# ITIRRA

> AI & EHR Integration · Healthcare & Beyond

- Canonical listing: https://agencysource.com/agencies/itirra
- Location: Kirkland, WA
- Categories: [Custom Software Development](https://agencysource.com/categories/custom-software-development), [AI Consulting & Strategy](https://agencysource.com/categories/ai-consulting), [AI & LLM Development](https://agencysource.com/categories/ai-development), [Cloud & DevOps](https://agencysource.com/categories/cloud-devops), [IT Consulting & Managed IT](https://agencysource.com/categories/it-services)
- Services: Custom Software Development, AI Development, AI Consulting, ERP Consulting and SI, Cloud Consulting & SI
- Team size: 10 - 49
- Hourly rate: $50 - $99 / hr
- Minimum project: $5,000+
- Founded: 2008
- Website: https://itirra.com
- Listing: Not yet claimed
- Agency Source rating: no Agency Source reviews yet

## About

Itirra is a boutique software consultancy founded in 2008, headquartered in Kirkland, WA (Seattle area). We specialize in AI integration and custom software development for complex enterprise systems — healthcare IT, EHR platforms, ERP, and mission-critical integrations.

Where we work best: systems that are too layered, too regulated, or too custom for a generic vendor. Our team has deep hands-on expertise in EHR integration (FHIR, SMART on FHIR, HL7), RCM automation, clinical decision support (CDS), HIPAA and HITRUST-compliant architecture, and enterprise business automation — across healthcare, digital health, growing businesses, and beyond.

Small team. Senior engineers. Every project is handled by the people who understand the system — not handed off. That's what boutique means to us: fewer clients, deeper work, longer relationships. Some of ours span over a decade.

Based in the Pacific Northwest. Serving clients across the US.

Services:

- Healthcare AI & AI-powered applications
- EHR integration (HL7 FHIR / SMART on FHIR)
- Clinical Decision Support (CDS Hooks)
- RCM automation & denial management
- FHIR-native application development
- Prior authorization automation
- Custom healthcare software
- Cloud & mobile solutions
- HIPAA/HITRUST-compliant architecture

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Source: Agency Source, https://agencysource.com/agencies/itirra. Ratings and reviews come only from reviews submitted and moderated on Agency Source; agencies cannot pay for rank.