Orion Health Communicate, our Direct Secure Messaging (DSM) platform, makes it simple for healthcare organizations to exchange clinical information securely and efficiently across care settings. Our HIPAA-Compliant secure clinical messaging solution operates as part of the national Direct Trust network.
Sharing patient data across organizations is hard. Incompatible systems, compliance requirements, and limited provider directories slow down referrals, care transitions, and public health reporting, putting patient outcomes at risk.
Orion Health Communicate solves this with HIPAA-compliant secure clinical messaging and health information exchange (HIE) built on the Direct Trust network. Connect with over 2.8 million trusted Direct addresses and 200,000+ organizations to exchange clinical data nationwide without building point-to-point integrations.
Choose the delivery method that fits each organization in your network:
Webmail - A standalone, browser-based secure messaging experience. No EHR integration required. Ideal for small practices, clinics, or organizations without Direct messaging support in their EHR.
Direct XDR - HIPAA-compliant system-to-system exchange delivered directly into your EHR using the Direct eXternal Data Representation protocol. Built for higher-volume clinical messaging and HIE workflows.
Every subscription includes:
Healthcare Provider Directory - A searchable registry of providers and their Direct addresses across the Direct Trust network, so your users can discover and connect with care partners instantly.
Self-service administration - Manage users, directory listings, and organization details from day one through dedicated administrative accounts.
Tiered support - Handle routine operations yourself with admin tools (Tier 1), with Orion Health available for certificate renewals, new participant onboarding, and configuration changes through a dedicated Jira Service Management portal (Tier 2).
Orion Health Communicate supports referrals, care transitions, population health reporting, and health information exchange across real-world clinical workflows. Request a free private demo using the button above.
Highlights
Connect with over 2.8 million Direct addresses and 200,000+ organizations on the Direct Trust network to securely share referrals, care summaries, and clinical documents. Orion Health Communicate integrates with EHRs via Direct XDR or works standalone via Webmail, so clinicians exchange health information across facilities, states, and specialties without disrupting workflows.
Protect PHI with HIPAA-compliant Direct Secure Messaging, comprehensive audit trails, and full reporting visibility. Every message is encrypted, logged, and traceable; built to meet HIPAA and DirectTrust standards for compliance, IT governance, and health information exchange (HIE).
Replace fax and manual workflows with secure digital exchange. Cloud-based architecture eliminates on-premise infrastructure while maintaining enterprise reliability. Self-service administration and a searchable Healthcare Provider Directory let your team manage users, directory listings, and care partner discovery from day one.
AWS Marketplace now accepts line of credit payments through the PNC Vendor Finance program. This program is available to select AWS customers in the US, excluding NV, NC, ND, TN, & VT.
Pricing is based on the duration and terms of your contract with the vendor. This entitles you to a specified quantity of use for the contract duration. If you choose not to renew or replace your contract before it ends, access to these entitlements will expire.
Additional AWS infrastructure costs may apply. Use the AWS Pricing Calculator to estimate your infrastructure costs.
This contract pricing starts with a base package. It covers one customer tenant, one participant organization, and 100,000 messages. You add capacity through scaling packs, each adding one more organization and 500,000 messages. Buy as many scaling packs as your growth requires. If you send more messages than your purchased quantity allows, the message overage dimension bills each extra message. So the base package sets your starting point, scaling packs expand organizations and message volume in blocks, and overage covers usage beyond what you bought.
Top-of-mind questions for buyers
What counts as one participant organization for billing?
A participant organization is a single healthcare entity connected to the messaging network, such as a hospital, clinic, provider network, or public health agency. The base package includes one organization. Each scaling pack adds one more organization to your tenant.
What happens if I send more messages than my purchased quantity allows?
Once you exceed the message volume included in your base package and any scaling packs, the message overage dimension applies. It bills each additional message beyond your purchased quantity. This lets you keep sending without buying another scaling pack.
Which purchase decision drives most of my cost — organizations or message volume?
Both drive cost together. Scaling packs bundle one added organization with 500,000 messages, so adding organizations also raises included message volume. If your message volume outpaces your organization count, overage charges per extra message add to the bill.
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