A patient paid, and was then asked to create a second account before a clinician ever saw them. A third of them dropped out. Five vendors — payments, intake, scheduling, community, consultation — now sit behind one unified identity provider, with zero friction and zero lost consultations.
Conversion was healthy on checkout — the leak occurred immediately afterward at an unexpected second signup.
Legacy Multi-Account Experience
Checkout finishes successfully. Patient intent is at its peak.
Patient is redirected to a separate medical intake app and asked: "Create username and password." Confused after just paying, 1 in 3 close the tab.
Techdome Unified Care SSO
Checkout automatically issues a cryptographically verified patient session.
Patient lands on clinical intake already logged in. Name, email, and plan tier are instantly recognized without a password prompt.
Each partner still verifies every request. What was removed is the patient having to prove who they are more than once.
Medical History Questionnaire
“"Welcome back — we’ve loaded your clinical questionnaire." No second login screen.”
Patients were hit with a blank registration page: "Create username and password". 34% quit here.
Session seamlessly carried over. Patient is pre-authenticated in 12ms with zero password prompts.
Translating native OIDC, enterprise SAML, and non-SSO video rooms into one unified identity layer.
The non-SSO vendor receives short-lived assertions scoped strictly to one appointment. Zero persistent access granted.
How a single Stripe charge orchestrates identity, community access, attribution, and clinical intake in 14 milliseconds.
Patient Checkout Completed
Global Identity Minted
Portable IdP account created
Community Tier Unlocked
VIP member access on Circle
S2S Attribution Postback
Ad affiliate loop confirmed
Intake Pre-Authenticated
Typeform pre-loaded, 0 logins
Post-Payment Drop-Off Rate
82% of previously lost paying patients now convert directly into completed medical questionnaires.
Patient Credential Burden
Patients authenticate once on checkout; all 5 care partners recognize the session seamlessly.
Time to Care Delivery
Intake and community permissions provision in real time the millisecond Stripe charge clears.
The step that lost a third of paying patients was a second signup. Removing it — rather than optimising it — is what moved the number.
- 5 → 1
- Credentials a patient manages
- One identity provider in front of five vendor sub-applications.
- ~2.5 Wks
- Deal to kickoff
- Rapid evaluation through to a signed engagement.
- 13 Days
- Follow-on SOW approved
- Scope expanded after the first milestone landed.
- Aug 2026
- Full go-live
- Complete ecosystem cutover with no parallel-run period.
This ecosystem is described by sector and region rather than by name, so publishing never waits on a client's sign-off. The figures are unchanged either way — our delivery record is independently verifiable on Upwork.
Every vendor boundary is a place to lose someone. We federate the ones that support it and bridge the ones that don't.
What we ship
- OIDC & SAML federation
- Custom token exchange for vendors without SSO
- Server-to-server attribution
- Webhook-driven provisioning
- Multi-vendor cutover with no parallel run
- Security review and threat modelling