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Why the Last Mile of Healthcare Interoperability Still Runs on Fax

Interoperability is often called the holy grail of healthcare IT. We’ve poured billions into digitizing health records, building FHIR-based APIs, and mandating data exchange. And yet—when a patient is referred, when a claim is disputed, or when a record needs to move between organizations—the default remains fax.

Not because we want it that way. But because the last mile is the hardest.

Table of Contents

The Illusion of Full Interoperability

Inside a single organization, we’ve made real progress. EHRs talk to patient portals. Labs push results into clinician dashboards. Billing syncs with scheduling.

But the moment data needs to cross organizational boundaries—hospital to specialist, PCP to payer, SNF to home health—things fall apart. Systems don’t communicate. Data fields don’t align. Integrations don’t exist.

So, we fall back on what still works across all systems: fax.

The Real Problem Isn’t Fax. It’s How We Use It.

Fax gets a bad rap, but here’s the truth: it remains one of the most reliable ways to transmit healthcare documents securely and compliantly. The problem isn’t the fax format—it’s the friction around its usage.

Faxes often end up in shared inboxes with zero visibility or accountability. Every step requires manual intervention. There’s no automatic routing, tracking, or contextual understanding.

That’s where modern cloud fax solutions come in. Documo makes fax programmable, traceable, and intelligent. You don’t have to ditch the protocol—you need to upgrade the experience.

Making Fax Truly Interoperable

Here’s how Documo transforms fax from a blocker into a bridge:

  • API-first architecture that integrates seamlessly with EHRs, CRMs, and RCM tools
  • Real-time delivery confirmation and detailed status tracking
  • AI-powered extraction of context and metadata from every inbound document

Fax doesn’t have to be the last mile that breaks interoperability. With the right infrastructure, it becomes the critical link that completes the data journey.

The Time to Modernize Fax is Now

Healthcare needs less wishful thinking and more systems that actually work.

At Documo, we’re here to modernize what matters. If fax is still part of your reality—and let’s be honest, it is—then it’s time to make it part of your interoperability strategy.

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Ready to see how modern cloud fax can transform your healthcare interoperability? Get in touch.

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