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In addition to delivering vital health care to millions of patients in the United States, community health centers (CHCs) provide needed health insurance outreach and enrollment support to their communities. We developed a health insurance enrollment tracking tool integrated within the electronic health record (EHR) and conducted a hybrid implementation-effectiveness trial in a CHCbased research network to assess tool adoption using two implementation strategies. Methods: CHCs were recruiteddoi:10.21203/rs.2.15423/v3 fatcat:i62luowptbevhaa2iqgf46qhky