Who eClinicalWorks is best for
eClinicalWorks has sold ambulatory EHR software since 1999 and says more than 180,000 physicians and nurse practitioners use it. Version V12 runs on Microsoft Azure and combines charting, practice management, healow patient apps and AI tools. Unlike many large EHR vendors, it publishes per-provider prices.
Best for
- Independent primary care and multi-specialty practices
- Federally qualified and community health centers
- Practices that want an EHR, PM, patient portal, telehealth and AI scribe from one vendor
Not ideal for
- Practices that want a minimal, very simple interface
- Hospitals that need an inpatient-first system
- Practices that want all-inclusive pricing with no per-transaction fees
eClinicalWorks pros and cons
Pros
- Published pricing with no start-up costs on the EHR and PM plans
- Free data migration from your existing EHR, according to the vendor
- Patient portal, mobile apps, telehealth, population health and RCM in one vendor
- Sunoh.ai ambient scribe and healow Genie AI contact center are built for the EHR
- FHIR APIs, EHI export and TEFCA participation for data exchange
Cons
- Many modules mean setup and training take time
- Extra charges apply per patient statement and per eClinicalMessenger transaction
- Implementation fees apply for practices with more than nine providers
- In 2017 the company paid $155 million to settle U.S. Department of Justice allegations that it misrepresented its software's certification capabilities
eClinicalWorks pricing
eClinicalWorks publishes three plans as of October 2026:
- EHR Only: $499 per provider per month with no start-up costs. Includes the EMR, eClinicalMobile, patient portal, ePrescribing with formulary checking, registry reporting, 24x7 support, cloud hosting and disaster recovery.
- EHR with Practice Management: $599 per provider per month with no start-up costs. Adds practice management and billing implementation services.
- RCM as a Service: 2.9% of practice collections, covering claims, denials, appeals and A/R visibility.
Initial training is included for practices with 1 to 9 providers. Larger practices pay implementation fees, airfare is billed separately, and per-statement and per-message fees apply. The Sunoh.ai scribe is listed separately at $149 per user per month as a limited-time price.
Key features
- eClinicalWorks V12 EHR: clinical templates, E&M coder, decision support and ePrescribing
- Practice Management: scheduling, billing and claims, plus RCM Technology, RCM Service and RCM Consulting options
- Agentic AI for RCM: AI agents for appeals, coding suggestions, eligibility insights and EOB-to-ERA conversion
- healow: patient self-scheduling, online check-in, secure messaging and telehealth
- Sunoh.ai: ambient AI scribe that drafts notes into the eClinicalWorks progress note
- healow Genie: AI contact center that answers patient calls around the clock
- PRISMA: health information search across records from other providers and EHRs
HIPAA, security and integrations
eClinicalWorks hosts its cloud on Microsoft Azure and lists cloud hosting and disaster recovery in every plan. It publishes ONC Certified EHR Technology disclosures. Its Cloud page lists HITRUST, ISO 27001, PCI DSS, DEA certification for EPCS, CSA STAR Level 1 and Level 2 and TX-RAMP, says it completed a third-party HIPAA compliance audit, and notes that Microsoft Azure holds SOC 1 Type II, SOC 2 Type II and SOC 3 reports. For integration, it offers FHIR APIs, including SMART on FHIR and bulk data, through its FHIR developer portal, a separate healow FHIR portal for patient-facing apps, EHI export and lab and imaging interfaces. It participates in TEFCA through PRISMANet. Request the BAA and current audit reports during contracting.
eClinicalWorks alternatives
- athenahealth (athenaOne) — cloud EHR and billing priced mainly as a percentage of collections.
- NextGen Healthcare — specialty-focused ambulatory EHR for mid-size groups.
- AdvancedMD — cloud EHR and PM with strong billing tools for small practices.
- Tebra — simpler EHR, billing and patient engagement for very small practices.
- Elation Health — clinician-friendly EHR aimed at primary care.
