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Tebra vs Alleva vs RXNT Clinical EHR vs NextGen Healthcare EHR Comparison

Last updated:

Tebra

Starting at Contact for pricing

  • Freelancers / Consultants
  • Small Business

Tebra is an integrated EHR and practice management platform designed to help independent medical practices streamline clinical workflows, automate billing, enhance patient engagement, and improve practice visibility—all…

View PricingRead Reviews

Alleva

Starting at Contact for pricing

  • Large Enterprises
  • Medium Business

Alleva is a cloud-based Electronic Health Record (EHR) and practice management platform purpose-built for behavioral health providers, including outpatient centers, residential facilities, detox programs, and partial hos…

View PricingRead Reviews

RXNT Clinical EHR

4.1(30 reviews)

Starting at $126 /user/month

  • Large Enterprises
  • Medium Business

RXNT offers a fully integrated, cloud-based Electronic Health Record (EHR) and EMR software solution designed to streamline clinical workflows and optimize the patient care experience for practices of all sizes and speci…

View PricingRead Reviews

NextGen Healthcare EHR

Starting at Contact for pricing

  • Large Enterprises
  • Medium Business

NextGen Healthcare EHR is a robust, cloud-based electronic health record platform designed to streamline clinical, operational, and revenue workflows in ambulatory care settings. Tailored for practices of all sizes, it o…

View PricingRead Reviews

Tebra vs Alleva vs RXNT Clinical EHR vs NextGen Healthcare EHR — at a glance

FeatureTebraAllevaRXNT Clinical EHRNextGen Healthcare EHR
Rating——4.1 / 5—
Reviews——30—
Starting priceContact for pricingContact for pricing$126 /user/monthContact for pricing
Free trial No No No No
Free version No No No No
Best forFreelancers / Consultants, Small Business, Medium BusinessLarge Enterprises, Medium Business, Small BusinessLarge Enterprises, Medium Business, Small BusinessLarge Enterprises, Medium Business, Small Business
CategoryEHR SoftwareEHR SoftwareEHR SoftwareEHR Software
Integrations1+ apps—8+ apps—
PlatformsSaaS/Web/Cloud, Mobile - iOSMobile - iOS, Mobile - Android, SaaS/Web/CloudSaaS/Web/Cloud, Mobile - Android, Mobile - iOS, Browser Based (Cloud)SaaS/Web/Cloud
API————
Support modesOnline, Business HoursBusiness HoursEmail, Chat, Tickets, Onboarding, Phone, DocsOnline
CertificationsSOC 2, HIPAASOC 2, HIPAASOC 2, HIPAASOC 2, HIPAA
Data residencyUSUSUnited StatesGlobal

Key differences between Tebra and Alleva

  • Target audience: Tebra is built for Freelancers / Consultants and Small Business, while Alleva targets Large Enterprises and Medium Business.
  • Deployment: Tebra supports SaaS/Web/Cloud, Mobile - iOS; Alleva supports Mobile - iOS, Mobile - Android, SaaS/Web/Cloud.

Compare Tebra vs Alleva vs RXNT Clinical EHR vs NextGen Healthcare EHR — and walk away knowing which one fits.

01

Which tool fits your team best

02

Which is actually cheaper for your team size

03

Where each product wins, per real buyers

Most EHR Software tools look identical on paper. This comparison cuts to the differences that matter — pricing structure, team fit, and what real buyers found after signing up.

Biggest differences

Features

Pricing

Buying details

Security

Buyer feedback

Integrations

Product tour

Other options

Tebra - Logo

Tebra

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Alleva - Logo

Alleva

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Biggest differences

Affiliate Disclosure

Start here before you go deeper into features.

Tebra

Best for

Freelancers / Consultants, Small Business, Medium Business

Alleva

Best for

Large Enterprises, Medium Business, Small Business

RXNT Clinical EHR

Best for

Large Enterprises, Medium Business, Small Business

NextGen Healthcare EHR

Best for

Large Enterprises, Medium Business, Small Business

Tebra typically suits Freelancers / Consultants and Small Business. Alleva tends to fit Large Enterprises and Medium Business better. The right choice depends on your team size, workflow, and whether a free trial matters.

Description

Tebra is an integrated EHR and practice management platform designed to help independent medical practices streamline clinical workflows, automate billing, enhance patient engagement, and ... Read More about Tebra

Alleva is a cloud-based Electronic Health Record (EHR) and practice management platform purpose-built for behavioral health providers, including outpatient centers, residential facilities, ... Read More about Alleva

RXNT offers a fully integrated, cloud-based Electronic Health Record (EHR) and EMR software solution designed to streamline clinical workflows and optimize the patient care experience for ... Read More about RXNT Clinical EHR

NextGen Healthcare EHR is a robust, cloud-based electronic health record platform designed to streamline clinical, operational, and revenue workflows in ambulatory care settings. Tailored ... Read More about NextGen Healthcare EHR

Entry Level Pricing

  • Not Available
  • Not Available
  • Starts from $126 , Billed Monthly
  • Not Available

Free Trial Availability

  • No free trial
  • No free trial
  • No free trial
  • No free trial

User Ratings

Based on verified Spotsaas reviews

4.1

(30)

Best Company Size

5 to 100+ Employees
11–200+ Employees
1 – 1000+ employees
50 – 1,000+ Employees
Get pricing help
Get pricing help
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Where each option fits best

See where each product is strongest, which teams it fits, and what causes buyers to keep looking — before you commit.

Based on buyer reviews and verified product data collected by Spotsaas.

Strengths

Key strengths

Tebra

  • All-in-One Practice Management: Connects EHR, billing, scheduling, and reputation management in a single, cohesive platform.
  • Time-Saving Automation: AI-driven note generation, review responses, and task automation help reduce manual workloads.
  • Patient Engagement: Tools like online booking, secure messaging, and automated reminders make it easier for patients to access care.

Alleva

  • Streamlined Clinical Documentation: Echo AI simplifies and accelerates note creation, allowing clinicians to maintain compliance without sacrificing time for client care.
  • All-in-One Operational Control: From treatment planning to billing and telehealth, Alleva covers every aspect of behavioral health practice management in a unified interface.
  • Better Client Engagement: A secure client portal improves communication, builds trust, and maintains consistent care throughout treatment.

RXNT Clinical EHR

  • Cloud-Based, Cost-Effective Platform: Offers flexible tiered pricing—from standalone e-prescribing to full-suite EHR and billing—making it attractive for small to mid-sized practices.
  • Strong e-Prescribing Capabilities: Provides reliable, mobile-ready prescription management with allergy alerts and medication history support, maintaining compliant and efficient workflows.
  • User-Friendly Interface & Live Support: The intuitive layout is easy to work through, and live technical support is available when you need it.

NextGen Healthcare EHR

  • Comprehensive feature-rich platform: Includes patient portal, specialty-specific workflows, practice management, e‑prescribing, and revenue cycle management—all under one cloud-based system.
  • Customizable and scalable: Highly adaptable templates, smart phrases, and specialty modules make it a solid fit for diverse healthcare settings from outpatient to hospitals.
  • Integrated patient engagement & mobility: Secure messaging, appointment management, mobile access, and population health tools improve patient experience and provider efficiency.
Best fit

Best fit

Tebra

  • 5 to 100+ Employees
  • Independent Medical Practices, Family Medicine Clinics, Behavioral Health, Pediatrics, Physical Therapy Clinics, Primary Care Offices
  • Physicians, Medical Office Managers, Practice Administrators, Billing Coordinators, Nurse Practitioners, Front Office Staff, Clinical Directors, Health IT Coordinators

Alleva

  • 11–200+ Employees
  • Behavioral Health Clinics, Mental Health Practices, Addiction Recovery Centers, Residential Treatment Programs, Outpatient Clinics, Wellness and Counseling Services
  • Clinical Director, Behavioral Health Therapist, Case Manager, Billing Coordinator, Medical Office Administrator, Psychiatric Nurse, Substance Abuse Counselor, Mental Health Program Manager

RXNT Clinical EHR

  • 2 – 200 employees
  • Small to mid-sized medical practices, Mental Health Clinics, Outpatient Centers, Urgent Care, Mobile Clinicians
  • Physicians, Nurse Practitioners, Billing Specialists, Office Managers, IT Coordinators, Prescribers

NextGen Healthcare EHR

  • 50 – 1,000+ Employees
  • Healthcare, Ambulatory Care, Specialty Clinics, Community Hospitals, Group Practices
  • Physicians, Nurse Practitioners, Practice Managers, Medical Billers, Health IT Staff, Care Coordinators
Watchouts

Reasons buyers look elsewhere

Tebra

  • Users in complex specialties often seek platforms that provide deeper clinical documentation, diagnostic tools, or specialty-specific workflows not readily available in Tebra.
  • Large health systems may prefer enterprise-grade solutions with advanced analytics, role hierarchies, and custom reporting features that exceed Tebra’s current scope.
  • Tebra’s platform primarily supports U.S. compliance and billing standards, which may deter global users looking for multilingual interfaces and international code support.

Alleva

  • Some organizations require a more general-purpose EHR that supports broader medical specialties beyond behavioral health, leading them to consider platforms with wider clinical adaptability.
  • Clinics seeking advanced customization or API access may find Alleva’s integration capabilities somewhat limited compared to open platforms designed for enterprise-level IT departments.
  • Users looking for lower-cost options with simpler interfaces may opt for lightweight mental health EHRs that cater specifically to solo practitioners or small teams.

RXNT Clinical EHR

  • Many providers explore other EHRs due to frequent performance slowdowns and laggy behavior, especially under high-load conditions.
  • Some users migrate away because they encounter duplicate patient records, which can lead to confusion and inefficiency in care documentation.
  • Practices requiring highly extensive specialty-specific functionality may prefer a more specialized, vertical platform.

NextGen Healthcare EHR

  • The interface requires significant time to master, especially for users transitioning from more intuitive platforms.
  • Tasks like rescheduling appointments often involve multiple steps, increasing administrative burden.
  • Users report delays and system sluggishness—sometimes exacerbated by server load or internet bandwidth issues.

Software Demo

Demo

No software demo available

Tebra has not given any software demo yet

If you're the owner of this profile, add your demo.Contact us

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How do Tebra, Alleva, RXNT Clinical EHR and NextGen Healthcare EHR Compare on Features?

Total Features

14 Features

8 Features

37 Features

9 Features

Unique Features

No unique features

No unique features

No unique features

No unique features

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Compare Tebra, Alleva, RXNT Clinical EHR and NextGen Healthcare EHR on pricing

Review starting price, plan structure, and free-trial access side by side so you can see which option fits your budget and buying process.

Pricing Option

          Starting From

          • Not Available
          • Not Available
          • $126 , Billed Monthly
          • Not Available

          Pricing Plans

          • Not Available
          • Not Available

          • Full Suite

            $335

            /user/month

            Get Started

            • Practice Management

            • Electronic Health Records

            • E-Prescribing

            Show more +

          • Practice Management

            $213

            /user/month

            Get Started

            • Practice Management

            • Medical Billing

            • Scheduling

            Show more +

          • Electronic Health Records

            $126

            /user/month

            Get Started

            • Electronic Health Records

            • E-Prescribing

            • Scheduling

            Show more +

          • Not Available

          Pricing Page

          Tebra pricing
          Alleva pricing
          		RXNT Clinical EHR pricingNextGen Healthcare EHR pricing
          View detailed pricing
          View detailed pricing
          View detailed pricing
          View detailed pricing

          Other Details

          Organization Types supported

          • Medium Business
          • Small Business
          • Large Enterprises
          • Individuals
          • Freelancers
          • Medium Business
          • Small Business
          • Large Enterprises
          • Individuals
          • Freelancers
          • Medium Business
          • Small Business
          • Large Enterprises
          • Individuals
          • Freelancers
          • Medium Business
          • Small Business
          • Large Enterprises
          • Individuals
          • Freelancers

          Platforms Supported

          • Browser Based (Cloud)
          • Mobile - iOS
          • Mobile - Android
          • Installed - Windows
          • Installed - Mac
          • Browser Based (Cloud)
          • Browser Based (Cloud)
          • Mobile - iOS
          • Mobile - Android
          • Installed - Windows
          • Installed - Mac
          • Browser Based (Cloud)
          • Browser Based (Cloud)
          • Mobile - iOS
          • Mobile - Android
          • Installed - Windows
          • Installed - Mac
          • Browser Based (Cloud)
          • Browser Based (Cloud)
          • Mobile - iOS
          • Mobile - Android
          • Installed - Windows
          • Installed - Mac
          • Browser Based (Cloud)

          Modes of support

          • 24/7 (Live rep)
          • Business Hours
          • Online
          • 24/7 (Live rep)
          • Business Hours
          • Online
          • 24/7 (Live rep)
          • Business Hours
          • Online
          • 24/7 (Live rep)
          • Business Hours
          • Online

          API Support

          • Not Available
          • Not Available
          • Not Available
          • Not Available
          Get help choosing
          Get help choosing
          Visit Website
          Visit Website

          Security & Compliance

          Certifications, data handling, and security controls for IT and compliance evaluators.

          SOC 2

          ✓ Yes
          ✓ Yes

          HIPAA

          ✓ Yes
          ✓ Yes

          GDPR

          —
          —

          ISO 27001

          —
          —

          Single Sign-On (SSO)

          —
          —

          Multi-Factor Auth (MFA)

          —
          —

          Data Encryption

          —
          ✓ Yes

          Audit Logs

          —
          —

          Data Residency

          🇺🇸 US
          🇺🇸 US

          Tebra vs Alleva vs RXNT Clinical EHR User Reviews & Rating Comparison

          User Ratings

          No reviews available for the product

          No reviews available for the product

          4.1

          (based on 30 reviews)

          No reviews available for the product

          Rating Distribution

          No reviews available for this product

          No reviews available for this product

          13

          7

          2

          2

          1

          64

          62

          22

          9

          9

          Spotsaas Editor’s POV generated by AI

          What buyers like

          • Tebra offers a fully integrated solution that brings together electronic health records, billing, scheduling, and reputation management, reducing the need to juggle multiple systems. This holistic approach simplifies operations and promotes workflow efficiency across clinical and administrative teams.
          • With built-in artificial intelligence, Tebra accelerates note-taking, automates repetitive tasks, and improves administrative accuracy. This leads to reduced errors, faster documentation, and time savings for both clinicians and office staff.
          • Tebra enhances patient engagement through features like online scheduling, digital intake forms, secure messaging, and automated reminders. These tools make it easier for patients to interact with their providers and reduce front-desk workload.

          Common complaints

          • While Tebra supports a broad range of practices, it may not offer deep customization or specialty-specific templates for more niche medical fields, which could limit its appeal for complex specialties like oncology or cardiology.
          • Tebra is best suited for independent or small-to-midsize practices. Larger healthcare organizations or hospital systems might require more robust enterprise-grade features not included in the core offering.
          • The platform is designed primarily for U.S.-based practices, and lacks multilingual or international billing code support, making it less ideal for providers operating outside the United States.

          What buyers like

          • Alleva offers AI-driven note generation through its Echo tool, which significantly reduces administrative burden on clinicians. This allows therapists and case managers to complete progress notes, treatment plans, and other documentation faster and with greater consistency, enhancing productivity while maintaining compliance with documentation standards.
          • Unlike general EHR platforms, Alleva is purpose-built for behavioral health providers, including outpatient, residential, and detox programs. Its tailored features—such as integrated treatment plans, medication tracking, and telehealth—align closely with the needs of mental health and addiction recovery professionals.
          • Alleva streamlines revenue cycle management by offering integrated billing with real-time insurance verification and ERA (Electronic Remittance Advice) posting. This helps billing teams reduce claim errors, get paid faster, and manage insurance workflows without switching platforms.

          Common complaints

          • While Alleva is ideal for behavioral health, its specialization may not meet the diverse needs of general practices or multi-specialty clinics. This narrow focus may deter organizations seeking a broader, more flexible EHR solution.
          • Despite an intuitive interface, some users may find that advanced features—such as AI-generated notes and billing integrations—require additional training to be used effectively, particularly for smaller clinics with limited IT support.
          • The system's efficiency relies heavily on its integrations (e.g., Waystar, e-prescription tools). If users rely on other billing or lab platforms not supported by Alleva, they may encounter limitations or require custom integrations that add complexity.

          Buyer sentiment

          Buyer sentiment is positive across 25 reviews, with strong overall satisfaction.

          What buyers like

          • RXNT offers a complete healthcare IT solution, integrating EHR, e-prescribing, billing, and practice management within a single platform—reducing the need for multiple vendors.
          • With 24/7 cloud-based access, providers can manage patient records, appointments, and billing from any device—supporting both in-office and remote care workflows.
          • RXNT meets industry standards for electronic health data security and compliance, ensuring that practices stay audit-ready and protected.

          Common complaints

          • While RXNT covers core functions well, its integration capabilities with external tools and platforms may not be as robust as enterprise-level EHR systems.
          • Some users have reported slow system performance during peak hours, which could impact productivity for time-sensitive clinical tasks.

          What buyers like

          • Easy to navigate and customize templates for individual needs, with support from the user community.
          • The system is user-friendly, quick to navigate, and has good training resources available.
          • Combines EHR and Practice Management into one system, providing a unified experience.

          Common complaints

          • The interface design may feel outdated and lacks modern features, affecting user experience.
          • Some functions require multiple clicks to access, slowing down workflow efficiency.
          • Reports and customization options can be complex and challenging to set up, especially for large-scale systems.

          Pros and Cons

          • Tebra offers a fully integrated solution that brings together electronic health records, billing, scheduling, and reputation management, reducing the need to juggle multiple systems. This holistic approach simplifies operations and promotes workflow efficiency across clinical and administrative teams.

          • With built-in artificial intelligence, Tebra accelerates note-taking, automates repetitive tasks, and improves administrative accuracy. This leads to reduced errors, faster documentation, and time savings for both clinicians and office staff.

          • Tebra enhances patient engagement through features like online scheduling, digital intake forms, secure messaging, and automated reminders. These tools make it easier for patients to interact with their providers and reduce front-desk workload.

          • While Tebra supports a broad range of practices, it may not offer deep customization or specialty-specific templates for more niche medical fields, which could limit its appeal for complex specialties like oncology or cardiology.

          • Tebra is best suited for independent or small-to-midsize practices. Larger healthcare organizations or hospital systems might require more robust enterprise-grade features not included in the core offering.

          • Alleva offers AI-driven note generation through its Echo tool, which significantly reduces administrative burden on clinicians. This allows therapists and case managers to complete progress notes, treatment plans, and other documentation faster and with greater consistency, enhancing productivity while maintaining compliance with documentation standards.

          • Unlike general EHR platforms, Alleva is purpose-built for behavioral health providers, including outpatient, residential, and detox programs. Its tailored features—such as integrated treatment plans, medication tracking, and telehealth—align closely with the needs of mental health and addiction recovery professionals.

          • Alleva streamlines revenue cycle management by offering integrated billing with real-time insurance verification and ERA (Electronic Remittance Advice) posting. This helps billing teams reduce claim errors, get paid faster, and manage insurance workflows without switching platforms.

          • While Alleva is ideal for behavioral health, its specialization may not meet the diverse needs of general practices or multi-specialty clinics. This narrow focus may deter organizations seeking a broader, more flexible EHR solution.

          • Despite an intuitive interface, some users may find that advanced features—such as AI-generated notes and billing integrations—require additional training to be used effectively, particularly for smaller clinics with limited IT support.

          • RXNT offers a complete healthcare IT solution, integrating EHR, e-prescribing, billing, and practice management within a single platform—reducing the need for multiple vendors.

          • With 24/7 cloud-based access, providers can manage patient records, appointments, and billing from any device—supporting both in-office and remote care workflows.

          • RXNT meets industry standards for electronic health data security and compliance, ensuring that practices stay audit-ready and protected.

          • While RXNT covers core functions well, its integration capabilities with external tools and platforms may not be as robust as enterprise-level EHR systems.

          • Some users have reported slow system performance during peak hours, which could impact productivity for time-sensitive clinical tasks.

          • Easy to navigate and customize templates for individual needs, with support from the user community.

          • The system is user-friendly, quick to navigate, and has good training resources available.

          • Combines EHR and Practice Management into one system, providing a seamless experience.

          • The interface design may feel outdated and lacks modern features, affecting user experience.

          • Some functions require multiple clicks to access, slowing down workflow efficiency.

          Positive Reviews

          No reviews available for the product

          No reviews available for the product

          No reviews available for the product

          No reviews available for the product

          Negative Reviews

          No reviews available for the product

          No reviews available for the product

          No reviews available for the product

          No reviews available for the product

          Read reviews

          Used Tebra, Alleva, RXNT Clinical EHR, or NextGen Healthcare EHR? Tell buyers what actually differs.

          Review TebraReview AllevaReview RXNT Clinical EHRReview NextGen Healthcare EHR

          Integrations

          Integration with other apps

          Microsoft Excel
          Microsoft Excel

          4.7

          (18767 reviews)

          No Integration information available.

          Zoom
          Zoom

          3.7

          (69243 reviews)
          Doxy.me
          Doxy.me

          4.3

          (780 reviews)
          Google Calendar
          Google Calendar

          4.7

          (1415 reviews)

          No Integration information available.

          List of Customers

          Customers

          No Customers information available.

          No Customers information available.

          Inview Imaging

          Inview Imaging

          AR Rescue

          AR Rescue

          Three Oaks Anesthesia

          Three Oaks Anesthesia

          Vision Care

          Vision Care

          KATZEN EYE GROUP

          KATZEN EYE GROUP

          Otis R. Bowen Center for Human Services

          Otis R. Bowen Center for Human Services

          Media and Screenshots

          Screenshots

          Tebra

          4 Screenshots

          Alleva

          6 Screenshots

          Videos

          No videos available.

          video-0

          1 Videos

          Alternatives

          Alternatives

          RXNT EHR - New SaaS Software
          RXNT Clinical EHR

          4.1

          NextGen Healthcare EHR - EHR Software
          NextGen Healthcare EHR
          Athenahealth EHR - EHR Software
          Athenahealth EHR

          3.3

          RXNT EHR - New SaaS Software
          RXNT Clinical EHR

          4.1

          NextGen Healthcare EHR - EHR Software
          NextGen Healthcare EHR
          Athenahealth EHR - EHR Software
          Athenahealth EHR

          3.3

          NextGen Healthcare EHR - EHR Software
          NextGen Healthcare EHR
          Athenahealth EHR - EHR Software
          Athenahealth EHR

          3.3

          PrimeSuite - EHR Software
          PrimeSuite

          3

          RXNT EHR - New SaaS Software
          RXNT Clinical EHR

          4.1

          Athenahealth EHR - EHR Software
          Athenahealth EHR

          3.3

          WSO2 API Manager - API Management Software
          WSO2 API Manager

          4.1

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          Disclaimer: This research has been collated from a variety of authoritative sources. We welcome your feedback at [email protected].

          Frequently asked questions

          Which is better, Tebra or Alleva?
          Tebra and Alleva are closely matched with equal user ratings of -1.0. The right choice depends on your team size, budget, and specific EHR Software needs.
          Do Tebra and Alleva offer a free trial?
          Neither Tebra nor Alleva currently lists a free trial.
          What is the starting price of Tebra vs Alleva?
          Tebra starts at Contact for pricing. Alleva starts at Contact for pricing.
          What are the top alternatives to Tebra?
          Top alternatives to Tebra include RXNT Clinical EHR, NextGen Healthcare EHR, Athenahealth EHR, Remedly, Genensys.
          What are the top alternatives to Alleva?
          Top alternatives to Alleva include RXNT Clinical EHR, NextGen Healthcare EHR, Athenahealth EHR, zHealthEHR, Casamba Health and Hospice.