IDEXX Neo vs Hippo Manager

Covetrus Avimark

DaySmart Vet

ezyVet

Cornerstone Software

Vetport

ezvetpro

Compare IDEXX Neo and Hippo Manager based on features, pricing, verified reviews, integrations & more on GetApp. Find out which software is best for your business in 2026.

DaySmart Vet provides easy-to-use practice management software to automate tasks, streamline workflows, and improve communication.

Instinct Science

Instinct is the new cloud-based operating system for the modern veterinary hospital: a full electronic medical records and practice management system.

Covetrus Pulse

Meet Covetrus Pulse, the industry’s first all-in-one vOS. With Covetrus AI, save 6+ hours a week*, streamline visits, and auto-generate SOAP notes, all while focusing on delivering exceptional patient care. And it's all at no extra cost!

IDEXX Neo is the cloud-based practice software that is intuitive to use, easy to learn and built to make switching simple.

Access Controls/Permissions

Alerts/Notifications

Appointment Management

Appointment Scheduling

Automated Scheduling

Billing & Invoicing

Calendar Management

Charting

Client Management

Coding Assistance

Communication Management

Confirmations/Reminders

Credit Card Processing

Customer Database

Customizable Forms

Customizable Reports

Customizable Templates

Data Import/Export

Decision Support

Document Management

Document Storage

Drag & Drop

Electronic Payments

Email Reminders

Historical Reporting

Imaging and X-rays

Inventory Management

Invoice Management

Live Chat

Mobile Access

Multi-Location

No-Show Tracking

Patient Records Management

Payment Processing

Prescription Processing

Real-Time Reporting

Reminders

Reporting & Statistics

SMS Messaging

Task Scheduling

Template Management

Third-Party Integrations

Workflow Management

IDEXX Neo

Web-based

Windows

Linux

iPhone

iPad

Base price

Setup and training

Data conversion

LVT Instructor

Because we are a teaching facility, we wanted a system our students could access easily on campus and off, yet still have access to only certain portions of the system.  

Veterinarian and owner

They told us the monthly fee would go up in July of 2023 and then each year annually

They charged us upwards of 1400 dollars and refunded only 207 to this day and refuse to credit us any more.  .

We signed up in March 2023 and ended the agreement in June of 2023 before using any of it.  

Owner/Veterinarian

I bought a practice with only paper records so initially implementing all our charges including inventory was tedious. But now its done and functions seamlessly.

sensitive content hidden] said that we would get a refund of the product but in the end they ended up charging us for 3 months.

Receptionist

It is very simple to use and is not very confusing to teach other employees.

Veterinary Technician

What I did not like about IDEXX Neo was the serious lack of sharing medical records capabilities, inability to put in prescriptions on the chart with refill capabilities.

At the same time, not having an editable document is what is best in the real world.

Program Specialist

The fact that it has a cloud backup automatically and that we are able to have our students play around to get the actual feel of what a software is like.

Mobile Unit Coordinator 

Its easy to use for scheduling and reminders, and doing paperless transactions

Tech

What I dislike about it most is sometimes it's hard to send records if you don't follow the same exact steps every time it won't send what you need sent

Ease of scheduling and paperless transactions

office manager

Excited when we were able to switch to a new program.  

Veterinarian

The ease of access from any location allows for doctors to work on notes from home, access accounts when on-call for emergencies, or out on the farm for large animals.  

Go to the most recent clinical event and see what the doctor has written and explain to the client what the next steps are.

Veterinarian 

There are really minimal integrations with 3rd party vendors.

Office Manager

Accounting has been a nightmare, and we spend a lot of time having to print and fax or individually download several parts of a record to e-mail to regular veterinarians which defeats the point of being paper light, nor is it a time savings.  

Manager

It has made managing records and clients and things so much easier.

Veterinary technician 

I wish the rx tab would automatically add the script into the rx history VS allowing labels printed but not “proscribed” we constantly fight w the drs over this!!!

owner/ veterinarian 

Love the cloud base system, I don't have to stay late doing records.   Plus, if someone runs into me at the store and can pull it up to put them on the appt schedule and know that I am not over booked.

It is a pain when it has issues or isn't working because then you can't do anything on it.

Financial tab is confusing as invoices are automatically generated for prepayments and not just a receipt.  

practice owner/veterinarian

Neo has so many tools that I'm still discovering, such as appointment type breakdowns to see where/how your revenue is generated, so one can then target those areas or emphasize others moving forward.  

Practice Manager

Owner /Veterinarian

You can't tell what is unposted or unfinished. If you get a prescription up for client the receptionist can't tell if the client got the prescription and didn't pay or if it is up and ready in the drawer When clients respond to our emails we send from Neo it goes to some email that is not our account.

I felt that though it was lacking in some areas Neo was relatively simple and easy to use.

PRACTICE MGR

Easy to use for new employees and the constant upgrade.

I have been asking support about implementing this for years but have not gotten anywhere.  

I would say that is the biggest disadvantage.

I have always loved Idexx since i first starting i a practice.  

veterinarian-owner

Would like to be able to print a travel sheet from the software.

We are a mobile clinic and don't carry a lot of product on board.  

Having Neo definitely allowed us to continue and push through the pandemic curbside.

Integrates well with Smartflow and Vet Cove.  

Associate Veterinarian

Neo has many options for customization that are easy to navigate.  

The reports that do exist are oddly named and often do not have what you need.

Buttons are easily found, and software has a very up to date appearance.  

I would like to see a patient signalment in the appointment schedule.  

I like the functionality of the system but it just want a good fit for the clinic

Neo keeps coming out with improvements and taking feedback from users to make it better.  

The reports are very helpful for managing the business.

Once everyone got the hang of it Neo went pretty smooth, the users from cornerstone dragged at the beginning.

The it is not integrated with Vet Success

Practice Manger

we have alot of rescues that their reminders over whelm our system on pets they keep track of services.

We a are a referral dependent, specialty practice, and the software lacks some features that more specialized systems have provided in the past

Switching Process

Integrations

Invoicing

Medical Records

Patient Management

Customer Support

Remote Access

Pricing

Small Business

Freelancers

IDEXX

Cloud Veterinary Practice Management Software designed for better work/life balance for veterinarians. Features include lab integrations, built-in payment processing, customizable and secure. Works on any device, simple to learn, accessible anywhere.

Accounting

Patient Portal

SOAP notes

Treatment Planning

Hippo Manager

Android

Core

Enterprise

Data Migration (Optional)

Owner and veterinarian

Other times information will be saved in the medical record, then disappear.   If you want to use their system to send email reminders, the reminders are generated as a separate email for each individual service, with literally nothing else in the body of the email, e.g., body of email will be Rabies vaccine 1 year.  

It also had development issues like reports not generating or financial mistakes that couldn’t be corrected without contacting support.

To actually have a usable reminder, it is necessary to add some type of message, combine the different emails, and delete the duplicates.  

I really liked that it was customizable so each department can make it best for what they need to see at a glance.

Sometimes, one patient name will show in the upper left corner, but the record will actually be for a different patient, which has caused records to be entered under the wrong patient.  

I just finished reading a book on investing your time in the things that will have the most long-term positive impact, and there was the better part of a chapter dedicated to being limited by your systems.  

As another reviewer mentioned, the "upgrade" to 2.0 has made the software so difficult and frustrating to use.  

Licensed Veterinary Technician

Invoicing with Hippo 2.0 makes me want to pull my hair out.

Would LOVE to not have to scroll through doctors when making invoices.

We were accidentally deleting appointments because buttons had moved.

Office admin

Navigating to other patients accounts and records

DVM Owner

This new version is slowing down my practice, we spend a lot of time clicking and getting rid of unwanted pop-up windows all day.

Veterinarian/Practice Owner

Still has efficient charting with customizable note templates that populate the invoice.  

Overall a great software but invoicing is such a hassle.

Receptionist 

people and animals are all separate if one person has multiple dogs its hard to  navigate through them also if 2 people on the account it is very hard.  

Now with the new version... it is a royal nightmare and I want to wake up.

The address would be correct in client info, but when script is printed, the wrong state is listed.   When ordering medications, despite clicking on the exam to link to,  each script would be on a separate invoice.  

Invoicing is a learning curve and never shows when a client gets a discount.  

Veterinary Assistant

Can not send both email and paper reminders.  

Drag and drop appointment list is nice but as a receptionist its hard to navigate

It was a good software that had many new things and training

The layout and customizability of the access to the program.

Owner/DVM

It is very user friendly and intuitive to learn.

veterinarian

I loved how integration was built in, that made start up a whole lot less complex.

Marketing Coordinator

Easy-to-use and customer support was easy to reach and was able to solve any problems I had.

IDEXX Neo vs Hippo Manager Comparison (2026)

IDEXX Neo

Hippo Manager

Overview

Video & Screenshots

Pricing

User reviews

Key features

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Alternatives