Bolt built telehealth to disappear into the clinical workflow. A custom WebRTC engine handled video consultations with adaptive bitrate, screen sharing and recording, engineered for the low-bandwidth connections real patients have. An NLP-driven triage layer ran patients through structured pre-consultation intake and routed them to the right specialist with the right context already attached. The hard part was integration: HL7 FHIR connections to Epic and Cerner moved patient data, scheduling and clinical notes in both directions, so physicians never left their system of record. HIPAA-compliant e-prescriptions closed the loop with interaction checks, pharmacy routing and automated refills. Clearing HIPAA, SOC 2 and state-level privacy was a baseline requirement, not a feature. The platform scaled to 100,000+ patients in 18 weeks, with 85% of consultations going virtual and appointment waits cut 70%.