Elation Health API
Elation documents a REST API (v2.0, OAuth 2.0) and SMART on FHIR endpoints publicly at docs.elationhealth.com. Credentials are gated to entities with an active Elation agreement, with reports of $500 per provider per month for API access. Caps are 3 calls/sec and 150,000 per day.
Frequently asked questions
Elation Health scores D+ on the API Report Card. Elation documents a REST API (v2.0, OAuth 2.0) and SMART on FHIR endpoints publicly at docs.elationhealth.com. Credentials are gated to entities with an active Elation agreement, with reports of $500 per provider per month for API access. Caps are 3 calls/sec and 150,000 per day.
Without a usable official API, teams fall back on manual exports, file drops, or one-off vendor integrations. The other option is an unofficial API layer like Supergood that automates the authenticated web app directly.
Elation Health is a cloud-based, AI-native Electronic Health Record (EHR) and integrated medical billing / revenue cycle management (RCM) platform purpose-built for independent primary care.
Vertical: Healthcare (ambulatory EHR + practice management + RCM, primary care subsegment). Clinicians live in the Elation single-page Clinical First chart all day, documenting visits (often via Note Assist ambient AI in 12+ languages), reviewing the problem list/meds/allergies, ordering and reconciling labs/imaging, e-prescribing (including controlled substances via EPCS), running referrals, signing notes, and messaging patients through Patient Passport.
In the broader US ambulatory EHR market Elation is a mid-tier player (well behind Epic, Athenahealth, eClinicalWorks, and NextGen on raw share), but it is the leading clinical-first / primary-care-purpose-built cloud EHR in the independent primary care segment, with 32,000+ clinicians, 16M+ patients, and recognition as 2025–2026 ‘Best in KLAS’ for Small Practice Ambulatory EHR.
Yes, Elation Health is the system of record for nearly everything an independent primary care practice does.
Founded in 2010 by siblings Kyna and Conan Fong in San Francisco, Elation Health was built from inception as a cloud-native, clinical-first EHR for independent primary care, a deliberate counter-position to legacy hospital-centric EHRs.
Elation has reportedly charged $500 per provider per month indefinitely for API integration on top of upfront software development fees, a substantial ongoing tax just to programmatically access a practice’s own data. Rate limits are tight and non-negotiable in the standard agreement: <3 API calls/second and <150,000 calls per 24 hours, and Elation reserves the right to modify limits unilaterally. Full sourced list under Sources below.
Common alternatives include Athenahealth, Epic Systems, eClinicalWorks, NextGen Healthcare, Practice Fusion (Veradigm), DrChrono (EverHealth). Graded alternatives appear under "More from the report card" below.
Grades measure one thing: can a customer's engineering team get their own data out programmatically? We check six things (whether a real API exists, how access is gated, data coverage, auth quality, docs and developer experience, and stability) and roll them into a letter grade. Grades get re-verified, and they only move on evidence.
Yes. Supergood maintains an unofficial Elation Health API and MCP server so AI agents and internal tools can read and write Elation Health data. See the Elation Health integration docs at supergood.ai/docs/elation-health-api.