# Software development in Nashville, TN > Nashville holds the largest concentration of healthcare management companies in the United States, whatever the city is known for. If you operate hospitals, clinics or the billing behind them, the decisions a model touches are eligibility, claims and scheduling, and some of them need a person. Canonical: https://www.techfabric.com/custom-software-development-nashville Serving: Nashville, Franklin, Murfreesboro, Brentwood, Knoxville, Chattanooga Headquarters: 1530 E Williams Field Rd, Ste 201, Gilbert, AZ 85295. No office in Nashville. --- ## Why Nashville work is our work Your engineers are booked keeping billing, scheduling and eligibility running, so the platform that should connect them keeps slipping, and a claim that half-completes costs more than one that never started. Senior engineers join your team, build it so each case reaches the end with a person's sign-off where one is needed, and stay until it runs in production. In Nashville that's a hospital management company's revenue cycle, a physician practice group, or a freight carrier along I-24. ## Dynamics 365 consultants in Nashville Healthcare management companies in Maryland Farms and Cool Springs, the labels on Music Row and logistics firms along I-24 run Dynamics 365 Business Central and CRM for multi-entity finance and contracts. We implement both, integrate them with practice management and billing systems, and report across entities in Power BI. [Dynamics 365 consulting in Phoenix](https://www.techfabric.com/dynamics-365-consulting-phoenix) ยท [Power BI consulting in Phoenix](https://www.techfabric.com/power-bi-consulting-phoenix) ## Work a buyer here would recognise Auto Approve's automated approval engine doubled the vehicle loans processed each month and replaced more than four manual workflows, without hiring another agent. A loan approval and an eligibility check are the same kind of queue, rules applied to each applicant's documents, which is why a revenue cycle team at a hospital operator should read this one. ## An eligibility error costs you twice Nashville and Franklin hold more hospital management companies than anywhere else in the country, and their back offices run on eligibility, prior authorisation and claims. A wrong decision costs the reimbursement first. If it was paid, it can cost again, because an identified Medicare overpayment has to be returned within 60 days, and HIPAA governs every record the correction touches. ## Questions ### Can a person approve before an automated action goes out? Yes, and it is part of the runtime rather than a policy people follow. The action pauses, the approval is recorded against the exact operation, and the process resumes where it stopped. For eligibility and claims decisions that is the difference between automation and exposure. ### Do you have an office in Nashville? The office is in Gilbert, Arizona, with teams in Amsterdam, Dnipro and Hyderabad. Delivery is remote or hybrid, and we travel for discovery, workshops and the opening weeks of a build. ## What software development covers ### Web applications Applications built to be changed safely years after the original team has moved on. That means tests that mean something, seams where the business logic can move, and a deployment nobody is afraid of. ### Mobile applications iOS and Android, built as products rather than as ports. The maintenance story is decided at the start, while it is still cheap. ### APIs and integration The seams between systems, done once and properly. Most of the expensive failures we are called into are integration failures wearing another name. ### Data platforms The layer underneath the application, on Databricks, Azure, AWS or Google Cloud. If the reporting and the application disagree, the platform is the reason. ### Modernisation of what exists Often the work arrives as something already built that has become hard to change. We would rather read it and tell you honestly whether it is worth keeping than sell a rewrite you may not need. ### Durable, auditable workflows Processes that take days, call several systems and must never half-complete. Getting that right is a different discipline from getting a request handler right, and it is where we spend most of our time. ## Working with us from Arizona Arizona does not observe daylight saving, so we are one hour behind you from November to March and two hours behind from March to November. A morning standup on your clock is still early afternoon on ours. Most delivery is remote or hybrid. We travel for discovery, workshops and the opening weeks of a build.