Avera System Link Help Center

Avera is switching to Epic as its electronic health record (EHR) effective May 30, 2026. Access to the legacy EHR and other systems will cease at this time. The new platform is called Avera System Link, which is part of our overall implementation of Epic software.

Certain organizations and people need to register for access to the new portal by April 24. Get details about the change and follow the instructions below to sign up.

Request a New Site and Add Site Administrators

Before you get started to request a new site for Avera System Link:

  • You need to review and have an authorized representative at your facility sign the site agreement.
    • Important: The only organizations that do not need a site agreement are businesses/employers who use Avera occupational medicine services – and need to receive results and reports via Avera System Link.
  • Choose your site administrators. One is required, but two are strongly recommended. Learn more about the site administrator responsibilities.
  • Note that we are reviewing all requests to access Avera System Link as new. Due to the large volume of requests, the approval process may take up to a few weeks.
  • See the steps below to request a site and add your administrators.

Request a Site

Important: Don’t request a new site if your facility already has one. If you need access, contact your site administrator to create a user account for you.

Follow the steps below, or for occupational medicine, you can also refer to the PDF guide.

Add Site and Administrator

  1. Go to AveraSystemLink.org. Under the Login button, select Request New Account.
  2. On the screen for Create User Accounts for Your Site, select Request a new site, and then choose Site for a new site to represent your workplace. Select one of the following.
    • Site: Choose this option if your workplace does not include any of the other site options on screen.
    • Occupational Medicine Site: Choose this option if you’re an employer using Avera’s occupational medicine services.
  3. Before you can proceed with the form, review the separate site agreement, which is required for each site, except for occupational medicine services as noted below. The site agreement must be signed by an authorized representative at your facility. After the appropriate person at your organization has signed the site agreement, use your own technology to scan it and save it as an electronic file.
    • Important: The only organizations that do not need a site agreement are businesses/employers who use Avera occupational medicine services – and need to receive results and reports via Avera System Link.
    • Acceptable file types for upload include pdf, jpg, jpeg, gif, bmp, tif and tiff.
  4. Complete the Site Information fields in the form.
  5. Choose Add Files to upload the signed site agreement as an attachment.
    • Remember: A site agreement is not needed for employer sites using Avera occupational medicine services.
  6. Select Next.
  7. Add your site administrator as your first new user. Beyond the site administrator role, choose the type of user access needed for the person, based on the on-screen description.
    • Earlier, if you chose Site as your workplace, your role options are:
      • Avera Health Plans Only User
      • Provider
      • Clinical Staff
      • Non-Clinician
      • Emergency Medical Technician
      • Biller
      • Requester
      • Specimen Collector
      • Surgical Support Staff
      • Continued Care and Services Coordinator
    • Earlier, if you chose Occupational Medicine Site as your workplace, your role options are:
      • Occ Med Employer Case Manager
      • Occ Med Employer Representative
  8. Complete the User Information form. (Note that fields may vary depending on the type of user requested.) Check the box to Make this user a site administrator. Click Accept.
  9. Add your second site administrator by clicking Add on the Add Users screen. Complete the user fields.
    • Note: Please only add your site administrators for now. After you’re approved and you get access to Avera System Link, you can log in to add all users for your organization.
  10. After both administrators are added, select Verification.

Review and Submit

  1. Review the Terms and Conditions and check the box: I agree to the Terms and Conditions above.
  2. In the Requested by field, enter the name of the person making the site request.
  3. Click Submit Request.
  4. Read the information on the Confirmation page and click OK.
  5. As soon as possible, you must confirm your email address in order to complete your site request. Check your email for a message from noreply@systemlink.averaconnect.org. Follow the email instructions to confirm your email address. We are unable to complete your site request until your email is confirmed.
  6. Avera will review your request and reach out if there are any questions.
    1. If your site is approved, you will receive email instructions to access your site.
    2. If your request is denied, we will notify you by email and include an explanation.
    3. Email messages will come from Avera System Link (noreply@systemlink.averaconnect.org).

Roles and Access

Your site administrator will assign a role to each user in Avera System Link. People who are administrators will also have that additional role as a site administrator.

Do I use Avera System Link or Epic Hyperspace?

You will use Epic Hyperspace if you are:

  • An employed physician or staff member who works for Avera or an Avera partner location.
  • A non-Avera provider or care team member who has care privileges and is credentialed at an Avera or partner facility.

Next Steps: Providers who need access to Avera’s Epic Hyperspace can contact AveraEMRTraining@avera.org to register for training and to ensure you will have access when Avera transitions to Epic May 30.

You will use Avera System Link if you are:

  • A staff member of a provider who has care privileges and is credentialed at an Avera or partner facility.
  • An external, independent provider or staff member at a non-Avera facility and you need read-only access to a patient’s chart.
  • An external provider using Avera’s telemedicine services.
  • A business enrolled in Avera services for occupational health.
  • A provider or business staff member who has patients using Avera Health Plans health insurance.

Next Steps: Register your Avera System Link site administrator and users by April 24. Learn more

What are the site administrator’s responsibilities?

We require at least one and recommend two site administrators for each organization using Avera System Link. The site administrator plays a key role in maintenance of Avera System Link access for your organization’s employees and communication between Avera and your organization. Site administrators are responsible for:

  • User access requests: You will submit users to us for review, and you’ll be notified about approval status and how new users can log in.
  • User support and maintenance: Site administrators are the primary point of contact for your organization’s Avera System Link users and support at your organization. Only site administrators should contact Avera with technical and access questions.
  • Site verification: Site administrators may be asked quarterly to verify that your site and users still need access to Avera System Link.
  • Communication: Site administrators are the main contact Avera will reach out to if there are system upgrades or feature changes that we need to share with your organization.
  • Staffing changes: Inevitably, there will be employees using Avera System Link who leave your organization and new employees will join and need access. The site administrator must update access in the portal as soon as possible. This includes physicians who leave or join a practice. Each quarter, site administrators will also review whether all existing users still need access.

What are the user roles in Avera System Link?

If you choose Site as your workplace, your role options are:

  • Avera Health Plans Only User: Provider, clinical or non-clinical staff member who needs access to Avera Health Plans only.
  • Provider: A new provider who will have access to both Avera Health for delivering patient care AND to Avera Health Plans for conducting any insurance-related business.
  • Clinical Staff: New clinical staff member who will have access to both Avera Health for delivering patient care AND to Avera Health Plans for conducting any insurance-related business.
  • Non-Clinician: A new non-clinical staff member who will have access to both Avera Health for delivering patient care AND to Avera Health Plans for conducting any insurance-related business.
  • Emergency Medical Technician: An EMT who needs access.
  • Biller: A new biller who will have access to both Avera Health for delivering patient care AND to Avera Health Plans for conducting any insurance-related business.
  • Requester: The requester who also needs access.
  • Specimen Collector: A specimen collector who needs access.
  • Surgical Support Staff: A new surgical support staff member who will have access to both Avera Health for delivering patient care AND to Avera Health Plans for conducting any insurance-related business.
  • Continued Care and Services Coordinator: A new continued care and services coordinator who will have access to both Avera Health for delivering patient care AND to Avera Health Plans for conducting any insurance-related business.

If you choose Occupational Medicine Site as your workplace, your role options are:

  • Occ Med Employer Case Manager: An occupational medicine injury case manager who needs access.
  • Occ Med Employer Representative: An occupational medicine employer representative who needs access.

Questions

If you need help with Avera System Link or have questions, we can help.

  • For independent providers, organizations and staff, plus for all technical questions, call our help desk at 605-322-6000.
  • For Occupational Medicine services questions, contact your Avera occupational medicine representative.

Avera System Link Features

Avera System Link offers a host of features for different organizations, users and roles interacting with Avera and our partners.

Providers & Organizations

Third-Party Providers and Organizations

This group includes independent physicians, organizations and staff who are not employed by Avera or their location is not an Avera partner. Examples include the Department of Health, correctional facilities, non-Avera long-term care facilities, correctional facilities and school nurses.

  • Avera System Link provides non-Avera physicians with appropriate access to a patient’s record, such lab results, hospitalization records, test results and more. This enables a more transparent flow of information between physicians and care teams.
  • It’s an easier way for external physicians and staff to place referrals to Avera specialists, plus orders for radiology, lab and other services.
  • If your patient is also an Avera Health Plans member, external physicians, care teams and billing staff members will experience optimized workflows, enhanced data security, faster prior authorizations and more efficient medical management. Learn more.

Telemedicine Services

Third-Party Providers Using Telemedicine Services

If you’re an independent physician or provider who uses Avera’s telemedicine services to conduct patient care, you will use Avera System Link to connect your site to an Avera provider for an eConsult telehealth visit.

After May 30, 2026, this will apply to all eConsult telehealth visits with an Avera provider, except for visits with Avera Infectious Disease. Users in various clinical and administrative roles will use System Link to access the video visit (telehealth) platform, review patient charts and complete other related tasks. 

  • Your site will use the iPads on your existing eConsult (TytoCare) carts to access Avera System Link for telehealth visits.
  • For the telehealth visits done through Avera System Link, there will not be any peripheral exam devices. These telehealth visits will have only audio and video capabilities.
  • Infectious Disease will continue to use TytoCare and the peripheral exam devices. The process for eConsult telehealth visits with Avera Infectious Disease will not change and your site will continue use TytoCare for these visits but will be able to access patient information in the Avera System Link portal.

Occupational Medicine Services

Employers Using Avera’s Occupational Medicine Services

If you’re a business enrolled in Avera services for occupational health, using Avera System Link will reduce wait times for email and fax results for occupational medicine services.

  • Case managers and HR employees at your business will have access to Avera System Link to view electronic letters and completion records, such as workers’ compensation injury care summary letters with work restrictions, pre-employment exams and more.
  • You can be notified when you have documents to view in Avera System Link.

Technical and Frequently Asked Questions

What technical setup is required for Avera System Link?

You will access Avera System Link through a web browser, not a downloadable app.

  • Connectivity: We recommend that you use a high-speed Internet connection to achieve the best system speed and performance.
  • Devices: The optimal device is a desktop computer or laptop computer. You can also use a tablet; however, a smartphone is not recommended. Avera System Link requires a minimum screen resolution of 1024x768 pixels and is not optimized for smaller screens.
  • Browsers: Your web browser application should be up to date with one of these versions:
    • Google Chrome: version 118 or later
    • Microsoft Edge: version 118 or later
    • Mozilla Firefox: version 115 or later
    • Safari: version 17 or later
  • Encryption: Avera System Link uses industry-standard encryption technology.

Does Avera System Link include patient information from any Avera facility and any Avera partner facility?

Avera uses one System Link for our entire system and partner facilities. If you have patients or members who interact with or receive care with multiple parts of Avera, you should be able to use one login.

Keep in mind that you must have a relationship with a patient or member to have access to allowed information in Avera System Link.

Can I share my Avera System Link username and password with colleagues?

No, you should not share your username and password with colleagues.