Top 11AI made for AI

Alternatives to eClinicalWorks

eClinicalWorks ranks #4 on the Top 11 The 11 Best EHR Software for Medical Practices (2026). Below: the higher-ranked alternatives we’d steer you to instead, by use case.

Verified . No paid placement — see methodology.

  1. #1athenahealth

    9.3 / 9.4

    Best for network intelligence and cloud-based revenue cycle management in ambulatory settings.

    Best for: Networked, cloud-based practices · Pricing: $$$$ ($500 to $900/mo/provider) · www.athenahealth.com

  2. #2Epic Systems

    9.1 / 9.4

    The gold standard for large hospitals needing a single, unified patient record.

    Best for: Large integrated health systems · Pricing: $$$$$ (Implementation costs in millions) · www.epic.com

  3. #3Oracle Health (Cerner)

    8.9 / 9.4

    Top-tier EHR for inpatient hospital environments and large systems.

    Best for: Hospitals with complex workflows · Pricing: $$$$$ (Implementation costs in millions) · www.oracle.com/health

  4. #1Waystar

    9.3 / 9.4

    Best-in-class clearinghouse with a near-99% clean claim rate across 5,000-plus payers.

    Best for: Highest clean claim rate · Pricing: $$$ ($200 to $500/provider/mo est. plus per-claim fees) · www.waystar.com

  5. #2R1 RCM

    9.1 / 9.4

    Full-service revenue cycle partner built for large hospitals and health systems.

    Best for: End-to-end outsourced RCM for systems · Pricing: $$$$ (percentage of net collections, custom enterprise) · www.r1rcm.com

  6. #3athenahealth

    8.9 / 9.4

    Network-shared payer rules keep claims clean without manual upkeep.

    Best for: RCM bundled with the EHR · Pricing: $$$ (percentage of collections, typically 4% to 8%) · www.athenahealth.com

  7. #4Experian Health

    8.6 / 9.4

    Stops denials upstream with data-driven eligibility and coverage checks.

    Best for: Front-end eligibility and patient estimation · Pricing: $$$ (custom, per-transaction and subscription) · www.experian.com/healthcare

  8. #5Oracle Health (Cerner)

    8.4 / 9.4

    Revenue cycle on the same database as the Cerner clinical record.

    Best for: Unified EHR and revenue cycle for hospitals · Pricing: $$$$ (custom enterprise) · www.oracle.com/health

  9. #6Change Healthcare (Optum)

    8.2 / 9.4

    One of the largest US clearinghouses, with a 2024 outage on its record.

    Best for: Very large clearinghouse and payer reach · Pricing: $$$ (custom, per-transaction) · www.optum.com/en/business/insights/change-healthcare.html

  10. #7NextGen Healthcare

    8 / 9.4

    Integrated ambulatory EHR, practice management, and RCM service.

    Best for: Ambulatory EHR plus RCM · Pricing: $$$ (subscription plus optional percentage of collections) · www.nextgen.com

  11. #8AdvancedMD

    7.8 / 9.4

    Well-rounded cloud suite with pre-submission claim scrubbing for small groups.

    Best for: Cloud EHR plus billing for small groups · Pricing: $$ ($150 to $400/provider/mo est.) · www.advancedmd.com

See the full ranked list: The 11 Best EHR Software for Medical Practices (2026). Or compare any two: side-by-side.