Updated September 2026 · Solutions
Add telehealth to your practice without replacing your EHR
MyOrbitHealth is telehealth for medical practices that already have an EHR and do not want another one. Your clinicians keep their chart, their licenses, their clinical judgment and their patients. MyOrbitHealth adds the pieces a practice cannot assemble quickly on its own: Orbit Intake for asynchronous questionnaires and photos, OrbitRx for EPCS e-prescribing through Surescripts to LegitScript-certified 503A compounding and retail pharmacies, Orbit Labs for provider-ordered panels drawn at Quest or Labcorp, by Tasso at-home kit or by mobile phlebotomy, and a branded storefront and native iOS and Android app for cash-pay programs. When your own team is at capacity, a network of 2,400+ board-certified providers licensed in all 50 states takes the overflow, responding in under six minutes on average during business hours with 24-hour coverage. A REST API, webhooks and a React SDK carry encounters, orders and results back to your primary EHR. Terms are a flat platform fee scoped at onboarding, 0% medication markup, no revenue share, no exit fee and month-to-month after onboarding. Your practice is merchant of record and owns the patients and the data. Most practices go live in days. This page is general information, not legal or medical advice, and regulatory points are stated as of September 2026.
Who runs what
The question every practice asks first is where the line sits between the clinic and the platform. The short version: your clinicians make every clinical decision, your EHR stays the legal record, and MyOrbitHealth runs the remote workflow around them.
| Clinical decisions and standard of care | You: your physicians, NPs and PAs diagnose, prescribe and follow up under their own licenses and protocols. / MyOrbitHealth: supplies the intake, prescribing and lab tooling and, only when you ask, network providers who work to the protocols you approve. |
|---|---|
| EHR and the legal record | You: keep your existing EHR as the system of record. / MyOrbitHealth: pushes encounter summaries, prescriptions, lab orders and results to it through the REST API, webhooks and React SDK, or stages them in OrbitOS for your staff to reconcile. |
| Async intake and triage | You: define which conditions qualify for asynchronous care and what a questionnaire must capture. / MyOrbitHealth: runs Orbit Intake, applies state rules on synchronous versus asynchronous visits, and routes each case to your clinician or the network. |
| Prescriptions and pharmacy | You: write the prescription. / MyOrbitHealth: transmits it through OrbitRx via Surescripts, with EPCS two-factor sign-off for controlled substances, to a LegitScript-certified 503A compounding or retail pharmacy, cold chain where needed, at 0% markup. |
| Labs | You: decide which panels a program needs and read the results. / MyOrbitHealth: Orbit Labs issues the requisition, offers the patient a Quest or Labcorp walk-in slip, a Tasso at-home kit via FedEx or a mobile phlebotomy visit, and returns results to the ordering provider. |
| Staffing overflow | You: set the hours, states and conditions your own team covers. / MyOrbitHealth: fills the gaps with 2,400+ board-certified providers across 38+ specialties, credentialed to NCQA standards with monthly OIG and SAM screening. |
| Patient experience and payment | You: own the brand, the pricing and the patient relationship, and stay merchant of record. / MyOrbitHealth: runs the branded storefront with checkout and subscriptions and the native iOS and Android app, under your name. |
What adding telehealth to a practice requires, clinically and legally
A practice that already sees patients in person has most of the licensing, malpractice and payer infrastructure in place. Telehealth adds a layer of rules on top: where the patient is, how the visit is conducted, how controlled substances move and how the record is kept. The points below reflect the rules as we understand them as of September 2026. They are general information, not legal or medical advice; your counsel and compliance lead should confirm them for your states and payers.
Licensure follows the patient, not the clinic
A clinician must generally be licensed in the state where the patient is physically located at the time of the visit, not where the practice sits. As of September 2026 the Interstate Medical Licensure Compact offers an expedited path to separate licenses in roughly 43 member states, and the Nurse Licensure Compact covers most RNs and, in a growing number of states, APRNs. Neither is a single national license. Orbit Intake captures patient location at every visit and routes to a clinician licensed there, whether that is your own team or the network.
Synchronous versus asynchronous, by state
Most states allow a clinician to establish a patient relationship and prescribe by store-and-forward questionnaire for suitable conditions, but a minority still require a real-time audio-video encounter for an initial visit or for any prescription. Texas, Arkansas and Mississippi are commonly cited examples, and some states restrict asynchronous care to specific settings or specialties. Your practice decides which conditions are appropriate for async care; the platform enforces the state rule so a patient in a video-only state is never routed to a questionnaire-only path.
Controlled substances and the DEA telemedicine window
Prescribing a controlled substance without a prior in-person exam is currently possible under DEA and HHS telemedicine flexibilities, extended through December 31, 2026, with a permanent rule and a proposed special telemedicine registration still pending as of September 2026. Every controlled prescription must be issued for a legitimate medical purpose by a DEA-registered clinician, and most states now mandate electronic prescribing of controlled substances. OrbitRx handles EPCS with two-factor identity proofing so your clinicians can prescribe Schedule II through V through the same channel as everything else.
Payer-billed telehealth and the practice's own contracts
Under the Consolidated Appropriations Act of 2026, most Medicare telehealth flexibilities, including audio-only visits and home as an originating site, run through December 31, 2027. Commercial and Medicaid coverage varies by state. When a practice bills a payer for a telehealth encounter, it does so under its own NPIs, tax ID and contracts; MyOrbitHealth is the technology and workflow layer and does not bill payers or set coding. Cash-pay programs run on the storefront with the practice as merchant of record. Your billing team decides which visits go where.
Compounded medications and pharmacy law
A 503A compounding pharmacy may fill a patient-specific prescription for a named patient and ship it to that patient; it cannot supply office stock, which requires an FDA-registered 503B outsourcing facility. Compounding of drugs on the FDA shortage list has tightened since the GLP-1 shortages were declared resolved in late 2024 and early 2025. As of September 2026, a practice that prescribes compounded products should expect the pharmacy to require a documented clinical rationale. OrbitRx routes what your clinician writes to a LegitScript-certified pharmacy and leaves the decision with the prescriber.
HIPAA, the BAA and the record in two systems
Any vendor that touches PHI on your behalf is a business associate and needs a BAA. Every MyOrbitHealth contract includes one, and the platform is SOC 2 Type II audited and HITRUST-aligned. The practical question for a practice is how two systems share a record: OrbitOS holds the telehealth encounter, and the API, webhooks and SDK push a copy into your EHR so the chart stays complete for payers, audits and continuity of care. Retention, release and breach obligations still sit with the covered entity, which is your practice.
What MyOrbitHealth runs for your practice
Everything below is live product. A practice that signs today typically launches in days, because the provider network, EPCS rails, pharmacy contracts and lab routing already exist and are configured to your brand and, where you want it, to your EHR.
Orbit Intake for asynchronous visits
Condition-specific questionnaires with history, medications, allergies, photos and identity verification, built to the protocols your clinicians approve. Orbit Intake screens for eligibility and red flags, applies state rules on visit modality, and delivers a structured case to the clinician queue. A follow-up or refill request takes the patient minutes; the clinician reviews a summary rather than a transcript. Video is available when the state or the case requires it.
OrbitRx: EPCS e-prescribing to compounding and retail
OrbitRx sends every prescription through Surescripts to a LegitScript-certified network of 503A compounding pharmacies and retail pharmacies, with cold chain shipping for injectables and temperature-sensitive products. Controlled substances go through EPCS with two-factor identity proofing. Compounded hormone therapy, GLP-1 support products, dermatology, hair and sexual health formulations route on the same rails as a retail antibiotic. Medication passes through at 0% markup, and the practice never handles product.
Orbit Labs, drawn three ways
Your clinician orders a panel. The patient collects it as a Quest or Labcorp walk-in with an order slip, a Tasso at-home kit shipped and returned by FedEx, or a mobile phlebotomy visit. Results route back to the ordering provider, who reads them into the plan, and to your EHR through the API. Your storefront can also carry a patient self-order lab catalog for wellness and screening panels; a licensed provider still signs each order and reviews each result.
Provider Network for overflow, after-hours and new states
2,400+ board-certified MDs, DOs, NPs and PAs across 38+ specialties, licensed in all 50 states, credentialed to NCQA standards with primary-source verification and monthly OIG and SAM screening. Use them for evenings and weekends, for a state where you have patients but no licensed clinician, or for a new cash-pay program you want to test before hiring. They work to your protocols, respond in under six minutes on average during business hours, and coverage runs 24 hours.
API, webhooks, React SDK and MCP server beside your EHR
The REST API and webhooks push encounters, prescriptions, lab orders and results out of OrbitOS as they happen, so your integration team or EHR vendor can write them to the chart. The React SDK drops intake and scheduling into a patient portal you already run. A public MCP server lets internal tools and AI assistants query program state. Practices without an integration budget use OrbitOS as a side panel and reconcile to the EHR manually; the API is there when you are ready.
Branded storefront, app and OrbitOS
For cash-pay programs, a storefront under your brand with checkout and subscriptions, and a native iOS and Android app for refills, messaging and results. OrbitOS is the operator console: encounter queues, refill approvals, lab status, pharmacy tracking and the audit trail. Managed LegitScript certification is included for practices that market prescription programs online: we prepare, file and manage your application through approval, typically days once filed, with the decision resting with LegitScript.
Economics and the usual expansion path
Practices add telehealth for two reasons: to keep existing patients out of the waiting room for visits that do not need it, and to open a cash-pay line that does not depend on payer rates. The terms are the same for every practice; the sequence below is the one most groups follow.
| Platform fee | A flat platform fee scoped at onboarding based on programs, states, volume and integration depth. No per-encounter fee, no per-prescription fee and no percentage of revenue. |
|---|---|
| Medication and labs | Medication passes through at 0% markup. Lab pricing is quoted per program at onboarding; there is no published lab rate card. |
| Ownership and exit | Your practice is merchant of record for cash-pay programs, owns the patients and the data and can export both. No exit fee, month-to-month after onboarding. |
| Start with follow-ups and refills | The lowest-lift entry point. Move stable-patient rechecks, medication refills and results reviews to async intake so clinic slots go to visits that need a room. |
| Add one cash-pay program | Weight management, hormone therapy, dermatology or sexual health on the storefront, run by your own clinicians or the network, with Orbit Labs for baseline and recheck panels. |
| Extend hours and states with the network | Cover evenings, weekends and states where you have demand but no license, without hiring ahead of volume. The network works under your protocols and your brand. |
| Integrate the EHR | Once volume justifies it, wire the API and webhooks so every telehealth encounter lands in the chart automatically. Most groups do this in the second quarter, not the first week. |
Frequently asked questions
- Can I add telehealth to my practice without switching EHRs?
- Yes. MyOrbitHealth runs beside your primary EHR rather than replacing it. Telehealth encounters, prescriptions, lab orders and results live in OrbitOS and flow to your chart through the REST API, webhooks and React SDK, or your staff reconciles them manually until an integration is worth building. Your EHR remains the legal record.
- Do my own clinicians have to use MyOrbitHealth providers?
- No. Your physicians, NPs and PAs can run every encounter themselves and use the platform for intake, e-prescribing and labs. The 2,400+ provider network is optional overflow for after-hours, states where you lack a license, or a program you want to test before hiring. Network providers work to protocols you approve.
- Can we bill insurance for telehealth visits run on the platform?
- Telehealth encounters your own clinicians perform can be billed to payers under your practice's NPIs, tax ID and contracts, subject to each payer's telehealth policy; as of September 2026 most Medicare telehealth flexibilities run through December 31, 2027. MyOrbitHealth does not bill payers or set coding. Cash-pay programs run on the storefront with your practice as merchant of record. This is general information, not legal or billing advice.
- Can we prescribe controlled substances by telehealth?
- As of September 2026, DEA and HHS telemedicine flexibilities allow DEA-registered clinicians to prescribe Schedule II through V controlled substances by audio-video telehealth without a prior in-person exam, through December 31, 2026, with a permanent rule pending. OrbitRx supports EPCS with two-factor identity proofing. State rules and the clinician's own judgment still apply, and your counsel should confirm the current status.
- How do labs work for a practice using the platform?
- Your clinician orders the panel through Orbit Labs. The patient walks into Quest or Labcorp with an order slip, uses a Tasso at-home kit returned by FedEx, or books mobile phlebotomy. Results go to the ordering provider and, through the API, to your EHR. Your storefront can also carry a self-order lab catalog with a provider signing each order. Lab pricing is quoted per program, not published.
- What does telehealth for a medical practice cost with MyOrbitHealth?
- A flat platform fee scoped at onboarding, no revenue share, 0% medication markup and no exit fee, with month-to-month terms after onboarding. We do not publish a figure because scope depends on programs, states, volume and integration depth; the number is fixed before you sign. Your practice stays merchant of record and owns the patients and the data.
Go deeper: how telehealth fits with your EHR, async vs sync telehealth, HIPAA basics for telehealth operators, and what a collaborating physician does.
This page is general information, not legal or medical advice.
Add telehealth to your practice this month
Async intake, EPCS e-prescribing, Orbit Labs and a provider network for overflow, running beside the EHR you already have and live in days.