MNO began as a user of the Michigan Health Information Network (MiHIN) Use Cases for ADT Notification via the SouthEast Michigan Health Information Exchange (SEMHIE).

We were then approached to perform a system review and analysis, at which point we recommended some automated systems to alleviate their then manual-and-buggy process. We continued providing custom software and architecture consulting services. This included a full web-based rewrite of a custom proprietary coding application, which still operates today.