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EMR Comparison

Krasyn vs. CharmEHR

CharmEHR is one of the few EHRs with a real DPC plan, but it lacks real-time ambient AI documentation and charges extra for EPCS. Krasyn adds ambient AI to the DPC-first foundation — without the add-on fees.

Feature Comparison

A side-by-side look at how Krasyn and CharmEHR stack up on the features that matter most to outpatient clinicians. “Q4 2026” marks items on Krasyn's active roadmap — not yet shipped.

FeatureKrasynCharmEHR
AI ambient SOAP notes (real-time during encounter)IncludedPartial / Add-on
Real-time E/M level coding suggestionsIncludedIncluded
ICD-10 code suggestions during documentationIncludedIncluded
Billing code confidence scoringIncludedPartial / Add-on
Purpose-built for outpatient medicineIncludedIncluded
DPC / membership practice billingIncludedIncluded
Practice-level pricing (no per-seat lock-in)IncludedPartial / Add-on
Free tier availableIncludedIncluded
Telehealth built-inIncludedIncluded
Patient portal includedIncludedIncluded
FHIR R4 interoperabilityIncludedPartial / Add-on
Lab ordering & results reviewIncludedIncluded
Standard e-prescribingQ4 2026Included
EPCS (controlled-substance e-Rx)Q4 2026Partial / Add-on
Care plan managementQ4 2026Partial / Add-on
Custom analytics & reportsQ4 2026Partial / Add-on
Structured data migration supportIncludedPartial / Add-on
Typical time to go live4–8 weeks2–4 weeks
Signup processSign up online, no call neededSelf-serve signup available

Competitor feature data sourced from public documentation and third-party reviews as of August 2026. Contact us if anything is out of date.

Pricing Comparison

Krasyn publishes its prices. No quote required to get started.

Krasyn

Free$0 / mo

AI scribe for one clinician: 10 AI-drafted notes each month. No patient chart required.

Therapy Practice$79 / provider / mo

For 1–15-provider non-prescribing therapy, counseling, and behavioral health practices.

Founding Starter$249 / provider / mo

For 1–3-provider medical practices after a readiness review.

Growth$429 / provider / mo

For 4–15-provider medical practices after a readiness review.

CharmEHR

Free (Solo)$0 / mo

For solo practitioners only. Includes limited chart storage and basic features. Advanced features, e-prescribing, and labs require a paid plan.

DPC Plan~$150–$200/provider/mo

Direct Primary Care-specific plan with membership billing features. Pricing reported from third-party sources; verify directly with CharmEHR.

Standard EHR~$350/provider/mo

Full EHR feature set for outpatient practices. EPCS (controlled-substance e-Rx) is a separate paid add-on.

Why Physicians Switch from CharmEHR

Three recurring pain points we hear from practices exploring a move away from CharmEHR.

AI documentation is not ambient or real-time

CharmEHR has added AI-assisted writing features, but real-time ambient documentation — where AI drafts a full structured SOAP note during the encounter from a live transcript — is not a native capability. Physicians using CharmEHR who want ambient scribing integrate third-party tools, adding workflow friction and additional cost.

Krasyn's answer

Krasyn's ambient AI runs during the encounter, drafting HPI, ROS, assessment, and plan grounded against the visit transcript in real time. Providers review and sign — they do not type from scratch or run a post-visit transcription step.

EPCS requires an additional paid add-on

Controlled-substance electronic prescribing (EPCS) is not included in CharmEHR's standard plans — it is a separately priced add-on. Practices that prescribe controlled substances (Schedule II–V) pay an additional per-provider monthly fee beyond the base EHR subscription.

Krasyn's answer

Krasyn has EPCS on its active roadmap for Q4 2026 via the DoseSpot integration. Like standard e-prescribing, EPCS will be part of the platform rather than a separately billed add-on once it ships. Both standard e-prescribing and EPCS are clearly marked as roadmap items today.

Limited reporting depth constrains practice analytics

CharmEHR's reporting tools handle basic operational metrics but are not built for the kind of population health analytics, revenue analysis by provider or payer, or custom dashboard configuration that growing outpatient practices need. Practices that outgrow the built-in reports typically export data to spreadsheets or third-party analytics tools.

Krasyn's answer

Custom analytics and reporting is on Krasyn's active roadmap (Q4 2026). Today, Krasyn surfaces E/M level trends and coding confidence data at the encounter level. Full practice-level analytics will be added without requiring a third-party BI tool.

What Makes Krasyn Different

AI-native SOAP notes

Ambient AI drafts structured clinical notes during the encounter — HPI, ROS, assessment, and plan — grounded against the visit transcript. Providers review and sign; they do not dictate or type from scratch.

Real-time E/M + ICD-10 coding

As the note is drafted, E/M level and ICD-10 codes are suggested with confidence scores and supporting context — surfacing undercoding opportunities before the encounter closes.

DPC-first pricing

Krasyn was designed around the economics of independent outpatient medicine — including Direct Primary Care. Membership billing is built-in, not an add-on.

No per-seat lock-in

Krasyn bills at the practice level, not per provider seat. Add a covering physician, a PA, or a nurse practitioner without a pricing cliff.

Frequently Asked Questions

Is CharmEHR a good fit for DPC practices?

CharmEHR is one of the most DPC-aware platforms in the mid-market — it offers a dedicated DPC plan with membership billing features and a free tier for solo practitioners. Its main gaps relative to Krasyn are the absence of native ambient AI documentation and limited reporting depth. For DPC practices that are comfortable without AI scribing, CharmEHR is a credible alternative worth evaluating.

How does Krasyn pricing compare to CharmEHR?

CharmEHR offers a free solo plan and a DPC plan estimated at $150–$200/provider/mo. Krasyn publishes a $0 Free tier (AI scribe, 10 notes/mo), Therapy Practice at $79/provider/mo, and medical-clinic plans from $249/provider/mo (Founding Starter) after a readiness review. The key difference is that Krasyn's plans include ambient AI documentation, while CharmEHR's AI features are limited and its free tier has significant feature restrictions.

Can I migrate patient data from CharmEHR to Krasyn?

Yes. Krasyn supports structured data migrations from CharmEHR, including FHIR R4 export paths where available and direct data extraction for demographics, active medications, problem lists, allergies, clinical notes, and lab results. A pre-migration assessment scopes the specific data available in your CharmEHR account before commitments are made.

Does Krasyn support the same membership billing features as CharmEHR's DPC plan?

Yes. Krasyn includes membership billing for DPC and concierge practices as a native feature — patient-level recurring charges, panel management, and membership reporting are built in. CharmEHR's DPC plan also supports membership billing. The differentiation is Krasyn's ambient AI documentation and integrated telehealth, which CharmEHR handles with separate tools.

When will Krasyn's e-prescribing and EPCS be available?

Standard e-prescribing and EPCS via the DoseSpot integration are on Krasyn's Q4 2026 roadmap. Practices that need e-prescribing today should factor this into their evaluation timeline. The feature status is marked clearly on this page and updated when milestones ship.

Ready to see Krasyn for yourself?

Plans that store patient records are open for sign-ups, with our standard HIPAA Business Associate Agreement presented for review and electronic acceptance inside your workspace. Prices above are unchanged.