; a clinician reviews them later and replies | Skin checks, refill requests, simple consults | Structured questionnaires, secure uploads, a review queue, reply templates |
| Remote monitoring | Readings from devices the patient already uses appear on a care team dashboard | Chronic conditions, programs after discharge | The device vendor's data feed, thresholds and alerts, a patient app; never the device firmware |
Mixing them is normal: a therapy practice may run scheduled visits with messages between them, while an urgent care line runs an on-demand queue and sends follow-ups by asynchronous review. Each extra kind adds its own flows for the patient and the clinician, which is why the cost section prices by scope rather than by screen count.
A telemedicine app has two audiences who never see the same screen, plus the front desk behind them. We design and test each side on its own; the lists below are the features we scope for a first version and the ones that usually follow.
We have no published telemedicine client case yet, so this section says that first. What we can show is a healthcare platform for clinic staff, two client apps built from the same parts a telemedicine app needs, and systems we run for our own business.
We built all of Planivo, its signed-in app and its website. Clinics and hospitals plan monthly shift rosters in it, send vacation requests through three levels of approval that check for two staff of the same speciality away together, and track tasks, training sessions with attendance, certification expiry reminders, duty display screens and an audit history, across six roles.
It is software for clinic staff, not a telemedicine app. The client has given permission for us to show it as our work, and no results figure exists for it.
We built the athlete and trainer mobile apps for AirTrainr in React Native and Expo, backed by Supabase. Athletes find trainers and book sessions, trainers run a schedule and send offers, and both sides share chat and notifications. A patient booking a clinician has the same shape.
For SpeedyPrint, a South African web-to-print store, we built PayFast checkout with its payment webhooks, transactional email, an order status history and an admin panel with three roles, on Next.js 15, React, TypeScript and Supabase. Visit payments and staff roles use the same parts.
Our booking page gives a calendar invite file for every call booked, and the live chat on this site answers through an AI copilot in our ERP, with a person on our team able to take over any thread. Both are ours, not client work.
Clients rate our work 5.0 on Clutch from 66 verified reviews (checked 13 October 2026). The wider healthcare picture, from patient portals to wellness apps, is on our healthcare software development page.
During the pandemic, HHS's Office for Civil Rights chose not to penalize providers for good faith telehealth on everyday video apps. That discretion expired with the public health emergency on May 11, 2023, and the transition period for telehealth ended on August 9, 2023, per OCR's notice in the Federal Register.
A telemedicine app touches patient data in more places than the video stream. These are the six we map in discovery, each with the vendor that holds the data and whether that vendor signs a business associate agreement (BAA).
Our side of the paperwork does not change from build to build. If our engineers will handle protected health information for you at any point, Digital Heroes signs a BAA with you. Healthcare builds run under the cloud provider's own BAA, on AWS, Microsoft Azure or Google Cloud. And an independent firm, not our own team, has reviewed our HIPAA practices.
The five technical safeguards of the Security Rule, from access control to transmission security, are mapped to the controls we build on our healthcare safeguards list.
| Option | What the vendor's page says | Fits | Watch for |
|---|---|---|---|
| Amazon Chime SDK | Listed on AWS's HIPAA eligible services reference, last updated 15 October 2026 | Builds hosted on AWS that want the video inside their own app | It is a toolkit: the call screens are built on top of it |
| Twilio Programmable Video | On Twilio's HIPAA eligible list, last updated 30 June 2026; Twilio's HIPAA page says its BAA needs the Security or Enterprise Edition | Apps that also send text reminders through Twilio | Price the edition that carries the BAA, not the base plan |
| Doxy.me | A telehealth platform with a free plan and a free BAA; patients join from one link with no download and no login | A clinic that wants video visits now, without a custom app | The waiting room and the patient journey are Doxy.me's, not yours |
These are examples, not a ranking. The written scope names one video vendor with its BAA terms, chosen for where the app is hosted and how many visits it will carry.
Four sets of rules change what a telemedicine app records and when it says no. None of them is cheap to add after launch, so each one is written into the scope. This is a summary for planning, not legal advice; your counsel settles how each applies to your service.
A telehealth service is treated as delivered where the patient is, so a provider typically needs a licence in the patient's state, as the Center for Connected Health Policy summarizes state law. So the app asks where the patient is at booking, offers only clinicians licensed there, and stores both facts on the visit.
Compacts shorten the paperwork without removing it. The Interstate Medical Licensure Compact offers qualified physicians a voluntary, faster path to licences in several states, and its map showed 39 states, DC and Guam processing applications as a state of principal license on 17 October 2026.
Through December 31, 2027, Medicare patients can receive telehealth anywhere in the United States, and audio-only visits at home are covered until the same date, according to the CMS telehealth FAQ updated in October 2026. From January 1, 2028, outside behavioral health, patients will generally need to be in a medical facility in a rural area.
A build that serves Medicare patients therefore stores, for every visit, where the patient was and whether it ran on video or on audio alone. Claims use place of service 02 or 10 for telehealth, the same FAQ says, and the billing team needs those facts from the visit record, not from anyone's memory.
Prescribing controlled medications by telemedicine without a prior in-person visit rests on temporary DEA and HHS flexibilities, now in a fourth extension that runs through December 31, 2026. A service in that position should be able to add an in-person step to its booking flow without a rebuild.
A wellness or direct-to-consumer health app that is not run by a covered provider may be covered by the FTC's Health Breach Notification Rule instead. On iPhones, Apple's App Review guideline 5.1.3 limits how health data may be used and shared, and where it may be stored.
Start with independent figures. A 2022 paper in JMIR Formative Research cites a developer price guide that puts a health app with few features at US$70,000 to $100,000, built over three to six months. Hiring by the hour instead, a 2023 guide in BMC Medicine lists app development consultants at $100 to $250 an hour.
Our own custom software ranges apply here: $40,000 to $150,000 for a focused first version, and $250,000 to $500,000 or more for complex enterprise platforms. Once the two-week discovery sprint is done, an MVP build usually runs 8 to 12 weeks and a production platform 16 to 28 weeks.
| Scope | What is in it | Price | Build time |
|---|---|---|---|
| Focused first version | One visit type for one service line: booking, intake, video visit, payment, reminders and a staff dashboard, usually on the web first | $40,000 to $150,000 | 8 to 12 weeks |
| Production platform | Several visit types and clinicians across states, iOS and Android apps, messages between visits, admin reports | Fixed after discovery | 16 to 28 weeks |
| Complex enterprise platform | Many locations and roles, on-demand queues, monitoring dashboards and several vendors, each under its BAA | $250,000 to $500,000 or more | Set in the written scope |
After launch you pay for hosting, video minutes, text messages and any vendor edition that carries a BAA, plus upkeep, which GoodFirms' 2026 survey puts at 10 to 20 percent of what the build cost, every year.
For a planning figure on your own feature list, our mobile app cost calculator has a line for HIPAA health data, and the MVP cost calculator prices a first release. A first call ends in a scoped quote, which turns either range into a number.
Not every clinic needs a custom app. A ready-made platform can have video visits running this week, and practice software such as SimplePractice markets HIPAA compliant telehealth of its own. Custom pays when the visit is the product you sell, when care runs across states and visit types a packaged tool does not model, or when you need to own the data and the patient journey.
| Route | What you get | Fits when | The trade |
|---|---|---|---|
| Ready-made telehealth platform | Video visits with a waiting room, under the vendor's BAA | One clinic, scheduled visits, a standard flow | Branding, journey and data model are the vendor's |
| Telehealth inside your practice software | Video tied to the scheduling and billing you already use | Your workflow already matches the product | You get the features it has, on its roadmap |
| Custom app on a video API | Your own booking, intake, waiting room and reports, with video from a vendor's toolkit under its BAA | The service is your product, or spans states, visit types and payers | You fund the build, hosting and upkeep |
| Your own video infrastructure | Media servers and call handling you run yourself | Rarely; very high volume or a research need | Months spent on a problem video vendors already solve; we advise clinics against it |
If none of these is true, stay on the packaged tool. Discovery with us can end in exactly that advice, with the product named, and you keep the written requirements either way.
Leaving a packaged tool later is a migration as well as a build. Ask the vendor for a sample export early, and make moving the booking and intake history a line in the scope with its own check, so the front desk never loses a patient's past visits on launch day.
The order is the same as any custom build we run; what changes in telemedicine is what each step has to settle before the next one starts.
You do. Under our MSA, everything made for your project alone, from code to designs and assets, passes to you on full payment. Repositories and cloud accounts are opened in your name and billed to you from the first sprint. Our engineers join them as collaborators you can remove, and at handover the next team gets architecture notes, runbooks and a walkthrough.
Architecture is decided on every build by our CTO, Divyansh Singh, and that includes what to buy instead of build, such as the video. Navya S. runs project management on our healthcare builds: sprint planning, scope and client communication from kickoff to launch.
Our headquarters is in New York, and the team there answers the same business day, 9 AM to 6 PM Eastern. Engineers work from Delhi and Lucknow, on hours that overlap the New York day. Our terms, entities and the first 30 days of an engagement are set out on our custom software development company page.
Put these to every firm on your shortlist, us included, then lay the answers next to each other. A team that has thought hard about virtual care answers each one in a sentence. The paperwork and vendor checks around them are on our page on choosing a healthcare software company.
Pick the first visit you will offer, such as a scheduled video follow-up for one specialty. Decide which states you serve and which vendors will hold patient data, and get each one's BAA. Then design the patient and clinician flows separately, put sign-in, permissions and the audit log in place before any feature, run test visits with your own clinicians, and launch one service line before adding more.
With us, a focused first version typically costs $40,000 to $150,000, and complex enterprise platforms $250,000 to $500,000 or more. The kinds of care, the number of roles, store apps against a web app and the states you serve move it most. Hosting, video minutes, text messages and BAA plan editions come on top; the cost section has the detail.
For a health app with few features, the developer price guide cited in a 2022 JMIR Formative Research paper gives US$70,000 to $100,000 over three to six months. Apps that store protected health information cost more, because of the risk analysis, the safeguards and a BAA with every vendor that holds the data. Our mobile app cost calculator has a line for HIPAA health data.
Firms price by the project or by the hour. A 2023 guide in BMC Medicine lists app development consultants at $100 to $250 an hour, while GoodFirms' 2026 survey finds $20 to $50 an hour the most common band, quoted most often by teams in South and Southeast Asia, Latin America and Eastern Europe. Compare quotes against the same written brief, not on the rate alone.
It can be, but the software rarely decides it. Revenue rests on who pays: under current law Medicare covers telehealth for most services anywhere in the US only through December 31, 2027, private payers set their own rules, and cash-pay services compete on price. Model the payer mix and the cost of each visit before the build, and keep the first version small enough to change.
Not to launch. A telemedicine app can keep its own bookings, intake answers and visit records while clinicians chart in the EHR beside the visit. We do not build EHR integrations: if records must flow into the chart by themselves through FHIR or HL7, that is work for your EHR vendor or an integration specialist, and we say so on the first call.
Yes. Video visits can run in the browser from a link, which is how Doxy.me works, with no download and no patient login. A custom build can do the same on the web first and add store apps later, for patients who come back often or want reminders on their phone.
Yes, through December 31, 2027. Until then Medicare patients can receive telehealth anywhere in the United States, audio-only visits at home included, per the CMS telehealth FAQ updated in October 2026. From January 1, 2028, most services outside behavioral health will generally need the patient in a medical facility in a rural area, so plan the product around that date.
You do, once the final invoice is paid: under our MSA, the code, designs and assets made for your project pass to you. Repositories and cloud accounts are yours from the first sprint, and the handover pack carries architecture notes, runbooks and a walkthrough for whoever runs it next.
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Book a 30-minute call and bring three facts: the visit, the states you serve and who pays for it. Within 48 hours you get a written scope and quote, with every BAA the build needs named in it.
115 people across five studios in New York, Delhi, London, Sydney and Lucknow, shipping ecommerce, web, software and mobile work for founder-led brands. Senior engineers only, no account-manager relay, and the same team from kickoff to launch.
Chief Technology Officer · Lucknow · 50 posts on the site
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