The Medical Engineers

01  /  healthcare

We build against the systems you already run.

Nothing here replaces your charting system. It connects to it, sits in front of it, or removes the work your staff do because it will not talk to something else.

02  /  integrations

What we integrate with

The surface we build against. Where a vendor publishes a modern API we use it, and where they do not we say so rather than discovering it in week three.

Charting and practice management

Epic

FHIR APIs, App Orchard patterns

Oracle Health Cerner

FHIR and HL7 v2 interfaces

athenahealth

athenaOne APIs

eClinicalWorks

Interface engine and APIs

NextGen

APIs and data export

Tebra

APIs and webhooks

AdvancedMD

APIs and scheduled export

DrChrono

REST APIs

Standards and interoperability

HL7 FHIR R4

Patient, Appointment, Coverage, Claim

HL7 v2

ADT, ORM, ORU, SIU messages

X12 EDI

270 and 271, 837, 835

C-CDA

Document exchange

SMART on FHIR

Launch inside the chart

DICOM

Imaging metadata and worklists

NCPDP SCRIPT

Electronic prescribing

Direct messaging

Provider to provider exchange

Revenue cycle and payments

Availity

Eligibility and claim status

Change and Optum

Clearinghouse submission

Waystar

Claims and remittance

Stripe

Patient payments and plans

CAQH

Credentialing data

Office Ally

Clearinghouse submission

Payer portals

Scripted, where no API exists

Authorize.net and Square

Card present and online

The rest of the stack

Twilio

Reminders, two-way SMS, voice

SendGrid and Postmark

Transactional email

HubSpot and Salesforce

Pipeline and referral tracking

Google Workspace

Identity, Drive, shared inboxes

Snowflake and BigQuery

Reporting and analytics

AWS, Azure and Google Cloud

Hosting, with a BAA in place

Okta and Entra ID

Single sign-on and identity

Datadog and Sentry

Monitoring and error tracking

This is a capability list, not a claim of partnership or certification with any vendor named. Where an integration needs a vendor programme, an application or a fee, we will tell you that in discovery rather than after you have signed.

03  /  data

How patient data is handled

The short version: PHI stays in your systems. We build against them, we do not copy out of them, and where something genuinely has to store data it is your cloud account, your keys and your audit log.

The controls below are not a compliance programme and this page is not legal advice. They are the practical measures that make a system defensible when somebody asks, and they are in place before the first line of production code rather than added afterwards.

  • BAA signed before access is granted, with subcontractor flow-down
  • Named accounts and multi-factor authentication, never shared logins
  • Least privilege, with access reviewed at join and leave
  • Encryption in transit and at rest
  • Structured audit logging, retained and readable
  • Secrets in a managed store, never in code or a chat message
  • Test data that is synthetic, never a copy of production
  • A written incident procedure, agreed before it is needed

Some states restrict health data being handled outside the United States, and Medicare Advantage plans impose additional duties on offshore vendors. Tell us your state and your payer mix on the first call and we will tell you what that means for the build. Confirm the current position with your own counsel: this is a moving area and we are engineers, not lawyers.

04  /  ai

Three rules for AI in a clinical business

A person approves anything that lands

Models draft, extract, summarise and route. A human approves before anything reaches a patient record, a claim or a payer. The approval is part of the workflow, not a policy in a document nobody opens.

Every generation is logged

Input, output, model, version, timestamp and the person who approved it. When an auditor asks how a value got into a record, the answer is a query rather than a recollection.

Measured against a real error rate

Before an AI step goes live we run it against a labelled sample and tell you how often it is wrong and in which direction. If the number is not good enough for the task, we build the boring deterministic version instead.

05  /  questions

Questions we get asked first

Do you sign a BAA?

Yes, before any access is granted rather than after the first sprint. It covers permitted uses, safeguards, incident reporting, what happens to data when the engagement ends, and any subcontractor we use. If we bring in a specialist, the agreement flows down to them.

Where does patient data live?

In your systems. We build against your charting system, your clearinghouse and your cloud accounts, and we do not copy PHI into infrastructure we own. Where a system genuinely has to hold data, it is your cloud account, your encryption keys and your audit log.

Engineers work under named accounts with multi-factor authentication and least-privilege access, and access is reviewed when someone joins or leaves the engagement.

Have you integrated with our charting system?

The list on this page is the surface we work against. Where a vendor publishes a modern API we use it. Where they do not, the honest answer is that the integration runs on HL7 v2 messages, a scheduled export or a supported interface engine, and it takes longer to build and more care to keep running.

Ask us on the first call and we will tell you which of those three your system is, before you have committed to anything.

How do you handle AI and patient data?

Three rules, and we do not bend them. Nothing goes to a model provider without a signed agreement covering it. Nothing a model produces reaches a patient record or a payer without a person approving it. Every generation is logged with its input, its output and the person who approved it, so an audit can be answered with evidence rather than assurances.

We will also tell you when a task does not need AI. A rules engine that is right every time beats a model that is right most of the time, and it is cheaper to run.

Do you do AI scribes?

We integrate them, we do not sell our own. That means helping you choose between the ambient vendors, wiring the output into your chart so the note lands in the right place, making sure the clinician signs it rather than a system filing it silently, and measuring the error rate against a labelled sample before it goes anywhere near a live clinic.

Two honest caveats. Ambient tools are good at a straightforward single-clinician visit and weaker on multi-speaker visits, complex specialities and anything where the note is only half the job. And if what you actually need is a person who also handles orders, referrals and the inbox in the same hour, that is a human scribe, which is a sister company rather than a piece of software. We will point you there instead of selling you a tool that does not fit.

Will you build us a patient portal?

Almost certainly not, and the reason is security rather than capability. A bespoke portal means a second copy of patient data, in a second system, with a second attack surface, a second patching schedule and a second thing to explain at audit. Most of the time it exists to save patients a login.

Your EMR already holds that data and already carries the burden of protecting it. We would rather build inside its portal, extend what it can do, and put the work where the risk already lives. If your EMR genuinely cannot do what you need, we will tell you that and scope it properly, with the risk written down rather than glossed over.

Can you take over something another firm built?

Often, and it is a large part of what we do. It starts with a fixed-cost review: we read the code, the infrastructure and the deployment process, and give you a written assessment of what is sound, what is fragile and what would have to be replaced.

Sometimes that assessment says rebuild. We will show you the reasoning rather than asserting it, because a firm that recommends a rebuild on every inherited system is selling, not assessing.

Do you work with practices outside the United States?

The healthcare work is built around United States practices, payers and standards, so that is where we are useful. Seen Group operates from Dubai and the United States, and for non-healthcare software we work more broadly.

06  /  next

Bring us the integration nobody wants.

The eligibility check done by hand, the fax that becomes a referral, the report assembled every Monday morning. Those are the jobs worth automating first, and they are the ones we would rather scope.

Start a project

07  /  contact

Get in touch

Tell us the system, the standard it speaks and the workflow that is costing you hours.

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Dubai

Meydan Free Zone
Dubai, United Arab Emirates

United States

Spring City, PA 19475
United States