Who can join DirectTrust?

DirectTrust.org membership is open to any Direct exchange participant who is a provider or user of Direct exchange services, any healthcare provider organization, any person providing services to healthcare providers, any governmental entity, any educational or scientific research organization, any consumer/patient interested in health information exchange, and any nongovernmental entity serving the healthcare industry with an interest in Direct exchange and the NwHIN.

We’ve kept dues reasonable to encourage all members of the Direct community to continue to be engaged in DTO’s work and to take advantage of the benefits of membership.

What are the benefits of joining?

Membership benefits include:

  • Opportunities to influence and shape the DirectTrust Trust Framework;
  • Access to DTO deliverables and intellectual property, as well as participation in workgroups;
  • Insight into the work being done by your colleagues in the community; and
  • Discounted access to DTO products, notably the accreditation process.
  • Up to date information about the continually evolving regulatory environment;

What are the expectations for members?

DirectTrust.org members have access to a number of broad, ever-evolving programs and networking opportunities. The only requirement of all DirectTrust.org members is to remain current in annual dues payment. In order to maximize the value of membership, you are encouraged to participate in the following activities each year:

  • Participate in at least one of our Workgroups
  • Attend monthly All Members Meetings, held the first Friday at 1:00pm ET
  • Maintain a consistent, active, and high quality involvement with the Direct community
  • Support the growth, recruitment and financial stability of DirectTrust.org.

If the member is an organization, 1-3 people from that organization are welcome at webinar meetings.

Participation in and use of DirectTrust.org Work Groups, website and certification programs are privileges, which come with certain responsibilities:

  • Membership is non-transferable
  • All members must use mature judgment in choosing language used on calls, in posts, and in all other communications with and to other members. We ask that all members remember our membership includes people of a variety of backgrounds and cultures.
  • All members of DirectTrust.org are responsible for their behavior and are expected to adhere to all policies, rules and expectations for the Work Group or program they are involved with. Members are held individually responsible for the decisions they make regarding their behavior.
  • All members will adhere to DirectTrust.org policies, procedures and rules.
  • Actively support the purpose of DirectTrust.org: To develop, promote and, as necessary, enforce the rules and best practices deemed by the membership of DirectTrust to be necessary to maintain security and trust within the Direct community, and to foster widespread public confidence in the use of Direct for exchange of health information.


What are the membership fees?


Corporations, partnerships, and other for-profit entities. (Dues are based on annual corporate revenues.)

  1. Revenues of $500,000,000+ Annual dues: $20,000
  2. Revenues of $25,000,000 - $499,999,999 Annual dues: $10,000
  3. Revenues of $5,000,000 - $24,999,999 Annual dues: $2,000
  4. Revenues of $1,000,000 - $4,999,999 Annual dues: $1000
  5. Revenues of less than $1,000,000 Annual dues: $500

Individuals who wish to support or who wish to be kept directly informed of DirectTrust.org activities. Individuals in this membership category are non-voting members.

  1. Individual not employed by an organization eligible for membership in any other category (i.e. retiree or not currently employed) Annual dues: $25
  2. Individual affiliated with and sponsored by a professional association that is a member of DirectTrust.org Annual dues: $190
  3. Individuals interested in health information exchange.
Medical and Dental Practices

Enterprises with physicians, dentists or other medically trained personnel that provide direct medical services and/or managed care services to patients (not including Hospitals and Healthcare Systems, as defined below).

  1. Professional organization/clinic with more than 50 physicians and/or other providers  Annual dues: $10,000
  2. Professional organization/clinic with 25 - 49 physicians and/or other providers Annual dues: $5,000
  3. Practice or clinic with 11 - 24 physicians and/or other providers Annual dues: $2000
  4. Practice or office with 10 or fewer physicians and/or other providers Annual dues:$1000

Nonprofit professional, charitable, scientific or educational organization that qualifies under section 501(c) of the Internal Revenue Code (not including Hospitals and Healthcare Systems as defined below).

  1. Gross revenues/budgets of $5,000,000+ Annual dues: $2,000
  2. Gross revenues/budgets of $1,000,000 - $4,999,999 Annual dues: $1000
  3. Gross revenues/budgets of less than $1,000,000 Annual dues: $500
Hospitals and Healthcare Systems

Enterprises with medically trained personnel that provide direct medical services and/or managed care services to patients (not including Medical and Dental Practices, as defined above).

  1. Large hospital systems comprised of more than 10 hospitals, with or without associated/owned clinics  Annual Dues: $20,000
  2. Academic Medical Center and related teaching hospital(s) and clinic(s); or a hospital / hospital system with 401+ licensed beds, or; a managed care organization Annual dues: $15,000
  3. Hospital with 251 - 400 licensed beds Annual dues: $10,000
  4. Hospital with 100 - 250 licensed beds Annual dues: $5,000
  5. Hospital with fewer than 100 licensed beds Annual dues: $1,000
Public Agency

Federal, State, city, county agency or special governmental district (not including Medical and Dental Practices or Hospitals and Healthcare Systems, as defined above)

  1. Serving population over 50,000: $10,000
  2. Serving population under 50,000: $5,000
  3. Small State Agency: $2,000

Full-time student at an accredited institution of higher learning. Individuals in this membership category are non-voting members.

  1. Annual dues: $50
Commercial Sponsor

Commercial sponsors are not members, but enjoy access to resources and events, together with visibility to the members. Sponsorship opportunities and costs may be defined by the Board of Directors from time to time or negotiated by the sponsoring entity on an individual basis with the Board.

Other Categories

The Board of Directors may establish additional categories of membership or sponsorship.