Clinical operations console

A regional clinic group ran scheduling, referrals, and prior authorization across four vendor portals. Nurses copied. Errors showed up as no-shows and denied claims, not as tickets. Each new clinic meant hiring someone who already knew the portals.

Leadership had been sold a rip-and-replace EHR program twice. Both attempts stalled on contracts and data migration. The group needed a day view they could trust without abandoning the systems they already paid for.

We built a single operational console on top of the vendors they already had. Read models for the day view. Write-backs where the vendor API was honest. A queue for the cases that still need a human in the vendor UI. A thin extraction model drafts prior-auth packets; a nurse accepts or edits before anything is submitted.

Identity and clinic tenancy were designed with the first screens, not as a follow-up. We did not replace the EHR. We replaced the swivel-chair.

Front-desk time on vendor portals fell by half. Prior-auth cycle time is visible by clinic. The group can open a new site without hiring a specialist in each vendor. Denied claims from missing packets dropped in the first quarter after launch.