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BlueHive vs PureOHS
A neutral, side-by-side comparison of BlueHive and PureOHS across all 24 occupational health capabilities we track — so you can see exactly where they overlap and where they differ.
Last reviewed: June 2026
A connected occupational health network for providers, employers, and clinics.
- Built-in
- 21 / 24
- Best for
- Small and mid-size occupational health providers that want to manage employer orders and the services they deliver on one modern, network-connected platform with quick onboarding.
Part of UL Solutions
Cloud occupational health records & compliance from UL Solutions.
- Built-in
- 12 / 24
- Best for
- Employers and enterprises standardizing medical surveillance, compliance, and OSHA reporting across sites.
BlueHive vs PureOHS: the short version
BlueHive is built for small and mid-size occupational health providers that want to manage employer orders and the services they deliver on one modern, network-connected platform with quick onboarding, while PureOHS is built for employers and enterprises standardizing medical surveillance, compliance, and osha reporting across sites. Of the 24 capabilities we track, BlueHive offers 21 built-in and PureOHS offers 12, with 11 that both cover. BlueHive pulls ahead on exam & test management, dot / fmcsa compliance, and drug & alcohol testing, while PureOHS leads on hris / hcm integration. On delivery, both are cloud-based, and on cost BlueHive uses subscription pricing versus PureOHS's quote-based pricing. The right pick comes down to which capabilities your workflow depends on — the full breakdown is below.
BlueHive vs PureOHS at a glance
| BlueHive | PureOHS | |
|---|---|---|
| Best for | Small and mid-size occupational health providers that want to manage employer orders and the services they deliver on one modern, network-connected platform with quick onboarding. | Employers and enterprises standardizing medical surveillance, compliance, and OSHA reporting across sites. |
| Built-in capabilities | 21 / 24 | 12 / 24 |
| Deployment | cloud-based | cloud-based |
| Pricing | subscription pricing | quote-based pricing |
| Common segments | Occ health & urgent care clinics, Multi-site provider groups, Employers & on-site clinics, Small & growing practices | Employers & on-site clinics, Enterprise EHS, Multi-site provider groups |
Both built-in
- Occupational health records (EHR)
- Medical surveillance programs
- Injury & case management
- Immunization & titer tracking
- OSHA 300 / 300A / 301 recordkeeping
- Respirator clearance & fit testing
- Regulatory & audit reporting
- Employer / client portal
- Cloud-based SaaS
- HIPAA & SOC 2 posture
- Role-based access control
BlueHive advantage
- Exam & test management
- DOT / FMCSA compliance
- Drug & alcohol testing
- Appointment scheduling
- Clinic charting & encounter workflow
- Protocol & job-based rules
- Lab integration (HL7 / LIS)
- Open API & webhooks
- Mobile / employee app
- Implementation & onboarding
PureOHS advantage
- HRIS / HCM integration
BlueHive vs PureOHS, capability by capability
How to read this comparison
Support levels reflect publicly available product information and are a neutral starting point for your own evaluation — not a definitive scorecard. Confirm specifics with each vendor before making a decision.
Frequently asked questions
What is the difference between BlueHive and PureOHS?
BlueHive is positioned for small and mid-size occupational health providers that want to manage employer orders and the services they deliver on one modern, network-connected platform with quick onboarding while PureOHS is positioned for employers and enterprises standardizing medical surveillance, compliance, and osha reporting across sites. Across the 24 capabilities we track, BlueHive offers 21 built-in and PureOHS offers 12. BlueHive stands out on Exam & test management, DOT / FMCSA compliance, Drug & alcohol testing, Appointment scheduling. PureOHS stands out on HRIS / HCM integration.
Is BlueHive or PureOHS better for occupational health?
Neither is universally "better" — it depends on your operating model. Both are commonly considered for Multi-site provider groups, Employers & on-site clinics teams. BlueHive is best for small and mid-size occupational health providers that want to manage employer orders and the services they deliver on one modern, network-connected platform with quick onboarding; PureOHS is best for employers and enterprises standardizing medical surveillance, compliance, and osha reporting across sites. Compare them against the capabilities your workflow actually depends on rather than the raw feature count.
How much do BlueHive and PureOHS cost?
BlueHive uses subscription pricing and PureOHS uses quote-based pricing. Most occupational health vendors quote based on locations, users, or employee volume, so request a tailored quote from each to compare like-for-like.
Who should consider BlueHive?
BlueHive — A connected occupational health network for providers, employers, and clinics.. BlueHive is a modern, cloud-based occupational health platform that links employers, clinics, and employees on a shared network. It's a particularly natural fit for small and mid-size occupational health providers that need to manage incoming employer orders and the services they deliver — fast scheduling, real-time results sharing, and a clean employer portal — without the overhead or implementation timeline of an enterprise system.
Who should consider PureOHS?
PureOHS — Cloud occupational health records & compliance from UL Solutions.. PureOHS is UL Solutions' cloud-based occupational health management software, part of the ULTRUS portfolio. It centers on medical surveillance, compliance, and electronic OSHA recordkeeping, and integrates with UL's SYSTOC clinic EMR for organizations running their own occupational health programs.