Full disclosure: we're Ryz Labs, and we're on this list. So yes, we're biased. Here's what we'd actually tell a friend, including when you should hire someone else.
In healthcare, the question that decides it is simple: do you need a partner who already knows the clinical and payer plumbing (HL7, FHIR, EHR vendors, claims), or do you already have that knowledge in-house and need more senior engineers to build? Specialists win the first case. Engineering teams win the second.
Healthcare software fails in boring, expensive ways. An HL7 v2 feed from a hospital interface engine has quirks no spec mentions. A FHIR endpoint returns a resource your app never tested. A developer copies production data into a test database and you now have a reportable PHI incident. None of this shows up in a demo. It shows up six months in.
So the partner question has two parts. First, has this team integrated with the systems you actually touch: Epic, Cerner (Oracle Health), Athena, a claims platform, a lab or imaging system? Second, will they work inside your HIPAA controls: access logging, minimum-necessary data, a signed business associate agreement where PHI is involved, and environments that keep real patient data out of dev?
A note on language. There is no official "HIPAA certification" for a software company. When a vendor says "HIPAA-compliant," ask what they mean: which safeguards they run, whether they will sign a BAA, and how their engineers get access to PHI. That question sorts vendors quickly.
ScienceSoft says it has 21 years in healthcare IT, 150+ completed healthcare projects and 750+ experts. Its healthcare page lists HIPAA and HITECH, HL7 and FHIR (it says it has "HL7 FHIR certified implementers"), DICOM, X12, and FDA and MDR requirements, and it says it holds ISO 13485, ISO 9001 and ISO 27001.
Why it fits: that list covers most of what a regulated build runs into, including medical device quality (ISO 13485). If you're building software that touches a device or needs FDA paperwork, start here. The catch: it's a project-delivery firm, so ask how much day-to-day control your own leads will have.
Cognizant owns the TriZetto healthcare platforms, including Facets. It says it handles 4.4 billion payer-provider transactions a year, supports 200 million US healthcare members, and has 80,000+ healthcare industry experts. It also says it ranked #1 in the Claims & Administration Platforms (Payer) segment of the 2026 Best in KLAS report.
Why it fits: if your core system is a claims or care management platform, Cognizant may already run it. The catch: an engagement of this scale is built for large organizations. A Series A digital health company will find it a lot of firm for the job.
EPAM's Life Sciences & Healthcare practice covers MedTech, payors, providers, pharma and biopharma, health tech and healthcare distribution. It's headquartered in Newtown, Pennsylvania.
Why it fits: big, multi-year programs across research, commercial and clinical systems. The catch: much of the delivery bench is outside US time zones, so check who will be on your calls. Our comparison is at Ryz Labs vs EPAM.
We provide senior Latin American engineers who work on your team: same standups, same repos, same roadmap. We're trusted by Fortune 500 engineering teams, and only the top 1% of the tens of thousands of engineers we've interviewed make it. When the job is building AI systems, such as a document-intake agent or a triage assistant, our AI pod teams build them in your cloud and ship them to production. See our case studies, including marketing compliance for a global capital management firm, where the work had to pass a compliance team's review.
Why we're on this list: if your architects already know your FHIR resources and your security team owns HIPAA, the bottleneck is usually senior engineering capacity on your hours. That's what we do. More on our healthcare work at healthcare software development and hire healthcare software developers.
Where we're not the right fit: we don't have a healthcare-only practice or a public healthcare case study, so if you need a partner to bring the clinical interoperability playbook, ScienceSoft or Topflight is the better call. We don't run payer platforms like Cognizant. And if you need engineers in Europe or Asia time zones, a global firm like EPAM fits better.
Topflight builds HIPAA-focused web and mobile apps, including telehealth and remote patient monitoring, and lists EHR integration with Epic, Cerner and Athena, HL7/FHIR and SMART on FHIR.
Why it fits: it's a healthcare-first shop, so your first EHR integration isn't its first. The catch: it's an app-development firm, which suits a product build more than a long-running engineering team.
Chetu offers EHR/EMR integration, telehealth, revenue cycle management, remote patient monitoring, patient portals, pharmacy and imaging software. It says it has 26+ years of experience, 7,500+ clients and over 2,800 developers.
Why it fits: breadth. If your backlog spans billing, imaging and a portal, one vendor can cover it. The catch: delivery is split between US and India centers, so confirm which team works your hours.
BairesDev's healthcare page says it builds "HIPAA-compliant healthcare software," including EHR work, patient portals and legacy modernization. It says it has 4,000+ engineers, mostly in Argentina, Brazil, Colombia and Mexico, who "work your hours."
Why it fits: a large bench on US hours. The catch: it's a generalist, so you supply the healthcare depth. See Ryz Labs vs BairesDev.
If you're building a regulated product and need the partner to bring the standards know-how, pick ScienceSoft. Its stated coverage of HL7, FHIR, DICOM, X12 and ISO 13485 is the broadest here.
If you run a payer or a large provider system, pick Cognizant, especially if TriZetto is already in your stack.
If you're a digital health startup with an app and an EHR integration on the roadmap, pick Topflight Apps.
If you already have a health tech team and need senior engineers on US hours, that's us. Our engineers work on your team, in your repos, and follow the HIPAA controls your security team sets.
It designs and builds software that handles health data: patient apps, EHR integrations, claims systems, telehealth, analytics. The healthcare part is mostly interoperability (HL7, FHIR, X12) and compliance (HIPAA, sometimes FDA).
No. HIPAA has no official certification for vendors. Look for a willingness to sign a BAA, documented safeguards, and certifications like ISO 27001, which some vendors here say they hold.
Most firms here don't publish rates. For team-based work, cost is team size times duration times monthly rate. For example, three senior engineers at $12,000 a month for six months is $216,000 at our rates.
Use a specialist if nobody on your team has shipped an EHR integration. Use a general engineering team if you already have that knowledge and need more capacity.
Yes, if your controls allow it. Many teams keep PHI in production and give engineers de-identified data. Decide your access policy first, then pick the team.
We checked pricing and services for every provider here in October 2026. This changes often, so double-check before you sign anything.
Thanks — your message has been sent. We’ll get back to you soon.
Something went wrong while sending your message. Please try again or email info@ryzlabs.com.