Aeion Realtime for Telehealth
Telehealth platforms running Twilio / Vonage / Daily.co pay $0.40-2.00 per participant-minute — at scale, that's $50K-500K/month in WebRTC fees alone. Aeion Realtime is self-hosted LiveKit on your own VPS with zero per-minute fees, HIPAA-compliant audit + HMAC-signed event chain, optional AI Scribe that structures the clinician's captured visit notes into a SOAP draft for review after the visit, encrypted recording to your own bucket. The unit economics finally work.
The Telehealth Unit-Economics Problem
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HIPAA-Compliant Architecture
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Telehealth Visit Workflow
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The Telehealth Scribe AI Agent
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Operational Patterns
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Compliance + Audit Walkthrough
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FAQ
Business Associate (BA). BAA signing is included free with every module. Aeion provides infrastructure; you (the platform operator) are the Covered Entity or BA for patients.
Aeion handles tech; you handle licensing. Standard telehealth practice: provider must be licensed in patient's state at time of visit. Aeion can integrate with credentialing services.
Yes. Per-state compliance rules configurable per session. Provider state + patient state both tracked. Some states have specific requirements (e.g., California prescription regulations) — configurable.
Native via Singularity. Epic FHIR + Cerner FHIR connectors. For other EHRs, custom connector via Singularity. Patient record + visit notes sync.
Aeion Billing module + Health module handle CPT coding + claim submission. Integration with major clearinghouses (Availity, Change Healthcare).
Aeion Health records prescriptions in the patient's chart. Transmission to external pharmacy networks (e.g., Surescripts) is not built in today — bring your own e-prescribing integration for controlled-substance workflows.
Each country has different rules. Aeion is compliance-aware infrastructure; specific cross-border compliance is operator's responsibility (licensure, billing, prescriptions).
Both supported. Patient can request urgent visit from app; provider picks up. Or scheduled visits via Appointments module.
Multi-party sessions supported. Per-participant consent required. Audit log per participant.
Aeion Mobile Builder generates iOS + Android apps with embedded Realtime. Patients use mobile app for visits.
Recording continues server-side. Reconnection automatic. Worst case: brief audio gap. Recording continues; transcript fills gap with [audio interrupted] marker.
Infrastructure scales linearly with bandwidth. At 1M visits/month: ~$1-5K/month infrastructure vs $200K+/month Twilio. Aegis snapshot/CMK adds compliance value.