Greenway Health (Intergy) EHR Review (2026)

Overview

Greenway Health is one of the longest-tenured names in healthcare IT. Founded in 1977 and headquartered in Tampa, Florida, the company has spent nearly five decades building electronic health record and practice management software for ambulatory practices across the United States. Its flagship product, Intergy, serves more than 55,000 providers and remains a staple in the small to mid-size practice segment.

Greenway has undergone significant ownership transitions. Vista Equity Partners acquired the company in 2017 and merged it with Vitera Healthcare (formerly Sage Health). In 2024, the company completed a recapitalization under new private equity ownership, signaling renewed investment in product development and cloud infrastructure. Throughout these transitions, Intergy has maintained a loyal installed base, particularly among primary care, pediatrics, and multi-specialty practices that value affordability and operational simplicity.

The company has been actively migrating its customer base to Amazon Web Services (AWS), positioning Intergy as a cloud-first platform while still supporting on-premise deployments for practices that prefer local hosting. This dual-deployment flexibility is a meaningful differentiator for practices in rural areas or those with specific data residency requirements.

For practices evaluating Greenway Health against competitors like athenahealth, AdvancedMD, or eClinicalWorks, the key question is whether Intergy's lower price point and flexible deployment model outweigh the platform's more dated interface and slower pace of innovation. This review provides a thorough, data-driven analysis to help you make that decision.

Key Features

Intergy EHR

Intergy's electronic health record module provides structured clinical documentation with specialty-specific templates for primary care, pediatrics, OB/GYN, cardiology, and other ambulatory specialties. The charting workflow uses a template-driven approach that allows providers to customize note layouts, order sets, and clinical decision support rules. Intergy supports e-prescribing (including EPCS for controlled substances), lab ordering with bidirectional interfaces, and clinical alerts for drug interactions and preventive care reminders.

Practice Management

Greenway's practice management module handles scheduling, patient registration, insurance eligibility verification, and claims management. The scheduling system supports multi-provider, multi-location calendars with configurable appointment types and automated waitlist management. The PM module integrates tightly with the EHR, allowing front-desk and billing staff to work from the same patient record without switching systems.

Revenue Cycle Management

Greenway offers revenue cycle management (RCM) services as both a software-only tool and a managed service. The software includes charge capture, claims scrubbing, electronic remittance posting, and denial management workflows. For practices that want to outsource billing, Greenway Revenue Services provides end-to-end claims management with dedicated billing specialists. This is comparable to the RCM services offered by athenahealth and AdvancedMD, though Greenway's network scale is smaller.

Patient Portal and Engagement

The Greenway Patient Portal allows patients to view lab results, request appointments, send secure messages, complete intake forms, and access visit summaries. The portal meets Meaningful Use and interoperability requirements for patient access. Greenway has added online bill pay and appointment reminders (SMS and email) to reduce no-show rates and improve collections.

Interoperability and Greenway Exchange

Greenway Exchange is the company's health information exchange (HIE) platform, enabling providers to share clinical data with hospitals, labs, pharmacies, and other EHR systems. The platform supports HL7 FHIR, Direct messaging, and Commonwell Health Alliance connectivity. For practices that need to exchange data with hospital systems running Epic or Oracle Health (Cerner), Greenway Exchange provides a standardized integration pathway without requiring custom interface builds.

Telehealth

Greenway added integrated telehealth capabilities during the COVID-19 pandemic. The telehealth module supports video visits launched directly from the scheduling workflow, with documentation flowing into the same clinical note template used for in-person encounters. While functional, the telehealth experience is less polished than purpose-built platforms or the telehealth integrations offered by cloud-native competitors.

Analytics and Reporting

Intergy includes standard operational and clinical reporting, with dashboards for key metrics like appointment volume, revenue by payer, days in A/R, and quality measure performance. The platform supports MIPS/MACRA quality reporting with pre-built measure sets. For more advanced analytics, Greenway offers Greenway Insights as an add-on module with customizable dashboards and benchmarking data.

Pros

• Affordable pricing. Intergy's per-provider monthly cost starts lower than most competitors, making it one of the more budget-friendly options for small practices. At $100-$500/provider/month, it undercuts eClinicalWorks ($449-$599) and AdvancedMD ($229-$729) at the entry level. For a detailed cost comparison, see our EHR pricing guide.
• Flexible deployment options. Greenway is one of the few remaining vendors that supports both cloud (AWS) and on-premise deployment. This matters for practices in areas with unreliable internet, those with specific compliance requirements, or organizations transitioning gradually to the cloud. Read our analysis of cloud vs. on-premise EHR for more on this decision.
• Strong practice management module. Intergy's PM system is mature and well-regarded, with tight EHR integration that eliminates the dual-entry problems common in bolt-on billing solutions. Scheduling, eligibility checks, and claims management all operate from a unified patient record.
• Good fit for small practices. Greenway has historically served solo and small group practices effectively. The system does not require the IT infrastructure or administrative overhead of enterprise platforms, and the learning curve is manageable for practices without dedicated IT staff.
• Solid interoperability through Greenway Exchange. The company's HIE platform supports FHIR, Direct messaging, and Commonwell connectivity, giving even small practices access to standardized data exchange with hospitals and reference labs.
• Specialty templates for common ambulatory specialties. Intergy includes pre-built clinical templates for primary care, pediatrics, OB/GYN, cardiology, and multi-specialty workflows. These templates reduce initial configuration time and provide a reasonable starting point for clinical documentation.
• Established vendor with a large installed base. With nearly five decades in healthcare IT and 55,000+ providers on the platform, Greenway offers a degree of stability that smaller EHR startups cannot match. The company has survived multiple ownership changes and market shifts without abandoning its customer base.
• Managed RCM services available. Practices that want to outsource billing can use Greenway Revenue Services rather than hiring in-house billing staff, which is particularly valuable for small practices where a single biller leaving can disrupt cash flow.

Cons

• User interface feels dated. Intergy's UI has not kept pace with modern cloud-native competitors. The interface relies heavily on tabbed windows and dense data grids that can feel cluttered compared to the cleaner designs offered by athenahealth or AdvancedMD. Greenway has been updating the interface incrementally, but the overall experience still trails the market.
• Cloud migration is still ongoing. While Greenway has been moving customers to AWS, the migration is not complete. Some on-premise customers report pressure to migrate before they feel ready, and the cloud version has experienced growing pains including performance inconsistencies during peak hours. Practices should ask pointed questions about migration timelines and cloud uptime SLAs during the sales process.
• Limited AI and ambient documentation features. As of early 2026, Greenway lags behind competitors in AI-powered features. Vendors like eClinicalWorks (with its Sunoh ambient AI) and NextGen (with Ambient Assist) have shipped production-ready ambient listening and AI-assisted documentation. Greenway has announced AI initiatives but has not delivered comparable functionality. See our AI in EHR guide for the current landscape.
• Customer support quality varies. User reviews on KLAS, G2, and other platforms report inconsistent support experiences. Common complaints include long hold times, first-tier agents who lack product depth, and slow resolution of complex technical issues. Support quality appears to have fluctuated through ownership transitions.
• Smaller vendor scale creates long-term risk. Greenway's market share has declined relative to faster-growing cloud-native vendors. While 55,000 providers is a meaningful base, it is significantly smaller than eClinicalWorks (850,000+) or athenahealth. Practices should weigh the long-term investment trajectory and R&D capacity against larger competitors.
• Regulatory compliance history. Greenway paid a $57.25 million settlement with the U.S. Department of Justice in 2017 related to allegations that it falsely obtained ONC certification for its predecessor product (Prime Suite) under the Meaningful Use program. The company has since overhauled its compliance processes and the settlement involved a prior product line, but it is a factor that some organizations will want to evaluate during due diligence.
• Reporting and analytics lag enterprise competitors. While Intergy covers standard operational and clinical reporting, the out-of-the-box analytics are not as deep or customizable as what larger platforms offer. Advanced analytics require the Greenway Insights add-on, which increases the total cost of ownership.

Pricing

Greenway Health does not publish pricing publicly. Based on market data and user reports, Intergy pricing typically falls in the following ranges:

Greenway typically offers multi-year contract discounts (3-year terms are common) and may provide reduced rates for new practices or those switching from a competing vendor. As with any EHR purchase, request a detailed quote that breaks out all modules, interfaces, and support tiers. Our EHR cost guide provides a framework for evaluating total cost of ownership across vendors.

How Greenway Pricing Compares

Who Should Use Greenway Health

Greenway Health Intergy is best suited for:

• Small to mid-size ambulatory practices (1-25 providers) that need a combined EHR and practice management system at a competitive price point.
• Primary care, pediatrics, and OB/GYN practices where Intergy's specialty templates and workflows are most mature.
• Budget-conscious practices that prioritize affordable monthly costs over having the newest UI or AI features.
• Practices that need on-premise deployment due to connectivity limitations, compliance requirements, or organizational preference.
• Multi-specialty groups under 25 providers that want a single platform for scheduling, charting, and billing across specialties without paying enterprise pricing.

Who Should Not Use Greenway Health

Greenway is likely not the right fit for:

• Large health systems or hospital-affiliated groups that need enterprise scalability, deep inpatient integration, or population health management tools. Consider Epic or Oracle Health instead.
• Practices that prioritize cutting-edge AI features like ambient listening, AI-assisted documentation, or predictive analytics. eClinicalWorks and NextGen are further ahead in this area.
• Organizations that require best-in-class RCM performance guarantees. athenahealth offers a more proven and transparent revenue cycle model with network-level benchmarking.
• Tech-forward practices that value modern UX. If provider satisfaction with the software interface is a top priority, Intergy's dated UI may be a dealbreaker. Evaluate athenahealth or DrChrono for a more contemporary experience.
• Behavioral health or substance use disorder treatment programs. Greenway does not specialize in behavioral health workflows. See our behavioral health EHR comparison for purpose-built alternatives.

Implementation

Greenway Health follows a structured implementation methodology that typically spans 8 to 16 weeks for small to mid-size practices. The process includes the following phases:

Phase 1: Discovery and Planning (Weeks 1-2)

Greenway assigns a dedicated implementation project manager who conducts an initial assessment of your current workflows, data migration needs, interface requirements (labs, pharmacies, imaging), and hardware/network readiness. This phase produces a detailed project plan with milestones and go-live criteria.

Phase 2: Configuration and Build (Weeks 3-6)

The Greenway team configures Intergy based on your specialty, provider preferences, fee schedules, and payer contracts. Clinical templates, order sets, and user roles are set up during this phase. If you are migrating from another EHR, data extraction and mapping begins in parallel.

Phase 3: Training (Weeks 5-8)

Greenway offers a combination of on-site and remote training. Providers, clinical staff, and administrative/billing staff are trained separately on their respective workflows. Greenway recommends a minimum of 8-16 hours of provider training, though practices that invest more time in training consistently report smoother go-lives. For additional planning guidance, see our EHR implementation checklist.

Phase 4: Go-Live and Stabilization (Weeks 7-12)

Greenway provides on-site or remote go-live support during the first week of production use. A stabilization period of 4-6 weeks follows, during which the implementation team remains available for issue resolution, workflow adjustments, and additional training as needed.

Data Migration

Greenway supports data migration from most major EHR platforms. Demographic data, insurance information, allergies, medications, problem lists, and immunizations are typically migrated. Full chart history migration (including scanned documents and clinical notes) is available but adds cost and complexity. Practices should budget $2,000-$8,000 for data migration depending on the source system and data volume. Our switching EHR systems guide covers migration planning in detail.

Frequently Asked Questions

How much does Greenway Health Intergy cost per month?

Intergy pricing typically ranges from $100 to $500 per provider per month depending on modules selected and practice size. The lower end covers EHR-only access, while the upper range includes practice management, revenue cycle management, and patient engagement tools. Greenway does not publish pricing publicly, so you will need to request a custom quote.

Is Greenway Health Intergy ONC-certified?

Yes. Greenway Health Intergy holds ONC Health IT certification and meets requirements for MIPS/MACRA reporting under the Quality Payment Program. The platform supports all CMS quality reporting mandates for eligible providers.

Is Greenway Health cloud-based or on-premise?

Both. Intergy is available as a cloud-hosted solution on AWS infrastructure and as a traditional on-premise installation. Greenway has been actively migrating on-premise customers to its AWS cloud platform since 2022.

What specialties does Greenway Health support?

Intergy supports primary care, pediatrics, OB/GYN, cardiology, orthopedics, and multi-specialty group practices with specialty-specific templates and workflows. Adoption is strongest in primary care and smaller multi-specialty groups.

How does Greenway Health compare to athenahealth?

Greenway is generally more affordable with lower monthly per-provider fees and no percentage-of-collections component. However, athenahealth offers a more modern cloud-native architecture, stronger RCM with performance guarantees, and a larger connected network. Greenway suits budget-conscious small practices; athenahealth suits practices wanting hands-off billing and best-in-class revenue cycle.

How long does Greenway Health implementation take?

A typical implementation takes 8 to 16 weeks for a small to mid-size practice. Larger multi-specialty groups or practices with complex data migration needs may require 4 to 6 months. Greenway assigns a dedicated implementation project manager to guide the process.

The Verdict

Greenway Health Intergy occupies a clear niche in the ambulatory EHR market: it is an affordable, operationally solid platform for small to mid-size practices that need reliable clinical documentation and practice management without paying premium prices. The combination of competitive pricing, flexible cloud/on-premise deployment, and a mature PM module makes it a reasonable choice for budget-conscious primary care and multi-specialty groups.

The trade-offs are real, however. Intergy's user interface is behind the times, AI-powered features are nascent at best, and Greenway's smaller scale raises legitimate questions about long-term R&D investment relative to larger competitors. The 2017 DOJ settlement, while related to a predecessor product, is a compliance history item that warrants discussion during vendor evaluation.

For practices where cost is the primary decision driver and the feature set meets current clinical and operational needs, Greenway Health Intergy deserves serious consideration. For practices that prioritize innovation velocity, modern UX, or enterprise-grade RCM, the platform's limitations will likely push them toward athenahealth, eClinicalWorks, or AdvancedMD.

If you are early in your evaluation process, our EHR selection guide provides a structured framework for defining requirements and comparing vendors across the criteria that matter most to your practice.