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Difference between OAuth 2 and 3 legged

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Our business uses an application with our EMR system in which they upload PDF documents into a third party EMR. We basically are outsourced healthcare and then upload documents from our EMR to another EMR being used at the facility.

Recently, we noticed that a lot of uploads are failing and we contacted our EMR support. They said months ago they use 3-legged OAuth in order to upload these documents. After going back and forth, they said that the fix for this issue is to add 2-legged. So does 3-legged not mean that 2-legged is included? Or is 2 legged better than 3? Either they were dishonest in the past about utilizing 3-legged or they were being honest and should have had 2-legged setup a long time ago. Just trying to figure this out so I can address this with them.

Thanks

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