Connect without starting over.
Start with the systems, vendors and workflows you already use. SHN will help identify the supported connection, the operating responsibilities and the work needed to put it to use.
1. Choose the work to connect. Prior authorization is the first major implementation. Bring one workflow and the organizations that need to complete it.
2. Bring the right partner. Include your EHR, payer platform or workflow lead. Decide whether your organization, a qualified partner or SHN will operate the connection.
3. Test with synthetic data. Use the supported test environment to identify what works and what still needs attention. Testing can begin before a production agreement is completed.
4. Prepare for live use. Complete the applicable participation, security, permissions, integration and operating requirements for the actual workflow.
There are no SHN participation or connection fees, and no SHN transaction fees for designated Open Access transactions. Integration and selected operating services can have costs; agree the scope before commissioning them. The included use cases are listed on the Open Access page.
Participation and production requirements
Becoming a Participant happens through the published Network Participation Agreement: application, SHN approval and countersignature, and acceptance of your Transaction Schedule scope. Operator choice, path qualification and production activation follow. No installation, operator appointment, roster entry or sandbox registration creates Participant status by itself. Review the Rules & Participation page →
Who will run the Gateway?
Your team can run it. You can select a qualified independent operator. Or you can purchase Managed Gateway from SHN, which covers the deployment, maintenance, monitoring, support and recovery SHN agrees to provide. All three operating choices retain the same applicable network rights.
Get Connected | October 2026 guide. Please do not send patient information or credentials by ordinary email; the team will arrange a secure process if needed.