EHR vendors, digital health companies, and care organizations that need patient records from other providers often compare Health Gorilla and Kno2. Both are designated QHINs, or Qualified Health Information Networks, under TEFCA, the federal framework for exchanging records nationwide. Health Gorilla returns records from national networks as FHIR data, a standard format other software can read, through its APIs. Kno2 gives one connection that covers national networks along with cloud fax and Direct secure messaging.
EHR vendors that need TEFCA access through a designated QHIN
Buyers that cannot take on vendor risk while lawsuits over patient-record requests are open
Post-acute, behavioral health, and therapy software vendors that need one connection to national record networks
Teams that want one combined patient record with analytics on top
| Axis | Health Gorilla | Kno2 |
|---|---|---|
| Fax and Direct messaging | Health Gorilla is built for national record queries, and small practices that only need fax and Direct are a poor fit. | Stronger Cloud fax and Direct secure messaging come through the same connection as network queries. |
| Records as FHIR data | Similar Outside records arrive as FHIR data through its APIs, and its network and API product scores 7.4. |
Similar FHIR and HL7 sit alongside Carequality, TEFCA, fax, and Direct, and its product scores 7.3. |
| Post-acute and behavioral health | Customers center on EHR vendors, value-based care groups, and digital health companies. | Stronger Kno2 says about 80 percent of the technology vendors that serve post-acute care connect to its network. |
| Network reach | Similar Health Gorilla said in April 2025 that it connected more than 220 million patients and 147,000 care sites, and it connects to California's Data Exchange Framework. |
Similar Kno2 connects to Carequality, health information exchanges, and referral networks, and it formed an alliance with Redox in October 2025. |
| Legal exposure | Epic and several health systems sued Health Gorilla in January 2026, alleging some record requests were labeled as treatment while the records went to law firms, and nine patient class actions were combined in August 2026. | Stronger Kno2 is not among the defendants in the Epic suit. |
| Getting connected | Teams need engineers for the API and must document an allowed reason, such as treatment, for every request, which scores 6.8. | Stronger Teams need an integration owner, and the Kno2fy portal gives providers a way in alongside the API, which scores 7.3. |
| Knowing what you will pay | An enterprise contract tied to query volume and the networks used. | Stronger A subscription plus per-transaction fees that vary by channel. |
Health Gorilla is for an EHR vendor or value-based care group with engineers that wants national record queries returned as FHIR data, and whose legal team can accept open litigation over how some customers requested records. Kno2 is for a post-acute, behavioral health, or therapy software vendor, or a provider, that still trades many records by fax and wants fax, Direct messaging, and network queries in one place.
Walk away from Health Gorilla if your counsel will not sign with a vendor in active lawsuits over record requests. Walk away from both if you want one combined patient record with analytics and care-gap tools, since both deliver the records and leave that work to other software.