For Third-Party Occupational Medicine

Run occupational medicine as a business — across every employer client.

Clinics and providers that deliver occ-med to many employers at once juggle a different protocol, drug-test panel and reporting format for each one. Enterprise Health configures protocols per client, captures billing-ready documentation once and reports results per account — on one ONC-certified platform serving manufacturing, transportation, energy, logistics and more.

ONC-ACB certified EHR Per-employer protocols, configured once DOT 49 CFR 40 drug & alcohol ready
Built for industrial occupational medicine

The energy and agriscience operations occupational medicine is built to serve.

Logos are shown for identification only; their inclusion does not imply endorsement, sponsorship or partnership.unverified

The multi-employer fragmentation problem

Every employer client wants it their way — and your clinic absorbs the complexity.

Each employer brings its own panels, clearance rules and reporting format, while documentation, billing and OSHA recordkeeping live in separate systems — so protocols drift, results are reported by hand and clinic throughput suffers.

A protocol per client

Rules that drift between systems

Panels, drug screens and clearance criteria differ by employer and live in separate tools, so the wrong protocol runs, exceptions slip and consistency is impossible to prove.

Document twice, bill late

Encounters re-keyed for billing

Visits are documented for care, then re-entered for billing, workers' comp and OSHA — slowing the clinic and leaking revenue between systems.

Reporting by hand

SLAs met manually, account by account

Employers expect fast, accurate results on their own people — but reporting is assembled by hand per client, so SLAs slip and the clinic can't scale its book of business.

Score your stack

How fragmented is your workforce-health stack?

Check every function that lives in a separatetool today. The more boxes you tick, the more places a single worker's record is scattered across.

Exam-room throughput

Run occ med as a business, not a filing cabinet.

Every employer wants its own protocols, panels and reporting. Enterprise Health configures them once and runs them at the speed of the exam room — so clinicians move faster, results reach employers automatically, and margin stops leaking into re-keyed paperwork.

  • Per-employer panels, screens and clearances configured once
  • Results and reports delivered to each employer automatically
  • Less margin lost to re-keyed documentation
A clinician in burgundy scrubs reviewing findings with a worker at golden hour in a modern occupational-health clinic
Per-employer protocolsat exam-room speed
The book of business

Many employer clients, one configurable platform.

A third-party occ-med provider is a portfolio of employer programs — each industry segment carries its own protocols, regulators and reporting, and every one of them can run on the same certified platform.

Manufacturing & industrial

  • OSHA medical surveillance
  • Hearing conservation & respirators
  • Pre-placement & return-to-work
  • Injury & workers' comp

Transportation & DOT-regulated

  • DOT physicals (FMCSA)
  • DOT drug & alcohol (49 CFR 40)
  • Driver qualification files
  • Fitness-for-duty

Energy, construction & trades

  • Respiratory & exposure surveillance
  • Fit-for-duty & physical demands
  • Site-access medical clearances
  • Drug & alcohol programs

Logistics, hospitality & staffing

  • High-volume pre-placement exams
  • Drug screening & background panels
  • Seasonal & temporary workforces
  • Injury triage & case management

Public sector & first responders

  • Public-safety medical standards
  • Respirator & SCBA clearances
  • Immunization & exposure programs
  • Annual fitness evaluations
Segment by segment

Pick a client segment. See what it needs — and what the platform does about it.

Every employer segment you serve carries its own protocols, regulators and reporting. Select a segment to see what those accounts demand and exactly what Enterprise Health configures, automates and proves for them.

Plant and industrial accounts that need OSHA medical surveillance, hearing conservation and injury care run to standard — and documented for their auditors.

What they carry
  • OSHA surveillance, audiograms and respirator clearances on each employer's schedule
  • Pre-placement and return-to-work exams with fast turnaround
  • Injury and workers' comp documentation their safety team can stand behind
What Enterprise Health does
  • Per-employer surveillance protocols with due-dates, holds and recall scheduling
  • Pre-placement and return-to-work exams captured once and reported back automatically
  • Injury cases and OSHA-ready documentation generated per account
See medical surveillance
One platform

What Enterprise Health does for occupational-medicine providers

The same ONC-certified core that runs occupational health inside employers — turned outward to run occ-med as a scalable, multi-employer service line.

Configurable protocols

Per-employer panels & clearances

Configure protocols, drug screens and clearance rules by client once, then apply them consistently — so the right protocol runs for the right employer, every visit.

Documentation & OSHA

Billing-ready, defensible records

Capture encounters, OSHA recordables and forms once — structured for billing, workers' comp and audit, without re-keying across systems.

Drug, alcohol & MRO

DOT 49 CFR 40 testing, governed

Run DOT and non-DOT drug & alcohol programs, random pools and MRO review with the chain-of-custody documentation regulators and employers expect.

Client reporting & SLAs

Automated results to each employer

Standardized, secure result delivery and reporting per account — so SLAs are met automatically and the book of business can scale.

Scheduling & throughput

Protect clinic capacity

Scheduling, check-in and employer/employee portals keep walk-ins, injuries and scheduled exams moving without colliding for the same capacity.

Ozwell AI

Throughput without headcount

Drummond-certified AI automates documentation and result review so a busy clinic can serve more employers without adding administrative staff.

Intake to invoice

Where the margin is won, visit by visit.

In occupational medicine the platform is the P&L. Every step that re-keys data or stalls a report leaks margin — so Enterprise Health closes the loop from intake to invoice on one system.

  1. 01

    Intake

    Employer, protocol and consent resolved before the worker sits down.

  2. 02

    Protocol

    Per-employer panels, screens and clearances fire automatically.

  3. 03

    Exam

    Clinicians document once, at the speed of the room.

  4. 04

    Report

    Results reach each employer through standardized, secure delivery.

  5. 05

    Bill

    Documentation flows to billing without re-keying between systems.

Illustrative workflow for this concept site.illustrative

Connected, not bolted on

Plugs into the systems you already run

For an occupational-medicine practice that means employer rosters and demographics synced in, audiometric booths, spirometers and lab results flowing straight into each worker's record, and results pushed back to employers — without re-keying between systems.

EHR & health systemsHL7 v2.x (ADT / SIU / ORM / ORU / MDM), C-CDA & FHIR R4
athenahealtheClinicalWorksEpicMEDITECH+ more
HRIS & identityHL7 ADT demographics feed, flat-file / API, SAML SSO
ADPUKG (UltiPro / Kronos)WorkdayConcentra+ more
Labs & diagnosticsHL7 v2.x lab orders (ORM) & results (ORU / ELR)
AbbottSiemens HealthineersAbaxis (Piccolo Xpress)Beckman Coulter+ more
Interoperability, e-Rx & imagingFHIR R4, REST, NCPDP Script, DICOM / XDS
MCG Health (ODG)SurescriptsAvailityCarestream+ more

Put a number on multi-employer occ-med overhead.

See what running DOT and OSHA programs across employers on disconnected tools costs a clinic — and what one governed record gives back.

ROI calculator

The cost of running multi-employer occ med on disconnected tools

Estimate what running per-client protocols, documentation, billing and result reporting across separate systems costs your clinic every year — and what one configurable platform recovers.

25,000
8
55%
20%
0.75 hr
$85
Estimated annual recovery
$756.2K
78% of today's fragmented spend · 9,763 admin hours returned
Duplicate screening recovered$198,688
Admin labor recovered$390,500
Compliance risk reduced$167,040

Illustrative estimate for this concept site — directional, not a quote. Assumptions are documented in the calculation engine.

Flagship benchmark report

The State of Occupational Medicine 2027

How third-party occupational-medicine providers run protocols, documentation, billing and client reporting across many employers — and where disconnected tools cost them margin and throughput.

  • The median occ-med provider configures protocols for employer clients across 7 disconnected tools.illustrative
  • 59% still deliver client result reports by hand, account by account.illustrative
  • Re-keying encounters for billing and workers' comp is the #1 source of lost clinic revenue.
  • Providers on one configurable platform grow throughput per clinician by an estimated 30%.
Inside the reportWhat you'll find in this year's benchmark.
Executive summary & methodology
The occ-med book of business, benchmarked by segment
Protocol configuration & consistency
The true cost of re-keyed documentation and billing
Client reporting, SLAs & retention
A 12-month platform-consolidation roadmap
Outcomes

What a platform-run occupational-medicine business looks like

1

platform for every employer client — protocols, documentation and reporting

Faster

result turnaround and billing, with documentation captured once

30%

more throughput per clinician, with scheduling and AI protecting capacity

Illustrative outcomes for this concept site — representative of Enterprise Health's occupational-health platform applied to third-party providers.

An illustrative scenario

What one platform looks like for a multi-site occ-med provider.

A regional occ-med provider, 14 clinics, 600+ employer accounts
The challenge

Every employer, its own setup

Protocols, result formats and reporting were rebuilt for each account, often in separate tools. Clinicians re-keyed results, and client reporting was a manual export every month.

The approach

One configurable platform

Each employer's protocols, documentation and reporting were configured once on a single certified platform, with results captured at the point of care.

The outcome

More throughput, faster billing

Results turn around and bill faster, client reports generate automatically, and clinicians see more workers per day without losing the audit trail.

The point isn't another EMR. It's that the whole book of business runs as one governable, provable picture.

Illustrative scenario for this concept site — a representative composite, not a specific customer engagement or guaranteed result.illustrative

Mandate map

The standards an occupational-medicine practice has to satisfy

An occupational-medicine provider runs employer programs against a stack of DOT and OSHA surveillance rules — each with its own exams, certifications and records. Here are the core standards a clinic answers to, and what Enterprise Health does for each.

49 CFR Part 40

DOT drug & alcohol testing

Administer DOT drug-and-alcohol testing with qualified collectors, a medical review officer and strict chain-of-custody.

How Enterprise Health covers it

Random-pool management, MRO-ready chain-of-custody documentation, and result workflows by employer and program.

49 CFR 391.41 (FMCSA)

CDL driver medical certification

Certify commercial drivers' medical fitness through qualified examiners and manage certificate validity.

How Enterprise Health covers it

DOT exam capture by certified examiners, certificate-expiry tracking, and driver-qualification documentation.

29 CFR 1910.95

Hearing conservation

Provide baseline and annual audiograms for noise-exposed workers, identify standard threshold shifts, and act on them.

How Enterprise Health covers it

Audiometric histories, automatic STS detection and OSHA age-correction, and recall scheduling by employer.

29 CFR 1910.134

Respiratory protection

Medically evaluate and clear workers before respirator use and fit-test by make and model.

How Enterprise Health covers it

Respirator clearance questionnaires, fit-test records and renewal scheduling tied to each employer's hazard profile.

29 CFR 1910.120

HAZWOPER surveillance

Enroll hazardous-waste and emergency-response workers in medical surveillance with baseline, periodic and exit exams.

How Enterprise Health covers it

HAZWOPER surveillance protocols, exam scheduling and fitness determinations, with a clean audit trail per worker.

29 CFR 1910.1030

Bloodborne pathogens

Offer Hepatitis B vaccination and manage post-exposure evaluation and follow-up for at-risk workers.

How Enterprise Health covers it

Vaccination tracking and timed post-exposure workflows — source testing, prophylaxis clock and follow-up — per worker.

Citations are provided for orientation and reflect U.S. federal standards as typically applied in occupational-medicine practice. Obligations depend on employer, role, exposure, jurisdiction and current rule text — this map is not legal advice.unverified

Compliance calendar

The occupational-medicine year, on one timeline.

Jan–Feb

OSHA 300A & random-pool reset

Support employer-client 300A postings and reset DOT random testing pools for the year.

Mar–May

Surveillance & physical season

Annual surveillance exams, DOT physicals and respirator evaluations peak across clients.

Jun–Aug

Seasonal & high-volume hiring

High-volume pre-placement exams and drug screens for seasonal and temporary hires.

Sep–Nov

Fit-testing & flu programs

Respirator fit-testing campaigns and flu clinics delivered on behalf of employers.

Provider coverage

Enterprise Health manages the record. BlueHive Network finds the providers.

Need to serve an employer client outside your clinic's footprint — exams near a remote job site, overflow during a surge, or after-hours injury care? Enterprise Health governs the record; the BlueHive Network connects you to accredited providers so you can keep the account without turning work away.

Search the BlueHive Network
Questions

Frequently asked questions

Can it really configure different protocols for every employer client?

Yes. Panels, drug screens, clearance rules and reporting formats are configured per employer once and applied consistently every visit — so the right protocol runs for the right account, and consistency is provable.

Does it handle DOT physicals and drug & alcohol testing?

Yes. DOT physicals (FMCSA), DOT and non-DOT drug & alcohol programs, random pools and MRO review run on one platform with the chain-of-custody documentation regulators and employers expect.

How does it help with billing and documentation?

Encounters, OSHA recordables and forms are captured once and structured for billing and workers' comp — so the clinic documents a visit a single time instead of re-keying it across systems.

How does result reporting to employers work?

Results and reports are delivered to each employer through standardized, secure reporting per account, so SLAs are met automatically and reporting scales with the book of business.unverified

How does Enterprise Health work with the BlueHive Network?

Enterprise Health is the system of record that runs your occ-med business; the BlueHive Network is the provider-discovery layer. When a client needs coverage beyond your footprint, BlueHive connects you to accredited providers and the record stays in Enterprise Health.

See Enterprise Health run your occ-med business.

We'll walk through per-client protocols, DOT and drug-testing programs, billing-ready documentation and automated client reporting — against the employers you serve and your existing systems.