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QuickRCM · EHR Integration module

EHR integration that closes the loop between billing and the chart

QuickRCM pulls patients, encounters, coverage, clinical notes, and charges from your EHR every 15 minutes — and writes verified eligibility, finalized codes, claim status, payments, and statements back into the chart. No CSV exports. No re-typing. No second source of truth.

Schedule an integration reviewBrowse 25+ supported EHRs

Typical go-live for cloud EHRs: 2–4 weeks · OpenEMR same-week go-live for new tenants.

TL;DR

  • 8 named EHRs

    QuickRCM connects to 8 named EHRs — OpenEMR, Epic, Cerner, athenahealth, eClinicalWorks, NextGen, Allscripts, and DrChrono — via FHIR R4, REST, or Stagehand browser automation, with 25+ more in the wider integrations catalog.

  • Bi-directional by default

    Eligibility, finalized codes, claim status, and payments write back to the chart automatically every 15 minutes — no CSV exports, no second source of truth.

  • Under-a-week onboarding

    A new client EHR onboards in under 1 week for supported systems (versus 4–6 weeks before), with 98%+ EHR ↔ QuickRCM data parity and a 7–10 day reduction in days in AR within a quarter.

  • HIPAAaligned
  • AWS encryptionin transit & at rest
  • AWS Secrets Manager
  • Multi-tenant DB isolation
  • Full audit trail
  • RBACEHR_INTEGRATION · EHR_CONFLICT · EHR_SYNC

Outcomes RCM teams measure

The QuickRCM EHR Integration module is judged on three numbers: how much manual reconciliation work it eliminates, how fast it pulls AR down, and how closely the chart and the billing system agree at the field level.

70–80%

Less manual reconciliation

Reconciliation work falls 40% in 30 days and 70–80% in 90 days — about 25–35 hours a week back for a 10-provider clinic.

7–10 days

Days-in-AR reduction per quarter

Closing the loop between billing and the chart pulls AR down by 7–10 days within a quarter and cuts the eligibility/demographic slice of denials 50–60%.

98%+

EHR ↔ QuickRCM data parity

Sampled-field parity climbs from 80–88% to 98%+. Mean time to detect drift drops from 24–72 hours (manual) to under 60 seconds (automated).

Supported EHRs

Production-validated integrations across ambulatory, inpatient, behavioral health, FQHC, and rural settings. Each EHR has its own page with exact endpoints, auth scheme, and go-live time.

View all 25+ integrations →

How it works

One adapter per EHR, one mapping + conflict layer in the middle, and event-driven write-back to every downstream RCM module. The same architecture handles modern FHIR EHRs and legacy portal-only systems without changing how your teams work.

Source EHR

OpenEMR · Epic · Cerner · Athena · 20+ more

Adapter

FHIR R4 · REST + webhook · Stagehand RPA

Integration layer

Mapping · conflict workspace · circuit breaker · sync log

QuickRCM modules

Eligibility · Scribe · Coding · Claims · Payments · AR

Write-back

Verified coverage · finalized codes · claim status · payments · statements

  1. Step 1 · InboundAdapter polls every 15 minutes (or accepts webhooks where supported). Records are mapped, conflict-checked, and upserted.
  2. Step 2 · ProcessDownstream modules pick up changes and produce results — eligibility, codes, claim status, payments, statements.
  3. Step 3 · OutboundEach result flows back through the integration as a write-back with circuit-breaker protection and a full audit trail.

The three surfaces RCM IT lives in every day

Built for daily operations, not quarterly demos. These are the screens your integration engineers, RCM IT operators, and practice administrators actually open.

Health dashboard

5-second daily glance: status circle per EHR, uptime this week, syncs in the last 24 hours, recent self-healed alerts, and pending conflicts aging.

  • Big green/yellow/red status circle per connected EHR
  • Uptime target: 99.5%+ this week, with 7-day trend
  • Conflicts pending badge with aging in business hours
  • Self-healed events labelled with timestamp — no false alarms

Conflict workspace

Side-by-side resolution UI for fields the EHR and QuickRCM disagree on. Audit trail shows who changed what, when, and from which side.

  • EHR Value · QuickRCM Value · Detected At · Source of last edit
  • Accept EHR / Accept QuickRCM / Merge (compound fields like address)
  • Optional resolution note saved against the record
  • Repeat-conflict detection flags malformed mappings or upstream-write loops

Field mapping editor

JSONPath-driven mapping with a transform library, sample-payload testing, draft-then-promote workflow, and full version history.

  • JSONPath into the EHR payload, autocomplete on the QuickRCM target field
  • Transform library: formatPhoneE164, parseDateUS, mapIcd9ToIcd10, custom
  • Test against a real payload before promoting to production
  • Version history with one-click revert when a wave of new conflicts appears

Three connectivity modes — FHIR, REST, Stagehand

QuickRCM picks the deepest available interface per integration. You don't have to know which one is in use; the conflict workspace, mapping editor, and Health dashboard look identical regardless of mode.

FHIR R4

Modern, standards-based

Preferred when the EHR exposes a USCDI-aligned FHIR R4 endpoint. SMART on FHIR launch context for in-EHR sidebars where available.

  • Capability statement auto-discovers exposed resources
  • OAuth2 client-credentials or authorization code flow
  • Subscriptions or 15-minute incremental polling

Typical EHRs: OpenEMR · Epic · Cerner · MEDITECH Expanse · NextGen · Greenway

REST + webhooks

Cloud-native EHRs

Cloud-only EHRs publish event webhooks; QuickRCM consumes them and falls back to REST polling for any uncovered resource type.

  • Signed-webhook verification on every event
  • Adaptive throttling stays inside per-tenant API quotas
  • Same conflict workspace and field mapping editor as FHIR

Typical EHRs: athenahealth · DrChrono · Elation · ModMed · SimplePractice · TherapyNotes

Stagehand RPA

Browser automation when no API exists

QuickRCM logs into the EHR's web portal like a human, navigates the same screens, and pulls or writes the same fields — no portal scraping, no brittle macros.

  • Resilient to layout changes via vision + DOM heuristics
  • Same audit trail, conflict workspace, and circuit breakers
  • Used for legacy systems and payer portals without standards APIs

Typical EHRs: Legacy on-prem EHRs · payer portals · niche specialty systems

Bi-directional by default — write-back is not an add-on

Most EHR integrations are read-only and leave billing teams to re-type results into the chart. QuickRCM writes back as a first- class flow on every supported resource — so providers, coders, and front-desk staff see results in the system they already use.

Inbound · EHR → QuickRCM

Polled every 15 minutes (or pushed via webhook)

  • Patients & demographics (every 15 min)
  • Encounters & appointments
  • Coverage & subscriber data
  • Clinical notes (DocumentReference)
  • Charges (ChargeItem) and procedure history

Outbound · QuickRCM → EHR

Event-driven, triggered when each module completes

  • Verified eligibility (active coverage, copay, deductible-met)
  • Finalized codes (ICD-10, CPT/HCPCS) on the encounter
  • Claim status updates as they progress with the payer
  • Payment postings and ERA matches
  • Patient statements and balance changes

Need a one-off urgent push? The Push to EHR action on any source record (Eligibility Check, Claim, Payment) bypasses the schedule and writes immediately, with the resulting Sync log row flagged MANUAL_PUSH.

Modules that ride on the write-back loop: Eligibility, AI Scribe, Medical Coding, Claims, Payment Posting, Patient AR, and Prior Authorization. Each one writes its outcome back into the chart through the same conflict workspace and audit trail described above.

Reliability — circuit breakers and a 99.5% uptime target

An EHR going down is when most integrations break. QuickRCM is engineered for that case: per-EHR circuit breakers protect the tenant, the queue holds outbound work safely, and the Health dashboard shows what self-healed without anyone touching it.

Circuit breaker, three states

CLOSED
Connection healthy. Calls flow normally. This is the steady state.
OPEN
Three consecutive failures detected. Calls short-circuit instead of piling up — the EHR is given room to recover.
HALF_OPEN
After a 1-hour cooldown, one probe is sent. Success closes the breaker; failure re-opens it for another cooldown.

99.5%+

Weekly uptime target per EHR

Surfaced on the Health dashboard with a 7-day trend graph and per-day breakdowns.

< 60 sec

Mean time to detect drift

A 1-minute lightweight health check catches reachability changes; reconciliation runs each sync cycle.

Auto

Retry with exponential backoff

Outbound work parks in a queue while the breaker is OPEN, then drains automatically on recovery — no work is lost.

Security posture

The integration layer is the riskiest part of an RCM stack — PHI flows through it constantly. These are the controls that keep that flow safe.

See full Trust Center →

  • HIPAA aligned

    PHI is handled under the HIPAA Security Rule. BAAs are available for every customer that requires one, regardless of EHR.

  • Encryption in transit & at rest

    TLS 1.2+ on every interface. AWS-managed encryption (AES-256) at rest on PostgreSQL, S3, and the message queue.

  • AWS Secrets Manager for credentials

    OAuth client_id/client_secret and API keys never sit in our application database. They live in AWS Secrets Manager with rotation support.

  • Multi-tenant data-layer isolation

    Every record carries an organizationId scoped at the database layer. Cross-tenant reads are not just prevented — they are not expressible.

  • Full audit trail

    Every sync attempt, conflict resolution, mapping change, and manual push records who, what, when, before, and after — preserved in the Sync log.

  • Granular RBAC

    EHR_INTEGRATION, EHR_CONFLICT, and EHR_SYNC permissions can be granted independently. Read-only views of the Health dashboard for executives are supported.

Learn more

Reference guides for EHR integration

Background reading for engineers, IT directors, and CFOs scoping an integration. Reviewed by Dr. David Rawaf, MBBS (Imperial College London).

EHR integration — frequently asked questions

Which EHRs does QuickRCM integrate with?

QuickRCM ships production-validated integrations for 25+ EHRs across ambulatory, inpatient, behavioral health, FQHC, and rural settings — including Epic, Oracle Health (Cerner), MEDITECH Expanse, athenahealth, eClinicalWorks, NextGen, Allscripts/Veradigm, Greenway, DrChrono, ModMed, Elation, SimplePractice, and OpenEMR. Each EHR has a dedicated /integrations/{ehr} page with exact endpoints, auth scheme, and typical go-live time.

How long does it take to get live on a new EHR?

Most cloud EHRs (FHIR R4 + webhooks) reach production in 2–4 weeks; on-premise or interface-engine deployments typically complete within 4–8 weeks. OpenEMR tenants often go live the same week — Test Connection auto-detects the FHIR resources, default field mappings cover ~140 of 144 standard fields, and a 90-day backfill runs out-of-band so it doesn't block daily syncs.

What's the difference between FHIR, REST, and Stagehand?

Three ways QuickRCM talks to your EHR. FHIR R4 is the modern healthcare standard — preferred when available (OpenEMR, Epic, Cerner, MEDITECH, NextGen, Greenway). REST is a more general-purpose API used by cloud-native EHRs (Athena, DrChrono, ModMed, Elation). Stagehand is browser automation — QuickRCM logs into the EHR's web portal like a human when no API exists. The conflict workspace, mapping editor, and Health dashboard look identical regardless of mode.

Will the integration slow down our EHR?

No. Sync is incremental — it pulls records changed since lastSyncedAt, not the whole database. The 1-minute health check is a single lightweight call to a metadata endpoint. Adaptive throttling stays inside per-tenant API quotas. Most practices report no measurable change in EHR responsiveness; for cloud EHRs with rate limits, the polling cadence is configurable.

What happens if our EHR goes down or hits a rate limit?

The 1-minute health check notices fast, the per-EHR circuit breaker opens, and calls short-circuit instead of piling up. Outbound work parks in a queue. The Health dashboard shows yellow or red. When the EHR comes back, the breaker cycles to HALF_OPEN, sends one probe, and resumes on success — no work is lost and nothing leaks into other tenants.

Is patient data secure?

Yes. QuickRCM is HIPAA-aligned with TLS 1.2+ in transit and AWS-managed AES-256 encryption at rest. OAuth credentials live in AWS Secrets Manager, not in the application database. Every record is scoped to your organizationId at the database layer, so cross-tenant reads are not expressible. RBAC permissions (EHR_INTEGRATION, EHR_CONFLICT, EHR_SYNC) can be granted independently. Every sync, conflict resolution, and mapping change is recorded with before/after values in the audit trail.

Can we keep our existing clearinghouse?

Yes. QuickRCM connects to Availity, Change Healthcare (Optum), Waystar, Trizetto/Cognizant, and Office Ally for 837 claim submission, 835 ERA retrieval, and 270/271 real-time eligibility. Existing clearinghouse contracts stay in place — QuickRCM sits alongside, not in front of, your EDI partner.

What if our EHR has a custom field that's not pre-mapped?

Open the Field Mapping editor, pick the EHR and resource (Patient, Encounter, Coverage, etc.), click Add Mapping, define the JSONPath into the EHR payload, pick the QuickRCM target field from the autocomplete, optionally apply a transform (formatPhoneE164, parseDateUS, mapIcd9ToIcd10, or a custom expression), test against a sample payload, then Save Draft → Promote to Production. It takes about a minute, and version history allows one-click revert if a wave of new conflicts appears.

See your EHR connected in a 30-minute working session

Bring your EHR's name, base URL, and a sample resource payload. Walk out with a written connection plan — adapter type, field mappings to expect, go-live timeline, and a backfill plan for your historical data.

Schedule integration reviewBrowse all 25+ EHRsOr talk to the integrations team