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21 Solutions

Case Studies

Smart tech choices that work in real businesses

21 Solutions is the tech team behind businesses that run on daily operations. We learn how your business works. We decide what to build, connect, or automate. We do the work. We stay involved as things change.

All case studies

Healthcare · Home health and hospice

Excelin Health

Excelin was growing faster than people could review charts by hand. We built tools for OASIS review, coding, clinical QA, 485 completion, and physician orders — the way Excelin actually works. We still run them today.

50%

Half the coding/OASIS staff

~$475K

About $475K saved per year

28 → 17

28 days down to 17

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Healthcare · Prior authorization

Cadence

Their software worked, but every change was slow, costly, and risky. The team stopped making needed updates. We decided a rebuild was safer than more patches. We rebuilt it in about six weeks. We still support it today.

~6 Weeks

Full rebuild in ~6 weeks

90%+

90%+ lower hosting costs

Ongoing

Ongoing senior support

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Field work across many sites · Property services

Apex Trash

A key field app was outdated. Workers stopped trusting it and worked around it. We fixed it. Then we grew it into one platform for field work, customer records, HR, and payroll across eight states.

~80%

~80% of tech problems fixed

8 States

8 states, one platform

$50K / yr

~$50K/yr manager salary avoided per market

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Custom production · Personalized nutrition

Link Biosciences

Access databases, spreadsheets, and paper in the clean room could not keep up. We learned how production worked. We built Sigma. We connected it to the machines. We still support new needs.

~300 → 1000s

~300 to thousands of orders/day

Portal

Customer portal

Ongoing

Ongoing support

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“Cadence” is a pseudonym used at the client’s request; the engagement and outcomes are real. Savings and salary figures are client estimates, reported and tracked by the clients themselves.

The common thread

Different industries. Same story. An established business gets stuck using spreadsheets, tools that don’t talk to each other, fragile software, or manual workarounds. In each case, we learned how the work and money fit together. We made the smart tech choice. We built or connected what the business needed. We stayed involved after launch.

If that sounds like your business, that is where we do our best work.

Have a problem like this? Let’s talk.

The 20-minute fit call is a straight talk about your problem, what it costs, and whether we are a good match.

If we are a good fit, we will suggest a clear next step.

About 5 minutes. No sales call required.