Quick Overview
- 1#1: Kareo - Cloud-based platform that streamlines medical billing, claims submission, and revenue cycle management for healthcare practices.
- 2#2: AdvancedMD - Comprehensive medical billing software integrated with EHR and practice management for efficient claims processing and payments.
- 3#3: athenahealth - Enterprise-grade cloud solution for EHR, revenue cycle management, and medical billing with advanced analytics.
- 4#4: DrChrono - All-in-one EHR and medical billing platform designed for small to mid-sized practices with seamless claims and payments.
- 5#5: eClinicalWorks - Integrated EHR system with robust medical billing, scheduling, and patient engagement features for diverse practices.
- 6#6: NextGen Healthcare - Enterprise healthcare platform offering advanced revenue cycle management and medical billing automation.
- 7#7: Practice Fusion - Free cloud-based EHR with integrated medical billing services for cost-effective claims management.
- 8#8: CureMD - Affordable EHR and practice management software featuring automated medical billing and insurance verification.
- 9#9: Office Ally - Online portal for medical billing, claims processing, and eligibility checks tailored for healthcare providers.
- 10#10: Availity - Healthcare network platform providing claims management, payment processing, and revenue cycle tools.
Tools were selected and ranked based on core functionality, user-friendliness, performance metrics, and value, ensuring they address the diverse needs of healthcare practices today.
Comparison Table
Healthcare billing software is vital for efficient practice management, and selecting the right tool depends on specific needs. This comparison table explores top options like Kareo, AdvancedMD, athenahealth, DrChrono, eClinicalWorks, and more, outlining features, usability, and cost to help healthcare professionals做出 informed decisions
| # | Tool | Category | Overall | Features | Ease of Use | Value |
|---|---|---|---|---|---|---|
| 1 | Kareo Cloud-based platform that streamlines medical billing, claims submission, and revenue cycle management for healthcare practices. | specialized | 9.3/10 | 9.6/10 | 9.0/10 | 8.8/10 |
| 2 | AdvancedMD Comprehensive medical billing software integrated with EHR and practice management for efficient claims processing and payments. | specialized | 9.1/10 | 9.5/10 | 8.2/10 | 8.7/10 |
| 3 | athenahealth Enterprise-grade cloud solution for EHR, revenue cycle management, and medical billing with advanced analytics. | enterprise | 8.7/10 | 9.2/10 | 7.8/10 | 8.1/10 |
| 4 | DrChrono All-in-one EHR and medical billing platform designed for small to mid-sized practices with seamless claims and payments. | specialized | 8.6/10 | 9.2/10 | 8.4/10 | 8.0/10 |
| 5 | eClinicalWorks Integrated EHR system with robust medical billing, scheduling, and patient engagement features for diverse practices. | enterprise | 7.6/10 | 8.2/10 | 6.4/10 | 7.1/10 |
| 6 | NextGen Healthcare Enterprise healthcare platform offering advanced revenue cycle management and medical billing automation. | enterprise | 8.4/10 | 8.9/10 | 7.8/10 | 8.1/10 |
| 7 | Practice Fusion Free cloud-based EHR with integrated medical billing services for cost-effective claims management. | specialized | 7.2/10 | 6.8/10 | 7.5/10 | 9.0/10 |
| 8 | CureMD Affordable EHR and practice management software featuring automated medical billing and insurance verification. | specialized | 8.2/10 | 8.8/10 | 7.5/10 | 7.9/10 |
| 9 | Office Ally Online portal for medical billing, claims processing, and eligibility checks tailored for healthcare providers. | specialized | 8.1/10 | 7.6/10 | 8.7/10 | 9.4/10 |
| 10 | Availity Healthcare network platform providing claims management, payment processing, and revenue cycle tools. | enterprise | 8.3/10 | 9.0/10 | 7.8/10 | 8.0/10 |
Cloud-based platform that streamlines medical billing, claims submission, and revenue cycle management for healthcare practices.
Comprehensive medical billing software integrated with EHR and practice management for efficient claims processing and payments.
Enterprise-grade cloud solution for EHR, revenue cycle management, and medical billing with advanced analytics.
All-in-one EHR and medical billing platform designed for small to mid-sized practices with seamless claims and payments.
Integrated EHR system with robust medical billing, scheduling, and patient engagement features for diverse practices.
Enterprise healthcare platform offering advanced revenue cycle management and medical billing automation.
Free cloud-based EHR with integrated medical billing services for cost-effective claims management.
Affordable EHR and practice management software featuring automated medical billing and insurance verification.
Online portal for medical billing, claims processing, and eligibility checks tailored for healthcare providers.
Healthcare network platform providing claims management, payment processing, and revenue cycle tools.
Kareo
specializedCloud-based platform that streamlines medical billing, claims submission, and revenue cycle management for healthcare practices.
Kareo Intelligence analytics engine, providing predictive denial insights and revenue forecasting
Kareo is a comprehensive cloud-based platform specializing in medical billing, revenue cycle management (RCM), and practice management for independent healthcare providers. It automates claims submission, denial management, patient payments, and eligibility verification while integrating seamlessly with EHR systems. Designed to maximize reimbursements and reduce administrative burdens, Kareo serves small to mid-sized practices with tools for financial analytics and compliance.
Pros
- Advanced automation for claims scrubbing and denial prevention, achieving high clean claim rates
- Integrated RCM analytics dashboard for real-time revenue insights
- Strong interoperability with major EHRs and clearinghouses
Cons
- Pricing can be steep for smaller practices without scaling discounts
- Customer support response times vary, especially for non-enterprise users
- Some advanced customizations require additional fees or professional services
Best For
Independent medical practices and small group providers focused on optimizing billing efficiency and revenue recovery.
Pricing
Custom quote-based pricing; starts at ~$110/provider/month for core billing, up to $300+ for full EHR+RCM suite, with per-claim fees optional.
AdvancedMD
specializedComprehensive medical billing software integrated with EHR and practice management for efficient claims processing and payments.
AI-powered denial management and predictive analytics that proactively identify and resolve billing issues before submission.
AdvancedMD is a comprehensive cloud-based platform specializing in medical billing and revenue cycle management for healthcare providers. It automates claims processing, eligibility verification, denial management, and patient payments while integrating seamlessly with its EHR and practice management tools. Ideal for optimizing financial workflows, it supports specialties with HIPAA-compliant features and real-time reporting to maximize reimbursements.
Pros
- Robust revenue cycle management with high first-pass claim acceptance rates
- Seamless integration with EHR, scheduling, and patient portal
- Advanced analytics and denial prevention tools for improved cash flow
Cons
- Steep learning curve for smaller practices
- Custom pricing can be expensive for multi-provider setups
- Customer support response times vary
Best For
Mid-sized to large medical practices or specialties needing integrated billing with EHR for efficient revenue management.
Pricing
Custom quotes required; typically starts at $400-$700 per provider/month for billing modules, with full suite higher based on practice size.
athenahealth
enterpriseEnterprise-grade cloud solution for EHR, revenue cycle management, and medical billing with advanced analytics.
Predictive analytics in athenaOne RCM for denial prevention and revenue optimization using machine learning on vast claims data.
Athenahealth is a cloud-based EHR and practice management platform with robust revenue cycle management (RCM) capabilities tailored for medical billing in healthcare practices. It automates claims processing, eligibility verification, denial management, and payment posting to maximize reimbursements and reduce administrative burdens. The software offers advanced analytics and interoperability features to support efficient billing workflows across specialties.
Pros
- High clean claims rate (often >95%) with automated scrubbing and AI-driven insights
- Seamless integration with EHR for end-to-end revenue cycle management
- Strong interoperability via athenahealth Network for real-time data exchange
Cons
- High implementation time and costs, especially for smaller practices
- Steep learning curve due to extensive feature set
- Customer support can be inconsistent with long resolution times
Best For
Mid-sized to large multi-specialty practices seeking an integrated EHR and advanced billing solution with strong analytics.
Pricing
Custom enterprise pricing, typically $300-$500 per provider per month including EHR and RCM, with setup fees and contracts starting at 3 years.
DrChrono
specializedAll-in-one EHR and medical billing platform designed for small to mid-sized practices with seamless claims and payments.
Native iOS apps for charting, billing, and patient intake directly from iPad or iPhone
DrChrono is a cloud-based electronic health record (EHR) and practice management platform with robust medical billing capabilities, enabling automated claims submission to over 3,000 payers, real-time eligibility checks, and payment posting. It streamlines revenue cycle management through features like denial tracking, AR aging reports, and customizable superbills. Designed for various specialties, it integrates billing seamlessly with patient scheduling, charting, and telehealth for efficient practice workflows.
Pros
- Seamless EHR-billing integration reduces errors and speeds up reimbursements
- Real-time eligibility verification and claims scrubbing improve clean claim rates
- Mobile apps for iOS enable on-the-go billing and payment collection
Cons
- Higher pricing tiers may strain budgets for solo or small practices
- Steeper learning curve for advanced billing customizations
- Occasional slowdowns reported during peak usage times
Best For
Mid-sized medical practices seeking an all-in-one EHR platform with strong integrated billing tools.
Pricing
Starts at $199 per provider/month for core features; premium plans up to $439/provider/month; custom enterprise pricing available.
eClinicalWorks
enterpriseIntegrated EHR system with robust medical billing, scheduling, and patient engagement features for diverse practices.
AI-powered revenue cycle management with predictive denial prevention and automated workflows
eClinicalWorks is a comprehensive EHR and practice management platform with robust health billing capabilities, including automated claims processing, eligibility verification, denial management, and revenue cycle analytics. It integrates seamlessly with electronic health records to streamline workflows from patient intake to payment posting for medical practices. Designed for scalability, it supports multi-location practices and offers tools for compliance with HIPAA and MIPS reporting.
Pros
- Integrated EHR and billing for end-to-end revenue cycle management
- Advanced denial management and analytics tools reduce claim rejections
- Scalable for small to enterprise-level practices with multi-location support
Cons
- Steep learning curve and outdated user interface
- Customer support often criticized for slow response times
- High implementation and customization costs
Best For
Mid-sized to large medical practices seeking an all-in-one EHR and billing solution with strong revenue cycle features.
Pricing
Custom pricing starting at around $449 per provider/month, plus one-time implementation fees and add-ons for advanced modules.
NextGen Healthcare
enterpriseEnterprise healthcare platform offering advanced revenue cycle management and medical billing automation.
Predictive revenue cycle analytics that proactively identifies denial risks and optimizes reimbursements
NextGen Healthcare offers a comprehensive EHR and practice management platform with integrated revenue cycle management (RCM) tools designed for ambulatory practices and specialty providers. Its health billing software automates claims processing, eligibility verification, denial management, and payment posting while ensuring HIPAA compliance and interoperability standards like HL7 and FHIR. The solution provides advanced analytics for revenue optimization and supports multi-location practices with scalable deployment options.
Pros
- Seamless integration between EHR, practice management, and billing workflows
- Robust denial management and predictive analytics for revenue cycle optimization
- Strong compliance tools and interoperability with third-party systems
Cons
- Steep learning curve for new users due to feature-rich interface
- Custom pricing can be expensive for smaller practices
- Implementation timelines may extend beyond expectations
Best For
Mid-sized to large ambulatory and specialty practices needing an integrated EHR and billing solution.
Pricing
Quote-based pricing, typically $300-$600 per provider per month, depending on modules, practice size, and deployment (cloud or on-premise).
Practice Fusion
specializedFree cloud-based EHR with integrated medical billing services for cost-effective claims management.
Fully free cloud-based EHR with built-in billing tools, eliminating upfront costs for small practices
Practice Fusion is a cloud-based electronic health records (EHR) platform with integrated health billing features, enabling electronic claims submission, insurance eligibility verification, payment posting, and denial management directly from patient charts. It supports superbills, AR aging reports, and basic revenue cycle management tailored for small practices. While primarily an EHR solution, its billing tools streamline workflows by linking clinical documentation to financial tasks without additional software costs.
Pros
- Completely free platform with no software licensing fees
- Seamless integration between EHR charting and billing workflows
- Cloud-based access for easy use across devices
Cons
- Limited advanced revenue cycle management for complex billing needs
- Relies on third-party integrations for full clearinghouse functionality
- Occasional usability glitches in billing reports and customization
Best For
Small independent practices or solo providers seeking a no-cost, basic billing solution integrated with everyday EHR tasks.
Pricing
100% free EHR and core billing features; no per-user or subscription fees, with revenue from e-prescribing and lab partnerships.
CureMD
specializedAffordable EHR and practice management software featuring automated medical billing and insurance verification.
AI-powered claims intelligence for predictive denial management and scrubbing
CureMD is a cloud-based electronic health records (EHR) and practice management platform with robust medical billing features tailored for healthcare providers. It automates revenue cycle management, including electronic claims submission, eligibility verification, denial management, and payment posting. The software integrates billing seamlessly with patient records and scheduling to streamline workflows for practices of various sizes.
Pros
- Comprehensive revenue cycle management with automated claims scrubbing
- Seamless integration with EHR and practice management
- Strong reporting and analytics for financial insights
Cons
- Steep learning curve for advanced billing features
- Pricing can escalate with add-ons and user counts
- Customer support response times vary
Best For
Small to mid-sized medical practices seeking an integrated EHR and billing solution.
Pricing
Starts at $295 per provider/month for core features; custom enterprise pricing available with additional modules.
Office Ally
specializedOnline portal for medical billing, claims processing, and eligibility checks tailored for healthcare providers.
100% free electronic claims submission and eligibility verification to over 4,000 payers without usage fees
Office Ally is a web-based medical billing clearinghouse platform that enables healthcare providers to submit electronic claims, perform patient eligibility verification, and process electronic remittance advice (ERA) to numerous payers nationwide. It offers free core services like claim scrubbing, status tracking, and denial management tools, making it accessible for practices handling medical billing workflows. While it integrates with many practice management systems, it focuses primarily on revenue cycle management rather than full EHR capabilities.
Pros
- Completely free core clearinghouse services including claim submission and eligibility checks
- User-friendly interface with quick setup and nationwide payer connectivity
- Reliable claim scrubbing and denial management to reduce errors and speed reimbursements
Cons
- Limited advanced reporting and analytics compared to full-suite billing software
- Customer support primarily email/ticket-based with occasional delays
- Less suitable for complex enterprise-level billing without additional integrations
Best For
Small to mid-sized independent practices or solo providers seeking cost-effective, straightforward medical billing and claims processing.
Pricing
Free for core clearinghouse services (claims, eligibility, ERA); optional paid Ally Practice Management starts at $99/month per provider.
Availity
enterpriseHealthcare network platform providing claims management, payment processing, and revenue cycle tools.
Largest U.S. health information network enabling direct, real-time access to payer data from over 3,000 payers.
Availity is a leading health information network platform designed to optimize revenue cycle management for healthcare providers, payers, and partners. It provides end-to-end tools for claims submission, eligibility checks, electronic remittance advice (ERA), denial management, and patient payments through secure EDI transactions and a unified portal. With deep integrations to major EHRs and billing systems, Availity reduces administrative burdens and accelerates cash flow in healthcare billing workflows.
Pros
- Extensive network covering 90%+ of U.S. payer lives for reliable claims processing
- Advanced analytics and AI-driven insights for denial prevention and revenue optimization
- Strong compliance features and seamless EHR integrations
Cons
- Steep learning curve and complex interface for new users
- Pricing favors high-volume users, less ideal for small practices
- Lengthy onboarding and implementation process
Best For
Mid-to-large healthcare providers and hospitals needing robust payer connectivity and scalable RCM tools.
Pricing
Custom enterprise pricing, typically transaction- or subscription-based with volume tiers; starts around $500/month minimum, contact sales for quotes.
Conclusion
Reviewing the top health billing software reveals a range of solutions, with Kareo leading as the top choice for its streamlined medical billing and revenue cycle management. AdvancedMD and athenahealth are strong alternatives, offering integrated EHR systems and advanced analytics, respectively—each suited to different practice needs. The key is finding software that aligns with specific requirements, whether efficiency, cost, or scalability.
Take the next step for your practice: start with Kareo to experience its intuitive platform and enhance your billing process today.
Tools Reviewed
All tools were independently evaluated for this comparison