Your Workflow.
Your Tool. Your Rules.
We contract with medical practices, physician groups, and healthcare organizations to build custom software that addresses their specific operational pain points — scoped, designed, and built by a team that understands clinical workflow from inside the exam room, not from a requirements document.
What We Build
We build purpose-built tools for the specific problems your practice faces — not generic software adapted to fit.
Custom Clinical Documentation Tools
Purpose-built documentation tools for any specialty or clinical workflow — not adapted from a generic template. If your specialty has documentation requirements that existing tools don't address, we build for that.
Charge Capture & Billing Automation
Charge capture and billing submission workflows tailored to your EMR, payer mix, and specialty. We understand what makes billing workflows painful because we built Codana to solve that problem for ourselves.
AI-Powered Workflow Automation
AI tools for administrative tasks, clinical triage, scheduling automation, and operational workflows. Built on Vertex AI with the same HIPAA-compliant infrastructure as our own products.
Patient Data & Analytics Dashboards
Dashboards that surface the operational and clinical data your practice actually needs — not generic reports. Built around your specific metrics, your patient population, and your workflow.
EMR Integration Layers
FHIR-based integration layers that connect your existing EMR to custom tools, external data sources, or other practice systems. We understand clinical data models because we work with them daily.
Internal Practice Management Tools
Custom internal tools for scheduling, staff coordination, referral management, and operational workflows that your off-the-shelf practice management system doesn't handle well.
Who This Is For
Independent medical practices that have a workflow problem no existing tool solves
Physician groups that want automation built around their specific EMR, specialty, or operational structure
Healthcare organizations that have seen what MacroMate Pro and Codana do and want something similar built for their specific context
Practices that have tried to adapt generic tools to their specialty and found them inadequate
Physician-led organizations that want a development partner who understands clinical workflow from inside the exam room
How an Engagement Works
We start with a consultation call to understand your workflow, your pain point, and what a successful tool looks like for your practice.
We define the scope, architecture, timeline, and cost of the engagement. No pricing until we understand the problem.
Development on HIPAA-compliant GCP infrastructure with regular check-ins. You see progress throughout, not just at the end.
You receive a production tool built on proven infrastructure, with documentation and ongoing support options.
Why Altriva
We are not a software agency that learned healthcare from a client brief. We are a physician-founded team that builds clinical software for ourselves first.
Physician-Founder Credibility
The founder is a PM&R physician who has built production clinical software himself — not a software agency that learned healthcare secondhand. We understand clinical workflow from inside the exam room, not from a requirements document.
Proven Healthcare Infrastructure
We build on GCP, Cloud Run, Cloud SQL, and Vertex AI — the same HIPAA-compliant stack that powers MacroMate Pro and Codana. Every engagement inherits that compliance posture from day one.
HIPAA-Compliant by Default
Every tool we build follows the same security and compliance standards as MacroMate Pro and Codana: AES-256 encryption at rest and in transit, BAA-backed GCP infrastructure, row-level data isolation, and SOC 2 Type II aligned practices.
Specialty-Specific Understanding
We don't need to be educated on what an IRF is, what a PM&R consultation note requires, or why tiered reimbursement documentation matters. We start from clinical understanding and build outward.
Every engagement is built on the same HIPAA-compliant GCP infrastructure as MacroMate Pro and Codana — AES-256 encryption, BAA-backed infrastructure, and SOC 2 Type II aligned practices from day one.