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Case studyHow Vigiboss runs an entire healthcare platform, end to end
VigiBoss
Case study · MD4Front

Engineering and running the MD4Front platform, end to end.

MD4Front is a cloud EHR, billing and practice management platform for interventional pain practices and ambulatory surgery centers. As MD4Front’s technology partner, Vigiboss manages the entire product platform, from the first requirement to day-to-day production support.

Discuss your projectVisit MD4Front
Platform at a glanceSimplified illustration
Pain clinic
Surgery center
Billing office
Patients
Microsoft Azure · managed by Vigiboss
Web app & portalAngular
Application APIs.NET
Clinical & billing dataSQL Server
Secret store
Monitoring
Storage
Automated pipelines·Infrastructure as code·Staged releases
Integrations
ClearinghouseEligibility · claims · remittance
eRx & PDMPEPCS
Labs & imagingInterfaces
Clinical exchangeC-CDA
Partner
MD4Front
Sector
Healthcare technology · Interventional pain & ambulatory surgery centers
Vigiboss scope
Entire product platform, requirements to support
The challenge

Pain practices and surgery centers run clinical documentation, scheduling, prescribing and billing across disconnected systems, re-keying the same information several times per visit.

MD4Front set out to put the clinic, the surgery center and the billing office in one cloud record. They needed a single technology partner able to turn clinical expertise into production software, and then keep it secure, available and improving, without hand-offs between vendors.

The partnership

Vigiboss is the technology partner accountable for everything behind the MD4Front platform: product engineering, Azure hosting and operations, quality and releases, integrations, data migration and support.

  • Product engineering
  • Azure platform operations
  • QA & release assurance
  • Integration engineering
  • Data migration
  • Managed support
What Vigiboss does

One partner for the entire lifecycle.

MD4Front brings the clinical vision and the customer relationships. Vigiboss turns it into software and keeps it running.

  1. Requirements

    Workflow discovery with clinicians, billers and MD4Front leadership; specifications and acceptance criteria.

  2. Architecture

    Platform architecture, data model and integration design for clinic and ASC workflows.

  3. Engineering

    Web application, APIs, database, patient portal and mobile experiences.

  4. Hosting & operations

    Separate Azure environments defined as code, with monitoring, secrets management and cost oversight.

  5. Quality & releases

    Test-case catalogs, UAT with client subject-matter experts, defect triage and documented release trains.

  6. Support

    Day-to-day production support, release notes and continuous improvement for practices and their staff.

What we built

A full clinical, billing and engagement platform.

Delivered as one cloud record, so the signed note becomes the charge, the charge becomes the claim, and the remittance closes it.

Clinical

  • Visit and OR notes
  • eRx, EPCS and PDMP review
  • Orders, trackers and document library
  • C-CDA clinical summaries

Billing

  • Real-time eligibility
  • Professional and facility claims
  • Electronic claims and remittance
  • Payments, statements and AR follow-up

Engagement & operations

  • Scheduling by provider, room and facility
  • Patient portal and telemedicine
  • Secure messaging and reporting
  • Mobile app for iOS and Android

Applied AI

  • Voice documentation
  • Eligibility discrepancy checks
  • Denial explanations
  • A new AI capability targeted every sprint
How we run it

Engineering practices behind a regulated platform.

Release pipeline Every change, every release
  1. Commit
    Peer review
  2. Build
    CI pipeline
  3. Test
    Regression + UAT
  4. Stage
    IaC environments
  5. Release
    Notes + evidence
  6. Monitor
    Alerts + review

Infrastructure as code

Development and production environments are defined as code and reviewed like application code.

Automated pipelines

Builds, database deployments and releases run through Azure DevOps pipelines with staged promotion.

Release discipline

Every release ships with test evidence, client-facing release notes and a recorded baseline for the next one.

Security by default

Encryption in transit and at rest, managed secrets, role-based access and audit trails across clinical and financial actions.

Observability

Application Insights monitoring, alerting and regular cost and security posture reviews.

Structured QA

Module-level test catalogs, regression suites, UAT rounds with client SMEs and traceable defect resolution.

Journey

From discovery to production.

  1. Discovery

    Clinical and billing workflows mapped with MD4Front’s pain-management experts.

  2. Build

    Clinical, billing, portal and integration modules delivered in iterative sprints.

  3. Validation

    Structured QA and UAT rounds with client subject-matter experts, module by module.

  4. Oct 2026

    Production platform live on Microsoft Azure, with regular post-go-live release sprints.

  5. Ongoing

    Managed operations, support, data migration from legacy systems and AI features each sprint.

Results

What the partnership delivers.

  • One accountable partner from requirements to production support, with no hand-offs between vendors
  • A single cloud record shared by the clinic, the surgery center and the billing office
  • Repeatable, documented releases backed by test evidence
  • An Azure platform that can be audited, rebuilt and scaled as MD4Front grows

Need a partner to build and run your platform?

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