> ## Documentation Index
> Fetch the complete documentation index at: https://docs.voxhealth.ai/llms.txt
> Use this file to discover all available pages before exploring further.

# Integrations

> Your practice management system and other connected software.

**Settings → Integrations.** The connection to your practice management system, plus the other systems VoxHealth talks to on your behalf.

The PMS connection is the one everything depends on. Without it the agent has no schedule to book into and no charts to look patients up in.

## Connecting your PMS

What you need differs by system. See [Supported systems](/reference/supported-systems) for the specifics. In every case:

<Steps>
  <Step title="Create credentials in your PMS">
    Use a service account created for VoxHealth, not a staff member's login. It needs read and write access to patients and the schedule.
  </Step>

  <Step title="Enter them in Settings → Integrations">
    Only admins can do this.
  </Step>

  <Step title="Verify the connection">
    Open [Patients](/patients/patients) and search for a chart you know exists. If it comes back, the connection works.
  </Step>

  <Step title="Check the schedule">
    Open [Scheduling](/patients/scheduling) and confirm today's appointments match what your PMS shows.
  </Step>
</Steps>

## Sync

Patient records and appointments are pulled from your PMS on an ongoing basis, so lookups are fast and the app does not have to wait on your system for every read. Bookings, cancellations, and confirmations are written back.

<Warning>
  A PMS connection that stops working degrades quietly rather than loudly: the agent keeps answering, but starts failing to find patients and offering stale availability. If lookups start failing across the board, check this page before anything else.
</Warning>

## Other connections

Depending on what your practice uses, Integrations also holds:

* **Pharmacy**: required for the Pharmacy and Prescription Refills [capabilities](/agents/capabilities)
* **Payments**: for the payment links the agent sends
* **Insurance eligibility**: behind [Verifications](/patients/verifications)
* **Banking**: for [remittance reconciliation](/revenue/remittances)

## Credential hygiene

* One service account per system, named so it is obviously VoxHealth's.
* Rotate on the same schedule you rotate anything else.
* When someone leaves, check no integration is running on their personal login.

## Related

* [Supported systems](/reference/supported-systems)
* [Audit log](/practice/audit-log): integration changes are recorded there