Introduction
A February 2026 survey by the Workgroup for Electronic Data Interchange (WEDI) found that only 13% of health plans were at or near completion of the data-sharing systems that CMS requires by January 1, 2027. These systems, known as APIs, are mandated for health plans covered by the CMS Interoperability and Prior Authorization Final Rule. The hospitals and health technology teams that work with those plans will feel the pressure as well, and many will seek outside expertise to connect their systems. This guide helps you select an EHR integration company that can demonstrate its work.
What Does an EHR Integration Company Actually Do?
Most EHR integration companies follow the same four steps, though each one names them differently.
- Plan. The team lists the systems to connect, maps the data that moves between them and picks the standards and security rules that apply.
- Build. Engineers write the interfaces and APIs, then map each data field from one system to the other.
- Test. The team checks the connection with realistic clinical scenarios and security tests before it touches live patient data.
- Support. After go-live, someone monitors the connection and fixes it when the EHR vendor ships an upgrade.
Every hospital configures its EHR differently, so the steps are common but the results are not. That is why a named project with measured results tells you more than a list of services.
Why We Selected These EHR Integration Companies
We chose companies by what they publish on their own websites, not by awards, review scores or company size. On November 5, 2026, we recorded the same five facts for every company:
- Project proof: at least one real EHR integration project, named or anonymous.
- EHR systems: the EHRs it says it works with.
- Standards: the data standards it names, such as HL7 or FHIR.
- Data protection: its certifications and whether it signs a Business Associate Agreement (BAA).
- Support after launch: what it promises once the system is live.
The 6 Best EHR Integration Companies in the USA
1. Bacancy Technology
Bacancy Technology is a software development company founded in 2011, with 1,050+ engineers. It says it has served 500+ healthcare clients worldwide, and it lists an office in New Jersey.
- EHR systems: Epic, Cerner, athenahealth, Meditech, Allscripts, eClinicalWorks, DrChrono and 15+ other EHRs.
- Standards: FHIR R4, HL7 v2 and v3, SMART on FHIR, CDS Hooks, C-CDA and DICOM.
- Project proof: Relatient, a US patient engagement platform. From April 2025 to January 2026, four Bacancy engineers replaced 14 duplicate EHR connections with one FHIR R4 engine. Bacancy reports 65% less upkeep and a drop in the time to add a new EHR from 6 weeks to 9 days. The page does not name the EHRs involved.
- Data protection: ISO/IEC 27001:2022 certified, and signs a Business Associate Agreement (BAA).
- Support after launch: a hypercare period after go-live, 24/7 monitoring, tiered L1 to L3 support and testing when your EHR vendor upgrades.
2. Folio3 Digital Health
Folio3 Digital Health is the healthcare arm of Folio3 Software, with nearly two decades in healthcare IT and software. It builds healthcare apps and connects them to EHRs.
- EHR systems: Epic, Cerner and Allscripts. It also says it is an Epic Vendor Services member, which is its own statement.
- Standards: HL7, FHIR, REST APIs and SMART on FHIR.
- Project proof: HealthQuest, an infusion therapy provider that received referrals through several portals. Folio3 built a dashboard that connects those portals to the EHR and reports 32% more completed referrals and 45% better responsiveness. Its pages name two different EHRs for this project, AlayaCare on one and CareTend on another.
- Data protection: states HIPAA and GDPR compliance. No certificate or BAA is shown on the pages we reviewed.
- Support after launch: ongoing support that covers testing, monitoring, documentation, maintenance and updates when the EHR changes.
3. Mindbowser
Mindbowser builds digital health software and sells ConnectHealth, an integration platform that runs inside the client’s own cloud.
- EHR systems: Epic, Cerner (Oracle), athenahealth, eClinicalWorks and NextGen. It says it is part of Epic’s vendor program, which is its own statement.
- Standards: FHIR, HL7 v2 and v3, SMART on FHIR and C-CDA.
- Project proof: a labor and delivery platform that predicts delivery timing and staffing needs. Mindbowser built a two-way link with Epic using SMART on FHIR, HL7 and ADT messages. It syncs 300+ data points in real time, and Mindbowser reports it saves 30+ minutes at each shift handoff. The case page describes the client by type, not by name.
- Data protection: states built-in HIPAA and ONC compliance. No certificate or BAA is shown on the pages we reviewed.
- Support after launch: post-launch optimization. Support hours are not shown.
4. ScienceSoft
ScienceSoft is an IT services company headquartered in McKinney, Texas. It has worked in IT since 1989 and in healthcare IT since 2005.
- EHR systems: athenahealth and CareCloud, named for its Chiron Health project, plus custom EHR systems for other clients.
- Standards: HL7 v2 and v3, FHIR, DICOM, C-CDA, USCDI and X12.
- Project proof: Chiron Health, a US telemedicine platform. ScienceSoft built an Android telehealth app that connects to EHR/EMR systems, a radiology system and a lab system. It syncs patient data with the practice’s management system just before a video visit. A second project, with an unnamed client, connected a telehealth portal to athenahealth through REST APIs and cut the number of data requests to help lower the client’s costs.
- Data protection: ISO 9001, 27001 and 13485 certified, and ready to sign a BAA.
- Support after launch: continuous support, listed as the last step of its process.
5. Taction Software
Taction Software is a software development company founded in 2013. It has US offices in Chicago, Cheyenne, Austin and Sacramento, and a development center in Noida, India.
- EHR systems: Epic, Cerner, Allscripts, athenahealth and NextGen. Its Epic page says it is not a certified Epic partner.
- Standards: HL7 v2 and v3, FHIR R4 and R5, SMART on FHIR, DICOM, C-CDA and X12, built on tools such as Mirth Connect, Rhapsody, Azure Integration Services and MuleSoft.
- Project proof: an Epic integration described without a client name. Its pages give different totals for past work, 250+ integrations since 2013 on its Epic page and 785+ over 20 years on a blog.
- Data protection: ISO 27001 certified, and signs a BAA before any work touches patient data.
- Support after launch: 24/7 monitoring and proactive alerts, handled by the engineers who built the connection.
6. Topflight
Topflight is a healthcare software company based in Irvine, California. It builds apps and EHR integrations for digital health startups, hospitals and drug companies.
- EHR systems: Epic, athenahealth and Cerner.
- Standards: SMART on FHIR, FHIR, HL7 v2, DICOM and Mirth Connect.
- Project proof: Roundr, a mobile app that lets hospital doctors read and update Epic records during rounds. The page lists 700 hours of work over 9 months, carries a 2023 date and reports testing, not a result.
- Data protection: states HIPAA compliance. No certificate or BAA is shown on the pages we reviewed.
- Support after launch: go-live support, training and ongoing maintenance.
How the 6 Companies Compare on Proof
The table covers eight checks, using only what each company publishes. “No” means we did not find it on the pages reviewed on November 5, 2026, not that the company lacks it. The order is not a ranking.
| Check | Bacancy | Folio3 | Mindbowser | ScienceSoft | Taction | Topflight |
| Client named on the project page | Yes | Yes | No | Yes | No | Yes |
| Start and end dates given | Yes | No | No | No | No | Partial |
| A measured result is given | Yes | Yes | Yes | No | No | No |
| A starting point is given to compare against | Yes | No | No | No | No | No |
| The EHR is named in the project itself | No | Partial | Yes | Yes | Yes | Yes |
| A certificate is shown | Yes | No | No | Yes | Yes | No |
| A BAA is stated | Yes | No | No | Yes | Yes | No |
| Support hours are stated | Yes | No | No | No | Yes | No |
- Only one project has every number you need. One project page gives dates, a team size, a before figure (6 weeks to onboard a new EHR) and an after figure (9 days). That page does not name the EHRs involved, and the result is the company’s own report.
- Results without a starting point are hard to judge. Two companies report gains, 32% more referrals and 30+ minutes saved per handoff, but neither gives dates or a baseline.
- Naming the EHR is not the same as showing a result. Four companies name the EHR in their project, but three of them report no measured outcome. One of those pages is dated 2023 and describes testing.
- One company is marked Partial on the EHR check because its pages name two different EHRs for the same project.
- Support hours are rare. Only two of the six state 24/7 monitoring.
What to Ask Before You Sign
Put these six asks to every company on your shortlist and get the answers in writing.
- A client you can call. Only 4 of the 6 companies name a client on a project page. Ask any company for a contact or an approved summary.
- The baseline behind every figure. Only one of the six pages gives dates and a before and after number. Ask the others what was measured, over what period and against what.
- The exact EHR and version. Ask whether the project ran on the same EHR and version as yours. One company’s FAQ still mentions Epic App Orchard, which Epic replaced with Showroom in January 2024, so ask any company how it connects to Epic today.
- The BAA before any patient data. Three of the six state a BAA on their pages. Ask the other three to confirm in writing, and ask for a copy of any certificate with its expiry date.
- Support terms in writing. Only two of the six state 24/7 monitoring. Ask for support hours, response times and what happens when your EHR vendor upgrades.
- One document for scope, price and timeline. Published figures vary a lot by scope:
- One company lists $8,000 to $30,000 and 4 to 10 weeks for a single-system integration.
- Another starts at $30,000 and 1 to 6 months.
- A third gives 2 to 4 weeks for one HL7 interface and 3 to 6 months for a multi-system project.
Conclusion
The six companies publish very different amounts of proof: only one project page pairs a named client with dates, a team size and a before and after figure, three of the six show both a certificate and a BAA, and only two state 24/7 support. A company that publishes more is not automatically the better fit, it just gives you more to check before you sign. Use the proof table to shortlist two or three, send each one the six asks, and compare the written answers side by side. Every result in this guide is a company’s own report, so confirm the figures that matter with the client or in writing, and get the answers on paper before any provider of healthcare IT services touches patient data.