We Build You a Telehealth Operation That Actually Works at Scale.

4.8/5rated on Clutch
Scalater commercial specialist
HIPAA-Ready architecture
HIPAA-Ready
LegitScript-Ready builds
LegitScript-Ready
126+Integrations Delivered
50+Telehealth Projects
$12M+Client Revenue / Year

What Our Clients Say

Our client satisfaction score comes from real project reviews on Clutch, the leading B2B ratings platform.

Our Clients

Do any of these challenges sound familiar? You're not alone.

These are the exact friction points that hold telehealth and healthcare e-commerce brands back from scaling.

Let's Fix This Together

Spreadsheets Running Your Pharmacy Ops

Orders come in from Shopify, someone manually exports them, copies into a portal, calls the pharmacy, then chases tracking. Every single day.

HIPAA Anxiety at Every Deployment

A new engineer joins the team. You're not sure if PHI is properly scoped. The logs are a mess. Compliance is held together with hope and prayers.

EHR and Shopify Living in Separate Worlds

Patient records in one system, orders in another. Your team manually reconciles both. Errors happen. Patients notice. Chargebacks follow.

Vendor Lock-In Blocking Your Growth

You're paying SaaS fees for a platform that doesn't fit your workflow. Customization is expensive. Migrating feels impossible. You're stuck.

ePrescribing Still Half-Manual

DoseSpot is sending approvals, but someone has to watch the queue and manually trigger fulfillment. Delays pile up. Patients abandon.

Developers Who Don't Speak Healthcare

Generic devs don't understand HIPAA, FHIR, or why a webhook retry strategy matters in a clinical context. You've learned this the hard way.

Two Ways We Solve Your Challenges

Whether you need to connect the platform you already run to the healthcare ecosystem, or build a telehealth product from scratch, we've done both, hundreds of times.

Connect Your Existing Platform to the Healthcare Ecosystem

Already selling on Shopify, WooCommerce, or a custom platform? We build the HIPAA-ready middleware that connects your store to pharmacy partners, EHRs, and ePrescribing networks, fully automated.

OTC & supplement fulfillment (Lifefile, SmartScript, VortexRx)
ePrescribing integration (DoseSpot, DrFirst)
EHR sync (MDI, Beluga Health, OLA Digital Health)
HIPAA-ready middleware, BAA included
Real-time order routing & inventory sync
Modular: start with one flow, expand as you grow
Explore Platform Integrations

Build Your Telehealth Platform From the Ground Up

Whether you're launching a new telehealth product or replacing a legacy system, we engineer full-cycle HIPAA-ready platforms tailored to your clinical workflows, not generic templates.

Telehealth platforms with video, scheduling & EHR sync
Patient portals, web & mobile
Clinical workflow tools & provider dashboards
FHIR / HL7 interoperability & health data APIs
AI-ready architecture for clinical intelligence
Full data ownership, no vendor lock-in
Explore Custom Development

Our Technology Partners

We build custom integrations with leading EHRs, ePrescribing networks and pharmacy systems.

Our Technical Capabilities

Explore the technical areas where we operate, and understand exactly what you get when you build with us.

Security Built In From Day One

Not bolted on at the end, compliance is embedded into every layer of the stack.

We engineer systems that meet HIPAA technical safeguard requirements from the ground up. Encryption at rest (AES-256) and in transit (TLS 1.3), role-based access controls, audit logging, PHI minimization, and BAA-backed infrastructure. Every deploy is an auditable event.

AES-256 encryption at rest + TLS 1.3 in transit
Role-based access control (RBAC) + MFA
Full audit logging on every PHI access
BAA support included
PHI minimization & data retention policies
Incident response planning
Technologies
AWS (HIPAA-eligible)AES-256TLS 1.3SOC 2-aligned

Healthcare Data Standards, Natively Supported

We speak FHIR and HL7 fluently so your platform can connect to any healthcare system.

FHIR R4 APIs, HL7 v2.x message parsing, CCD/CCDA document handling, and EHR vendor coordination. We've built bidirectional sync with MDI, Beluga Health, and OLA, and can map any custom health data format to your internal models.

FHIR R4 REST APIs with OpenAPI docs
HL7 v2.x message parsing & routing
CCD / CCDA document support
EHR vendor coordination & mapping
Patient resource CRUD with audit trail
Bidirectional sync with existing systems
Technologies
FHIR R4HL7 v2CCD/CCDAOpenAPI

From Cart to Pharmacy, Fully Automated

We close the loop between your Shopify store and the prescription workflow.

Direct DoseSpot API integration for ePrescription creation, provider review, approval, and pharmacy routing, all triggered automatically from your Shopify order flow. Status callbacks keep your store in sync in real-time. Supports DrFirst and Surescripts routing as well.

DoseSpot API, full prescription lifecycle
Automated eRx creation from Shopify orders
Provider queue & approval workflow
Pharmacy routing + fulfillment status sync
HIPAA-ready consent management
Renewal request automation
Technologies
DoseSpotDrFirstSurescriptsWebhooks

The Secure Layer Between Shopify and Your Partners

Our middleware-first approach means no heavy customization on Shopify or partner systems.

We act as a configurable translation layer between your Shopify store and pharmacy fulfillment partners (Lifefile, SmartScript, VortexRx). Orders route automatically, inventory syncs in real-time, and tracking updates flow back, without manual intervention at any step.

Real-time order routing to pharmacy partners
Two-way inventory sync
Tracking & status updates back to Shopify
Exception handling & manual review fallbacks
Dead-letter queues for failed events
Custom 3PL integration
Technologies
Node.jsAWS API GatewayRedis / SQSWebhooks

Event-Driven Architecture That Doesn't Drop Events

Async webhooks, retry logic, and queue systems that keep your platform reliable at any scale.

We architect event-driven systems using Redis queues and AWS SQS to handle high-volume webhook traffic without data loss. Failed events retry automatically. Dead-letter queues catch what falls through. CloudWatch and Datadog alert the team before users notice.

Redis / AWS SQS for async event processing
Webhook retry logic with exponential backoff
Dead-letter queues for failed events
Real-time WebSocket connections for live UIs
WebRTC for telehealth video sessions
Datadog / CloudWatch monitoring & alerting
Technologies
RedisAWS SQSWebSocketsWebRTCDatadog

Build Once. Activate AI When You're Ready.

We architect your platform to integrate AI capabilities without future rewrites.

Most teams retrofit AI into existing systems, which is expensive and fragile. We embed the AI-ready foundation from the start: clean data pipelines, structured clinical data models, and modular ML hooks. When you're ready to add predictive analytics, clinical decision support, or automation, the architecture is already there.

Clean, structured clinical data models
AI model integration points from day one
Predictive analytics pipeline support
Clinical decision support hooks
Automated workflow triggers based on outcomes
HIPAA-ready AI data handling
Technologies
Node.jsOpenAI / AnthropicAWS SageMakerPostgreSQL

Results from Our Clients

Real outcomes from real telehealth and wellness brands.

Under NDA, we cannot disclose client names, but several of our clients are currently billing $500K+ annually.

Pharmacy
Started from scratch with us
$500K+
Annual Revenue — Client billing today

This client came to us with a legacy pharmacy management system built on outdated infrastructure. They were losing orders daily due to sync failures between their Shopify store and their fulfillment partner. We built a HIPAA-ready middleware layer that automated the full OTC order flow.

0Manual Steps in Fulfillment
99.9%Order Accuracy Rate
4XNet Revenue Growth

Work With Us, Your Way

Pick the structure that fits where you are. Both are scoped clearly, priced transparently, and built by the same engineering team.

Fixed Price Project

One scope. One price. One delivery.

Best when you have a defined goal and want to move fast. We scope the work upfront, agree on a price, and deliver. Includes a 50/50 payment split and a 2-week post-launch bug-fixing warranty.

  • Defined scope
  • 50/50 payment split
  • 2-week bug-fixing warranty

Best for: launching a defined project quickly with a clear scope.

View Pricing

Become a Retainer

Monthly partnership. Flexible hours.

Two ways to use it. Keep a dedicated engineering team for an existing product, or retain the same engineers who built your product for everything that comes next.

  • 40 to 160 hrs/month tiers
  • Lower rate at higher tiers
  • Cancel anytime after 3 months

Best for: staffing a dedicated tech team, or keeping the engineers who know your product.

Explore Retainer

The People Behind Scalater

Our development team extends far beyond these names. We feature only the administrative leadership here, behind every project is a full squad that already knows your industry.

Guillermo Figueroa
Guillermo Figueroa
CEO & Founder

Leads the company's vision and strategic direction. 20 years of experience as a programmer and 5 years specializing in telehealth software.

Yoannis Perez
Yoannis Perez
Backend Team Lead

Architect of our HIPAA-ready middleware and healthcare integration layer. Expert in Laravel, AWS, and event-driven systems for clinical environments.

Amadys Morera
Amadys Morera
Commercial Specialist

Guides clients from first conversation to project kickoff. Specializes in understanding telehealth workflows and translating them into actionable development scope.

Guillermo Figueroa — CEO & Founder, Scalater
Guillermo FigueroaCEO & Founder, Scalater

We believe powerful technology should never be out of reach. That's why we build tools that help telehealth and wellness companies work smarter, care better, and grow with less friction.

Will you help us make it happen?

Let's Build Something That Scales.

Tell us where your telehealth operation stands today. One short call and we'll show you exactly how we'd fix the bottlenecks and what it takes to launch.

Book a Strategy Call