CMS-0053-F is final. Electronic standards for claims documentation required by May 2028. Is your organization ready?

Certinal eSign

Secure, compliant eSignature, built for enterprise scale.

The security, compliance, and scale enterprises need to move every agreement from sent to signed - with AI automation and free API access on every plan.

  • 50% offvs your current vendor
  • Up to 3 monthstrial - use before you pay
  • Free implementationhandled by our team
  • 1000+ integrationsconnects to everything

Trusted by leading enterprises worldwide

Why switch

Move to Certinal on your terms

Switching eSign vendors? Get 50% off.

Moving from DocuSign, Adobe Acrobat Sign, Dropbox Sign or any incumbent? We match your current setup and cut your bill in half - for the life of the contract.

Use Certinal eSign free for up to 3 months.

Run real agreements through the full platform - no feature gates, no credit card. Decide once you've seen it work on your own documents.

  • Full platform access, not a limited demo
  • Your templates, your integrations, your team
  • No card required, cancel anytime

Implementation, on us.

Our team handles migration, template setup, integrations and training - so you go live without pulling engineers off the roadmap.

Integrations

Connects to the tools you already run

Trigger signing from your systems and get every signed record synced straight back. With 1000+ integrations and a free API on every plan, Certinal eSign fits into whatever you already run.

EHR / EMR, HIS & patient portals

Epic, Cerner, Meditech, Allscripts, and MyChart.

Contract Lifecycle Management

Icertis, Agiloft, Conga, Ironclad, and SirionLabs.

CRM & Sales

Salesforce, Dynamics 365, and HubSpot.

ITSM & Workflow Automation

ServiceNow, Pega, Appian, and Camunda.

Procurement & Sourcing

Coupa, SAP Ariba, Jaggaer, Ivalua, and Oracle.

HR & Onboarding

Workday, SuccessFactors, UKG, iCIMS, and Greenhouse.

Storage & Collaboration

SharePoint, M365, Google Workspace, Box, and OpenText.

APIs, SDKs & Webhooks

REST API, webhooks, MuleSoft, Boomi, and Workato.

Compliance by industry

Every signature your industry has to defend

Enforceability is only the floor. Each industry adds its own rules about who may sign, how they must be authenticated, what the signature has to show, and where the executed record has to live.

Patient consents, physician orders, prescriptions and payer paperwork - where the question is always who signed, when, and whether the record can be authenticated on survey.

ESIGN Act & UETA

Enforceability, federal and state

Gives patient consents, financial-responsibility forms and provider agreements the same legal force as ink, once consent, attribution and retention are evidenced.

42 CFR 482.24(c)

Medical record authentication

Under the hospital Conditions of Participation, every record entry must be dated, timed and authenticated by the person responsible for the service - in written or electronic form.

21 CFR Part 1311

DEA EPCS

Signing a controlled-substance prescription requires identity proofing and two-factor authentication at the moment of signature, not just at login.

CMS-0053-F

Claims attachments & e-signatures

The first HIPAA-adopted electronic-signature standards for claims supporting documentation. Effective May 26, 2026, with compliance required by May 26, 2028.

42 CFR Part 2

Substance-use-disorder consent

Disclosure requires a patient-signed written consent carrying prescribed elements, which may be signed electronically where those elements are preserved.

State level

Consent, witness & notary statutes

Advance directives, POLST forms and some surgical consents carry witness or notarization requirements that differ state by state and cannot be assumed away.

How it works

Three moves to signed, built for real workflows

Prepare, sign, and manage every agreement on one platform - engineered for the way documents actually move through a large organization: across teams, systems and borders, under real compliance pressure.

01

AI-powered from document to send

Certinal detects fields automatically, guides setup, and routes documents to the right people - so there's less manual work and fewer errors before anything is sent.

  • Auto field detection - AI places signature and data fields on any document or template.
  • Bulk signing and templates - prepare once, send hundreds of agreements at scale, on brand.
  • Smart forms and data capture - turn static, paper-based forms into dynamic digital workflows.
02

Sign on any device, with the right assurance

Match the level of identity assurance to the risk of each document, then let recipients sign in seconds from any device - no account, download or sign-up.

  • Flexible authentication - email and OTP, knowledge-based checks, biometric, and identity verification.
  • Configurable signing order - sequential, parallel, conditional routing, and automated reminders.
  • White-label experience - your branding end to end, which lifts completion rates.
03

Stored, synced, and defensible

Every completed agreement is captured with a detailed, tamper-evident record, then synced straight back into the systems your teams already run.

  • Complete audit trails - who did what, when, with timestamps, IP, and tamper-evidence that holds up.
  • Blockchain-backed evidence - immutable trails and tamper-evident digital certificates.
  • Synced to your stack - signed records flow back to CRM, ERP, HRMS, and cloud storage automatically.

FAQ

Answers before you ask

The details legal, IT, and procurement teams check before they sign off on an eSignature platform.

What is an electronic signature?
An electronic signature is a legally recognized way to sign a document online, replacing a handwritten signature. It captures signer intent and consent, and Certinal binds each signature to a verified identity and a tamper-evident audit trail so the agreement holds up when it matters.
Are electronic signatures legally binding?
Yes. In the United States, electronic signatures are enforceable under the federal ESIGN Act and state-level UETA, and they carry the same legal weight as ink signatures for the vast majority of business and personal documents. Certinal also supports eIDAS in the EU for standard, advanced, and qualified signatures.
What's the difference between an electronic and a digital signature?
An electronic signature is the broad legal concept of signing online. A digital signature is a specific technology that uses cryptographic certificates to secure and verify a signature. Certinal combines both: a simple signing experience backed by digital-signature-grade security, tamper-evident certificates, and encryption.
Is API access really free?
Yes. Certinal includes free REST API access on every plan. Your team can embed signing directly into your own applications and workflows without paying separate integration or usage fees.
How does Certinal keep documents secure?
Certinal protects documents with encryption in transit and at rest, multi-factor and biometric authentication, and tamper-evident certificates - backed by SOC 2 and ISO 27001, 27017, and 27018. Data-residency options let you keep signed records in the region your compliance requirements call for.
What document formats does Certinal support?
Certinal supports common business document formats, including PDF and Word, and can auto-detect signature, initial, and data fields so you can prepare documents for signing in seconds rather than placing every field by hand.
Can signers sign on any device?
Yes. Signers can review and sign on any device - phone, tablet, or desktop - with no app download or account required. The experience adapts to the screen while keeping the same security and audit trail.
What systems does Certinal integrate with?
Certinal connects with the CRM, ERP, HRMS, and cloud tools enterprises already run, including Salesforce, SAP, Oracle, and Microsoft 365. You can trigger signing from those systems and get signed documents synced straight back, with the free API available for anything custom.

Ready to make every agreement faster, safer, and simpler?

See how Certinal eSign fits your workflows, your compliance requirements, and your systems - with a walkthrough built around your use case.

Schedule a demo

Recognition

Consistently recognized by analysts

Large enterprises worldwide choose Certinal eSign & Web Forms

  • Abt Associates
  • Nissan
  • Brookdale
  • Graphic Packaging
  • Bidvest
  • Insignia
  • JEA
  • Kajima
  • Selecta
  • TM
  • Bumrungrad International Hospital
  • AAMC
  • Broadridge
  • UEM
  • Millicom
  • Monash Health
  • NESR
  • ChainUp