9 Best Epic Integration Companies for Enterprise Healthcare

Posted in EPIC

Epic remains the anchor EHR for U.S. hospitals and IDNs, making robust Epic integration services a strategic priority for enterprise IT leaders. Buyers typically seek partners with proven Epic experience, HL7/FHIR competency, HIPAA/SOC 2-grade security, and enterprise delivery at scale. Below we profile the 9 best ecosystem leaders for 2026—spanning Epic itself, the Epic Showroom marketplace, and eight standout integration companies—so you can quickly shortlist credible partners. In brief: Topflight Apps, Merative, Appinventiv, BlueBrix Health, Salesforce Health Cloud, Bacancy Technology, Folio3 Digital Health, and Redox all offer strong routes to enterprise EHR interoperability with Epic, supported by FHIR compliance and HL7 integration, and reinforced by Epic Showroom participation where relevant.

Strategic Overview

Epic holds a leading position among EHRs for large hospital systems thanks to deep specialty coverage, enterprise-grade security, and broad module breadth that spans clinical and revenue operations, according to industry roundups of best EHR systems (Epic is consistently cited among top choices for hospitals and IDNs). Selection for this list centers on four criteria: established Epic integration track records; standards-based interoperability (HL7 v2, FHIR, and SMART-on-FHIR where applicable); proven enterprise services and support; and rigorous security practices aligned to HIPAA and SOC 2 (a common denominator in successful large-scale deployments). Buyers seeking accelerated time-to-value should also confirm Epic Showroom participation and governance maturity. Nearly all U.S. non-federal acute care hospitals—96% have adopted certified EHR technology—underscoring the centrality of integration to enterprise strategy.

For enterprises planning Epic connectivity, a specialized partner like Folio3 Digital Health can accelerate results with HIPAA-ready delivery, HL7/FHIR adapters, and staff augmentation for complex projects through its Epic integration services.

Epic Systems

Epic Systems is the dominant enterprise EMR platform in U.S. hospital markets, widely regarded for robust security, deep specialty modules, and enterprise reliability. Its integration-first architecture includes:

• Epic Showroom, Epic’s marketplace and discovery portal for third-party apps.
• Epic Bridges, the interface engine for HL7 v2 messaging and other connectors.
• Care Everywhere for cross-system health information exchange.
• MyChart for patient engagement and portal access.
• Full support for HL7 v2 and modern FHIR APIs, increasingly paired with SMART-on-FHIR authorization.

Epic’s breadth spanning modules such as Healthy Planet (population health), Beacon (oncology), Resolute (RCM), Tapestry (payer), and mobile suites (Haiku, Canto, Rover) magnifies the value of clean, scalable integrations across clinical and operational workflows. Many health systems are now evaluating cloud hosting options for Epic as part of modernization roadmaps.

Epic Showroom Ecosystem

Epic Showroom is Epic’s official marketplace and developer-facing discovery program for third-party applications. It enables external apps to integrate directly via FHIR and Epic-approved APIs, offering a governed path to secure, standards-based data exchange and a catalog of vetted clinical and operational solutions. For buyers, Epic Showroom visibility is a practical shorthand for vendor maturity—validating security, compliance, and API alignment—while streamlining onboarding with pre-defined scopes, terms, and test environments. The result is faster time-to-integration with fewer surprises for enterprise IT, security, and compliance teams.

Folio3 Digital Health

Folio3 Digital Health specializes in enterprise-grade Epic integration services with HIPAA-ready delivery, HL7/FHIR adapters, SMART-on-FHIR enablement, and dedicated teams for complex, multi-site rollouts. The company provides end-to-end support—from discovery and mapping to Showroom onboarding, security reviews, and post-go-live operations—helping healthcare organizations reduce risk, accelerate timelines, and maximize ROI.

Topflight Apps

Topflight Apps is a specialized Epic integration partner known for SMART-on-FHIR, HL7 bridging, and compliance-by-default delivery models tailored to regulated enterprise deployments. Their playbooks cover Epic Showroom listing support, connection hubs, and real-world implementation challenges like data mapping, OAuth2/SMART flow orchestration, and interface testing. SMART-on-FHIR combines open FHIR APIs with OAuth2/OpenID Connect so apps can securely launch within the EHR context, reuse authorization patterns, and scale across systems without reinventing integration for each site. For organizations seeking rapid, secure app-to-Epic connectivity, Topflight’s technical rigor and onboarding speed are differentiators.

Merative

Merative brings global-scale integration expertise to large, complex Epic modernization programs across integrated delivery networks. Their strength lies in orchestrating multi-system data flows—clinical, revenue, and population health—while aligning to HIPAA and SOC 2 controls for enterprise security. For IDNs rationalizing data across disparate silos, Merative’s integration, analytics, and governance capabilities help standardize exchanges leveraging Epic APIs, HL7 v2 interfaces, and FHIR-based services.

Appinventiv

Appinventiv is a trusted digital health builder with demonstrated Epic app development and Epic Showroom onboarding experience. They blend custom app delivery with standards-based EHR integrations, supporting FHIR/HL7 pipelines and extensions across clinical and non-clinical Epic modules. Appinventiv’s appeal to healthtech scaleups and innovators is their focus on compliance, predictable delivery, and faster time-to-market, including proof-of-concept builds that graduate to marketplace listings.

BlueBrix Health

BlueBrix Health offers a care coordination platform with prebuilt Epic connectors aimed at small and mid-size care teams that need seamless interoperability. The platform provides flexible APIs and integration templates to bridge Epic data into referral management, transitions of care, and multidisciplinary team workflows—helping the right data arrive at the right moment to close gaps across settings. A care coordination platform streamlines collaboration among providers, payers, and patients by centralizing tasks, handoffs, and communication across the continuum.

Salesforce Health Cloud

Salesforce Health Cloud is an enterprise CRM and patient engagement platform that integrates with Epic to enable 360° patient views, population segmentation, and automated outreach. Using accelerators and connectors, organizations can sync key EHR data, normalize fields, and drive workflow automation, including SDOH insights framed for care teams. Common use cases include patient engagement, case management, referral follow-up, and payer-provider coordination—ideal where CRM-EHR unification can amplify operational ROI.

Bacancy Technology

Bacancy Technology is a hands-on implementation partner delivering end-to-end Epic integration services. Their teams build connectors, design HL7/FHIR adapters, and orchestrate real-time interfaces using EHR middleware patterns for hospitals and clinics. Enterprise deployments emphasize HIPAA-aligned processes, role-based access controls, and audit logging to meet regulatory expectations. For organizations requiring bespoke Epic workflows or complex data transformations, Bacancy’s custom integration focus is a strong fit.

Redox

Redox is a neutral healthcare integration platform that standardizes connections to Epic and other systems using HL7 v2, FHIR APIs, and modern event-driven patterns. With reusable connections, monitoring, and transformation tooling, Redox helps enterprises and digital health vendors scale interfaces across sites while maintaining security and compliance best practices.

How to Choose the Right Epic Integration Partner

Decision factor	What to verify	Why it matters
App Showroom experience	Live listings, validation history	Faster onboarding, lower integration risk
HL7 v2/FHIR competency	Interface specs, sample mappings, SMART flows	Ensures standards-based, secure, scalable integrations
Bulk data migration	Tooling for ETL, de-identification, audits	Reduces cutover risk and data quality issues
Security credentials	HIPAA program, SOC 2 reports, RBAC, audit logs	Meets enterprise compliance requirements
References	IDN/hospital case studies, KPIs	Validates delivery at scale
Delivery record	Project plan, staffing, SLAs	Predictable timelines and support

Practical tips:

• Request documented Epic Showroom participation, realistic multi-month timelines, and robust training/change management support.
• Negotiate data latency SLOs, escalation paths, and transparent pricing upfront—Epic project scope and cost can vary widely across organizations.

Key Epic Integration Technologies and Standards

• HL7 v2: A widely adopted messaging standard for exchanging structured clinical data (ADT, ORM, ORU, etc.) across EHRs, labs, radiology, and ancillary systems. It uses delimited messages and interface engines like Epic Bridges to route, transform, and acknowledge data reliably in high-volume hospital environments.
• FHIR APIs: Fast Healthcare Interoperability Resources define modern, RESTful APIs and standardized resources (Patient, Encounter, Observation) for granular, on-demand data exchange. FHIR supports JSON, secure transport, and modular implementation, enabling more agile integrations compared to traditional HL7 v2 interfaces.
• SMART-on-FHIR: A security framework that layers OAuth2/OpenID Connect on top of FHIR APIs to enable context-aware app launches inside EHRs. It standardizes authorization and identity so apps can scale across sites with consistent, secure access to EHR data and user context.
• Epic Bridges: Epic’s interface engine for HL7 v2 and other feed types. Bridges manages message routing, transformations, error handling, and monitoring at scale, serving as the backbone for high-throughput, event-driven clinical data exchange within Epic environments.
• Epic Showroom: Epic’s marketplace and discovery program. It provides API documentation links, test resources, and a governed process to publish applications that integrate with Epic via FHIR and approved APIs, giving buyers assurance on security and compatibility.

Epic supports HL7 v2 and FHIR APIs, with growing adoption of SMART-on-FHIR for secure, scalable apps.

Standards support snapshot:

Vendor HL7 v2 FHIR APIs SMART-on-FHIR Topflight Apps Yes Yes Yes Merative Yes Yes Typically supported Appinventiv Yes Yes Yes (project-dependent) BlueBrix Health Yes (verify per connector) Yes (verify per connector) Typically supported Salesforce Health Cloud Via connectors Yes Yes (via EHR launch patterns) Bacancy Technology Yes Yes Yes Folio3 Digital Health Yes Yes Yes Redox Yes Yes Yes

Note: Always validate scope and capabilities during discovery, as standards coverage and connectors vary by use case and environment.

Implementation Best Practices for Epic Integration Projects

• Plan in phases: requirements discovery, interface design, data mapping and validation, security review, UAT, and staged rollout.
• Build an OCM plan: engage clinical champions and super users early to shape workflows, training, and adoption.
• Engineer for security: design RBAC, audit logging, encryption in transit/at rest, and least-privilege access from day one. Epic emphasizes HIPAA compliance, role-based access, and auditable integrations in connected environments.
• Test thoroughly: interface unit tests, end-to-end scenarios, negative testing, performance and failover drills.
• Operationalize: define SLAs, monitoring dashboards, incident runbooks, and clear ownership across IT, security, and clinical ops.

Quick-start checklist:

1. Confirm Epic Showroom scope and credentials.
2. Finalize data models and mappings.
3. Build interfaces and SMART flows.
4. Validate with synthetic and de-identified data.
5. Complete security and privacy reviews.
6. Train users.
7. Go-live with hypercare and SLO monitoring.

Benefits of Working with Experienced Epic Integration Companies

Experienced Epic partners compress timelines, lower risk, and unlock enterprise value: fewer data silos, real-time clinical decision support, stronger patient engagement via tools like MyChart, and streamlined revenue cycle operations. As one expert guide notes, Epic integrations “reduce data silos across departments, improving real-time access and powering clinical decision support using real-time EHR data.” The right architecture also future-proofs innovation—enabling telehealth, remote monitoring, and AI analytics—on a secure, standards-based foundation.

Frequently Asked Questions

What are the essential interoperability standards for Epic integration? 

HL7 v2, FHIR APIs, and SMART-on-FHIR are the core standards, enabling secure, real-time data exchange and app launches in Epic.

How long does a typical Epic integration project take? 

Most projects span several months due to interface configuration, security reviews, testing, and organizational readiness.

What security and compliance measures should be expected in Epic integrations? 

Expect HIPAA-aligned processes, role-based access controls, audit logging, and vendor security attestations (e.g., SOC 2) throughout.

How can enterprises ensure successful adoption after Epic integration? 

Invest in training, structured change management, and a support plan with measurable SLAs to sustain adoption and ROI.

What are common challenges when integrating third-party apps with Epic? 

Complex APIs, Epic Showroom onboarding, data mapping, and maintaining compliance across environments are frequent hurdles.

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