Healthcare operations software · built by 30-year insiders
Healthcare is full of tedious work. We automate it elegantly.
Bluefish builds affordable, high-feature apps that streamline the manual, repetitive work hospitals run on — AI where it earns its keep, smart software everywhere else. We extend the systems you already run and replace the ones that cost too much, so your teams work at the top of their license.
Built by hospital-IT operators with 30 years inside Arkansas Children's and Phoenix Children's. Led by David Higginson, CHIME Innovator of the Year. The tools we sell are the tools our teams run.
Trusted by leading U.S. & Canadian health systems
Why Bluefish
One idea, four convictions.
We automate the tedious
The manual, repetitive work hospitals run on — coding charts, releasing records, printing paystubs, tuning databases — handled by software. AI where it earns its keep; smart automation everywhere else.
We extend what you already run
Bluefish works alongside the systems you have — EMR, ERP, payroll, databases — and replaces only what's outdated and overpriced. Embrace and extend, never rip-and-replace.
High feature, low cost
Modern, efficient software with a deep feature set at a fraction of legacy pricing — built to solve real problems, not to fill a sales quota.
Born in real hospitals, not a VC deck
Every product comes from a real problem our team hit inside real healthcare organizations over 30 years — built and used on the floor, not dreamed up by a startup chasing the latest thing.
The platform
Five products. One job: end the busywork.
Each one takes a tedious, manual process and makes it elegant. Here's the work each removes.
Revenue cycle · coding
Capsa
The tedious work: coding every chart by hand — and chasing the charges that slip through.
Capsa is AI medical coding built on your data — tuned to your providers' documentation, your payers' rules, and your team's coding patterns. Every code traces to the exact words in the chart, so coders approve cited recommendations instead of combing the record. You don't buy a stranger's AI prompts; you get a pipeline you govern.
- 93–96% accuracy
- Every code cited to the chart
- Built on your data
Pt presents with chest pain on exertion for 3 weeks; history of hypertension × 10 yrs, type 2 diabetes on metformin. EKG with ST depression. Cardiac workup ordered.
- I20.9 Angina pectoris, unspecified ↳ "chest pain on exertion"
- I10 Essential hypertension ↳ "hypertension × 10 yrs"
- E11.65 Type 2 diabetes w/ hyperglycemia ↳ "type 2 diabetes on metformin"
Health Information Management
HealthPoint
The tedious work: HIM releasing records to outside doctors — paper onboarding, faxed charts, manual user adds.
HealthPoint replaces the legacy referring-physician portal — no IT implementation, no interfaces to build. Community and referring physicians self-serve a governed, real-time, fully-audited view of their patients' records, so HIM's paper onboarding and the daily records-request queue simply go away.
- One electronic signup replaces the paper packet — automated NPI / OIG / SAM credential checks + e-signature
- Practices self-serve their own user adds and removes — no tickets, no phone calls
- Real-time clinical documents — no fax, no days-late records
- Every referral and visit across all channels, break-the-glass access, full audit trail
- Desert Valley Pediatrics Dr. R. Altamura · NPI 1316941677NPI ✓ OIG ✓ SAM ✓ NDA ✓
- Sonoran Internal Medicine Dr. M. Park · NPI 1457893210NPI ✓ OIG ✓ SAM ✓ NDA —
- Riverside Family Clinic Dr. K. Patel · NPI 1789324551NPI ✓ OIG ✓ SAM ✓ NDA ✓
- Harbor Pediatric Care Dr. J. Chen · NPI 1456771203NPI ✓ OIG ! SAM ✓ NDA ✓
Workforce · HR
Employee Portal
The tedious work: printing and handing out paystubs, W-2s and PTO balances every cycle.
Every employee self-serves their own information from any device, behind single sign-on. The print-and-distribute cycle stops, and payroll and IT stop fielding the same requests.
- Paystubs & W-2s on demand — view and print any time, any device
- Time-off and benefit balances, always current
- Hospital news & links that reach the staff who never sit at a desk
- Single sign-on, role-scoped — nothing left for payroll to print
Latest paystub
$2,148.36
Net · Jun 14
PTO balance
64 hrs
Vacation
Tax forms
W-2
2025 ready
Hospital news
3
new posts
Quality · national rankings
Shield Tracker
The tedious work: the once-a-year ranking-survey scramble — surveys, gap analysis and improvement tracked by hand across every service line.
Shield Tracker gives your leadership team complete visibility into ranking performance, gap analysis, and improvement progress across every service line — so you can focus on the recognition your work deserves, not the paperwork behind it. One platform for the entire ranking lifecycle.
- Every service line
- Gap analysis
- Year-round, not a fire drill
- Cardiology & Heart #12 ▲ 4
- Endocrinology #18 ▲ 6
- Orthopedics #26 — 0
- Neurology #34 ▼ 3
Database performance · IT
SprocOptimizer
The tedious work: slow SQL stored procedures, tuned by hand over senior-DBA weeks.
SprocOptimizer captures a slow stored procedure under real production load, rewrites it, tests that the results match exactly, and promotes it — automatically. A week of senior-DBA work becomes minutes, and your data never leaves your network.
- Up to 62% faster
- Automatically tested
- 100% on-premises
usp_GetClaimsByPayer - Captured
- Rewritten
- Results verified
- Promoted
Embrace & extend
Works with the systems you already run.
Bluefish sits on top of the software you already have — EMR, ERP, payroll, databases — on open healthcare standards (HL7, FHIR), so there's nothing to rip out. We're specific about what's live versus standards-ready, because vague "works with anything" claims don't survive an IT review.
Live in named hospitals today, with deep two-way integration.
Built on HL7/FHIR — Capsa ingests from any documentation source, so there's no custom build.
Proof
Proof, not promises.
“HealthPoint lets referring physicians, PCPs and our attending physicians see all the clinical information they need in a fast, intuitive and well-designed system.” — Dr. Donnal Walter, CMIO, Arkansas Children's Hospital
Built for a security review
Your data stays yours.
Your data stays put
We extend your systems; we don't export your data. PHI stays in your environment.
HIPAA-aligned
Encrypted in transit and at rest, designed to support your HIPAA obligations and BAAs.
Access controls
Role-based, least-privilege, break-the-glass, SSO / Active Directory.
Full audit trail
Every access and change logged — audit-ready for your compliance team.
Built by people who've done the job
Not a startup guessing what healthcare needs.
Bluefish is led by David Higginson, and built by a team that has spent 30 years inside real healthcare organizations creating, running, and improving these exact systems. Every product started as a real problem on the floor — which is why they're elegant where it counts and free of the fluff that never survives a real hospital.
Meet the team →See it on your data.
Have a question? Ask the team that built it — tell us what you're trying to solve and we'll show you. No demo booking, no obligation.
Ask us a questionHealthcare operations software · built by 30-year insiders
Healthcare is full of tedious work. We automate it elegantly.
We automate the manual work hospitals run on — and extend the systems you already have.
Ask us a questionTrusted by leading U.S. & Canadian health systems
The platform
Five products. One job: end the busywork.
Each one ends a tedious, manual process. Tap any to dig in.
Capsa
Ends manual chart coding — 93–96% accurate, every code cited to the chart.
Visit capsacoding.comHealthPoint
Ends HIM's records-release grind — referring physicians self-serve real-time records.
Explore HealthPointEmployee Portal
Ends the paystub & W-2 print run — every employee self-serves on any device.
Explore Employee PortalShield Tracker
Ends the annual ranking scramble — gap analysis and improvement, tracked year-round.
Visit shieldtracker.appSprocOptimizer
Ends hand-tuning slow SQL — stored procedures rewritten, verified and promoted automatically.
Visit sprocoptimizer.comWhy Bluefish
One idea, four convictions.
- We automate the tediousThe manual, repetitive work hospitals run on — coding charts, releasing records, printing paystubs, tuning databases — handled by software. AI where it earns its keep; smart automation everywhere else.
- We extend what you already runBluefish works alongside the systems you have — EMR, ERP, payroll, databases — and replaces only what's outdated and overpriced. Embrace and extend, never rip-and-replace.
- High feature, low costModern, efficient software with a deep feature set at a fraction of legacy pricing — built to solve real problems, not to fill a sales quota.
- Born in real hospitals, not a VC deckEvery product comes from a real problem our team hit inside real healthcare organizations over 30 years — built and used on the floor, not dreamed up by a startup chasing the latest thing.
Embrace & extend
Works with the systems you already run.
We sit on top of your EMR, ERP, payroll and databases on open standards (HL7, FHIR) — nothing to rip out. We're specific about what's live versus standards-ready.
Proof, not promises
“HealthPoint lets referring physicians, PCPs and our attending physicians see all the clinical information they need in a fast, intuitive and well-designed system.” — Dr. Donnal Walter, CMIO, Arkansas Children's Hospital
Built for a security review
Your data stays yours.
- Your data stays putWe extend your systems; we don't export your data. PHI stays in your environment.
- HIPAA-alignedEncrypted in transit and at rest, designed to support your HIPAA obligations and BAAs.
- Access controlsRole-based, least-privilege, break-the-glass, SSO / Active Directory.
- Full audit trailEvery access and change logged — audit-ready for your compliance team.
Built by people who've done the job
Not a startup guessing what healthcare needs.
Led by David Higginson, built by a team with 30 years inside real hospitals — every product started as a real problem on the floor, not a VC deck.
Meet the team →Have a question?
Ask the team that built it — tell us what you're trying to solve. No demo booking, no obligation.
Ask us a question