EMR Comparison
Krasyn vs. eClinicalWorks
eClinicalWorks starts at $449/provider/month for the EHR alone — before add-ons. Krasyn offers a $0 Free tier and a $79/provider/month Therapy Practice plan; medical-clinic plans begin at $249/provider/month after a readiness review.
Feature Comparison
A side-by-side look at how Krasyn and eClinicalWorks stack up on the features that matter most to outpatient clinicians. “Q4 2026” marks items on Krasyn's active roadmap — not yet shipped.
| Feature | Krasyn | eClinicalWorks |
|---|---|---|
| AI ambient SOAP notes (real-time during encounter) | Included | Included |
| Real-time E/M level coding suggestions | Included | Included |
| ICD-10 code suggestions during documentation | Included | Included |
| Billing code confidence scoring | Included | Included |
| Purpose-built for outpatient medicine | Included | Included |
| DPC / membership practice billing | Included | Not included |
| Practice-level pricing (no per-seat lock-in) | Included | Not included |
| Free tier available | Included | Not included |
| Telehealth built-in | Included | Included |
| Patient portal included | Included | Included |
| FHIR R4 interoperability | Included | Included |
| Lab ordering & results review | Included | Included |
| Standard e-prescribing | Q4 2026 | Included |
| EPCS (controlled-substance e-Rx) | Q4 2026 | Included |
| Care plan management | Q4 2026 | Included |
| Custom analytics & reports | Q4 2026 | Included |
| Structured data migration support | Included | Partial / Add-on |
| Typical time to go live | 4–8 weeks | 2–4 months |
| Signup process | Sign up online, no call needed | Sales call required |
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 Contact us if anything is out of date.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
AI scribe for one clinician: 10 AI-drafted notes each month. No patient chart required.
For 1–15-provider non-prescribing therapy, counseling, and behavioral health practices.
For 1–3-provider medical practices after a readiness review.
For 4–15-provider medical practices after a readiness review.
eClinicalWorks
Base EHR subscription per provider per month. Practice management is a separate, higher-cost tier.
Combined EHR and PM subscription. Additional fees apply for integrated scribe, virtual visits, clearinghouse, and ECPS.
Optional revenue cycle management add-on, billed as a percentage of collected revenue.
Why Physicians Switch from eClinicalWorks
Three recurring pain points we hear from practices exploring a move away from eClinicalWorks.
A steep learning curve that never fully flattens
eClinicalWorks is one of the most feature-rich EMRs in outpatient medicine — and one of the most complex to navigate. Physicians report a steep initial learning curve followed by persistent friction: inconsistent UI patterns across modules, configuration buried in non-obvious menus, and workflows that feel optimized for billing rather than clinical flow.
Krasyn's answer
Krasyn is designed so that the clinical workflow is the primary interface. AI handles documentation structure; providers interact with a review-and-sign model rather than navigating a menu hierarchy to build a note.
High total cost with required add-ons
The base eClinicalWorks EHR subscription is $449/provider/month — but many standard workflows require paid add-ons: integrated AI scribe, virtual visits, clearinghouse fees, ECPS, and the annual ECPS maintenance fee. A fully-featured setup often runs significantly above the base subscription.
Krasyn's answer
Krasyn's AI documentation and telehealth are included in its current plans rather than sold as separate modules. Therapy Practice is $79 per provider per month for non-prescribing therapy; medical-clinic plans begin with Founding Starter at $249 per provider per month after a readiness review.
Data portability and migration challenges
eClinicalWorks has faced criticism and legal action over its approach to data portability. Practices that want to leave have reported difficulty obtaining complete data exports in standard formats — creating vendor lock-in that is difficult to escape even when the contract allows termination.
Krasyn's answer
Krasyn exports your data in FHIR-compliant and standard formats at any time. If you choose to leave, your clinical records, patient demographics, and billing history go with you — no data ransom.
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
How does Krasyn's AI documentation compare to eClinicalWorks' healow Genie?
Both platforms offer ambient AI documentation. Krasyn's AI drafts the complete SOAP note during the encounter, grounds the draft against the visit transcript, reports when that check could not cover the whole visit, and blocks signing of unreviewed sections until the provider explicitly accepts or edits them. eClinicalWorks' healow Genie is a well-established AI scribe offered as a paid add-on to the base subscription.
Why is Krasyn less expensive than eClinicalWorks?
eClinicalWorks is a full-featured legacy platform with decades of module development — and the pricing reflects that. Krasyn is an AI-native system built on a modern cloud stack without the overhead of maintaining inpatient modules, legacy integrations, or a large on-premises install base. Krasyn passes that efficiency to the practice.
Can I migrate my patient data from eClinicalWorks to Krasyn?
Yes, though eClinicalWorks data migration requires careful planning. Krasyn uses FHIR API paths and eClinicalWorks structured exports (where available) to migrate demographics, active medications, problem lists, allergies, clinical notes, and lab results. A migration assessment scopes what is extractable and in what format before any cutover timeline is set.
Does Krasyn support the specialties that eClinicalWorks serves?
Krasyn supports outpatient medicine across primary care, internal medicine, DPC, dermatology, behavioral health, and weight management. eClinicalWorks covers a broader specialty range including cardiology, OB/GYN, and urgent care. If your specialty requires workflows or device integrations outside Krasyn's current scope, a fit review will surface that.
Compare Krasyn with other EMRs
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.