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Scope drives cost significantly. An MVP or core billing automation is typically $50,000–$125,000. Enterprise EHR middleware integrations (Epic/Cerner SMART on FHIR) run $100,000–$250,000+ due to vendor sandbox approvals extending timelines. We provide transparent milestone-based proposals with no hidden fees. Use our ROI Calculator to see how fast a build pays for itself.

A focused RPA bot or billing automation MVP typically takes 3–5 months. A full EHR middleware integration is 6–9 months—heavily affected by Epic/Cerner's app approval processes. We compress timelines by parallelizing sandbox setup and engineering, and provide weekly stakeholder demos throughout.

Yes. We are experienced with SMART on FHIR OAuth 2.0 authentication flows, Epic App Orchard registrations, Cerner CareAware, and Athenahealth APIs. We also handle HL7 v2 ADT/ORM message parsing for legacy integrations. Our middleware architecture is EHR-agnostic, so acquiring practices using different EHRs don't require separate builds.

Robotic Process Automation (RPA) uses software bots to perform repetitive browser tasks that your staff currently do manually — logging into payer portals, checking prior auth statuses, downloading EOBs, and reconciling payments. If your billing team spends more than 15 hours/week on these tasks, RPA typically pays for itself within 6–12 months. See our RPA Billing Automation page for specifics.

HIPAA compliance is an architectural concerns, not a checkbox. We implement Zero Trust network access, KMS-encrypted databases, automated CloudTrail audit logging with immutable S3 storage, and strict IAM role policies across all AWS/GCP workloads. We also sign a Business Associate Agreement (BAA) before accessing any PHI environments. Our cloud architecture work has helped startups pass SOC 2 Type II audits in under 60 days.

Yes. All our engagements include a post-launch support window. After that, we offer tiered SLA agreements covering 24/7 monitoring, security patching, and continuous iteration. For RPA bots specifically, we offer resilience retainers since payer portals frequently update their UI—our computer-vision-based selectors reduce break frequency, but human oversight is still required.

Yes, always. You own 100% of the IP, source code, and infrastructure. Unlike SaaS products that charge perpetual per-seat fees, custom software built with Opexia grows with your clinic for free. There are no licensing costs as you scale from 5 to 500 employees.