• Your EMR's built-in patient portal is technically compliant but so difficult to use that patients abandon it after the first visit?

  • Patients calling the front desk for appointment bookings and test results because the portal experience is too clunky to trust?

Patient Portal Development

Custom patient portal software for health systems, specialty practices, and digital health companies who need more than what their EMR's built-in portal provides.

We build portals that patients actually use -- appointment booking, test results, secure messaging, care plans, and billing, integrated with your EHR for real-time data.

  • Appointment self-scheduling with provider availability, appointment types, and reminders

  • Test result delivery with reference ranges, provider notes, and visit summaries

  • HIPAA-compliant secure messaging between patients and care team

  • iOS and Android mobile portal app with biometric authentication and push notifications

RaftLabs builds custom patient portals for health systems, specialty practices, and digital health companies that need more than their EMR's default portal provides. We develop appointment scheduling, test result delivery, secure provider messaging, care plan access, medication management, billing and payment, and patient consent management -- with EHR integration for real-time data and HIPAA-aware architecture throughout. Most patient portal projects deliver in 12-14 weeks at a fixed cost.

Vodafone
Aldi
Nike
Microsoft
Heineken
Cisco
Calorgas
Energia Rewards
GE
Bank of America
T-Mobile
Valero
Techstars
East Ventures
100+Products shipped
HIPAAAware architecture
FixedCost delivery
12-14Week delivery

A portal patients use is different from a portal that exists

Most EMR-bundled patient portals exist to satisfy Meaningful Use requirements. They were not designed for patient adoption. The result is portals that are technically available but functionally unused -- patients call the front desk because the portal is harder than a phone call.

We build patient portals around the patient's task: book an appointment, see a test result, message a provider, pay a bill. Each task should take fewer than three steps. EHR integration pulls real data so the portal reflects what is actually in the patient's record. HIPAA-aware architecture handles PHI correctly throughout. The goal is a portal that reduces front desk call volume, not one that adds a compliance checkbox.

What we build

Appointment booking and management

Self-service appointment scheduling with real-time provider availability pulled from your scheduling system. Patients select appointment type, provider, location, and preferred time without calling the front desk. Automated confirmation and reminder messages reduce no-show rates. Rescheduling and cancellation are available directly in the portal, with cancelled slots triggering waitlist offers where configured. The booking flow adapts to appointment type requirements -- new patient forms, referral requirements, and insurance verification steps are presented at the right point in the booking sequence.

Test results and health records

Lab results delivered to patients through the portal with contextual information that makes them useful -- reference ranges, flagged values, provider interpretation notes, and links to next steps where indicated. Imaging reports, visit summaries, and medication history are accessible in a single view. Result release follows your clinical rules: automatic release on a defined timer, hold for provider review, or provider-initiated release with an attached message. Patients receive a push notification or email when new results are available, which drives portal return visits without requiring a phone call.

Secure provider messaging

HIPAA-compliant asynchronous messaging between patients and the care team. Messages route to the correct team member based on message type and clinical team configuration. Response time SLAs are configurable per message type -- clinical questions route differently from appointment requests or billing enquiries. Read receipts confirm patient-side delivery. Message threads are stored in HIPAA-compliant infrastructure with audit logging for compliance review. The messaging system reduces the volume of phone calls for non-urgent clinical questions without creating an unmanaged inbox for clinical staff.

Care plan and medication management

Care plan task tracking for patients managing chronic conditions or post-procedure recovery -- tasks, milestones, and check-in prompts presented in a clear timeline. Medication schedules with reminder notifications for patients on complex regimens. Prescription refill request submission directly from the medication list, with status tracking through approval and pharmacy processing. Immunisation records and preventive care reminders tied to care gaps identified in the EHR. The care plan view gives patients context for their care without requiring a clinical interpretation call.

Billing and payment

Invoice access and online payment for outstanding balances with support for partial payments and payment plan setup. Insurance information management -- patients can update coverage details ahead of appointments to reduce check-in delays. Explanation of Benefits documents accessible alongside the corresponding invoice. Payment confirmation and receipt by email. Integration with your billing system for real-time balance data and payment posting. Patients who can see their balance and pay online pay faster and with fewer staff touchpoints than patients who receive paper statements.

Mobile patient portal app

iOS and Android native or React Native cross-platform mobile app with all portal features -- appointment booking, test results, secure messaging, care plan access, and billing. Biometric authentication (Face ID, fingerprint) for fast, secure sign-in without password entry. Push notifications for new test results, provider messages, appointment reminders, and care plan check-ins. The mobile app is the primary access point for most patients under 50 -- building the portal web-only and adding mobile later is a high-friction sequence. We build both from the start under the same design and data architecture.

Frequently asked questions

EMR-bundled portals meet Meaningful Use requirements but are rarely designed for patient adoption. They are built to the lowest common denominator across all practice types, which means they do not reflect your specific scheduling rules, your care team structure, or your patient population's expectations. Custom portals let you design the patient experience around your actual workflows -- which providers and appointment types are bookable online, how results are released, how messages are routed, how care plans are presented. The result is a portal that reduces call volume rather than existing alongside it.

HIPAA compliance for a patient portal requires technical safeguards across the full stack: encryption of PHI in transit and at rest, patient identity verification before PHI access, audit logging of every PHI access event, role-based access controls for clinical staff, and Business Associate Agreements with every infrastructure provider processing PHI. We design these controls into the architecture from the start rather than adding them as a post-build audit. Every project includes HIPAA compliance documentation covering data flows, access controls, and BAA coverage.

Yes. We integrate with EHRs that expose FHIR R4 APIs: Epic, Cerner/Oracle Health, Athenahealth, and most modern EHR platforms. FHIR integration gives the portal access to real-time patient data -- appointments, lab results, medications, care plans -- so the portal reflects what is actually in the patient's record rather than a manually maintained copy. Integration depth depends on what your specific EHR's API supports. Epic's FHIR R4 API is comprehensive; smaller EHRs may have limited API coverage for certain data types. We confirm integration scope during discovery.

A focused patient portal -- appointment booking, test result delivery, and secure messaging with EHR read integration -- typically runs $50,000--$90,000 and delivers in 12-14 weeks. A full portal with billing, care plan management, mobile app, and bidirectional EHR integration typically runs $90,000--$180,000. Cost is driven by EHR integration complexity, the number of appointment types and scheduling rules, and whether a mobile app is included from the start. We scope and price every project before starting and hold to a fixed cost through delivery.

Talk to us about your patient portal project.

Tell us your EHR environment, the workflows patients most need, and where your current portal is failing. We will scope the right build and give you a fixed cost.