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Healthcare Medicine

Top 10 Best Patient Account Software of 2026

Compare top patient account software to manage billing and payments efficiently. Find the best fit for your practice today.

Rajesh Patel

Rajesh Patel

Feb 11, 2026

10 tools comparedExpert reviewed
Independent evaluation · Unbiased commentary · Updated regularly
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Patient account software is essential for healthcare organizations to manage revenue cycles efficiently, reduce administrative burdens, and maintain financial accuracy. With a spectrum of solutions—from enterprise-grade platforms to tools for small practices—choosing the right software directly impacts operational success, making this curated list a vital resource for selecting the best fit.

Quick Overview

  1. 1#1: Epic Resolute - Enterprise patient accounting system with integrated billing, claims processing, and revenue cycle management for large healthcare organizations.
  2. 2#2: Oracle Health Revenue Cycle - Comprehensive revenue cycle management platform handling patient billing, insurance verification, and financial analytics.
  3. 3#3: athenaOne - Cloud-based patient accounting and practice management software automating billing, payments, and claims submission.
  4. 4#4: NextGen Enterprise - Integrated EHR and patient financial management solution for ambulatory practices with advanced AR tracking.
  5. 5#5: Allscripts Revenue Cycle Management - End-to-end revenue cycle tools including patient statements, eligibility checks, and denial management.
  6. 6#6: Kareo Billing - Medical billing software for small practices offering claims scrubbing, payment posting, and patient collections.
  7. 7#7: AdvancedMD - All-in-one practice management with patient accounting features like ERA posting and customizable reporting.
  8. 8#8: Waystar - Revenue cycle platform focused on claims management, patient payments, and analytics for healthcare providers.
  9. 9#9: eClinicalWorks - EHR-integrated patient billing system supporting electronic claims and patient portal payments.
  10. 10#10: DrChrono - Cloud EHR and billing software with features for superbill generation and insurance reimbursements.

Tools were ranked based on integration of core features (billing, claims processing, and revenue cycle management), user experience, scalability, and value, ensuring a balanced assessment of functionality and practicality.

Comparison Table

This comparison table assesses key patient account software tools, such as Epic Resolute, Oracle Health Revenue Cycle, athenaOne, NextGen Enterprise, and Allscripts Revenue Cycle Management (among others), to showcase their features and suitability. Readers will discover insights to select software that aligns with their needs, whether prioritizing efficiency, integration, or user experience.

Enterprise patient accounting system with integrated billing, claims processing, and revenue cycle management for large healthcare organizations.

Features
9.8/10
Ease
7.2/10
Value
8.7/10

Comprehensive revenue cycle management platform handling patient billing, insurance verification, and financial analytics.

Features
9.6/10
Ease
7.4/10
Value
8.3/10
3athenaOne logo8.6/10

Cloud-based patient accounting and practice management software automating billing, payments, and claims submission.

Features
9.1/10
Ease
7.9/10
Value
8.2/10

Integrated EHR and patient financial management solution for ambulatory practices with advanced AR tracking.

Features
9.2/10
Ease
7.5/10
Value
8.0/10

End-to-end revenue cycle tools including patient statements, eligibility checks, and denial management.

Features
8.5/10
Ease
7.0/10
Value
7.2/10

Medical billing software for small practices offering claims scrubbing, payment posting, and patient collections.

Features
8.8/10
Ease
8.1/10
Value
8.0/10
7AdvancedMD logo8.1/10

All-in-one practice management with patient accounting features like ERA posting and customizable reporting.

Features
8.7/10
Ease
7.4/10
Value
7.6/10
8Waystar logo8.4/10

Revenue cycle platform focused on claims management, patient payments, and analytics for healthcare providers.

Features
9.2/10
Ease
7.6/10
Value
8.1/10

EHR-integrated patient billing system supporting electronic claims and patient portal payments.

Features
8.2/10
Ease
6.4/10
Value
7.0/10
10DrChrono logo7.9/10

Cloud EHR and billing software with features for superbill generation and insurance reimbursements.

Features
8.2/10
Ease
7.8/10
Value
7.4/10
1
Epic Resolute logo

Epic Resolute

enterprise

Enterprise patient accounting system with integrated billing, claims processing, and revenue cycle management for large healthcare organizations.

Overall Rating9.4/10
Features
9.8/10
Ease of Use
7.2/10
Value
8.7/10
Standout Feature

Native, real-time integration with Epic EHR eliminating interfaces and enabling proactive patient financial engagement

Epic Resolute is a comprehensive patient accounting software solution from Epic Systems, designed to manage the entire revenue cycle for healthcare providers, including patient registration, billing, claims processing, collections, and financial reporting. It seamlessly integrates with Epic's flagship electronic health record (EHR) system, enabling real-time data flow and reducing errors in patient financial interactions. As a market leader, Resolute supports large-scale health systems with advanced automation and compliance features tailored to U.S. healthcare regulations.

Pros

  • Unparalleled integration with Epic EHR for seamless data exchange and reduced administrative burden
  • Robust automation for claims scrubbing, denial management, and AR follow-up
  • Advanced analytics and reporting tools for optimizing revenue cycle performance

Cons

  • Steep learning curve and extensive training required for users
  • High upfront implementation costs and long deployment timelines
  • Limited flexibility for customization outside of Epic's ecosystem

Best For

Large hospitals and integrated health systems seeking a fully integrated, enterprise-grade revenue cycle management solution.

Pricing

Custom enterprise pricing, typically subscription-based starting at millions annually for large implementations, with no public tiered plans.

2
Oracle Health Revenue Cycle logo

Oracle Health Revenue Cycle

enterprise

Comprehensive revenue cycle management platform handling patient billing, insurance verification, and financial analytics.

Overall Rating9.1/10
Features
9.6/10
Ease of Use
7.4/10
Value
8.3/10
Standout Feature

AI-driven Revenue Cycle Command Center for real-time performance monitoring and predictive insights across the entire revenue lifecycle

Oracle Health Revenue Cycle is a comprehensive enterprise-grade solution for managing the full revenue cycle in healthcare organizations, including patient registration, billing, claims management, collections, and denials resolution. It integrates deeply with Oracle Health EHR systems to provide unified patient financial data and automate workflows. Leveraging AI and analytics, it optimizes revenue capture, reduces denials, and ensures compliance with evolving healthcare regulations.

Pros

  • Deep integration with Oracle Health EHR for seamless data flow
  • AI-powered analytics for denial prediction and revenue optimization
  • Robust scalability and compliance tools for large health systems

Cons

  • High implementation costs and complexity
  • Steep learning curve for non-enterprise users
  • Custom pricing lacks transparency for smaller providers

Best For

Large hospitals and integrated health systems needing a scalable, EHR-integrated platform for complex patient accounting and revenue cycle management.

Pricing

Enterprise custom pricing, often starting at $500K+ annually based on facility size, patient volume, and modules selected.

3
athenaOne logo

athenaOne

enterprise

Cloud-based patient accounting and practice management software automating billing, payments, and claims submission.

Overall Rating8.6/10
Features
9.1/10
Ease of Use
7.9/10
Value
8.2/10
Standout Feature

AI-powered Revenue Intelligence that predicts cash flow and automates denial management

athenaOne by athenahealth is a cloud-based electronic health record (EHR) and practice management platform with robust patient account software capabilities, including automated billing, claims management, and revenue cycle optimization. It streamlines patient invoicing, insurance eligibility verification, payment processing, and financial reporting for healthcare providers. The solution integrates seamlessly with EHR data to reduce errors and accelerate reimbursements.

Pros

  • Advanced revenue cycle management with AI-driven insights for denial prevention and faster collections
  • Seamless integration with EHR and patient portal for efficient payment posting
  • Strong compliance tools and interoperability supporting multiple clearinghouses

Cons

  • High implementation costs and lengthy onboarding process
  • Steep learning curve for non-technical users
  • Pricing lacks transparency and can escalate for larger practices

Best For

Medium to large healthcare practices needing integrated EHR and patient accounting with strong revenue optimization tools.

Pricing

Custom quote-based pricing, typically $300-$500 per provider per month including patient accounting features.

Visit athenaOneathenahealth.com
4
NextGen Enterprise logo

NextGen Enterprise

enterprise

Integrated EHR and patient financial management solution for ambulatory practices with advanced AR tracking.

Overall Rating8.7/10
Features
9.2/10
Ease of Use
7.5/10
Value
8.0/10
Standout Feature

Predictive denial management with AI-driven analytics to proactively reduce claim rejections

NextGen Enterprise is a robust EHR and practice management platform from NextGen Healthcare, featuring advanced patient account software for handling billing, claims processing, and revenue cycle management. It supports large-scale healthcare organizations with automated patient statements, denial management, and payment posting. The solution integrates seamlessly with its EHR for a unified workflow, ensuring compliance with healthcare regulations like HIPAA.

Pros

  • Comprehensive revenue cycle management integrated with EHR
  • Advanced analytics and reporting for financial insights
  • Scalable for enterprise-level practices with strong compliance tools

Cons

  • Steep learning curve for new users
  • High implementation and customization costs
  • Interface can feel dated compared to modern cloud-native solutions

Best For

Large hospitals and multi-specialty groups needing scalable, integrated patient accounting within a full EHR ecosystem.

Pricing

Custom enterprise pricing; typically $400–$800 per provider/month plus implementation fees, based on modules and practice size.

5
Allscripts Revenue Cycle Management logo

Allscripts Revenue Cycle Management

enterprise

End-to-end revenue cycle tools including patient statements, eligibility checks, and denial management.

Overall Rating7.8/10
Features
8.5/10
Ease of Use
7.0/10
Value
7.2/10
Standout Feature

AI-powered denial prediction and automated workflows that proactively identify and resolve billing issues before submission

Allscripts Revenue Cycle Management (RCM) is a comprehensive platform designed to optimize the financial workflows of healthcare providers, from patient registration and eligibility verification to claims processing, denial management, and payment reconciliation. It integrates tightly with Allscripts' EHR solutions like Sunrise and TouchWorks, enabling seamless data exchange and reducing manual errors. The software leverages analytics and automation to accelerate reimbursements and improve cash flow for hospitals and practices.

Pros

  • Deep integration with Allscripts EHR for real-time data synchronization
  • Advanced denial management and predictive analytics for revenue optimization
  • Scalable for mid-to-large healthcare organizations with robust reporting

Cons

  • Steep learning curve and complex implementation process
  • High costs, especially for customization and support
  • Reported occasional downtime and slower performance with high volumes

Best For

Mid-sized to large hospitals and practices already using Allscripts EHR who need an integrated RCM solution for end-to-end revenue cycle automation.

Pricing

Custom enterprise pricing; typically $50,000+ annually depending on modules, user count, and organization size, often with setup fees exceeding $100,000.

6
Kareo Billing logo

Kareo Billing

specialized

Medical billing software for small practices offering claims scrubbing, payment posting, and patient collections.

Overall Rating8.4/10
Features
8.8/10
Ease of Use
8.1/10
Value
8.0/10
Standout Feature

Kareo Pay, a seamless patient payment solution with one-click payments and flexible financing options

Kareo Billing is a cloud-based revenue cycle management platform tailored for independent medical practices, focusing on patient account management through automated claims processing, eligibility verification, and payment collections. It integrates with EHR systems to streamline billing workflows, generate patient statements, and track accounts receivable effectively. The software emphasizes reducing denials and accelerating reimbursements via tools like scrubbing and analytics.

Pros

  • Integrated patient portal for easy online payments and statements
  • Automated claims scrubbing and denial management to minimize errors
  • Comprehensive AR analytics and reporting for better financial insights

Cons

  • Pricing can escalate with usage for high-volume practices
  • Occasional integration glitches with certain EHRs
  • Customer support response times vary

Best For

Small to mid-sized independent medical practices seeking efficient patient billing and collections without complex enterprise setups.

Pricing

Starts at $110/provider/month for basic billing, plus per-claim fees (~$0.25/claim) and custom enterprise plans; free trial available.

7
AdvancedMD logo

AdvancedMD

specialized

All-in-one practice management with patient accounting features like ERA posting and customizable reporting.

Overall Rating8.1/10
Features
8.7/10
Ease of Use
7.4/10
Value
7.6/10
Standout Feature

Advanced denial management engine with predictive analytics to prevent claim rejections proactively

AdvancedMD is a cloud-based practice management and EHR platform with robust patient account software capabilities, focusing on billing, claims submission, revenue cycle management, and patient payments for medical practices. It streamlines accounts receivable through automated eligibility checks, denial management, and electronic remittance posting. The system also includes patient portals for self-service payments and statements, integrating seamlessly with its broader suite for efficient financial workflows.

Pros

  • Comprehensive revenue cycle management with denial scrubbing and analytics
  • Seamless integration with EHR and patient portal for streamlined billing
  • Cloud-based accessibility with strong automation for claims and payments

Cons

  • Steep learning curve and complex interface for new users
  • Pricing can be high for smaller practices
  • Customer support response times vary

Best For

Medium to large medical practices needing integrated patient accounting with advanced revenue cycle tools.

Pricing

Custom subscription pricing starting at around $729 per provider per month for the full suite, with add-ons for RCM services.

Visit AdvancedMDadvancedmd.com
8
Waystar logo

Waystar

specialized

Revenue cycle platform focused on claims management, patient payments, and analytics for healthcare providers.

Overall Rating8.4/10
Features
9.2/10
Ease of Use
7.6/10
Value
8.1/10
Standout Feature

Clarity Denials Intelligence, an AI-powered tool that predicts and prevents claim denials with 90%+ accuracy

Waystar is a comprehensive revenue cycle management (RCM) platform focused on patient account software, enabling healthcare providers to handle billing, collections, payments, and claims efficiently. It offers tools for patient financial engagement, denial prevention, analytics, and payment processing to optimize cash flow and reduce administrative burdens. Designed for hospitals and health systems, Waystar integrates with major EHRs to provide end-to-end visibility into patient accounts.

Pros

  • Robust AI-driven analytics for denial prediction and revenue optimization
  • Seamless integration with EHRs like Epic and Cerner
  • Advanced patient payment solutions including estimates and flexible plans

Cons

  • High implementation costs and lengthy setup for enterprise-scale deployments
  • Steep learning curve for non-technical users
  • Pricing lacks transparency and can be premium for smaller practices

Best For

Large hospitals and health systems seeking enterprise-grade patient accounting with strong analytics and compliance tools.

Pricing

Custom enterprise pricing, typically based on revenue volume, claims processed, or modules selected; starts at $100K+ annually for mid-sized orgs—contact sales for quote.

Visit Waystarwaystar.com
9
eClinicalWorks logo

eClinicalWorks

enterprise

EHR-integrated patient billing system supporting electronic claims and patient portal payments.

Overall Rating7.6/10
Features
8.2/10
Ease of Use
6.4/10
Value
7.0/10
Standout Feature

Prism RCM engine for AI-driven claims optimization and revenue leak detection

eClinicalWorks is a comprehensive EHR and practice management platform with robust patient account software capabilities, including billing, claims processing, eligibility verification, and revenue cycle management. It streamlines patient payments, accounts receivable tracking, and financial reporting for healthcare providers. The system integrates seamlessly with its EHR suite, enabling efficient handling of patient financial data alongside clinical workflows.

Pros

  • Integrated revenue cycle management with automated claims scrubbing and denial management
  • Strong patient payment portal (Healow) for online payments and statements
  • Scalable for large practices with advanced reporting and analytics

Cons

  • Steep learning curve and outdated interface leading to usability issues
  • Frequent complaints about customer support responsiveness
  • High implementation costs and ongoing fees

Best For

Large multi-location practices or hospitals needing an all-in-one EHR with advanced patient accounting and billing integration.

Pricing

Subscription-based starting at $449 per provider/month, plus setup fees and per-patient charges; custom quotes for enterprises.

Visit eClinicalWorkseclinicalworks.com
10
DrChrono logo

DrChrono

specialized

Cloud EHR and billing software with features for superbill generation and insurance reimbursements.

Overall Rating7.9/10
Features
8.2/10
Ease of Use
7.8/10
Value
7.4/10
Standout Feature

Seamless iOS-native mobile app for real-time patient check-in, payments, and account updates

DrChrono is a cloud-based electronic health record (EHR) and practice management platform that provides robust patient account management tools, including billing, claims processing, insurance verification, and patient payment portals. It streamlines accounts receivable with automated statements, online payments, and eligibility checks, all integrated seamlessly with its EHR system. Designed for medical practices, it supports patient self-service for viewing balances, making payments, and managing appointments from any device.

Pros

  • Integrated billing and EHR for efficient patient account workflows
  • User-friendly patient portal supporting online payments and statements
  • Mobile app enables on-the-go account management for providers

Cons

  • Pricing can be steep for solo or very small practices
  • Steep learning curve for advanced billing customizations
  • Customer support response times vary, especially for non-enterprise users

Best For

Small to mid-sized medical practices needing integrated patient account management with EHR capabilities.

Pricing

Starts at $199 per provider/month for basic plans, up to $439+ for enterprise tiers, plus one-time setup fees and add-ons for telehealth or advanced analytics.

Visit DrChronodrchrono.com

Conclusion

The top patient account software tools demonstrate a blend of enterprise strength, automation, and tailored solutions, with Epic Resolute leading as the most integrated choice for large organizations, offering seamless billing, claims, and revenue cycle management. Oracle Health Revenue Cycle and athenaOne follow as standout alternatives, each excelling in comprehensive management and cloud-based efficiency, ensuring options that align with diverse practice needs. Together, they highlight the evolving landscape of patient accounting, balancing complexity and user-friendliness.

Epic Resolute logo
Our Top Pick
Epic Resolute

To optimize your financial operations, start with the top-ranked Epic Resolute—its robust features make it a smart investment for organizations seeking to streamline workflows and maximize revenue accuracy.