Using Akute Health and Hint Together for DPC (2027)

How Do Akute Health and Hint Work Together?

Akute Health is a DPC-focused EHR and Hint is a membership and billing platform, and the two connect through an integration both companies document. When it is turned on, patient demographics, insurance details and the assigned provider sync both ways, and Akute shows each patient's Hint membership plan, active or inactive status and any outstanding balance. Akute sells this pairing as a Hint Core billing add-on on its pricing page, which makes it the usual route for Akute practices that want recurring membership billing run by Hint while charting stays in Akute.

This guide walks through exactly what each company's pages and help center say about the integration (checked October 29, 2026), when a practice would pick it over Akute's own payment tools, how data moves between the two, and the handoff points where a person still has to finish the job. If you are still choosing your whole stack, start with the 2027 DPC software guide and come back here once Akute and Hint are on your shortlist.

What Akute's Pricing Page Says About Hint Core

Akute's pricing page lists three plans (Essentials, Premium and Developer) and shows Hint Core billing as an optional addition on the first two. The Developer plan is custom priced and adds API access, multi-state support, role-based data permissions and a dedicated account manager, per the same page.

Here is what the page lists for each plan, with the Launch plan some visits to it also show:

Akute's DPC page also puts "Membership billing integration with Hint" first in its list of core benefits, which shows that the Hint pairing is how Akute presents membership billing to direct primary care practices.

Hint shows the same partnership from its side. Hint's embedded partner pricing page says its embedded program lets select EHR partners bundle Hint Core without additional software fees, and that embedded pricing is only available for new Hint customers.

That page lists a "Core + Akute" bundle starting at $200 per month with 266 members included and $0.75 per additional member, with card fees of 3% + $0.30 (plus 1% for Amex, per Hint's pricing page) and ACH fees of 1% + $0.25 (capped at $5 per transaction on every Core plan, per Hint's Core pricing page).

Those two pages don't describe the same price, and we could not find on either site whether Akute's add-on covers your Hint account in full, which Hint feature tier it includes, or how existing Hint customers are priced. Ask both companies on a demo and get the answer in writing before you plan a budget around either number. For context on the wider market, our membership billing software guide compares billing tools on their own pricing pages.

When Would a Practice Use Hint Instead of Akute's Own Billing?

• Pick Akute if you want automation inside the EHR and a price set by patient count. Where it wins: automation built into the EHR; e-prescribing, labs and a patient portal on its plans.
• Pick Hint if you sell to employers, take eligibility files from a TPA, or want to keep your EHR and run only memberships and billing. Where it wins: employer billing and eligibility feeds; billing sold on its own, beside another EHR.
• What Tabflows does not do: chart visits or prescribe; bill memberships or charge cards.

Akute has its own payment product, and it is worth knowing what it covers before you add a second system. Akute's Akute Pay overview, last updated August 2, 2026, says it lets a practice accept credit and debit cards and process ACH bank transfers inside Akute, and it lists "Set up recurring/membership payments" as coming soon. Its payments and transactions articles cover fee-for-service billing on appointment types, no-show and late cancel fees, refunds and failed payment codes.

Hint, by contrast, is built around recurring membership billing. Hint's pricing page describes Membership and Billing as "member enrollment, recurring billing and payments" included with every plan, and lists employer management and billing and eligibility autosync from an employer or TPA on its Pro and Scale plans, with commission tracking on Scale.

Put side by side, from Akute's help center and Hint's pages, the documented split looks like this:

• Card and ACH payments. Akute Pay: Yes, inside Akute. Hint through the integration: Yes, processed by Hint.
• Recurring monthly memberships. Akute Pay: Listed as coming soon (Aug 2026). Hint through the integration: Core feature on every Hint plan.
• Fee-for-service visit charges. Akute Pay: Yes, set on appointment types. Hint through the integration: We could not find this in the integration docs, ask on a demo.
• No-show and late cancel fees. Akute Pay: Yes, documented. Hint through the integration: We could not find this in the integration docs, ask on a demo.
• Employer-sponsored memberships. Akute Pay: We could not find this on Akute's site, ask on a demo. Hint through the integration: Employer billing on Hint Pro and Scale; Hint's Akute listing says employers sync.
• Where patients pay. Akute Pay: In Akute. Hint through the integration: Hint, reached from the Akute portal's Manage Billing tab.
• Best for. Akute Pay: Practices charging per visit or adding fees, with simple payments in one system. Hint through the integration: Membership practices, especially those selling to employers.

So the practical answer is fairly clear in October 2026. If your revenue is monthly memberships, and above all if you sell to employers, the documented path inside Akute today is the Hint integration. If you mostly need to take a card for a visit, a lab or a no-show fee, Akute Pay may cover you without a second login. Akute's help center doesn't say whether a practice can run Akute Pay and the Hint integration side by side, so ask if you want both.

What Data Syncs Between Akute and Hint?

Hint's Akute Health EMR integration article, updated July 14, 2026, describes the data flow in the most detail of the pages we checked. It calls the sync bi-directional, meaning a patient created or updated in either system is reflected in both.

Per that article, these fields move between the two systems:

• Demographics and contact information, including insurance information on the patient profile.
• Provider details, so the assigned provider matches in both systems.
• Membership plan data, shown as the plan name inside Akute.
• Membership status, shown as active or inactive in Akute.
• Outstanding balances, shown as an alert in Akute for balances recorded in Hint.
• A quick link, the credit card icon in Akute that opens the patient's Hint account.

Hint's marketplace listing for Akute adds two details. It says patients sync in real time "along with membership plans and employers," and that practices can create invoices within Akute and let patients pay them in the Akute patient portal.

Notice what the documented direction is for billing data. Akute receives the plan name, the status and a balance alert, while the membership itself, the payment method and the invoices live in Hint. Clinical data like notes, labs and prescriptions isn't listed in Hint's sync article, which fits the split of chart in Akute and money in Hint.

How to Turn On the Akute and Hint Integration

Hint's support article lists the setup steps, which start on the Hint side:

1. Log in to Hint.
2. Go to Marketplace, then Integrations.
3. Select Akute Health EHR.
4. Click the blue Integrate with Akute Health EHR button.
5. Log in to Akute when prompted.

Akute's help center has a short Enable Hint integration article that links a video walkthrough and sends questions to support@akutehealth.com. If you are moving onto Akute from another EHR at the same time, read our guide to switching EHRs without losing patient data before go-live, because the integration syncs demographics going forward but isn't described as a chart migration tool.

What Onboarding Looks Like for a New Member

Akute's patient onboarding overview for Akute and Hint lays out the patient's side in two steps. It also notes that some clinics use Akute alone and some use both, so it is written for either setup.

In step one, the patient clicks the Hint signup link the clinic provides and enters contact information, address and demographics, and a payment method. Membership forms are signed in Hint, per the same article.

In step two, the patient gets an email invitation from Akute to create a portal account, using their date of birth and a one-time activation code. Akute's article says these invitations go out when the clinic bulk-invites patients, so plan for the portal invite to be a step your team triggers, and ask Akute on a demo whether a Hint signup can send it automatically.

That small detail matters on a busy week. A new member who paid in Hint but never got a portal invite can't message you or book through the portal yet, so it is worth putting the invite on someone's daily list. Our patient onboarding software guide covers more ways to keep that first week smooth.

Where the Handoffs Happen (Workflow Table)

Most of the day-to-day questions about this pairing come down to one thing, which is where a piece of work starts and where it needs to land. The table below maps common DPC events to what Akute's and Hint's docs say, and flags the steps that sit with a person.

The dispensing row comes from Akute's Processing payments in Hint article, which walks through charging for a dispensed medication from the patient chart. If you dispense often, our guide to DPC dispensing, medications and labs covers the rest of that workflow.

The portal row comes from Akute's Managing and Viewing Billing in the Patient Portal article, updated April 23, 2026. It says all billing is handled through Hint and that patients should contact the clinic with questions about a charge, so billing questions will still reach your inbox.

What Happens When Akute and Hint Don't Match?

Every sync has the occasional record that falls out of step, and Akute's help center documents the fix in its Re-Sync Hint Patient Data to Akute article.

If Akute has the correct data, open the demographics page of the patient's chart, scroll down and click Save, which forces an update in Hint. If Hint has the correct data, open the patient in Hint through the credit card icon in Akute, scroll to the Integrations section and choose Actions, then Push data to partner on the Akute Health EHR row.

It helps to agree as a team which system is the source of truth for which field. A sensible default under this setup is that the front desk edits demographics in one agreed place, billing staff own plan changes in Hint, and clinicians never have to think about either.

The Gaps to Plan For

Neither company's docs promise to finish every piece of work between the two systems, and that's normal for any EHR and billing pairing. Based on what is and isn't described, these are the places a practice usually needs a named owner:

• Portal invites after signup. Akute's onboarding article ties invites to the clinic's bulk invite, so someone has to send them.
• Failed payments. Akute shows a balance alert from Hint, but the call, text or card update request is a person's job. Our guide to membership billing decline follow-up covers a calm way to handle it.
• Cancellations and pauses. Status flips to inactive in Akute, but closing open tasks, refills and recalls for that patient is a clinical step.
• Billing questions from patients. Akute's portal article sends them back to the clinic, so they land in whatever inbox your team uses, often Spruce.
• Visit and fee charges. We could not find whether fee-for-service and no-show fees go through Hint or Akute Pay when the integration is on, so ask on a demo and write the answer into your front desk checklist.

This is where Tabflows can help. It is a dedicated tech team that connects the tools a clinic already uses, like Akute, Hint and your messaging app, so the follow-ups between them get done and the patient's context sits in one place. It doesn't replace your EHR or your billing system. Our Akute workflow post shows what that looks like day to day.

Is Akute Plus Hint the Right Pairing for Your Practice?

For a membership-based DPC practice on Akute in 2027, the Hint integration is the path both companies document for recurring billing, and Akute's own Akute Pay docs still list membership payments as coming soon as of August 2026. It is a particularly natural fit if you sell to employers, since Hint's pricing page lists employer billing and eligibility tools and its Akute listing says employers sync.

Before you sign, ask three things on a demo. Confirm the current add-on price against both Akute's pricing page and Hint's embedded pricing page, ask which Hint features the add-on includes, and ask where visit fees and no-show charges should be processed once the integration is on. If you are still deciding on the chart itself, our 2027 DPC EHR comparison puts Akute next to the other EHRs DPC practices choose, and the 2027 guide to starting a DPC covers the rest of the launch.

Sources

Checked on November 5, 2026: akutehealth.com. Checked on November 4, 2026: akutehealth.com/pricing, hint.com/embedded/pricing, hint.com/pricing and hint.com/core/find-your-price. Spot a wrong fact? Email a correction.