#1
Taiga
Best for: AI-native managed billing for independent practices Unlike the rest of this list, Taiga isn't software you operate — it's a managed AI-native partner that handles coding, claim submission, denial management, and patient billing end to end on top of your existing EHR.
Pricing
- Custom; scaled to claim volume
Pros
- Billing done for you, not more software to run
- AI coding with physician sign-off
- Plugs into Epic, Athena, eClinicalWorks
- Every denial appealed to resolution
- 2-week onboarding
Cons
- Not a self-serve software product
- Pricing is custom (no public tiers)
#2
Tebra
Best for: Solo and small practices keeping billing in-house Formed from the Kareo + PatientPop merger, Tebra is the most-cited entry-level platform — affordable, quick to deploy, and strong on claim scrubbing for practices under ~15 providers.
Pros
- Lowest starting price in the category
- EHR + billing + patient tools in one login
- 1–2 week go-live
- AI note and review assistants
Cons
- Requires switching to Tebra's EHR
- Reporting and specialty workflows thin out at scale
- Post-merger support concerns
Read full Taiga vs Tebra comparison →
#3
AdvancedMD
Best for: Mid-size multi-specialty groups with in-house billers AdvancedMD is the most capable mid-market platform, with deep reporting and broad payer connectivity. The power comes with a heavier implementation and costs that compound as you add modules.
Pricing
- $429–$729/provider/mo (+4–8% RCM)
Pros
- Configurable for complex workflows
- 700+ pre-built reports
- Connects to ~4,000 payers
- Optional managed RCM service
Cons
- 60–90 day implementation
- Steep learning curve
- Costs stack up across modules
Read full Taiga vs AdvancedMD comparison →
#4
DrChrono
Best for: iPad-first solo and small practices DrChrono (now under EverHealth) has the best mobile experience in the category for practices that chart at the point of care. Treat it as a clinical-first platform with capable, not exceptional, billing.
Pros
- Best-in-class iPad clinical experience
- AI-assisted documentation and coding
- Customizable templates
- Open REST API
Cons
- Billing is adequate, not deep
- Managed RCM only on higher tiers
- Pricing climbs as you add modules
Read full Taiga vs DrChrono comparison →
#5
athenahealth
Best for: Medium-to-large groups wanting network-driven RCM athenahealth's continuously updated rules engine drives strong clean-claim rates, but percentage pricing gets expensive as you grow — a $2M practice can pay $80K–$140K/year.
Pros
- 94%+ first-pass acceptance reported
- Network-wide payer rules engine
- 160,000+ provider network
- Cloud-native with automatic updates
Cons
- Requires committing to athenaOne
- Costs scale with collections
- Multi-month implementation
Read full Taiga vs athenahealth comparison →
#6
CureMD
Best for: Small-to-mid practices wanting an all-in-one CureMD bundles EHR, billing, and patient portal at a value price with a clean interface — a strong all-in-one for smaller practices that don't need to scale to a large multi-site operation.
Pros
- EHR + billing + portal in one package
- AI-powered predictive claim scrubbing
- Clean, modern interface
- Priced below AdvancedMD and NextGen
Cons
- Not built for large multi-site groups
- Limited third-party integrations
- New billers need 2–4 weeks of training
#7
NextGen Healthcare
Best for: Specialty and multi-specialty ambulatory groups NextGen's specialty content is hard to beat for orthopedics, OB/GYN, and dermatology groups. The trade-off is a dated interface and a longer, IT-heavy implementation.
Pricing
- ~$400–$700/provider/mo (custom)
Pros
- 40+ specialty content packs
- Ambient AI documentation
- Automated charge capture
- Mature workflow engine
Cons
- Interface feels dated
- 4–6 month implementation
- Needs dedicated IT for upkeep
#8
Waystar
Best for: Enterprise and large billing operations Waystar's AI flags at-risk claims before submission across most payers, but enterprise pricing and integration complexity put it out of reach for most small and mid-size independent practices.
Pricing
- Custom; ~$2,000–$10,000+/mo
Pros
- AI denial prediction before submission
- 98.5%+ first-pass clean-claim rate reported
- EHR-agnostic clearinghouse
- Advanced analytics dashboards
Cons
- Enterprise pricing out of reach for small practices
- Complex setup and integration
- Overkill for low claim volumes