Quick Overview
- 1#1: Kareo - Automates medical billing, claims submission, denial management, and revenue cycle for practices of all sizes.
- 2#2: AdvancedMD - Delivers comprehensive automated billing, EHR integration, and revenue cycle management with AI-driven claims scrubbing.
- 3#3: athenahealth - Provides cloud-based automated medical billing, practice management, and patient engagement within a unified EHR platform.
- 4#4: Waystar - Offers AI-powered revenue cycle management with automation for claims, payments, and denials across healthcare providers.
- 5#5: DrChrono - Integrates automated medical billing and superbills with mobile-friendly EHR for efficient claims processing.
- 6#6: eClinicalWorks - Features automated billing workflows, eligibility checks, and ERA posting in a robust EHR and practice management system.
- 7#7: NextGen Healthcare - Supports enterprise-level automated claims management, remittance processing, and compliance in healthcare practices.
- 8#8: CureMD - Automates medical billing, scheduling, and patient records with integrated EHR and revenue cycle tools.
- 9#9: Practice Fusion - Offers free EHR with automated billing integration for claims submission and basic revenue tracking.
- 10#10: Office Ally - Provides free clearinghouse services for automated electronic claims submission and payment reconciliation.
Tools were selected based on automation capabilities, EHR integration, ease of use, and value, ensuring they cater to practices of all sizes and needs.
Comparison Table
Efficient medical billing is a cornerstone of healthcare practice operations, and selecting the right automated software can significantly enhance workflow and accuracy. This comparison table breaks down popular tools like Kareo, AdvancedMD, athenahealth, Waystar, DrChrono, and more, examining key factors such as usability, cost, and integration capabilities. Readers will gain clarity on which software aligns best with their practice’s specific needs, ensuring they can make informed decisions to optimize billing processes.
| # | Tool | Category | Overall | Features | Ease of Use | Value |
|---|---|---|---|---|---|---|
| 1 | Kareo Automates medical billing, claims submission, denial management, and revenue cycle for practices of all sizes. | specialized | 9.3/10 | 9.6/10 | 9.1/10 | 9.0/10 |
| 2 | AdvancedMD Delivers comprehensive automated billing, EHR integration, and revenue cycle management with AI-driven claims scrubbing. | enterprise | 8.7/10 | 9.2/10 | 7.6/10 | 8.1/10 |
| 3 | athenahealth Provides cloud-based automated medical billing, practice management, and patient engagement within a unified EHR platform. | enterprise | 8.7/10 | 9.2/10 | 7.8/10 | 8.0/10 |
| 4 | Waystar Offers AI-powered revenue cycle management with automation for claims, payments, and denials across healthcare providers. | specialized | 8.7/10 | 9.2/10 | 8.1/10 | 8.4/10 |
| 5 | DrChrono Integrates automated medical billing and superbills with mobile-friendly EHR for efficient claims processing. | specialized | 8.2/10 | 8.5/10 | 7.9/10 | 7.6/10 |
| 6 | eClinicalWorks Features automated billing workflows, eligibility checks, and ERA posting in a robust EHR and practice management system. | enterprise | 7.8/10 | 8.5/10 | 6.7/10 | 7.4/10 |
| 7 | NextGen Healthcare Supports enterprise-level automated claims management, remittance processing, and compliance in healthcare practices. | enterprise | 8.1/10 | 8.7/10 | 7.4/10 | 7.8/10 |
| 8 | CureMD Automates medical billing, scheduling, and patient records with integrated EHR and revenue cycle tools. | specialized | 8.1/10 | 8.7/10 | 7.4/10 | 7.8/10 |
| 9 | Practice Fusion Offers free EHR with automated billing integration for claims submission and basic revenue tracking. | specialized | 7.4/10 | 6.9/10 | 8.6/10 | 9.2/10 |
| 10 | Office Ally Provides free clearinghouse services for automated electronic claims submission and payment reconciliation. | other | 7.4/10 | 7.2/10 | 8.1/10 | 8.5/10 |
Automates medical billing, claims submission, denial management, and revenue cycle for practices of all sizes.
Delivers comprehensive automated billing, EHR integration, and revenue cycle management with AI-driven claims scrubbing.
Provides cloud-based automated medical billing, practice management, and patient engagement within a unified EHR platform.
Offers AI-powered revenue cycle management with automation for claims, payments, and denials across healthcare providers.
Integrates automated medical billing and superbills with mobile-friendly EHR for efficient claims processing.
Features automated billing workflows, eligibility checks, and ERA posting in a robust EHR and practice management system.
Supports enterprise-level automated claims management, remittance processing, and compliance in healthcare practices.
Automates medical billing, scheduling, and patient records with integrated EHR and revenue cycle tools.
Offers free EHR with automated billing integration for claims submission and basic revenue tracking.
Provides free clearinghouse services for automated electronic claims submission and payment reconciliation.
Kareo
specializedAutomates medical billing, claims submission, denial management, and revenue cycle for practices of all sizes.
AI-driven claims intelligence that automatically scrubs claims, predicts denials, and accelerates reimbursements
Kareo is a leading cloud-based medical billing and practice management software tailored for independent practices and specialties. It automates the entire revenue cycle, including claims submission, scrubbing, denial management, eligibility verification, and patient payments. With seamless EHR integration and real-time analytics, Kareo helps maximize reimbursements and reduce administrative burdens efficiently.
Pros
- Advanced automation for claims scrubbing and denial prevention, reducing errors by up to 50%
- Comprehensive revenue cycle management with real-time AR tracking and analytics
- Seamless integration with popular EHRs and strong customer support for quick resolutions
Cons
- Higher pricing tiers can be costly for very small practices
- Steeper learning curve for advanced reporting features
- Limited native support for some niche specialties without customization
Best For
Mid-sized independent medical practices and billing services seeking robust automation to streamline revenue cycles and boost collections.
Pricing
Starts at $110/provider/month for core billing; scales to $300+/provider/month for full revenue cycle management, with custom enterprise pricing.
AdvancedMD
enterpriseDelivers comprehensive automated billing, EHR integration, and revenue cycle management with AI-driven claims scrubbing.
AI-driven claims intelligence that scrubs and optimizes claims before submission to minimize denials
AdvancedMD is a comprehensive cloud-based platform offering automated medical billing as part of its integrated EHR and practice management suite. It streamlines the revenue cycle with features like automated claims submission, eligibility verification, scrubbing, denial management, and electronic remittance posting. Designed for efficiency, it uses analytics to reduce errors and accelerate payments for medical practices.
Pros
- Robust automation for claims processing and denial prevention
- Deep integration with EHR and scheduling for seamless workflows
- Advanced analytics and reporting for revenue optimization
Cons
- Steep learning curve for new users
- High pricing that may overwhelm small practices
- Mixed customer support experiences
Best For
Mid-sized to large medical practices needing an all-in-one automated billing solution integrated with EHR.
Pricing
Custom quote-based pricing starting at ~$400/provider/month for core modules, with tiers up to enterprise levels and add-ons for full RCM.
athenahealth
enterpriseProvides cloud-based automated medical billing, practice management, and patient engagement within a unified EHR platform.
AI-driven Revenue Intelligence for predictive denial management and automated revenue recovery
Athenahealth's athenaOne platform is a cloud-based EHR and revenue cycle management solution that automates medical billing processes, including claims submission, eligibility verification, denial management, and payment reconciliation. It leverages AI-driven tools for predictive analytics, auto-coding, and revenue optimization to achieve high first-pass claim acceptance rates, often exceeding 98%. Designed for scalability, it integrates seamlessly with practice management and patient engagement features, making it suitable for multi-specialty practices.
Pros
- Robust automation with AI-powered denial prediction and 98%+ claims acceptance
- Seamless integration of EHR, billing, and analytics in one platform
- Scalable for growing practices with strong interoperability via FHIR standards
Cons
- High implementation costs and lengthy onboarding process
- Quote-based pricing lacks transparency and can be expensive for small practices
- Steep learning curve for non-technical users despite intuitive dashboards
Best For
Mid-sized to large medical practices or multi-location providers needing integrated EHR and automated billing with enterprise-level scalability.
Pricing
Custom quote-based pricing, typically $140-$450 per provider/month plus implementation fees; no public tiers available.
Waystar
specializedOffers AI-powered revenue cycle management with automation for claims, payments, and denials across healthcare providers.
AI-driven 'Claims Accelerator' that automates up to 90% of claims edits and resubmissions in real-time
Waystar is a comprehensive revenue cycle management (RCM) platform specializing in automated medical billing for healthcare providers. It streamlines claims processing, denial management, patient eligibility verification, and payments through AI-driven automation and advanced analytics. The software integrates with major EHR systems to reduce errors, accelerate reimbursements, and provide actionable insights for financial optimization.
Pros
- Robust AI-powered automation for claims scrubbing and denial prevention, achieving high first-pass acceptance rates
- Seamless integrations with EHRs like Epic and Cerner for end-to-end workflows
- Advanced analytics dashboard for real-time revenue performance tracking
Cons
- Enterprise-level pricing not suitable for small practices
- Steep implementation process requiring significant setup time
- Occasional reports of rigid customization options for unique workflows
Best For
Mid-to-large healthcare organizations and hospitals seeking scalable, enterprise-grade RCM automation.
Pricing
Custom enterprise pricing, typically based on claims volume or annual subscription starting at $100K+; quote-based with no public tiers.
DrChrono
specializedIntegrates automated medical billing and superbills with mobile-friendly EHR for efficient claims processing.
AI-powered coding suggestions and automated denial management for faster, more accurate claims processing
DrChrono is a cloud-based electronic health record (EHR) and practice management platform with integrated automated medical billing capabilities, designed to streamline revenue cycle management for medical practices. It automates eligibility verification, claims scrubbing, electronic submission to over 3,000 payers, and payment posting, while supporting features like superbill generation and denial management. The platform also includes patient engagement tools, scheduling, and e-prescribing, making it a comprehensive solution for practices seeking efficiency in billing workflows.
Pros
- Seamless integration of EHR, scheduling, and billing for end-to-end automation
- Real-time eligibility checks and claims scrubbing to reduce denials
- Mobile app support for on-the-go charge capture and billing
Cons
- Steep learning curve for new users due to extensive features
- Higher pricing tiers can be costly for solo or small practices
- Occasional reports of slower customer support response times
Best For
Mid-sized medical practices and specialties needing an all-in-one EHR with robust automated billing and revenue cycle tools.
Pricing
Starts at $199/provider/month for basic EHR; full practice management and billing at $439/provider/month; custom enterprise pricing available.
eClinicalWorks
enterpriseFeatures automated billing workflows, eligibility checks, and ERA posting in a robust EHR and practice management system.
AI-powered predictive denial management that proactively identifies and resolves claim issues before submission
eClinicalWorks is a comprehensive EHR and practice management platform with robust automated medical billing features designed to streamline revenue cycle management for healthcare providers. It offers electronic claims submission, automated eligibility verification, denial management, auto-coding, and payment posting to minimize errors and accelerate reimbursements. The system integrates billing seamlessly with clinical workflows, supporting practices from solo providers to large enterprises.
Pros
- Integrated RCM with EHR for seamless workflows
- Advanced automation including AI-driven coding and denial prediction
- Scalable for high-volume billing in large practices
Cons
- Steep learning curve and outdated interface in some areas
- Custom pricing can be expensive for smaller practices
- Customer support response times can be inconsistent
Best For
Mid-sized to large medical practices needing an all-in-one platform with strong automated billing tied to EHR.
Pricing
Custom subscription pricing starting at $500-$1,200 per provider/month, depending on modules and practice size.
NextGen Healthcare
enterpriseSupports enterprise-level automated claims management, remittance processing, and compliance in healthcare practices.
AI-powered revenue cycle intelligence with predictive denial prevention and automated workflows
NextGen Healthcare offers a comprehensive EHR and practice management platform with robust automated medical billing capabilities, including claims scrubbing, electronic submission, denial management, and revenue cycle analytics. It integrates seamlessly with clinical workflows to automate charge capture, eligibility verification, and payment posting. Designed for ambulatory practices, it supports specialties through customizable rules engines and compliance tools to minimize errors and accelerate reimbursements.
Pros
- Deep integration with EHR for automated charge capture and reduced manual entry
- Advanced denial management and predictive analytics for revenue optimization
- Scalable for mid-to-large practices with strong compliance and reporting tools
Cons
- Steep learning curve due to complex interface and customization needs
- High implementation costs and ongoing fees
- Customer support response times can be inconsistent
Best For
Mid-sized to large specialty practices seeking an integrated EHR-billing solution for high-volume claims processing.
Pricing
Custom enterprise pricing; typically $300-$600 per provider/month plus implementation fees starting at $50K+.
CureMD
specializedAutomates medical billing, scheduling, and patient records with integrated EHR and revenue cycle tools.
AI-driven claims scrubbing engine that auto-corrects errors before submission to minimize denials
CureMD is a cloud-based electronic health records (EHR) and practice management platform with robust automated medical billing capabilities, enabling seamless claims submission, scrubbing, and revenue cycle management. It integrates billing directly with patient records, scheduling, and e-prescribing for efficient workflows. The software supports electronic remittance advice (ERA) posting, denial management, and analytics to optimize reimbursements for medical practices.
Pros
- Integrated EHR and billing for streamlined workflows
- Automated claims scrubbing and denial management
- Real-time eligibility verification and robust reporting
Cons
- Steep learning curve for non-tech-savvy users
- Custom pricing lacks upfront transparency
- Customer support can be slow during peak times
Best For
Mid-sized medical practices needing an all-in-one EHR with strong automated billing integration.
Pricing
Custom quotes based on practice size; typically $250-$450 per provider/month including EHR and billing modules.
Practice Fusion
specializedOffers free EHR with automated billing integration for claims submission and basic revenue tracking.
Fully free EHR with built-in automated billing, eliminating upfront costs for essential revenue cycle tools
Practice Fusion is a cloud-based electronic health record (EHR) system that includes automated medical billing features like electronic claims submission, eligibility checks, and payment posting integrated with patient charting. It automates superbill generation and supports claims scrubbing through partnerships with clearinghouses, helping small practices manage revenue cycles efficiently. While not a standalone billing solution, its EHR-billing synergy reduces manual entry errors and streamlines workflows for common payers.
Pros
- Completely free core platform including billing tools
- Intuitive interface with seamless EHR-billing integration
- Cloud-based access for anytime, anywhere use
Cons
- Limited advanced automation like full RCM analytics or denial management
- Relies on third-party clearinghouses which can add hidden costs
- Occasional reporting limitations and slower support response
Best For
Small practices and solo providers needing cost-free basic automated billing tied to EHR functionality.
Pricing
100% free for all core features including billing; optional paid add-ons for premium support or integrations.
Office Ally
otherProvides free clearinghouse services for automated electronic claims submission and payment reconciliation.
Completely free web-based practice management software accessible to unlimited users
Office Ally is a web-based platform offering free practice management software integrated with electronic claims submission, eligibility verification, and payment posting for medical billing. It functions as a clearinghouse, connecting practices to over 4,000 payers for automated claim processing and denial management. The solution emphasizes cost-efficiency with no monthly fees, making it suitable for streamlining billing workflows in smaller practices.
Pros
- Free practice management software with unlimited users
- Low pay-per-claim pricing model with no subscriptions
- Broad connectivity to thousands of payers for claims and eligibility
Cons
- Limited advanced automation like AI-driven denial prediction
- User interface appears somewhat dated and basic
- Reporting and analytics features lack depth compared to premium solutions
Best For
Small to mid-sized medical practices seeking affordable, no-frills automated billing without recurring monthly costs.
Pricing
Free practice management software; $0.19 per medical claim, $0.09 per dental claim, with volume discounts available.
Conclusion
The reviewed automated medical billing software delivers diverse solutions for varied practice needs, with Kareo leading as the top choice thanks to its comprehensive automation across billing, claims, and denial management. AdvancedMD and athenahealth stand out as strong alternatives, with AdvancedMD’s AI-driven claims scrubbing and athenahealth’s unified EHR and patient engagement tools offering robust support for distinct workflows. Ultimately, these options emphasize selecting software aligned with specific practice size and operational priorities.
Discover the power of streamlined billing—start with Kareo to experience its end-to-end automation and drive consistent revenue cycle success for your practice.
Tools Reviewed
All tools were independently evaluated for this comparison
