List of EMR Systems in Healthcare: 2026 Comparison

This list covers EMR systems whose developers say on their own websites what the product does for billing. Systems are grouped by the market each developer names for itself and listed alphabetically within each group. Nothing here is ranked, scored, rated or tested.

Sources and dates. Product facts come from each developer's own pages, read on 6 November 2026. Published prices and packages can change, so get them in writing before you sign.

Certification. ONC's Certified Health IT Product List (CHPL), at chpl.healthit.gov, is what HealthIT.gov calls “a comprehensive and authoritative listing of all certified health information technologies” (page last updated 27 July 2026). It shows certification, not market share, so look up any product there before you buy. Oracle's regulatory statement says some certifications for products on its site are held by Cerner Corporation, a wholly owned Oracle subsidiary, so search CHPL under that name too.

Disclosure. MedPrecision is an independent medical billing company. No developer on this list paid for its place, supplied text or saw this page before publication, and the vendor links here are citations, not affiliate links. MedPrecision's athenahealth billing page states that the company is not affiliated with, endorsed by or reselling athenahealth.

The list at a glance

Rows run enterprise, then ambulatory, then specialty. “Not named” and “not published” mean the developer's pages read did not say, so ask the vendor.

Both developers sell to health systems, and neither publishes a price on the pages read.

Epic

Epic lists Health Systems & Clinics and Standalone Specialties among its solution areas. Its billing applications carry the Resolute name: Epic's developer site, open.epic, describes interfaces that send charges to the Hospital Billing and Professional Billing applications, extract the charges assigned to collection agencies and produce files for statement vendors. Its Access & Revenue Cycle page says Epic can verify insurance and remove the need for separate payer portals. A practice outside a health system can get Epic through Community Connect, which extends the EHR of an organization that uses Epic to independent providers. On a host organization's Epic, ask the host what an outside billing company may access before you sign with one. (Epic pages read 6 November 2026.)

Oracle Health

Oracle bought Cerner in 2022; its announcement said the deal would close on 8 June 2022. Oracle says its next-generation EHR, Oracle Health EHR, has been certified under the ONC Health IT Certification Program, and billing sits in Oracle Health Patient Accounting, which Oracle describes as embedding payer content and contract management in its workflows. Oracle's revenue cycle page covers acute case management, health information management and discharged-not-final-billed (DNFB) accounts, and its health homepage also offers a fully managed IT delivery model for community, rural and critical access hospitals, independent practices and specialty clinics. (Oracle pages read 6 November 2026.)

MedPrecision has no system-specific page for Epic or Oracle Health; the three connection routes in the last section apply to systems without one, within what your vendor permits.

These systems sell to independent and ambulatory practices, and most of their developers also sell billing services alongside the software. For three of them side by side, see our Tebra, athenahealth and eClinicalWorks comparison.

AdvancedMD

AdvancedMD sells to independent practices from single-provider offices to large groups, and to billing service companies. Its software pricing page quotes $429 to $1,070 a month per provider for a broad range of medical specialties, counting a mid-level clinician or higher as a provider, with lower tiers from $130 a month for small mental health practices, a per-claim option, and setup fees from free up to $6,000. Its RCM service costs 4% to 8% of collections, depending on practice size, specialty and complexity. (Read 6 November 2026.) See billing support inside AdvancedMD.

athenahealth

athenaOne combines EHR, medical billing and practice management, and patient engagement, and athenahealth sells it to medical groups of up to 5 clinicians, groups of 6 to 275 clinicians, and enterprises and health systems. Its Cost & Value page ties the price to the organization's collections, publishes no rate, and describes co-sourcing, in which athenahealth takes on revenue cycle administrative work. (Read 6 November 2026.) Because the work is split between athenahealth and the practice, our athenahealth billing page covers the part that stays with the practice.

DrChrono

DrChrono, branded DrChrono by EverHealth, calls itself an all-in-one mobile EHR and practice management software built for independent practices, from solo practitioners to multi-location clinics. Its three plans, Foundation, Growth and Premium, are priced by quote. The pricing grid charges claim management, claim submission through eProvider Solutions and eligibility checks per claim or per check on Foundation, shows no such charge for them on Growth and Premium, and adds $1.00 per paper claim. DrChrono also offers full-service billing support. (Read 6 November 2026.) See DrChrono billing support.

eClinicalWorks

eClinicalWorks publishes flat prices on its pricing page: $499 per provider per month for EHR Only and $599 for EHR with Practice Management, which adds practice management and billing implementation services, both with no start-up costs; practices with more than nine providers pay implementation fees, and fees apply per patient statement and per eClinicalMessenger transaction. RCM as a Service costs 2.9% of practice collections and covers claim creation and processing, denial and rejection management, and appeals at all levels. eClinicalWorks also sells to health centers and specialties such as behavioral health and urgent care, and offers an inpatient EHR. (Read 6 November 2026.) See eClinicalWorks billing support.

NextGen Healthcare

NextGen Office, for independent practices with fewer than 10 providers, is an all-in-one EHR, practice management and billing solution with a clearinghouse and electronic eligibility checks; NextGen Enterprise serves practices with 10 or more providers. NextGen also sells RCM services. Its certification and cost disclosure page says NextGen Office clients pay a per-provider fee, and no amount is published on the pages read. (Read 6 November 2026.) See NextGen billing support.

Practice Fusion

Practice Fusion, a Veradigm Network solution, starts at $199 a month per provider with a required annual commitment, billed monthly, and the provider license includes submitting medical claims. Practice Fusion also offers billing services from a dedicated billing team, including claims scrubbing and same-day submission; its pricing page invites a call about them and lists no price for them. (Read 6 November 2026.) See Practice Fusion billing support.

Tebra

Kareo and PatientPop merged to form Tebra in 2021, and Tebra calls its platform an all-in-one solution built specifically for independent practices. Its pricing overview runs from $49 to $799 per provider per month across single solutions and bundles: a physician at standard volume pays $599 for Practice Essentials or $799 for Practice Automation, and a therapist $225 or $299. Its pricing policy, last updated effective 1 July 2026, lets Tebra move an account from a subscription to a transactional plan on 30 days' notice once it exceeds 500 claims per provider per month. (Read 6 November 2026.) If you started on Kareo, see billing support in Tebra (formerly Kareo).

Specialty EMRs build their templates and workflows for particular fields of practice. For billing, ask whether the specialty's coding and payer rules come configured or have to be built after go-live.

ModMed

ModMed sells to allergy, dermatology, ENT, gastroenterology, general surgery, OB/GYN, ophthalmology, orthopedics, pain management, plastic surgery, podiatry and urology practices, from startups to large groups, and to ambulatory surgery centers. Its EHR, EMA, is specialty-specific and iPad-based, with a separate gastroenterology EHR, gGastro. ModMed Practice Management connects natively to EMA and integrates with ModMed RCM and ModMed Analytics, and ModMed also sells RCM services run by its own billing team. (Read 6 November 2026.)

SimplePractice

SimplePractice sells EHR software to health and wellness professionals, naming therapists, speech-language pathologists, occupational therapists and psychiatrists. Solo plans cost $49, $79 or $99 a month at standard pricing, and the group Plus plan $99 for the first practitioner plus $74 for each additional one. Every plan includes Insurance Essentials, SimplePractice's claims and insurance billing tools, and its pricing page puts insurance processing at $0.39 per claim. The optional Insurance Navigator add-on, free for 30 days and then $1.79 per claim filed, adds direct access to insurance specialists and a claim assistant that checks claims for errors. (Read 6 November 2026.)

WebPT

WebPT builds its EMR for rehab therapists in physical therapy, occupational therapy and speech-language pathology, plus behavioral health clinics. It sells billing software and an RCM service in which its own team handles the billing. Its pricing page lists Starter, Enhanced and Ultimate plans, with billing software in the last two, priced per provider per month or per visit, and shows no amounts (read 6 November 2026).

Specialty packages in general systems

General systems package by specialty too: AdvancedMD publishes tiers for mental health, physical medicine and addiction medicine, Tebra a therapist rate, and NextGen lists 40+ specialty markets. For the billing rules that differ by field, see our billing guides by specialty.

Four things decide how an EMR handles billing: how claims reach payers, what checks run before they leave, how payments come back and post, and what the reports show.

Clearinghouse

Some systems run their own clearinghouse; others hand claims to a partner. AdvancedMD's clearinghouse is part of its billing software and, AdvancedMD says, connects to 1,800 carriers. Tebra's pricing policy names Tebra's own clearinghouse for claims in the ANSI 837 format, remittances in 835 and eligibility checks in 270/271. eClinicalWorks names Optum, TriZetto Provider Solutions and Waystar as partner clearinghouses, NextGen calls Waystar its revenue cycle partner, and DrChrono submits claims through eProvider Solutions. Ask who carries your claims, whether clearinghouse fees sit inside the subscription or are charged per claim, and what happens to your payer EDI enrollments if you leave. If your practice already works in TriZetto, Availity or Office Ally, see TriZetto claims support, Availity claims support and Office Ally billing support.

Claim scrubbing

A scrubber checks each claim against coding and payer rules before it is sent. AdvancedMD says every claim is checked against payer-specific rules; NextGen In-Line Edits correct errors at the encounter level before the claim is created; athenahealth's athenaOne page describes a rules engine and billing experts that resolve claim errors before submission; eClinicalWorks lists preventative claim edits in RCM as a Service and real-time claim scrubbing through its Waystar integration; and Practice Fusion's billing team service includes claims scrubbing. Ask whether the rules cover your payers' own policies and your specialty's edits, and who keeps them current.

ERA and payment posting

An electronic remittance advice (ERA) reports what the payer paid or denied on each claim, and auto-posting applies it to the account. Tebra's pricing policy covers receiving ERAs from its clearinghouse in the ANSI 835 format; AdvancedMD advertises automated ERA receiving and posting; DrChrono lists ERA auto-posting in every plan; athenahealth describes automatic payment posting checked by its own team; and NextGen says its Waystar tools convert paper remittances into electronic 835s. Ask what happens to the lines that do not post automatically, such as denials, partial payments and recoupments, and who works them.

Reporting

Check that you can pull net collection rate, days in A/R and denial rate by reason and by payer yourself, without waiting on the vendor. eClinicalWorks includes eBO View reporting in its EHR plans; NextGen sells Financial and Operational Analytics with comparative remittance analytics; AdvancedMD sells Reporting & Analytics; ModMed sells ModMed Analytics; WebPT advertises 50+ ready-to-use reports; and Practice Fusion lists quality, clinical and practice management reporting. Our collection rate calculator and denial rate calculator take the totals from those reports.

In an integrated setup, the EMR and billing are one product, so a charge coded in the visit note reaches the billing queue without being keyed again; eClinicalWorks' EHR with Practice Management plan, NextGen Office and athenaOne are sold that way. In a standalone setup, the clinical record and the billing system are separate products joined by an interface or a file exchange, which can suit a specialty EMR that is strong clinically but thin on billing.

The price of standalone is the hand-off. Someone has to confirm on a fixed schedule that every completed visit produced a charge, because a charge that never crosses the interface is never billed. Our integrated vs standalone billing comparison covers charge capture, cost and switching, and billing software vs a billing service covers the other half of the decision: who does the work.

Most developers above also sell billing work, from eClinicalWorks' RCM as a Service at 2.9% of practice collections to AdvancedMD's RCM service at 4% to 8%. The alternative is an independent billing company working in the system you already have.

That is how MedPrecision works: inside the EHR and practice-management system you already use rather than moving you to a new one, with claims routed through the clearinghouse you already use. The connection is one of three: role-limited user access to a cloud practice-management system, an HL7 or API feed where your vendor offers one, or a scheduled secure file exchange for systems that offer neither. A Business Associate Agreement is signed first, our staff work under named user accounts you can revoke rather than a shared login, and your EHR, clearinghouse and payer portal accounts stay in your name. Integration and setup for standard EMR/EHR platforms come at no extra cost.

The rate is 7.0% of monthly collections for solo practices, with a monthly minimum, and 6.0% for groups of 2 to 15 providers, with custom pricing for larger organizations. There is no setup, implementation, per-claim or software fee; clearinghouse, postage and payer application fees pass through at cost. The initial term is 12 months, then month-to-month on 60 days' notice. See the cost of outsourcing medical billing for each tier, medical billing outsourcing for the work and the controls, and, if you are replacing a system at the same time, our EHR implementation service.

To see where money is sitting in your current setup, start with the free billing screening: a preliminary review of a permitted 12-month practice-management export, with a short written memo within five business days. Chart-based audit work is scoped separately. For the full scope of the work, see our medical billing services.