Client Background
KaizenHealth, a healthcare company serving ambulatory practices and specialty clinics where clinical care, front-desk scheduling, and billing ran on disconnected systems.
HealthVision EHR
A cloud EHR that keeps charting, scheduling, billing, and patient engagement in one clinical workspace
HealthVision EHR gives clinicians a single workspace for encounters, prescriptions, labs, and care plans, with an AI medical scribe that drafts structured notes for physician review and a connected patient portal, claims, and RCM workflow behind it. Meridian is the technology partner behind the platform, building and running it with KaizenHealth.
ReactASP.NET CoreSQL ServerAzureFHIR R4
6+
Integrated Platform Modules
FHIR R4
Standards-Based Data Model
24/7
Secure Patient Portal Access
99.9%
Platform Uptime Target
Project Overview
Understanding the context and objectives
Business Context
Documentation load, manual eligibility checks, and separate billing tools were pulling clinician time away from patient care and delaying reimbursement.
Project Goals
Build a HIPAA-aligned cloud EHR that connects the full visit lifecycle from scheduling through claim payment.
- -Reduce documentation time with AI-assisted, clinician-reviewed notes
- -Unify charts, orders, results, and care plans in one record
- -Give patients self-service booking, messaging, records, and payments
- -Close the loop from encounter coding to claims, ERA, and collections
Understanding the Problem
Technical and operational barriers that needed resolution
Key Pain Points
- Clinicians spending hours on after-visit documentation
- Patient history, orders, and results scattered across systems
- Manual insurance eligibility checks slowing front-desk intake
- Coding and superbill errors causing claim denials and rework
- Limited patient self-service for booking, records, and payments
Critical Issues
Documentation burden, fragmented clinical data, and a disconnected billing path were the highest-impact issues to solve.
How We Solved It
A comprehensive solution combining technology and innovation
Our Approach
We built HealthVision as a modular EHR delivered in phases, starting with the clinical workspace and extending into patient engagement, insurance, and revenue cycle. KaizenHealth's clinical and practice teams validated each release against real care workflows, and AI assistance stays under physician review and approval at every step.
Architecture
React and TypeScript frontend with an ASP.NET Core API on .NET 10, Entity Framework Core over SQL Server, OpenIddict-based authentication with role-based access control, FHIR R4 resources for interoperability, and Azure services for storage, telehealth, and speech.
Key Features Implemented
Patient charts, SOAP notes, and customizable clinical templates
AI medical scribe with ambient transcription and clinician sign-off
e-Prescribing with EPCS, medication and allergy checking
Scheduling, encounter workflows, and integrated telehealth visits
Lab and imaging orders with results tracked against the chart
Patient portal for booking, secure messaging, records, and payments
Insurance eligibility verification, electronic claims, and ERA processing
CPT and ICD-10 coding, electronic superbills, patient ledger, and RCM
Clinical quality reporting with eCQM and MIPS dashboards
Role-based access control and audit trails for HIPAA-aligned operations
Tools & Technologies
Technology stack and coding languages behind robust solutions
Frontend
ReactTypeScriptViteRedux ToolkitPrimeReactApexCharts
Backend
C#ASP.NET Core.NET 10Entity Framework CoreOpenIddictSignalR
Data & Interoperability
SQL ServerHL7 FHIR R4Azure Blob Storage
AI & Communications
Azure AI SpeechAzure Communication ServicesTwilio
Infrastructure
AzureDockerAzure Container AppsAzure Key Vault
Process & Execution
A structured approach to transform and deliver
Discovery & Planning
1Mapped clinical, front-office, and billing workflows with KaizenHealth and practice stakeholders to define the visit lifecycle end to end.
Architecture & Design
2Designed the modular platform, FHIR-aligned data model, role-based access model, and HIPAA-aligned security controls.
Agile Development
3Delivered the clinical workspace first, then patient portal, insurance, and revenue cycle modules in phased sprints.
Quality Assurance
4Validated clinical accuracy, access controls, AI note review flows, and claim data integrity through regression suites.
Deployment & Launch
5Containerized services deployed to Azure with secret management, monitoring, and controlled rollout per environment.
Support & Evolution
6Expanded specialty coverage, AI assistance, and integrations based on clinician and practice feedback.
Measurable Outcomes
Tangible results achieved through our collaboration
AI-Drafted
Notes Reviewed and Signed by Clinicians
One
Record Across Clinical, Portal, and Billing
FHIR R4
Standards-Based Data Exchange
HIPAA
Aligned Security and Access Controls
“HealthVision was built so the record, the schedule, the portal, and the claim all stay in sync, and so AI drafts documentation without ever taking the clinician out of the decision.”
Meridian Product Team
HealthVision EHR
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