Deep integrationwith the EHR youalready have
We build deep, production-grade integrations between your AI systems, your EHR, your practice management software, payer portals, and lab systems — without replacing anything. Your staff keeps using the tools they know. The data just moves perfectly between them.
Why native EHR integrations
always fall short
Every EHR vendor promises integrations. In practice, those integrations are shallow, brittle, and designed to keep you inside their ecosystem — not to genuinely connect your systems.
Copy-paste "integration" isn't integration
Most EHR "integrations" are browser extensions that copy text between systems. Data isn't structured, isn't validated, and isn't reliable at scale.
Vendor lock-in disguised as integration
EHR vendors build integrations that work only inside their ecosystem. The moment you add a third-party tool, you're on your own — with limited API access and no support.
Legacy systems with no modern API
Many behavioral health and home health EHRs are 10–15 years old with no FHIR support, limited APIs, and documentation that hasn't been updated since 2015.
Multi-system organizations have no unified layer
After acquisitions, organizations run 2–4 different EHRs across locations. No EHR vendor solves this — they want you to migrate everyone to their system. We connect them all.
We build the integration layer
your EHR vendor won't
Deep API integration — not screen-scraping
We connect at the data layer using official APIs, FHIR endpoints, and HL7 interfaces — not browser extensions. Data is structured, validated, and HIPAA-compliant at every step.
Works with legacy systems too
No modern API? We build custom connectors for legacy systems — Netsmart, older Cerner versions, on-premise databases — using the interfaces they do expose, even if that's HL7 v2 over MLLP.
Multi-EHR environments supported
Running Epic in one location and SimplePractice in another? We build a unified data layer on top of both — so leadership sees one picture even when the underlying systems differ.
No rip-and-replace — ever
Staff keep using the EHR they know. We add intelligence on top of it. No retraining, no data migration risk, no disruption to clinical workflows during implementation.
Every major EHR, PM system, and payer portal — connected
If your system isn't listed, we've almost certainly integrated with something similar. Our integration team assesses every system on engagement start — if an API exists, we can connect it.
Behavioral Health & Mental Health EHRs
Includes specialty support for 42 CFR Part 2 data segregation in SUD-adjacent behavioral health systems
Hospital & Large Health System EHRs
SMART on FHIR authorization supported for Epic and Cerner — enables secure, standards-based app integration without custom credentials
Physician Group & Ambulatory EHRs
Home Health, SNF & Post-Acute EHRs
Includes OASIS validation connectors and CMS iQIES submission integration for Medicare-certified home health agencies
Payer Portals & Clearinghouses
Three integration approaches —
we pick the right one for your system
Not every system has a modern REST API. Not every EHR supports FHIR. We assess your specific stack and choose the deepest, most reliable integration method available.
FHIR R4 API integration
The gold standard for modern healthcare interoperability. We connect via official FHIR R4 endpoints using SMART on FHIR authorization — structured data, real-time sync, bidirectional.
HL7 v2 & legacy connectors
For systems without modern APIs — older Netsmart versions, on-premise Cerner, legacy home health EHRs — we build HL7 v2 connectors using the interfaces they do expose.
Browser extension layer
When API access is restricted or cost-prohibitive, we build a secure browser extension that operates within the EHR's web interface — reading and writing structured data without requiring API credentials.
The interoperability standard
reshaping healthcare data
exchange
FHIR (Fast Healthcare Interoperability Resources) R4 is the modern standard for how healthcare systems share data. Since 2021, CMS regulations require payers to expose FHIR APIs — and the 2026 prior authorization mandate extends this further.
We build all new integrations FHIR-first — structured data resources, standardized API endpoints, and SMART on FHIR authorization that works across EHR systems without custom credential management per system.
CMS 2026 mandate: all payers must expose prior authorization FHIR APIs. Your systems need to be ready. We make sure they are.
Six principles that guide
every integration we build
No rip-and-replace, ever
Staff keep using the EHR they know. We add our intelligence layer on top. No retraining, no migration risk, no disruption during implementation.
PHI handled at every layer
Every integration point — API calls, data in transit, data at rest, logging — is architected with HIPAA PHI safeguards. BAA signed before any data flows.
Real-time, not batch
We build event-driven integrations where possible — data flows the moment something happens, not in overnight batch jobs that leave systems out of sync for hours.
Deepest available method
We always use the deepest integration method a system exposes — FHIR API first, then HL7, then REST, then browser extension. We never accept shallow when deep is available.
Full audit trail
Every data exchange is logged with timestamps, source, destination, and data type. Full audit trail for HIPAA compliance, troubleshooting, and integration monitoring.
Built to grow with you
New location opens with a different EHR? New payer added to your mix? New AI module to connect? The integration layer we build is designed to extend without rebuilding.
EHR integration in action
22 branches. A 12-year-old on-premise system. Zero data loss migration and full FHIR integration.
A 12-year-old on-premise EHR system with limited support, no mobile access for field clinicians, manual OASIS submissions by fax, and no ability to integrate with modern payer portals or AI tools. The system had no REST API — only a dated HL7 v2 interface and a proprietary database. They needed integration without migration risk.
What Metricoid Built
“We were terrified of touching a system with 12 years of patient data. Metricoid ran both systems in parallel for 6 months and gave us complete confidence before we cut over. Our field clinicians now finish notes in the home, not in their cars.”
— VP OF OPERATIONS, HOME HEALTH AGENCY, MID-ATLANTIC USOASIS first-pass acceptance rate after automated validation
Faster field documentation — notes completed in the home
Patient records migrated with zero data loss after 6-month parallel run
Annual IT cost reduction from system consolidation and cloud migration
Integration live in 8 weeks.
No disruption to clinical operations.
System Audit
We document every system in your stack — EHR version, available APIs, HL7 interfaces, database access, and payer portal credentials. We map exactly what data needs to flow where.
Integration Build
Connectors built in your development environment. FHIR translation layers configured. BAA signed. PHI safeguards tested. Every integration point validated before touching production data.
Parallel Testing
Integration runs alongside your existing processes. We validate data accuracy, timing, and completeness with synthetic and then real data — with no impact on clinical operations.
Go-Live & Monitor
Full integration live. Monitoring dashboards track every data flow in real time. Alerts on failures or delays. Ongoing support as your systems evolve or new systems are added.
Every integration built for
healthcare's regulatory reality
HIPAA
PHI safeguards at every layer
BAA Available
Signed before any data flows
42 CFR Part 2
SUD data segregation
FHIR R4
Modern interoperability standard
HL7 v2
Legacy system connectivity
SMART on FHIR
Secure EHR authorization
TLS 1.3 + AES-256
Encryption in transit & at rest
Full Audit Logs
Every data exchange logged
SOC 2 Aligned
Security & availability controls
CMS 2026 Ready
Prior auth FHIR API mandate
Get Started
Tell us what EHR you're running.
We'll tell you exactly how we connect it.
We'll audit your current system stack — EHRs, PM systems, payer portals — and produce a specific integration architecture for your organization. 15 minutes, no commitment.
- No rip-and-replace required
- Works with legacy systems
- BAA signed before any data flows
- FHIR R4 + HL7 + browser extension
Other healthcaresolutions
AI Clinical Documentation
Notes in 2–3 min, payer-compliant, EHR-ready
Revenue Cycle Automation
End-to-end RCM from eligibility to payment
Workflow Integration
Connect intake, scheduling & billing into one system
EHR & System Integration
You are here
Legacy Modernization
Migrate from aging systems with zero data loss
