Trusted
By 500+ U.S. Healthcare Providers
When Your Practice is 
Generic Why is Your EHR?
works how 
YOU workWe build YOUR custom EHR with the exact features you need - fully yours to own!
No monthly fees 
No
vendor commitment YOUR system, YOUR way
Trusted by 150+ US Industry Leaders, From Innovative Start-Ups to NASDAQ Giants
Every healthcare specialty is different - mental, pediatrics, cardiology, and yours.
Stop
forcing them into the same system. Choose a custom EHR designed for YOU.
Psychology
15+ Psychology EHR Projects Delivered
Specialty Features
Key Benefits
Ready to Build Your Psychology EHR?
Primary Care
30+ Primary Care Projects Delivered
Specialty Features
Key Benefits
Ready to Build Your Primary Care EHR?
Orthopedics
10+ Orthopedics EHR Projects Delivered
Specialty Features
Key Benefits
Ready to Build Your Orthopedics EHR?
InPatients
12+ InPatient EHR Projects Delivered
Specialty Features
Key Benefits
Ready to Build Your InPatient EHR?
Pediatrics
10+ Pediatric EHR Projects Delivered
Specialty Features
Key Benefits
Ready to Build Your Pediatric EHR?
Urgent Care
10+ Urgent Care EHR Projects Delivered
Specialty Features
Key Benefits
Ready to Build Your Urgent Care EHR?
Wound Care
9+ Wound Care EHR Projects Delivered
Specialty Features
Key Benefits
Ready to Build Your Wound Care EHR?
Dermatology
15+ Dermatology EHR Projects Delivered
Specialty Features
Key Benefits
Ready to Build Your Dermatology EHR?
Physical Therapy
12+ Physical Therapy EHR Projects Delivered
Specialty Features
Key Benefits
Ready to Build Your Physical Therapy EHR?
Ophthalmology
5+ Ophthalmology EHR Projects Delivered
Specialty Features
Key Benefits
Ready to Build Your Ophthalmology EHR?
Internal Medicine
12+ Internal Medicine EHR Projects Delivered
Specialty Features
Key Benefits
Ready to Build Your Internal Medicine EHR?
Chiropractor
8+ Chiropractic EHR Projects Delivered
Specialty Features
Key Benefits
Ready to Build Your Chiropractic EHR?
Gastroenterology
12+ Gastroenterology EHR Projects Delivered
Specialty Features
Key Benefits
Ready to Build Your Gastroenterology EHR?
Oncology
11+ Oncology EHR Projects Delivered
Specialty Features
Key Benefits
Ready to Build Your Oncology EHR?
Cardiology
20+ Cardiac EHR Projects Delivered
Specialty Features
Key Benefits
Ready to Build Your Cardiac EHR?
Neurology
5+ Neurology EHR Projects Delivered
Specialty Features
Key Benefits
Ready to Build Your Neurology EHR?
We help Customers achieve real results globally. Explore success stories from a variety of our top Customers.
Seamless Automation & System Overhaul Made Easy
"Working with the team at A&I have enabled us to better leverage our Service Desk and Service Catalog solution. A&I has allowed us to better leverage automation capabilities within our SDM tool and most recently made a major system overhaul a breeze. The team at A&I are diligent, professional, and a pleasure to work with.” Show More
Belden
Five Years of Rockstar Support & True Partnership
“I have worked with A&I Solutions for 5 years now and they have been wonderful from day 1. The entire team at A&I is made of rockstars. Technical folks that know the solution as well as the developers, account managers that treat their customer's business like their own, and support staff that keeps that race car going at max efficiency. One of the best partners and organizations I have ever had the pleasure of working with.” Show More
Broadcom
Proactive, Knowledgeable, and Always Moving Forward
“Working with A&I over the past several years has helped me and my company tremendously in many ways. Whether it’s keeping us up-to-date with our license agreement, making sure we have the right consultant assisting us when needed, checking in with us regularly to be sure we have everything we need and know of all new options available. A&I is a great company to partner and work with, friendly and knowledgeable employees, always striving to improve and move forward.” Show More
Sheetz
A Trusted Partner That Feels Like a Lifesaver
“A&I has been a life saver in regards to being our business partner between Broadcom.”
Thermo Fisher Scientific
Equip your custom EHR software with features tailored to your specialty
and workflows.
Streamline tasks, cut administrative effort, and enhance patient
care delivery.
Scheduling
Documentation
Telehealth
Patient
Insurance & Billing
eRx & Labs
AI Features
Admin
Scheduling
Documentation
Telehealth
Patient
Insurance & Billing
eRx & Labs
AI Features
Admin
Simplify data exchange between your custom EHR and other healthcare platforms with the necessary integrations.
Surescripts
Integrate Surescripts for secure e-prescribing and real-time patient medication history within custom EHRs.
ScriptSure
Enhance efficiency by integrating ScriptSure for accurate, seamless prescription management inside your EHR system.
Quest Diagnostics
Integrate Quest to streamline lab test ordering, result retrieval, and improve care coordination across EHRs.
Labcorp
Integrating Labcorp enables smooth test scheduling, result tracking, and improved workflows within your EHR.
Fullscript
Add Fullscript integration to prescribe supplements and nutraceuticals directly within patient EHR records.
MD Toolbox
Integrate MD Toolbox for real-time clinical decision support, drug info, and streamlined provider workflows.
ACL Laboratories
Integrate ACL Labs to streamline test orders, result access, and provider communication within EHRs.
Dr. First
Integrate DrFirst for e-prescribing, medication safety, and stronger care coordination across healthcare teams.
Clinical Labs of Hawaii (CLH)
Add CLH integration to simplify test ordering, secure results, and enhance patient data access.
Rupa Health
Integrate Rupa Health with your custom EHR and get prescriptions and lab results directly in your system.
Waystar
Integrate Waystar to streamline claims, reduce denials, and optimize revenue capture through AI automation.
Change Healthcare
Add Change Healthcare integration to enhance collaboration, data exchange, and cost-efficient workflows across payers and providers.
Office Ally
Integrate Office Ally RCM to simplify billing, coding, and claims while accelerating reimbursements and boosting revenue.
Availity
Integrating Availity ensures secure claims, eligibility checks, and authorizations, reducing errors and maximizing revenue capture.
Eligible
Add Eligible integration to verify insurance, simplify pre-registration, and reduce admin work for better patient focus.
Stripe
Integrate Stripe for secure online payments, boosting patient satisfaction and streamlining the payment process.
Authorize.Net
Add Authorize.net to enable secure EHR payment processing, reducing manual tasks and improving convenience.
Stax
Integrating Stax provides compliant, in-system payment processing, simplifying provider workflows and patient transactions.
Square
Integrate Square for one-click, secure EHR payments, streamlining co-pays, charges, and patient experience.
Claim.MD
Integrate Claim.MD into your custom EHR and provide secure payment gateways with streamlined billing process.
Sfax
Integrate Sfax for HIPAA-compliant faxing, ensuring secure data exchange and protecting sensitive patient communication.
SRFax
Add SRFax integration to replace fax machines, streamline workflows, and enable secure provider-patient communication.
Twilio
Integrate Twilio for secure SMS, calls, and video visits, improving reminders, telehealth, and patient engagement.
Zoom
Add Zoom integration to enable seamless virtual consultations, improving access, collaboration, and reducing in-person visits.
Jitsi
Integrate Jitsi for secure, open-source video consultations, supporting remote monitoring, follow-ups, and cost savings.
Zocdoc
Add ZocDoc integration to simplify scheduling, reduce calls, and fill appointment slots in real time.
WebMD
Integrate WebMD to provide reliable health education resources, empowering patients to understand conditions and treatments.
eMedicinehealth
Add eMedicineHealth integration for trustworthy medical content within EHRs, supporting informed patient decisions and engagement.
MedlinePlus
Integrate MedlinePlus to give patients direct access to NLM resources, improving education and health outcomes.
SendGrid
Integrate SendGrid for automated, HIPAA-compliant email communication, ensuring timely updates and stronger patient engagement.
Integrate your custom EHR with a disparate healthcare software system for
uninterrupted
workflow and seamless data transfer for timely care delivery.
Custom EHR software built from discovery to deployment, tailored to your unique needs and requirements.
Understanding requirements deeply
We gather clinical workflows, compliance needs, and integration goals to define your EHR roadmap.
Crafting user-focused experiences
We design intuitive interfaces, specialty-specific workflows, and system architecture tailored to your practice.
Building core functionalities
Our engineers code, integrate APIs, and ensure interoperability while prioritizing security and scalability.
Seamless go-live transition
We handle testing, data migration, and user onboarding to ensure a smooth EHR launch.
Ensuring long-term reliability
We provide continuous monitoring, updates, and support to keep your EHR optimized and compliant.
Know your investment and the value of your custom EHR software development project.
4.5/5 Demo Rating
90% Choose Us After the Demo
4.7/5 Demo Availability
Build secure, compliant EHR software by following essential healthcare standards for data protection and data exchange.
HIPAA Compliance
Protect patient health information by adhering to strict privacy and security safeguards.
Process:
ONC Certification
Ensures that your EHR meets federal standards for safety, usability, and interoperability.
Process:
FHIR/HL7
The modern backbone of real-time, interoperable healthcare data exchange.
Process:
21st Century Cures Act
Empowers patients with data access and drives interoperability across systems.
Process:
Medical Coding Standards
Standardizes clinical language to ensure accurate billing, reporting, and care.
Process:
SOC 2 Type II Certification
Validates your system’s operational security, availability, and data integrity controls.
Process:
ISO 27001
Demonstrates a globally recognized commitment to managing healthcare data risks.
Process:
FDA 510(k) Clearance
Proves your software is safe and effective for clinical use under FDA regulations.
Process:
Ready for Compliant Custom EHR Software
Focus on patient care while we undertake your software compliance and adherence.
Schedule Your Compliance AssessmentCustom EHR software is just like any other EHR software, but its entire foundation is built around your practice’s unique workflows, specialties, and compliance needs. This typically cannot be done in an off-the-shelf software solution. In such cases, you have to align your practice to its workflow and not the other way around. That is why a custom EHR adapts to your practice, contributing to time saving, reducing clicks, and giving a delightful experience for both patients and providers.
Typically, a custom EHR system development project takes up to 6 to 12 months. The development timeline depends on factors such as features, integrations, compliance requirements, etc. However, to give you faster results, we first develop an MVP (Minimum Viable Product) and then expand based on your needs.
We follow all key healthcare regulations like HIPAA, ONC Certification, FHIR/HL7, Cures Act, SOC 2, ISO 27001, and FDA 510(k) (when applicable). This ensures your EHR is safe, interoperable, and future-ready.
Yes. We handle data migration carefully, whether it’s from spreadsheets, outdated EMRs, or modern systems. Our approach ensures your patient records, medical history, and billing data move over securely, without downtime or data loss.
The development cost of custom EHR software varies based on complexity, but most projects range between $80,000 and $250,000+. We usually break it into phases so you can launch sooner and scale features over time, which helps manage budget more effectively.
Yes. We don’t just hand over the software and disappear. We understand that your software will need continuous updates, bug fixes, security patches, and feature enhancements to keep your EHR running smoothly as your practice grows.
Yes. We build your EHR system with interoperability in mind. Whether it’s lab systems, radiology, e-prescriptions, telehealth, or billing software, integrations are seamless through FHIR/HL7 APIs and custom connectors.
We combine user-centered design, healthcare expertise, and AI-driven automation. That means we don’t just code, we understand clinical workflows, patient engagement, and compliance, so your EHR works the way your team actually works.
Yes. Our EHRs can include AI scribing, medical coding, virtual assistants, and predictive analytics to reduce administrative burden and improve care quality. You can decide which AI features add value for your practice.
Scalability is built in. Whether you expand to multiple locations, add new providers, or integrate new specialties, your custom EHR grows with you, without forcing you to start over.
