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| What matters to you | AkashicPatient-centered careOur pricing | Epic / MyChartEnterprise EHR & patient portalSources | athenaOneAmbulatory EHR & servicesSources | eClinicalWorks / healowEHR & practice managementSources | NextGen OfficeSmall-practice offeringSources | TebraIndependent practicesSources | OpenEMROpen-source EHRSources | SimplePracticePrivate practice & behavioral healthSources |
|---|---|---|---|---|---|---|---|---|
| Your patients & their connections | ||||||||
| Free outside-practitioner participation | Invite an outside practitioner to shared records and collaboration teams, with the patient’s permission. Their account is free. | Share Everywhere provides temporary access to providers. Community Connect extends an organization’s Epic system; it is a different participation model. | Equivalent free participation in a patient/family collaboration team was not confirmed. | P2P and referrals support coordination. Equivalent free participation in a patient/family team was not confirmed. | Equivalent free participation in a patient/family collaboration team was not confirmed. | Equivalent free participation in a patient/family collaboration team was not confirmed. | Equivalent free participation in a patient/family collaboration team was not confirmed. | Equivalent free participation in a patient/family collaboration team was not confirmed. |
| Patient portal | Free patient account; hosted portals plus an optional WordPress plugin for portals on your own website. | MyChart is the patient portal. Availability and settings depend on the healthcare organization. | Patient Portal and athenaPatient mobile app. | Patient portal included in the listed EHR plans; healow is its patient-facing product family. | Patient portal with appointments, payments and medication-refill requests. | Patient portal with secure messaging and access to practice information. | Patient portal with messaging, appointments, forms and online payments. | Client Portal with intake forms, documents, billing and appointment requests. |
| Cross-practice collaboration teams | Keep your record together and collaborate with family, caregivers, and doctors across practices. Record access depends on permission. | Happy Together links participating accounts; Share Everywhere offers temporary provider access; proxy access supports family. | A shared athenahealth login works across participating organizations’ portals. That is not the same as a shared collaboration team. | P2P and referral management are listed. A patient/family cross-practice team matching Akashic’s workflow was not confirmed. | Patient access APIs are documented. An equivalent patient/family cross-practice team was not confirmed in the reviewed sources. | An equivalent patient/family cross-practice team was not confirmed in the reviewed sources. | Direct Messaging and record exchange are documented. An equivalent shared patient/family team was not confirmed. | Client and contact access is documented. An equivalent cross-practice collaboration team was not confirmed. |
| Portals on your WordPress website | Optional plugin embeds patient and staff portals on your practice’s own WordPress domain. | Not confirmed in reviewed sources. A portal link is not the same as an embedded patient and staff portal. | Not confirmed in reviewed sources. | Not confirmed in reviewed sources. | Not confirmed in reviewed sources. | Not confirmed in reviewed sources. | Self-hosting is supported. A first-party WordPress portal plugin was not confirmed. | Appointment widgets are documented; a full patient and staff portal WordPress plugin was not confirmed. |
| AI assistance & documentation | ||||||||
| AI audio notes & transcription | Optional ambient scribe: $129 per clinician/month for consented visit capture and an automatically prepared first draft. Review and save the note, then review and confirm suggested structured chart items individually. Typed notes include the same chart-filing workflow without this add-on. Fair use: 60 minutes per session and 12,800 recorded minutes per clinician each month, not pooled across the practice. New recordings pause at the monthly limit; no automatic overage charges. | AI Charting, part of Art, generates clinical documentation from visit conversations. Confirm rollout and organization licensing. | Ambient Notes records visits and generates notes within athenaOne’s encounter workflow. Confirm subscription terms. | Sunoh.ai medical scribe is offered with eClinicalWorks. Confirm licensing and the review-to-chart workflow. | NextGen Office Clinical AI turns conversations into transcripts and structured SOAP notes. Confirm package terms. | AI Note Assist captures conversations and drafts clinical notes within Tebra. Confirm package and usage terms. | A comparable first-party ambient scribe was not established by the reviewed feature and module pages. Third-party options may exist. | Note Taker generates draft documentation. Availability and charges depend on the selected subscription. |
| Patient AI assistant | Ask “When’s my next appointment?” and open it from the answer. Your assistant only sees what you can access and does not give medical advice. | Emmie provides conversational help in MyChart, including chart information and actions. Availability depends on the organization. | An equivalent patient-facing conversational record assistant was not confirmed in the reviewed sources. | The documented EHR AI assistant supports staff workflows. An equivalent patient-record conversation was not confirmed. | An equivalent patient-facing conversational record assistant was not confirmed in the reviewed sources. | An equivalent patient-facing conversational record assistant was not confirmed in the reviewed sources. | An equivalent patient-facing conversational record assistant was not confirmed in the reviewed sources. | Note Taker supports clinician documentation. An equivalent patient-record assistant was not confirmed. |
| Your everyday work | ||||||||
| Role-specific workspaces | Distinct views for reception, practitioners, administration, billing, HR, referrals, labs, imaging, marketing and platform management. Explore your day in our role tour. | A broad suite spans clinical, administrative and specialty work. Compare the actual roles and modules proposed for your organization. | Integrated clinical, billing, practice-management and patient-engagement workflows. | EHR and practice-management workflows with clinical templates, referrals and role-based security. | Office combines clinical, practice-management, billing and portal workflows. Enterprise is a separate product. | Clinical, billing and patient-engagement workflows for independent practices. | Role-based menus, access controls, clinical records, billing and administrative tools. | Scheduling, documentation, billing and client-engagement tools. Compare staff access and group-practice plan needs. |
| Questionnaires & form building | Build patient questionnaires and website forms. Assign questionnaires automatically; review website enquiries in your staff inbox. | MyChart questionnaires are documented. Confirm build tools, public forms and assignment rules in your implementation. | Practice-customized electronic portal forms and Digital Patient Forms are documented. Confirm public-form and rule requirements. | Clinical templates are listed. Confirm the questionnaire editor, public forms and automatic assignment you need. | Virtual check-in forms can populate encounter notes. Confirm editor access and public-form requirements. | Digital intake and form editing are documented. Confirm package and assignment options. | Custom portal forms and form-creation tools are documented. Setup and customization depend on your installation. | Create custom intake forms or edit templates in the form builder. Confirm plan-specific automation. |
| Everyday usability | Focused role views, contextual overlays and actions beside the item they affect. See the workflows in our role and patient tours. | Evaluate the configured workflow you would receive, including a real reception-to-visit handoff. No usability score assigned here. | Try your own scheduling, intake and charting tasks in a demonstration. No usability score assigned here. | Try your own scheduling, intake and charting tasks in a demonstration. No usability score assigned here. | Evaluate Office or Enterprise specifically, not a generic NextGen demonstration. No usability score assigned here. | Try your own scheduling, intake and billing tasks in a demonstration. No usability score assigned here. | Try a configured installation with the modules your practice would use. No usability score assigned here. | Use the trial to test intake, sessions, documentation and billing. No usability score assigned here. |
| Video appointments | 20 hosted appointments per practice/month included; unlimited appointments add $10 per clinician/month. | Confirm the organization’s MyChart video-visit offering and deployment terms. | Integrated athenaTelehealth; confirm package and contract terms. | healow Telehealth is offered; confirm current package and fees. | Integrated telehealth offering; confirm selected product and package. | Telehealth is offered in platform packages; confirm your subscription. | Comlink Telehealth module is available; setup and service terms are separate. | Telehealth is offered; group telehealth and other capabilities depend on the plan. |
| Setup & cost | ||||||||
| Practice setup | Self-service practice setup, an Akashic address, staff invitations and a guided setup checklist. Existing records and specialty configuration still need preparation. | Community Connect uses an existing Epic organization as the host. Confirm implementation, migration and training with the host or vendor. | Confirm implementation, migration and training in your proposal; no equivalent self-service founding flow was confirmed. | Initial training is included for 1–9 providers; the pricing page names extra implementation conditions for larger practices. | Confirm implementation, migration and training for your selected product. | Onboarding Manager, kickoff, workflow configuration and training are documented. | Install and configure the software yourself or use a service provider. Hosting and ongoing maintenance remain part of setup. | Self-service trial and setup guidance cover practice settings, calendar and intake documents. |
| Starting price | First clinician free; each additional clinician $50/month. Optional features and usage are separate. | No standard price listed on the reviewed product pages. Obtain an implementation or Community Connect proposal. | Percentage of collections; the rate requires a proposal. | $499/provider/month for EHR; $599 with practice management. Implementation and transaction conditions apply. | No standard price listed on the reviewed Office page. Request a proposal. | Subscription packages; request your practice’s price. Transaction and service terms vary. | Free open-source software. Hosting, maintenance, support and optional services are separate costs. | $49 Starter, $79 Essential, $99 Plus per month at standard pricing. Additional clinicians and extras cost more. |
| Payments & insurance | ||||||||
| Insurance claims | Export data for manual import into your insurance billing system. Direct claims submission is not included; import mapping may be needed. | Confirm the billing and revenue-cycle modules included in the organization’s implementation. | Medical billing and practice management form part of athenaOne. | Practice management tier and an RCM service are listed; RCM starts at 2.9% of collections. | EHR, practice management and billing are offered together in NextGen Office. | Billing tools and services are offered; confirm package and transaction charges. | Electronic claims, clearinghouse interfaces, eligibility and remittance workflows are documented. | Insurance claims workflows are offered; plan allowances and claim fees apply. |
On a narrow screen, swipe the table sideways. Pricing is in USD; standard rates exclude promotions, taxes and unlisted implementation or service charges. These are different product scopes, not like-for-like quotes.
Sources & comparison notes
Official vendor and project documentation, reviewed September 22, 2026. We do not score usability or claim a feature is absent because a marketing page does not mention it.
athenaOne
athenaOne ↗Service description ↗Ambient Notes ↗eClinicalWorks / healow
Pricing and inclusions ↗healow telehealth ↗AI-powered EHR and Sunoh.ai ↗NextGen Office
NextGen Office ↗Telehealth ↗Patient access APIs ↗Office Clinical AI ↗Office feature checklist ↗Tebra
Pricing model ↗Packages and pricing ↗Patient portal ↗AI Note Assist ↗Onboarding ↗Digital forms ↗OpenEMR
Features ↗Modules ↗User guide and form tools ↗SimplePractice
Pricing ↗Features by plan ↗Client portal ↗Note Taker ↗Intake form builder ↗Getting started ↗Product names belong to their respective owners. This comparison is published by Akashic and is not endorsed by the other vendors.
NextGen Office is compared here, not NextGen Enterprise. Hospital inpatient and specialty requirements need a separate evaluation. A feature marked available may depend on your plan, modules or configuration. A red X means the exact feature in this row is not offered as described; links, widgets and other products may still cover part of the need. Unconfirmed does not mean unavailable.