Replace Epic with an EHR
you actually own
FHIR R4 patient records, ePrescribing, lab interfaces, and audit-grade workflow — generated for small practices and specialty clinics instead of forced down from an enterprise platform.
FHIR R4 records
ePrescribing + EPCS
HL7 lab interfaces
Who replaces their EHR with VertiComply
Small Practice Owners
1–10 clinicians, all specialties
You're paying $300+ per provider per month for Epic, athena, or eClinicalWorks — for features you don't use. You want a focused EHR that matches your workflow, not a hospital-scale platform forced into a clinic.
Specialty Clinics
Mental health, dermatology, fertility, pediatrics
Generic EHRs miss specialty-specific workflows — therapy session notes, photo-based assessments, IVF cycle tracking, growth charts. VertiComply generates the EHR around your specialty's real workflow.
Digital Health Startups
Replacing EHR or building one in-product
You're a health-tech platform that needs an EHR layer — for patient charts, clinician notes, or care coordination — without becoming an EHR company. Drop in our generated EHR as a service.
Compliance, handled
HIPAA + Cures Act + DEA + state laws, generated as a single coherent stack.
FHIR R4 patient records
Charts modeled as FHIR resources from day one. Patient, Encounter, Observation, MedicationRequest, DiagnosticReport — all standards-conformant.
HIPAA Security Rule baseline
AES-256 at rest, TLS 1.3 in transit, audit log per § 164.312(b), risk analysis template, BAA list per vendor.
ePrescribing built in
Surescripts integration for non-controlled. EPCS scaffold for Schedule II–V — NIST IAL2 + two-factor signing per 21 CFR § 1311.
Lab interfaces (HL7 v2 + FHIR)
ORM out / ORU in for LabCorp, Quest, and hospital labs. Bulk FHIR for population-health analytics.
C-CDA import + export
Bring in records from existing EHRs, export to specialists, and stay compliant with 21st Century Cures Act information-blocking rules.
Audit log of every chart access
Who viewed, when, what record, from what device. Six-year retention. OCR-ready format.
Role-based access
Physician / nurse / front-desk / billing / read-only roles. Break-glass access logged separately for emergency cases.
Billing with CPT + ICD-10
Encounter notes flow to billing with CPT codes and ICD-10 diagnosis pointers. 837P claims generated to your clearinghouse of choice.
The stack we generate for you
| Component | Role | Generated With |
|---|---|---|
| Patient + chart store | Demographics, encounters, problems, meds | Postgres + FHIR R4 schema |
| Clinical notes | SOAP, narrative, AI scribe optional | Encrypted store + BAA-covered LLM |
| ePrescribing | Non-controlled + EPCS | Surescripts NCPDP SCRIPT |
| Lab interfaces | Order entry + result reception | HL7 v2 + FHIR R4 endpoints |
| Billing & claims | CPT, ICD-10, 837P, ERA | Claims clearinghouse integration |
| Interoperability | External record exchange | Bulk FHIR + C-CDA + Direct messaging |
| Audit + observability | 6-yr retention, OCR-ready | Datadog Enterprise (BAA) |
Epic / athena vs. VertiComply
Enterprise EHRs are sold to health systems. Small practices and specialty clinics overpay for features they don't use.
| Build it yourself | With VertiComply | |
|---|---|---|
| Upfront cost | Epic / athena: $100k–$2M implementation | Per-seat SaaS, no implementation contract |
| Time to first patient | 6–18 months for major EHR rollout | 3–6 weeks from idea to live charting |
| Specialty workflow fit | Generic; specialists work around limits | Generated around YOUR specialty's workflow |
| Data ownership | Vendor hosts; export fees on exit | You own the DB, the schema, and the export tooling |
| Interoperability | Cures-Act compliant but slow to evolve | FHIR R4 + Bulk FHIR + C-CDA from day one |
| Lock-in | Switching = full re-implementation | Standard FHIR + ANSI billing — portable |
Coming soon — practice migration stories
Practices migrating off legacy EHRs this quarter. Want yours featured? Email hello@verticomply.com after your migration is live.
Frequently asked questions
Can a custom EHR actually replace Epic for a small practice?
For practices under ~10 clinicians, yes — most small-practice EHRs use a small subset of Epic's features. VertiComply generates the focused subset: charts, encounters, e-prescribing, labs, billing. For 100+ provider health systems, you still want a full enterprise EHR.
Is this 21st Century Cures Act compliant?
Yes. Bulk FHIR API, C-CDA import/export, and information-blocking-compliant patient access are generated by default. ONC certification is a separate process you'd pursue based on whether you participate in federal programs.
What about Meaningful Use / Promoting Interoperability incentives?
If your practice participates in federal incentive programs, you'll need ONC certification. We generate a stack that's certification-eligible (CCDS data set, ePrescribing, patient portal hooks), but the certification process itself is yours.
Can I import data from my existing EHR?
Yes via C-CDA import (most major EHRs export this format), FHIR Bulk import, or direct HL7 migration. Plan on a few weeks for data mapping + reconciliation per legacy system.
Does it integrate with labs (LabCorp, Quest, hospital labs)?
Yes. HL7 v2 ORM (orders out) + ORU (results in) for legacy lab interfaces, FHIR for modern endpoints. Specific lab connectivity contracts and routing are configured per practice.
What about ePrescribing of controlled substances (EPCS)?
EPCS scaffold is generated — including NIST IAL2 identity proofing and two-factor signing. You handle DEA registration and the actual identity-proofing vendor contract. See our telemedicine guide for the full EPCS pipeline.
Can specialty clinics customize the chart layout?
Yes — chart layout, custom fields, and specialty-specific note templates are generated per project. Mental health needs different fields than dermatology; VertiComply asks during the design phase.
Stop paying $300/seat for an EHR you don't use
Generate a focused EHR around your practice's actual workflow — FHIR-native, audit-grade, and yours to own. No implementation contract. No export fees on exit.
14-day free trial of Pro features · No card required
Deep dives
How to build a custom EHR app without code in 2026. Covers what EHR systems actually need, HIPAA compliance, no-code platform evaluation, real costs, and a step-by-step build sequence for clinics and startups.
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Comparing the best EHR systems for small practices with 1-10 providers. Real pricing, HIPAA compliance, ease of use, and what each system actually does well.
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The complete 2026 guide to building HIPAA-compliant healthcare apps without code. Covers compliance rules, no-code platforms, what to look for, real costs, common mistakes, and a step-by-step practical sequence for US healthcare startups.
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Most healthcare app audit logs fail HIPAA § 164.312(b) because they miss three specific fields. Here is the exact schema that passes an OCR audit, plus retention rules, immutability patterns, and the 2026 shift toward testable audit controls.
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A 2026 engineering guide to HIPAA encryption requirements. What § 164.312(a)(2)(iv) actually demands, which algorithms pass audit, how to architect key management for PHI at rest, in transit, and in use — written for builders, not lawyers.
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