Integrates With Every EHR. Period.

Three integration tiers — what each one actually does

“EHR integration” means different things depending on the system. We support three distinct tiers, each with its own data flow and operational tradeoffs:

Native API integration (live, bidirectional)

For Epic, Cerner, athenahealth, DrChrono, NextGen, eClinicalWorks, Allscripts, Greenway, Jane App, ChiroTouch, ACOM Health, ChiroFusion, Open Dental, Dentrix, and 16+ others, we have direct API integration with your chart system. Patient bookings appear on your scheduler in real time (typically <500ms after the patient confirms). Patient lookups by phone number resolve against your live chart database. New-patient intake creates a real chart entry, not a placeholder. Every call from the AI receptionist gets logged as a chart note tagged “AI receptionist call.” Cancel and reschedule operations release and reclaim slots automatically. This is the deepest integration tier and what most practices are quoted on.

Setup time: typically 5-7 business days from kickoff to live, including sandbox approval where required (Epic, Cerner, athenahealth all require a vendor onboarding step we coordinate for you).

FHIR R4 / HL7 v2 bridge (live, async)

For systems where we don't have a native adapter, we integrate via standard healthcare interoperability protocols. Bookings push to your scheduler via FHIR R4 Appointment resources or HL7 v2 SIU/S12 messages — same outcome as native integration with a slightly longer sync cadence (typically 30-60 second push). Patient creation uses ADT/A28 messages. This works for any modern EHR with FHIR R4 support (most do as of 2026 due to ONC interoperability mandates) and any legacy system with HL7 v2 support.

Setup time: typically 7-10 business days. Requires your EHR vendor to enable FHIR access (sometimes a paid add-on) or your IT to provision an HL7 endpoint. We coordinate with your IT or vendor through the setup.

Manual workflow (staff-confirmed)

For the small handful of legacy practice-management systems we don't integrate natively or via FHIR/HL7, the patient-facing experience still works fully — booking, intake forms, AI receptionist, patient portal, payments. The difference is that staff confirms the chart entry once during a daily review window (5-10 minutes per day for a busy practice). We push structured data into your MedSiteAI dashboard with a one-click export to your EHR.

This tier is rare — fewer than 5% of practices we onboard. We always check your specific EHR before quoting; if you're on a system we're still working on adding native support for, we'll tell you up front and walk through the manual workflow before contract.