Healthcare Integration Built for How EHRs Actually Work

Most projects take between 2 and 16 weeks depending on complexity. A single interface connecting two systems can be live in as little as two weeks. Multi-system integrations involving EHR, practice management, and billing typically take 6-10 weeks.

Epic, Cerner, NextGen, athenahealth, AdvancedMD, eClinicalWorks, PointClickCare, Allscripts/Veradigm, MEDITECH, Greenway Health, ModMed, Netsmart, and more. If your system supports FHIR (the modern REST-based clinical data standard) or HL7 v2 (the older message format still running most hospital interfaces), we can exchange data with it in either direction.

Yes. Carequality and eHealthExchange are the national record-exchange networks that hospitals and larger provider groups already use to share patient data across organizations. We connect practices into those networks so you can pull records from and contribute records to the systems your patients' other providers already use.

Both are in scope. DICOM is the medical imaging format used by X-rays, MRIs, and ultrasounds — we route studies between modalities, PACS archives, and EHR viewers. ASTM is how most lab instruments talk; we translate their output into HL7 v2 ORU messages or FHIR DiagnosticReport resources so results land in the patient chart automatically. You can find more detail in our Imaging & lab coverage section above.

No. We build integrations alongside your existing systems, not on top of them. Your staff continues working normally during development. We test thoroughly in a staging environment before anything touches production data.

Every integration we build follows HIPAA technical safeguards including encryption in transit and at rest, access controls, and audit logging. We provide compliance documentation as part of our deliverables.

Yes. Data migration is a common part of integration projects. We map your existing data structures, clean and transform records as needed, and validate accuracy before cutover. We always maintain a rollback plan.

The discovery call is a free 30-minute conversation where we learn about your current systems, pain points, and goals. We'll ask about your EHR, practice management software, and billing workflow. You'll leave with a clear picture of what's possible and a rough timeline.

Yes. Every package includes post-launch support to monitor your new integrations and resolve any issues. Our Core and Enterprise packages include 30+ days of dedicated support, and we offer ongoing maintenance plans for long-term peace of mind.

TEFCA stands for Trusted Exchange Framework and Common Agreement — it is the federal framework that creates a single on-ramp to all the major health data networks in the United States. Rather than connecting to Carequality, eHealthExchange, and other networks separately, a TEFCA-connected practice can exchange records with any participating organization through one standardized pathway. QHINs (Qualified Health Information Networks) are the designated operators that connect practices into TEFCA. For most small and mid-sized practices, TEFCA becomes relevant when you need to pull outside records on patients who have visited other organizations, or when referring providers ask you to participate in network-level data sharing. We handle the technical connectivity so you do not need to understand the framework details to benefit from it.

Yes. X12 is the transaction set the insurance and billing industry runs on — 837 for claims going out to the clearinghouse or payer, 835 for electronic remittance advisories (ERAs) coming back. We also map 270/271 for eligibility verification and 278 for prior authorization. These mappings require precision: a field mismatch in the 837 subscriber loop means a claim denial, and a misread ERA means a payment posts to the wrong account. Every X12 mapping we ship is reviewed against revenue-cycle outcomes, not just the data format, so your billing team gets integrations that behave the way they actually need to.

Yes. NCPDP SCRIPT is the standard that governs electronic prescribing in the United States. We connect your EHR to pharmacy systems so providers can prescribe electronically without leaving the chart, and so prescription status updates (fill confirmations, cancellations, refill requests) flow back to the prescriber automatically. If your state's Prescription Drug Monitoring Program requires PDMP queries at the point of prescribing, we can wire that in as part of the same integration. The goal is a single prescribing workflow inside the EHR — no separate pharmacy portal, no paper routing.

Direct Secure Messaging (often called just "Direct") is an encrypted email-equivalent standard for sharing clinical documents between providers — referral letters, discharge summaries, transition-of-care documents. It is the standard behind the "Direct address" (like an email address but ending in @directaddress.net or similar) that many EHRs assign to providers for care coordination. You typically need Direct when you are referring patients to specialists or hospitals that use it as their preferred clinical document exchange channel, or when a Stage 2 Meaningful Use or MIPS requirement asks you to send transition-of-care summaries electronically. We can configure and integrate Direct into your existing EHR workflow so clinical documents route to the right place without manual handling.