Elation vs Praxis EMR

athenaOne

eClinicalWorks

Praxis EMR

Praxis is an artificial intelligence (AI)-based EMR/EHR that has no cumbersome templates. Templates slow charting down, impede medical quality, and hurt usability. Instead, Praxis utilizes AI that learns from its user. Physicians chart fast and easy while saving hours each day.

AthenaOne is a fully-integrated healthcare solution combining electronic health records, medical billing, practice management, and patient engagement. The AI-native platform streamlines clinical documentation, automates data exchange, and simplifies administrative tasks for providers. With features like customizable workflows, automated wellness outreach, and telehealth, the system helps medical practices enhance clinical outcomes and operational efficiency.

eClinicalWorks is a patient management software designed to help businesses in the healthcare sector maintain electronic medical records and engage patients. The HIPAA-compliant platform enables managers to handle bookings and automate campaigns to send appointment reminders.

Owner

Customer service has become practically non-existent, leaving us with little support or recourse.

Physician

I would like to use the platform but customer support is pathetic and no live interaction.

Elation Health is the leading platform for primary care, empowering 32,000 clinicians to deliver personalized care to over 16 million patients. With a clinical-first EHR, integrated billing, and AI-powered tools, Elation simplifies care workflows to help independent practices thrive.


Activity Dashboard

Activity Tracking

Alerts/Notifications

Appointment Management

Appointment Scheduling

Assessment Management

Automated Scheduling

Billing & Invoicing

Bill Payment

Calendar Management

Calendar Sync

Care Summaries

Charting

Chat/Messaging

Claims Management

Claims Scrubbing

Client Portal

Clinical Notes

Clinic Interoperability

Coding Assistance

Communication Management

Compliance Management

Compliance Tracking

Confirmations/Reminders

Credit Card Processing

Customer Database

Customizable Forms

Customizable Reports

Customizable Templates

Data Import/Export

Decision Support

Diagnostic Reports

Documentation Management

Document Management

Document Storage

Document Templates

Drug Reference Database

Electronic Payments

Electronic Prior Authorization

Electronic Signature

Email Reminders

EMR/EHR

E-Prescribing

File Sharing

For Family Medicine

For Medical Purposes

Forms Management

For Primary Care

Growth Charts

Health Record Access

HIPAA Compliant

Historical Reporting

Imaging and X-rays

Immunization & Allergy Tracking

Insurance Eligibility Verification

Intake Management

Invoice Management

Lab Order Management

Lab Results

Meaningful Use Certified

Medical Billing

Medical History Records

Medication History

Mobile Access

Mobile Alerts

Mobile App

Multi-Location

Multi-Provider Practice

ONC-ATCB Certified

One-to-One Messaging

Online Forms

Patient Communications

Patient Engagement

Patient Flow Management

Patient Intake

Patient Monitoring

Patient Portal

Patient Records Management

Patient Scheduling

Payment Processing

Physician Management

Practice Management

Prescription Cancellation

Prescription Management

Prescription Renewal

Pricing Data

Progress Notes

Real-Time Notifications

Real-Time Reporting

Records Management

Referral Management

Reminders

Remote Treatment Planning

Reporting & Statistics

Revenue Management

Scheduling

Search/Filter

Secure Messaging

Elation

Web-based

iPhone

iPad

Practice Fusion

Epic

NextGen Office

DrChrono

Tebra

CharmHealth

Amazing Charts

DaySmart Appointments

Enterprise

Insurance Taking Practices

Membership & Cash Practices

Director of Operations

Customer service is frequently unresponsive and they won't respond to even basic requests without upselling you (even just access to the API to build integrations, which during the sales process, they promised was a fundamental part of the core platform).

They keep building crappy versions of other tools (like an AI scribe) and then refusing to allow you to integrate better versions, because they want you to pay for theirs.

Dentist

I also liked the format of writing up notes for patient encounters as well as the messaging system between provider and patients.

Pilates transformation expert

Does not interface 100% with IOS, so when clients are using an iPad or an iPhone to interact, they cannot receive documents from their provider.

The core platform is essentially stagnant, while they focus on building new products to upsell you with (and force you into using).

Their proposed solution was for me to hire additional staff to handle the added workload this change created—a costly and inefficient resolution. When I found an alternative software solution that could bridge the gap, Elation would only permit integration if I first paid for software development time (a reasonable request I was willing to meet), but on top of that, they demanded an additional $500 per month, per provider, indefinitely.

This means I will be forced to pay full time access for my provider, who only sees patients for 2 to 5 hours per week, I cannot disallow her from simple tasks like checking her schedule or reviewing lab results.

I like the ability to communicate privately and securely between multiple practitioners and clients.

MD and Owner

It is another EMR made by an MD but created to be predatory to small practices.

Engineer

The system also helps build your own dashboards, and add or hide components using page composer.

Physician Associate

I’m over two weeks into my new job, and can’t schedule a single patient in until they complete mapping with our scheduling software.   

Elation is really helpful and involved when selling you, and then the second you sign, it's a different company.

Founder and CEO

I paid $9,264 in advance for 12 months for three providers to get $50 off per month per provider and save some money for my clinic.

Nurse Practitioner

All my patients are seen every month which means I have to schedule each patient manually every month.

Opertions Specialist

We noticed sometimes the application would have minor glitches, maybe to many users downloading documents/reports causing a system glitch.

Can you please tell me more about how this impacts the user experience? or Regarding the label printing request outside of the lab workflow—this is a common feature request.

Also, the training videos are quick, soundless videos of someone clicking through charts, with no further detail.   

However, once I was fully integrated and reliant on their system, they removed key functionality that had been a dealbreaker in my decision to use their software.

When I joined they had great auto text reminders for appts and a great option to hire a part time employee

MD and CEO

If you live on the East Coast, you still cannot integrate with many systems, as they are a California-based company.

Manager

I like the fact that you got your value for your money and there is security due to patient records.

Owner, Physician

It is a decent basic medical chart with note storage and prescribing.

In the end, we attempted to use this platform for TWO DAYS before we gave up, knowing that we would be both bleeding and chasing revenues if we remained with Elation.

To change a patients appointment you have to physically delete it and reschedule in the new time.

Also extremely expensive for what is provided

Owner, NP

Read the reviews, customer service sucks, product does not deliver, the Note Assist is aweful, I regret having used their product ever

This company is not interested in working with small businesses or trying to improve their product or pricing to fit the small practice experience.

Developer

Elation is a reliable platform for handling patient records and clinical tasks.

I can teach a new provider the basics in minutes and send them out to see patients.

No follow-up, no response to support emails I sent 17 days ago.

It also includes options to send out automated messages to patients.

Sometimes taking 20-30 seconds to load a pt chart

I would not go back to paper after using this!  

The workflows seem pretty efficient when I’ve seen it used and written mock notes.

Senior Paralegal

I am already paying him concierge fees - the fact the software won't work on my phone is frustrating.

Difficult- regret using them, I did not expect them to remove the very features that I required in an EMR and very clearly communicated to them at onset

Choosing Elation for my business has resulted in significant and immeasurable losses in both time and money.

I can see how it might be frustrating that you are unable to collect payment for services rendered.

You don't have to scroll through or click through screen after screen to find what you need.  

The login is to tedious and it doesn't have enough features.  

Overall Elation delivered the features and functionality we were looking for despite the price being a concern for our budget.

It's also easy to set the role and delegate approval rights to someone else if going on a vacation.

Simple interface online, keeps all my data in one place.  

Some advanced features are harder to access wihtout proper training

The help files (FAQ) are getting better but they are equally worthless.

Director of Plumbing

Hard to find a result from a visit in the past without sorting through a ton of messagers

There are so many common sense functions that Elation can do that my previous EMR couldn't do.

They actually seem to enjoy flexing their muscles to force you to do what works better for them.

Elation vs Praxis EMR Comparison (2026)

Elation

Praxis EMR

Overview

Video & Screenshots

Pricing

User reviews

Key features

Integrations

Alternatives