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MediClinic Records

Electronic medical records and billing across six clinics, replacing paper files and cutting patient wait times by more than half.

Client
Afya Health Group
Timeline
20 weeks
Platforms
Web, Tablet
AFYA CLINIC09:12

Appointment confirmed, Thu 14 Mar 10:30, Westlands branch. Reply 1 to reschedule. Records synced across all 6 branches.

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Average patient wait time
-56%Average patient wait time
First-pass insurance claim rate
92%First-pass insurance claim rate
Branches on one record
6Branches on one record
Paper files in daily use
ZeroPaper files in daily use

The challenge

Six clinics, six sets of paper files. Patients seen at one branch arrived at another with no history. Billing was reconciled manually at month end and insurance claims were routinely rejected for incomplete documentation.

What we built

A shared electronic records platform with patient history, prescriptions, lab results, billing and insurance claim generation - built around clinical workflow rather than an accounting model.

How we approached it

  1. 1Shadowed clinicians across three branches before writing a single line of code
  2. 2Role-based access with a full audit trail on every record touch
  3. 3Structured insurance claim export matched to NHIF and private insurer formats
  4. 4Parallel-running period where paper and digital records coexisted for six weeks
  5. 5On-site training for 40 staff across all six branches
Our claim rejection rate was the quiet thing bleeding us. Fixing the documentation at the point of care fixed the revenue.
Dr. Grace WanjiruMedical Director, Afya Health Group

Technology

  • Next.js
  • Node.js
  • PostgreSQL
  • Docker
  • AWS

Commercial outcome

Insurance claim first-pass rate from 61% to 92%

Read the case study

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