Is there a free alternative to Kareo?

Yes — Carepatron, ABAdesk offer free tiers or trials suitable for small teams and individuals.

Last updated: October 16, 2026

Top 12 Kareo Alternatives for Android, Compared (2026)

Q: What are the best alternatives to Kareo?

The top-rated alternatives to Kareo are Jane, zHealthEHR, RXNT Clinical EHR. Compare all 12 alternatives at https://www.spotsaas.com/list/kareo-alternative-for-android.

Explore 12 alternatives to Kareo — vetted by our editors with real user reviews, pricing, and feature comparisons.

Best Kareo alternatives, ranked and compared

Quick answer

The quick answer: the best Kareo alternatives are zHealthEHR, Vaxi Buddy and RXNT Clinical EHR. zHealthEHR tops the list with a SpotScore of 8.8 and a 4.68★ rating. Compare all 12 on score, rating, and pricing below.

Switching away from Kareo is easier when you know which tools actually deliver. These 12 ehr software alternatives earned their spots on SpotScore (verified user satisfaction plus market presence), star ratings, and pricing. Our editors vet each one. The table gives you the quick comparison; the sections below give you the why.

Product	SpotScore	Rating	Pricing	Best for
zHealthEHRzHealth Empowers Chiropractic Practices and Optimizes their Finances	8.8	★★★★★ 4.68(35)	from $119/mo	teams of all sizes
Vaxi BuddySimplify your practice with Vaxi Buddy	—	★★★☆☆ 2.5(1)	Subscription	small & mid-size businesses
RXNT Clinical EHRIntegrated Cloud-Based EHR for Modern Healthcare Practices	—	★★★★☆ 4.17(25)	from $126 /user/month	teams of all sizes
eClinicalWorksRevolutionize healthcare with eClinicalWorks.	—	★★★★☆ 3.69(147)	from $449/mo	teams of all sizes
NextGen Healthcare EHRAI-Powered EHR for Modern, Specialty-Based Practice Management	—	★★★★☆ 3.74(166)	Quotation Based	teams of all sizes
Athenahealth EHREfficient care, ahead of the curve.	—	★★★☆☆ 3.47(30)	Quotation Based	teams of all sizes
JaneStreamline healthcare management with ease.	9.5	★★★★★ 4.8(20)	Subscription	teams of all sizes
Practice FusionRevolutionary telemedicine for better healthcare.	9.3	★★★★☆ 4	Quotation Based	teams of all sizes
CarepatronConnect with patients anytime, anywhere.	8.2	★★★☆☆ 3.25(4)	FreeFreemium · Subscription	small & mid-size businesses
ABAdeskSupporting Behavioral Health with Easy, Automated Workflows	—	Not yet rated	FreeFree Trial	small & mid-size businesses
SigmaCareComprehensive EHR Software for Long-Term and Post-Acute Care Providers	—	Not yet rated	Quotation Based	teams of all sizes
OpusComprehensive Behavioral Health Software for EHR, CRM, and RCM in One Unified Platform	—	Not yet rated	Quotation Based	teams of all sizes

8.8

SpotScore

zHealthEHR

zHealth Empowers Chiropractic Practices and Optimizes their Finances

Best for: SMB teams · Mid-market · Enterprise

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4.7

35 verified reviews

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What is zHealthEHR?

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 customizable intake forms from their phone. Support multiple languages ...

Vaxi Buddy

Simplify your practice with Vaxi Buddy

Best for: SMB teams · Mid-market

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2.5

1 verified reviews

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What is Vaxi Buddy?

Introducing Vaxi Buddy - the ultimate solution for pediatricians to manage their practice with ease. As a busy pediatrician, keeping track and maintaining accurate records of vaccinations can be challenging. But with Vaxi Buddy, a user-friendly SAAS-based ERP practice management software, you ...

RXNT Clinical EHR

RECOMMENDED

Integrated Cloud-Based EHR for Modern Healthcare Practices

Best for: SMB teams · Mid-market · Enterprise

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4.2

25 verified reviews

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What is RXNT Clinical EHR?

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 specialties—from solo providers to multi-specialty clinics with many locations. ...

eClinicalWorks

Revolutionize healthcare with eClinicalWorks.

Best for: SMB teams · Mid-market · Enterprise

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3.7

147 verified reviews

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What is eClinicalWorks?

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 reminders, and patient interaction. The software's data capture processes, trend ...

NextGen Healthcare EHR

Recommended

AI-Powered EHR for Modern, Specialty-Based Practice Management

Best for: SMB teams · Mid-market · Enterprise

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3.7

166 verified reviews

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What is NextGen Healthcare 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 for practices of all sizes, it offers specialty-specific templates, AI-powered documentation, integrated ...

Athenahealth EHR

Recommended

Efficient care, ahead of the curve.

Best for: SMB teams · Mid-market · Enterprise

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3.5

30 verified reviews

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What is Athenahealth EHR?

Athenahealth EHR is designed to make it easy for medical professionals to stay ahead of industry changes and maintain exceptional care. This software provides accurate documentation enabling users to excel in providing quality care. athenaClinicals offers an easy-to-use interface, empowering ...

Jane

Streamline healthcare management with ease.

Best for: SMB teams · Mid-market · Enterprise

HIPAA

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4.8

20 verified reviews

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What is Jane?

Jane is an all-in-one practice management software designed to help healthcare providers streamline clinic operations while improving patient experiences. Built for clinics of all sizes, including physiotherapists, massage therapists, chiropractors, counselors, and other allied health ...

Practice Fusion

Revolutionary telemedicine for better healthcare.

Best for: SMB teams · Mid-market · Enterprise

HIPAA

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4.0

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What is Practice Fusion?

Practice Fusion's telemedicine solutions give physicians the ability to share medical records, securely consult with patients and colleagues, and increase overall revenue. Its cloud-based platform connects a community of doctors, clinicians, and patients to provide real time access to all ...

Carepatron

Connect with patients anytime, anywhere.

Best for: SMB teams · Mid-market

GDPR

HIPAA

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3.3

4 verified reviews

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What is Carepatron?

CarePatron is a telemedicine software for care providers and medical staff to connect with patients. This health information technology (HIT) enables clinicians to remotely share progress notes, photos and supporting documents with referring providers and others. It permits medical staff to ...

ABAdesk

Supporting Behavioral Health with Easy, Automated Workflows

Best for: SMB teams · Mid-market

HIPAA

Start Free Trial

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What is ABAdesk?

ABAdesk is a HIPAA-compliant ABA therapy and behavioral health platform designed to simplify data collection and treatment planning while helping providers focus more on client progress. Built for ABA clinics, behavioral health providers, and therapy practices, it offers tools for skill ...

SigmaCare

Comprehensive EHR Software for Long-Term and Post-Acute Care Providers

Best for: SMB teams · Mid-market · Enterprise

HIPAA

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Watch Demo

What is SigmaCare?

SigmaCare is a trusted electronic health record (EHR) platform designed to support long-term and post-acute care providers in delivering safe, efficient, and high-quality patient care. Built for skilled nursing facilities, senior living communities, hospice providers, and home health ...

Opus

Comprehensive Behavioral Health Software for EHR, CRM, and RCM in One Unified Platform

Best for: SMB teams · Mid-market · Enterprise

HIPAA

Get Pricing Details

Add to compare

Watch Demo

What is Opus?

Opus is an all-in-one behavioral health software platform designed to support addiction treatment centers, SUD programs, and behavioral health clinics with a unified solution for managing clinical, operational, and financial workflows. Built specifically for healthcare providers and ...

Kareo competitors, compared

There are 12 direct Kareo competitors in EHR Software. The ones that come up most often are zHealthEHR, Vaxi Buddy and RXNT Clinical EHR. Each is compared against Kareo on rating, pricing and feature coverage below.

What else works like Kareo?

Searches for "sites like Kareo" and "apps like Kareo" land on the same set of options as "Kareo alternatives" — the 12 options below cover both, whether you want a like-for-like replacement or something lighter.

What each tool does well

zHealthEHR8.8Best for teams of all sizes

Streamlined electronic records and billing, saving time and enhancing efficiency.

Watch for: Steep learning curve for customization without adequate support.

Vaxi BuddyBest for small & mid-size businesses

RXNT Clinical EHRBest for teams of all sizes

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.

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

eClinicalWorksBest for teams of all sizes

Covers electronic prescribing, patient scheduling, billing, and clinical documentation.

Watch for: Some users find the software difficult to navigate and outdated in design.

NextGen Healthcare EHRBest for teams of all sizes

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

Watch for: The interface design may feel outdated and lacks modern features, affecting user experience.

Athenahealth EHRBest for teams of all sizes

Convenient and easy to share and update electronic records.

Watch for: Disappointing implementation experience with setup complexities and lack of pre-formatted tools.

Jane9.5Best for teams of all sizes

Easy to read and use with a well-organized interface that requires little technical knowledge.

Watch for: Newcomers may find the richness of features overwhelming without proper guidance or support.

Practice Fusion9.3Best for teams of all sizes

Cloud-based platform

Watch for: Limited features for specialists

Carepatron8.2Best for small & mid-size businesses

Remote patient monitoring

Watch for: Limited to telemedicine

ABAdeskBest for small & mid-size businesses

ABAdesk allows clinicians to create tailored treatment plans with flexible phases and program elements, ensuring therapy aligns with each client’s unique needs.

Watch for: While it performs well independently, ABAdesk offers fewer direct integrations with external practice management or billing systems compared to some competitors.

SigmaCareBest for teams of all sizes

SigmaCare provides strong tools for medication administration, including automated workflows, eMAR, eTAR, and proactive DUR alerts, significantly reducing the chances of errors and ensuring patient safety.

Watch for: Due to its wide range of features, SigmaCare may require significant training and onboarding time for staff to fully utilize its capabilities.

OpusBest for teams of all sizes

Opus offers a seamlessly integrated environment where clinical documentation, customer relationship management, and billing processes are housed in a single platform. This reduces fragmentation across systems and helps behavioral health organizations maintain a consistent, efficient workflow from intake to discharge.

Watch for: While the platform is functionally rich, the lack of clearly advertised integrations with major platforms like Google Calendar, Zoom, or e-prescription networks may limit interoperability for users who rely on external tools for daily operations.

Why teams look for a Kareo alternative

Most Kareo alternative searches trace back to a short list of frustrations:

Limited to independent practices
May lack advanced analytics
Requires training for full utilization
Not suitable for large healthcare systems

What makes a good Kareo replacement

What sets these 12 alternatives apart, in the numbers: 2 offer a free tier; paid plans run $119–$449, with zHealthEHR the cheapest entry point; and Jane is the highest rated at 4.8★ across 20 reviews.

What drives the order.

Frequently Asked Questions (FAQs)

Stuck on something? We're here to help with all the questions and answers in one place.

What are the best alternatives to Kareo?

The top-rated alternatives to Kareo are Jane (4.8★), zHealthEHR (4.7★), RXNT Clinical EHR (4.2★). Compare all 12 alternatives side-by-side above.

What features should I look for in a EHR Software alternative?

When evaluating alternatives to Kareo, prioritize: Payments, Customer Engagement, Patient Records Management, Bills Management, transparent pricing, free trial availability, and integrations with your existing tools. Use the filters above to compare by feature, budget, and team size.

How difficult is it to migrate from Kareo to an alternative?

Migration difficulty depends on how deeply Kareo is integrated into your workflows. Most alternatives offer data export/import tools and dedicated onboarding support. We recommend narrowing to 2–3 options, running a free trial, and checking each vendor's migration guides before committing.

The right Kareo alternative for your situation

On a budget / just exploring: start with a free tier — Carepatron and ABAdesk let you evaluate without paying upfront.
If real-user ratings matter most: Jane has the strongest star rating (4.8★) among the options with verified reviews.
Want the safest pick: zHealthEHR has the highest Spotsaas Score (8.8) in this list — a strong default if you're unsure.

How to move on from Kareo

A safe move off Kareo starts with the basics: export your data and test the import into your new tool. Make sure the workflows you depend on are covered, run a short pilot, and keep Kareo active until the migration is finished. Free tiers above make trialing easy.

Compare top products

RXNT Clinical EHR