Top 10 EHR Integration Companies in the USA for 2027

Company info and prices are current as of publication time. Prices and availability can change, so always verify with each company before finalising a contract. 

Introduction

In 2025, 76% of US hospitals engaged in all four types of data exchange the federal government tracks, at least sometimes, but integration lags: 96% send records electronically, while only 79% integrate incoming records into their EHR (ASTP/ONC, 2025 American Hospital Association survey data). The partner you pick decides how long that connection takes and whether it survives an EHR vendor’s API change. This guide covers 10 EHR integration companies serving the US in 2027. For each one, we show what it builds, what its own pages leave out, and the price and timeline it publishes.

What Is EHR Integration?

EHR integration connects your electronic health record to the other software your team uses, so data moves without retyping. A lab result lands in the chart. A visit note reaches billing. A patient’s wearable readings show up on the nurse’s screen.

Two standards do most of the work. HL7 v2 is the older one. It sends short messages and still runs many lab and hospital links. FHIR is the newer one. It works like a web API, and apps use it to read and write records. Since January 1, 2023, certified EHRs must offer standardized FHIR APIs. Even so, most hospital data sharing with third-party apps still uses proprietary APIs or HL7 interfaces (ASTP/ONC, 2024 data). Many projects need both.

Companies build these connections in three ways:

• Point-to-point. One direct link between two systems. It is frequently used for small projects.
• Interface engine. A central hub, such as Mirth Connect, that receives, converts and routes messages. It reduces the number of connections when many systems are involved.
• Integration platform. A ready-made network, such as Redox or 1upHealth, with pre-built connections to many EHRs.

A good partner can explain which of the three fits your case, and why.

How We Selected These Companies

We checked each company’s own website in October 2026 against five requirements. All ten meet them.

Companies that sell their own EHR, or only sell a ready-made integration platform, were left out. So were companies whose pages did not name a single EHR.

Every detail comes from what each company says about itself. Prices, certificates and case studies change, so confirm what matters to you directly with the company. Each entry ends with a “Lighter on” note that names what its pages do not show. Use it as your question list.

The Top 10 EHR Integration Companies

1. Bacancy Technology

Bacancy Technology builds EHR integrations for hospitals, clinics, telehealth platforms and health IT companies. It has worked in healthcare IT since 2011, has 1,050+ engineers, and lists an ISO/IEC 27001:2022 certificate on its site.

Integration capabilities:

• FHIR and HL7: FHIR R4, SMART on FHIR and CDS Hooks, plus HL7 v2 and v3 on Mirth Connect, Rhapsody or Infor Cloverleaf
• Named EHRs: Epic, Cerner, Athenahealth, Meditech, Allscripts, eClinicalWorks, DrChrono and 15+ others
• EHR to EHR exchange and migration, including Epic to Cerner moves
• Connected systems: labs, imaging, billing, pharmacy, remote monitoring devices and wearables
• Older EHRs: HL7 v2, database links and middleware, bridged to FHIR
• Support: 24/7 monitoring, L1 to L3 support and EHR upgrade testing
• Case studies (clients not named): 42% fewer duplicate test orders at a 7-department hospital, and referral processing cut from 3 days to under 4 hours at a mental health network

Best for: Hospitals and health IT teams that want one partner for build, hub setup and round-the-clock monitoring, and buyers who want a price range before a first call.

Lighter on: Named clients. Its case studies describe each client by type, so ask for a reference on your own EHR.

2. CapMinds

CapMinds builds EHR and EMR integrations with labs, pharmacies, payers, imaging systems and health information exchanges. Its site lists a Leesburg, Virginia address and shows ISO 9001:2015 and SOC 2 Type 2 badges.

Integration capabilities:

• Standards: HL7 v2, FHIR and C-CDA
• Labs and imaging: two-way orders and results
• Pharmacy and payers: ePrescribing, eligibility checks, prior authorization and claim status
• Health information exchanges: regional and statewide links, with consent controls
• EHR coverage: separate pages for Epic, Cerner, athenahealth, eClinicalWorks, NextGen, Veradigm and others, plus Mirth Connect

Best for: Clinics, hospitals and health tech companies that need many lab, pharmacy and payer links set up.

Lighter on: Price, timeline and interface case studies. The page gives no price or timeline, and its three case studies are an RCM automation, a custom EMR and UDS reporting, not interface projects.

3. Folio3 Digital Health

Folio3 Digital Health says it belongs to the Epic Vendor Services Program. It offers EHR integration for hospitals, health systems, startups, software companies and device makers, and reports 50+ healthcare integration projects.

Integration capabilities:

• Interfaces: HL7, FHIR, REST, SMART on FHIR, CDA and X12
• Named EHRs: Epic, Oracle Health, MEDITECH, athenahealth, Allscripts and Veradigm, eClinicalWorks and NextGen
• Connected systems: LIS, RIS, PACS, pharmacy, HIE, payers, telehealth and device data
• AI apps: pulling data from the EHR and writing structured output back to the chart
• Specific named work: a referral dashboard for HealthQuest with 32% more completed referrals, and the HipLink patient alert system on HL7 and Epic MyChart, with up to 25% fewer no-shows

Best for: Provider groups and software companies that want Epic work planned and built by one team.

Lighter on: Budgeting detail. A range from $5,000 to over $1,000,000 does not help you plan.

4. Topflight Apps

Topflight Apps is based in Irvine, California. It builds EHR integrations for digital health startups, providers, hospitals and drug companies.

Integration capabilities:

• SMART on FHIR apps: apps that open inside the EHR with single sign-on
• Interfaces: FHIR, HL7 v2 and DICOM imaging exchange
• Marketplace onboarding: Epic Connection Hub and the athenahealth Marketplace, with sandbox testing
• Devices: wearable and medical device data sent into EHRs
• Specific named work: an Orange County hospital app connected to Epic and deployed to Epic’s app store, and GaleAI, a medical coding tool in the athenahealth Marketplace

Best for: Digital health companies that need an app to run inside Epic or athenahealth.

Lighter on: Price and timeline. The page gives neither, and several case studies are app builds more than interface projects.

5. ScienceSoft

ScienceSoft, based in McKinney, Texas, has worked in healthcare IT since 2005. Its site lists ISO 9001, ISO 27001 and ISO 13485 certificates.

Integration capabilities:

• Standards: HL7 v2 and v3, FHIR, USCDI, C-CDA, XDS, NCPDP SCRIPT and X12 claims data
• Named EHRs: Epic, athenahealth, Cerner, GE Healthcare, Allscripts and NextGen, plus niche and custom EHRs
• Two scopes: integration for software products, and for provider IT systems such as HIE, imaging, lab and telemedicine
• Planning: requirements, approach, tech stack and guidance on Cures Act duties for FHIR APIs
• Specific named work: Chiron Health, a telehealth app integrated with athenahealth, CareCloud, RIS and LIS

Best for: Buyers with heavy compliance needs who want a flexible pricing model.

Lighter on: Interface-focused case studies. The five it shows are mostly app and software builds.

6. Itransition

Itransition has a US office in Decatur, Georgia. It says it works with Epic, Oracle Health (formerly Cerner) and athenahealth.

Integration capabilities:

• Consulting: advice on point to point, enterprise service bus or cloud platform approaches
• Connected systems: patient portals, labs, telehealth, analytics, devices, billing, CRM and pharmacy software
• Older systems: custom integration where no APIs or standard interfaces exist
• Delivery: six steps from discovery to support, with documentation and end-user training at launch
• Case study (client not named): an automation platform integrated with Epic and DICOM imaging, with 40% faster time to market

Best for: Large organizations with several EHRs or old systems that need a clear approach before any build starts.

Lighter on: Cost. The page says each case is priced on its own and gives no range. The page is dated May 2025, so ask about current work.

7. Arkenea

Arkenea, Inc. says it has built custom EHR integrations since 2011. Its page lists a 4.9 Clutch rating.

Integration capabilities:

• EHR links: direct to Oracle Cerner, Epic, athenahealth, Allscripts and NextGen, or through Redox Engine and 1upHealth
• APIs and FHIR: custom REST, SOAP and GraphQL APIs, SMART on FHIR apps and FHIR servers
• Older EHRs: HL7 v2.x messages, database links and custom middleware
• Multi-EHR hubs and devices: hubs for networks that run several systems, and device data sent into EHRs
• Support after go-live: 30 days of close monitoring, maintenance contracts and 24/7 support options
• Case studies (clients not named): a network running Epic, Cerner and Allscripts cut quality reporting time by 40%, and a startup connected to 18 EHR systems

Best for: Health tech startups and device makers that must connect to many EHRs, and networks that run several EHRs at once.

Lighter on: Price and named clients. The page gives no cost range, and the case studies do not name the client.

8. Mindbowser

Mindbowser lists a Jersey City, New Jersey office and says it has 200+ HIPAA- and FHIR-trained staff. Its page says it is SOC 2 Type II audited, and another page says it belongs to the Epic vendor services program.

Integration capabilities:

• EHR coverage: Epic, Oracle Health (Cerner), Athenahealth, eClinicalWorks, NextGen, MEDITECH, Allscripts and 20+ others
• Standards: FHIR R4 and STU3, SMART on FHIR, HL7 v2, X12, Bulk FHIR Export and C-CDA
• ConnectHealth: a ready-made platform that runs in the client’s own cloud, with read-only or two-way write-back
• Epic support: sandbox setup and ready Epic connectors through its Epic vendor program membership
• Work shown (clients not named): a SMART on FHIR app in Epic, an AI decision support platform with Epic integration, and a Cerner EHR proxy SDK

Best for: Digital health companies that need to reach many EHRs quickly, especially on AWS.

Lighter on: Price. The page promises predictable pricing but gives no figures. Its speed claims come from the company itself.

9. Thinkitive

Thinkitive publishes a US phone line and case studies for clients in Texas. Its page shows HIPAA, SOC 2 and ISO 9001 and 27001 badges.

Integration capabilities:

• Integration bridge: HL7 v2 and v3, FHIR, CDA, CCD, X12 and NCPDP
• Named EHRs: Epic, Cerner, Allscripts, athenahealth, NextGen, eClinicalWorks and AdvancedMD
• Connected systems: LIS, RIS, PACS, HIE, devices, wearables, Surescripts, Quest, Labcorp and clearinghouses
• Testing: sandbox first, then production sign-off from the EHR vendor
• Case studies (clients described by type): Epic integrations for a Texas pediatric hospital and a 12-facility network, and a Cerner integration for a multi-location organization

Best for: Software companies that want a published starting price and a large case study library to read.

Lighter on: Named clients and large projects. Case studies describe clients by type, and testimonials give a person’s name and title but not the company. The published price range tops out at $30,000, and the page does not say what multi-system work costs.

10. OSP Labs

OSP Labs lists a US phone line and shows a client testimonial from San Antonio, Texas. Its site has an Epic integration page and separate pages for Cerner, MEDITECH, NextGen, athenahealth, eClinicalWorks, and Allscripts.

Integration capabilities:

• Epic interfaces: Epic APIs, FHIR, HL7, SMART on FHIR, Interconnect and Bridges
• Epic programs: support for apps in App Orchard and Showroom
• Epic workflows: links to billing, clearinghouses, telehealth and MyChart, referrals, prior authorization, analytics and AI tools
• Devices and ancillary systems: device, lab, imaging (DICOM) and pharmacy connections
• Support: sandbox testing before go-live, and a service that fixes broken Epic interfaces

Best for: Provider groups that want Epic connected to billing, referral, and telehealth workflows.

Lighter on: Price and speed. The page lists cost factors but no ranges, and its 3- to 12-month timeline is the longest published on this list. The case studies shown cover billing, telehealth, monitoring, and diagnostics, not Epic interfaces.

How Do the 10 EHR Integration Companies Compare?

Each fact in this table comes from the company’s own website, read in October 2026. Certifications expire, clients leave, and case studies get removed. Confirm anything that matters to your decision before you rely on it.

What Does EHR Integration Cost?

EHR integration prices run from about $10,000 for one read-only connection to $250,000 or more for multi-system programs, and higher for hospital networks. Only four of the ten companies publish a price, so the ranges below combine their figures with 2026 industry cost guides.

Treat these as starting points, not quotes. Four details in the published material are worth asking about:

• More systems. Ranges climb from about $10,000 to $40,000 for one read-only connection to $50,000 to $250,000+ for multi-system programs, and higher for hospital networks.
• Old systems with no API. Some companies connect these through HL7 v2 messages, database-level links or middleware. Ask which method they would use.
• Epic projects. Epic work runs longer than other EHRs. Published timelines run from 3 to 12 months, and some companies say custom Epic builds take 6 to 12 months while ready-made platforms go live in weeks.
• Support after go-live. Ask for it in the quote. Some companies offer 24/7 monitoring with tiered support, and others offer a fixed period of close monitoring after launch.

How to Choose the Right EHR Integration Partner

Shortlist two or three companies, then ask each the same questions. The answers show who has done this before.

1. Which EHR, and which version, have you connected to in production? Ask for a named reference, not a logo.
2. Will you use FHIR, HL7 v2 or both, and why? A good answer depends on your EHR and your other systems.
3. What happens when the EHR vendor changes its API? Ask who tests for the change and how fast they respond.
4. Who watches the interface after go-live? Get hours, response times and cost in writing.
5. Do we own the code and the data mappings? Some companies state that clients own the code and IP, and others list documentation handover at go-live. Ask every company.
6. Can you show the vendor program memberships you claim? Some companies say they belong to Epic’s vendor services program. Confirm claims like this with the EHR vendor.

A company that answers all six plainly has probably done this work before.

Conclusion

The right EHR integration partner depends on what you need connected. This guide compared 10 companies that serve the US, from Epic specialists to app builders and multi-EHR hubs. Expect about $10,000 to $40,000 for one read-only connection and $50,000 to $250,000 or more for multi-system programs. Timelines run from weeks to 12 months, and Epic work takes longest. Shortlist two or three companies and ask each for a named reference on your own EHR. Use the Lighter on notes to build your question list. Get the price range and support terms in writing before the first build week. Every detail comes from each company’s own pages, read in October 2026, so check the live pages before you decide.

Frequently Asked Questions

How long does EHR integration take?

A read-only connection usually takes 4 to 10 weeks, and a two-way connection 2 to 4 months. Multi-system programs take 3 to 9 months, and Epic work often runs 3 to 12 months. Companies that publish a timeline give figures in the same range.

How much does EHR integration cost?

Expect roughly $10,000 to $40,000 for one read-only connection, $30,000 to $100,000 for a two-way connection, and $50,000 to $250,000 or more for multi-system programs. The cost table above gives the ranges by scope.

Do I need FHIR, HL7 v2 or both?

Often both. ASTP/ONC’s 2024 data shows that most hospital data sharing with third-party technology still runs through proprietary APIs or other methods, such as HL7 interfaces. Federal rules require certified EHRs to offer FHIR APIs for patient and population services. Ask your partner which one each link will use.

Can one partner connect me to several EHRs?

Yes. Companies do it with an interface engine, a ready-made integration platform or a multi-EHR hub. Ask which one they use, because it changes the price and who owns the connections.

Can a partner connect to an old EHR that has no modern API?

Yes. Some companies connect old systems through HL7 v2 messages, database-level links or custom middleware. Ask which method they would use.

Do I need the EHR vendor’s approval, and does it charge fees?

Often yes. Hospitals review security and set up access on their side, and that wait can take longer than the build. Epic lets developers use its public FHIR APIs free. Some EHR vendors also charge the hospital for API access, so ask who pays.

Do I need a Business Associate Agreement with my integration partner?

Yes, if the partner will handle patient data for you. HIPAA requires a signed BAA with business associates that handle protected health information. Ask for it before any work starts.