zHealthEHR vs eClinicalWorks vs RXNT Clinical EHR vs NextGen Healthcare EHR Comparison
zHealthEHR
Starting at $119 /month
- Large Enterprises
- Medium Business
Starting at $129/mo, zHealth is an all-in-one chiropractic software with 100% customizable SOAP Notes, automated billing & powerful AI features. Automate appointments & intake: Patients book online & complete fully cus…
eClinicalWorks
Starting at $449 /Month
- Large Enterprises
- Medium Business
eClinicalWorks is a healthcare solution to streamline the workflow for professionals and provide complete patient care. It grants access to various services, such as Telehealth, messages, health data, configurable remind…
RXNT Clinical EHR
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…
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…
zHealthEHR leads on user satisfaction with a 4.7-star rating across 34 reviews.
zHealthEHR vs eClinicalWorks vs RXNT Clinical EHR vs NextGen Healthcare EHR — at a glance
| Feature | zHealthEHR | eClinicalWorks | RXNT Clinical EHR | NextGen Healthcare EHR |
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| Rating | 4.7 / 5 | 3.7 / 5 | 4.2 / 5 | 3.7 / 5 |
| Reviews | 34 | 122 | 24 | 121 |
| Starting price | $119 /month | $449 /Month | $126 /user/month | Contact for pricing |
| Free trial | No | No | No | No |
| Free version | No | No | No | No |
| Best for | Large Enterprises, Medium Business, Small Business | Large Enterprises, Medium Business, Small Business | Large Enterprises, Medium Business, Small Business | Large Enterprises, Medium Business, Small Business |
| Category | EHR Software | EHR Software | EHR Software | EHR Software |
| Integrations | 1+ apps | — | 8+ apps | — |
| Platforms | SaaS/Web/Cloud, Mobile - Android, Mobile - iOS, Browser Based (Cloud) | SaaS/Web/Cloud, Mobile - Android, Mobile - iOS | SaaS/Web/Cloud, Mobile - Android, Mobile - iOS, Browser Based (Cloud) | SaaS/Web/Cloud |
| API | — | Available | — | — |
| Support modes | 24/7 (Live rep), Online | 24/7 (Live rep) | Email, Chat, Tickets, Onboarding, Phone, Docs | Online |
| Certifications | HIPAA | HIPAA | SOC 2, HIPAA | SOC 2, HIPAA |
| Data residency | United States | US | United States | Global |
Key differences between zHealthEHR and eClinicalWorks
- Pricing: zHealthEHR starts at $119 /month, while eClinicalWorks starts at $449 /Month.
- User satisfaction: zHealthEHR scores higher with a 4.7-star average.
- Deployment: zHealthEHR supports SaaS/Web/Cloud, Mobile - Android, Mobile - iOS, Browser Based (Cloud); eClinicalWorks supports SaaS/Web/Cloud, Mobile - Android, Mobile - iOS.
Compare zHealthEHR vs eClinicalWorks vs RXNT Clinical EHR vs NextGen Healthcare EHR — and walk away knowing which one fits.
Which tool fits your team best
Which is actually cheaper for your team size
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
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zHealthEHR, eClinicalWorks, RXNT Clinical EHR vs NextGen Healthcare EHR: Biggest differences
Start here before you go deeper into features.
Best for chiropractic clinics needing customizable AI-powered SOAP notes and billing.
- You require fully customizable SOAP notes tailored to your clinic’s workflow.
- You want automated billing and appointment scheduling with multilingual patient intake.
- Your practice values responsive customer service and a user-friendly interface.
- You need extensive onboarding support and out-of-the-box training materials.
- Integrated email communication within the platform is critical for your workflow.
Large Enterprises, Medium Business, Small Business
Large Enterprises, Medium Business, Small Business
Large Enterprises, Medium Business, Small Business
zHealthEHR typically suits Large Enterprises and Medium Business. eClinicalWorks 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 | Starting at $129/mo, zHealth is an all-in-one chiropractic software with 100% customizable SOAP Notes, automated billing & powerful AI features. Automate appointments & intake: Patients ... Read More about zHealthEHR | eClinicalWorks is a healthcare solution to streamline the workflow for professionals and provide complete patient care. It grants access to various services, such as Telehealth, messages, ... Read More about eClinicalWorks | 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 |
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SpotScoreWhat's this? ↗ | 8.8/10 | Not Available | Not Available | Not Available |
User RatingsBased on verified Spotsaas reviews | ||||
Best Company Size | 1-100 employeesSmall to medium businesses | 10 – 500 Employees | 1 – 1000+ employees | 50 – 1,000+ Employees |
Get pricing help | Get pricing help |
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.
Key strengths
- All-in-One Platform for Wellness Clinics: zHealth offers a complete suite of features including appointment scheduling, billing, SOAP notes, online payments, EHR, and patient portals—simplifying administrative, clinical, and operational workflows within a single interface.
- Customization and Ease of Use: The platform allows for customized SOAP templates, intuitive navigation, and flexible configurations, helping clinics adapt the software to their specific workflows without complexity.
- Improved Patient Engagement: Automated text and email reminders, patient portals, and mobile access help zHealth reduce no-show rates and improve the patient experience.
- All-in-one cloud-based healthcare suite: Combines EHR, telehealth, messaging, reminders, and patient engagement tools accessible through a secure web portal.
- Strong interoperability and lab integration: Supports customizable lab interfaces, trend analysis, and seamless electronic data exchange with labs and other systems.
- AI-powered record insights via Eva: With version 11, Eva provides embedded assistance—analyzing records, progress notes, and data to support clinical decision-making.
- 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.
- 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
- 1 to 100 employees
- Chiropractic, Physical Therapy, Acupuncture, Massage Therapy, Wellness Clinics, Holistic Health
- Chiropractors, Practice Managers, Office Administrators, Billing Coordinators, Front Desk Staff, Physical Therapists, Massage Therapists
- 10 – 500 Employees
- Ambulatory Care, Multi-specialty Clinics, Community Health Centers, Accountable Care Organizations
- Physicians, Nurse Practitioners, Clinical Staff, Practice Managers, Medical Billers, Health IT Administrators
- 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
- 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
Reasons buyers look elsewhere
- Integrations limited to basic CRM and marketing tools — teams needing Salesforce, HubSpot, or advanced analytics typically add separate platforms
- Enterprises with 50+ employees across multiple locations often outgrow the feature set and need deeper analytics, custom reporting, or API access
- Built-in reporting lacks KPI dashboards and segmentation — practices relying on detailed performance metrics add tools like Tableau or Looker
- Users often describe the system as “click-heavy” and complex, leading to slower charting and extended training periods.
- The UI feels outdated, with small text and non-intuitive layouts, causing frustration during routine tasks.
- Clinicians report freezes, slowdowns during peak hours, and occasional outages that slow down patient care.
- 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.
- 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.
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How do zHealthEHR, eClinicalWorks, RXNT Clinical EHR and NextGen Healthcare EHR Compare on Features?
Total Features | 55 Features | 9 Features | 37 Features | 9 Features |
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Unique Features | No unique features | No unique features | No unique features | No unique features |
Get Quote | Get Quote |
Compare zHealthEHR, eClinicalWorks, 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.
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zHealthEHR, eClinicalWorks, RXNT Clinical EHR vs NextGen Healthcare EHR: Other Details
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Get help choosing | Get help choosing |
zHealthEHR, eClinicalWorks, RXNT Clinical EHR vs NextGen Healthcare EHR Security & Compliance
Certifications, data handling, and security controls for IT and compliance evaluators.
SOC 2 | ✗ No | — |
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HIPAA | ✓ Yes | ✓ Yes |
GDPR | ✗ No | — |
ISO 27001 | ✗ No | — |
Single Sign-On (SSO) | ✓ Yes | ✓ Yes |
Multi-Factor Auth (MFA) | ✓ Yes | ✓ Yes |
Data Encryption | ✓ Yes | ✓ Yes |
Audit Logs | ✓ Yes | ✓ Yes |
Data Residency | 🇺🇸 United States | 🇺🇸 US |
zHealthEHR vs eClinicalWorks vs RXNT Clinical EHR User Reviews & Rating Comparison
User Ratings | ||||
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Rating Distribution | ||||
Spotsaas Editor’s POV generated by AI | Buyer sentiment Overall positive sentiment highlighting ease of use, customization, and customer support, tempered by concerns around onboarding and email integration. What buyers like
Common complaints
| Buyer sentiment Buyer sentiment is mixed to positive across 147 reviews, with clear strengths and a few common watchouts. What buyers like
Common complaints
| Buyer sentiment Buyer sentiment is positive across 25 reviews, with strong overall satisfaction. What buyers like
Common complaints
| Buyer sentiment Buyer sentiment is mixed to positive across 166 reviews, with clear strengths and a few common watchouts. What buyers like
Common complaints
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Pros and Cons |
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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 |
Integrations
Integration with other apps | No Integration information available. | No Integration information available. |
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zHealthEHR, eClinicalWorks, RXNT Clinical EHR and NextGen Healthcare EHR Customers
Customers |  Austin Chiropractic Associates  Infinite Life Chiropractic  Vaughn Chiropractic | No Customers information available. |  Inview Imaging  AR Rescue  Three Oaks Anesthesia |  Vision Care  KATZEN EYE GROUP  Otis R. Bowen Center for Human Services |
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Media and Screenshots
Screenshots |  7 Screenshots |  1 Screenshots |
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Videos |  6 Videos |  3 Videos |
Alternatives to zHealthEHR, eClinicalWorks, RXNT Clinical EHR, NextGen Healthcare EHR
Alternatives |
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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, zHealthEHR or eClinicalWorks?
- zHealthEHR edges out the other on user ratings (4.7 vs 3.7). That said, the best pick depends on your use case, so use the comparison tables above to evaluate each dimension.
- Do zHealthEHR and eClinicalWorks offer a free trial?
- Neither zHealthEHR nor eClinicalWorks currently lists a free trial.
- What is the starting price of zHealthEHR vs eClinicalWorks?
- zHealthEHR starts at $119 /month. eClinicalWorks starts at $449 /Month.
- What are the top alternatives to zHealthEHR?
- Top alternatives to zHealthEHR include RXNT Clinical EHR, NextGen Healthcare EHR, Athenahealth EHR, ModMed, Sunwave.
- What are the top alternatives to eClinicalWorks?
- Top alternatives to eClinicalWorks include RXNT Clinical EHR, NextGen Healthcare EHR, Athenahealth EHR, Intelligent Medical Software by Meditab Software, AdvancedEHR.