Medi vs DrChrono

Short answer

DrChrono, now branded as DrChrono by EverHealth after its 2021 acquisition by EverCommerce, is an iPad-first and mobile-first EHR platform that bundles practice management, medical billing, and an optional managed RCM service into tiers priced per provider per month. The billing buyer is the practice. Medi is a platform built for third-party billing companies: $20 per client practice per month (graduated volume discounts to $15 and $10 as the book grows), no EHR, no scheduling, no provider-count fees, and transparent per-transaction EDI pricing through Stedi. Medi publishes its full pricing schedule including volume discount tiers; DrChrono requires a custom quote. The structural difference is the tenant. DrChrono asks "what does the practice run on?" Medi asks "what does the billing company need to manage its whole book of clients?" DrChrono's Elite tier adds a managed RCM service with dedicated billing specialists, typically priced as a percentage of collections in the 3-8% range by third-party accounts, though DrChrono does not publish that figure. Medi is software only - billing company staff do the work. For a billing company billing across multiple unrelated client practices, that structural difference tends to matter more than any individual feature comparison.

Choose Medi if billing is your business

Medi is built for billing companies that sell revenue cycle work to client practices. The platform fee is $20 per client practice per month, with published graduated volume discounts: 1-25 practices at $20 each, 26-50 at $15 each, 51 and above at $10 each (applied marginally as the book grows). Adding providers inside a practice never changes the fee. Adding practices adds the per-practice rate, which falls as the book grows. There is no EHR, no scheduling module, no charting, no mobile clinical workflow - those omissions are intentional because the buyer is the billing company, not the practice.

Choose Medi if:

• Billing is the service your clients pay for, and they use their own EHR or do not need one from you
• Your team works cross-client denials, follow-up queues, and ERA review and needs those organized by function rather than by client practice
• You want a pricing model where adding providers inside a client practice never raises the fee, and where adding client practices adds a per-practice rate that falls as the book grows
• You want to see all-practices A/R, aging, and denial volume without opening one practice context at a time
• You need access controls that let an offshore posting team reach four of your eight clients but not the other four
• You want to leave a per-provider pricing model and make the switching cost a one-time migration event: migration is free with a 12-month commitment, or $100 per practice (one-time, capped at $3,000) on a month-to-month basis, not permanent annual overhead compounding per provider

Choose DrChrono if the practice wants clinical and billing from one mobile-first system

DrChrono makes sense when the buyer is the practice - or when a billing company's clients want iPad-native charting, scheduling, and billing from a single vendor. DrChrono was the first EHR approved for the iPhone and iPad App Store, and that mobile-first heritage is genuine product depth for practices that chart on tablets and want billing tied directly to the clinical encounter.

Choose DrChrono if:

• Your clients want EHR, practice management, appointment scheduling, ePrescribing, and billing from one system and prefer iPad or mobile access
• A practice wants to outsource RCM entirely - DrChrono's Elite tier provides dedicated certified coders and billing specialists who own the full claim lifecycle
• Your clients are already on DrChrono and migrating them off would cost more disruption than any pricing differential justifies
• The practice is small and wants minimal vendor relationships rather than separate EHR and billing software
• A hybrid model appeals: some visits billed in-house through the practice management layer, some routed to DrChrono's managed billing team

Pricing model

DrChrono does not publish per-provider monthly pricing on its website. Figures cited above come from third-party review sources including EHR Source and Software Finder. Request a direct quote from DrChrono before making any budget decision.

The arithmetic at twenty client practices: Medi's platform at $20 per practice for 20 practices is $400 per month (all in the 1-25 tier), plus EDI usage in the $600 to $800 range at typical claim and ERA volumes, for a total of $1,000 to $1,200 per month. At 40 practices the rate steps down: 25 at $20 ($500) plus 15 at $15 ($225) equals $725 per month in practice fees before EDI. At 70 practices: 25 at $20 ($500) plus 25 at $15 ($375) plus 20 at $10 ($200) equals $1,075 in practice fees. If DrChrono's Advanced tier runs $399 per provider per month for twenty providers across those practices, that is $7,980 per month in seat fees before setup, add-ons, or payment processing, a figure that grows with every provider added. The gap reflects what each platform is actually selling. DrChrono prices for a clinical software suite where per-seat licensing is the industry norm. Medi prices for a billing-company operating layer where the unit of cost is the client practice, not the provider headcount inside it, and the rate falls as the book grows. Medi publishes its full pricing schedule on its pricing page; DrChrono requires a direct quote for any number.

Billing-company architecture vs practice-first design

DrChrono's primary tenant is the practice. Every workflow - charting, scheduling, ePrescribing, billing - is organized around a single practice context, and the billing features are tightly coupled to the clinical encounter data. That coupling is a feature for the practice's own billing staff: charge entry flows from the visit, and the biller sees the clinical context alongside the claim.

For a third-party billing company managing ten unrelated practices, the same design creates friction. The billing company is not charting. The billing company is not scheduling. The billing company needs to see all ten practices' outstanding denials in one queue, post ERAs across clients in one session, and review aging across the full book on one screen. DrChrono does not describe multi-practice billing-company features on its product pages, and its support documentation on billing is written for a practice's own billing staff or for use of DrChrono's managed service, not for a third-party operator.

Medi starts from the billing company as the workspace. The practice is a scoped tenant inside that workspace. A biller logs in once and works denials, ERA exceptions, and claim follow-up across all assigned clients without switching practice contexts. Practice-level permission groups let an owner give a contractor access to three clients and not the other seven. The all-practices A/R view aggregates aging and collection rate across every client practice without the owner having to open each one.

Specific questions to probe in a side-by-side walkthrough:

• Where does cross-client denial routing live, and can a specialist work all clients' outstanding denials without switching contexts or filtering by practice manually?
• How does the system handle ERA posting review for a billing company that posts for clients whose ERAs arrive across multiple payers on the same day?
• What does aggregate A/R aging look like for a billing company owner who wants a book-of-business view, not ten individual practice dashboards?
• How are permissions scoped when you need to give one posting team access to some clients but not others?
• What happens operationally for a billing company whose clients use different EHR systems - not DrChrono?

Claims, ERA, and clearinghouse

DrChrono's built-in clearinghouse is eProvider Solutions (ePS), which DrChrono describes as part of its integrated billing layer. Third-party sources cite additional connections to Change Healthcare and Trizetto for claim submission routing. DrChrono states a 96% clean claim rate. The clearinghouse is not modular - it is the infrastructure that the billing software runs on.

Medi routes all claim traffic through Stedi, which handles 837P, 837I, 835, 270/271, 276/277, 278, and 277CA. The Stedi connection is fixed - billing companies that have existing clearinghouse relationships outside Stedi need to plan a payer enrollment transition before cutover. That is real migration cost and lead time to budget.

ERA review in Medi surfaces held lines in a review queue with BPR check footer, CARC and RARC codes in plain English, and per-line decisions on one screen. PLB segments and recoupment adjustments appear as distinct entries rather than folded into the payment record. The workflow is designed for billing company staff who apply policy decisions before committing posting activity, rather than running auto-post and catching exceptions in the A/R later.

What to verify in either system during a walkthrough:

• How held-line policy is configured per payer and per practice, and who can change write-off tolerance thresholds
• Where PLB and recoupment segments surface in the posting review
• How a posting action is audited after the fact - who posted what, when, and under what authority
• How the system distinguishes a payer rejection from a denial from an underpayment at the ERA line level

Managed RCM vs software-only

DrChrono's Elite tier offers a managed billing service with CPC-certified coders and dedicated billing specialists who handle charge entry, coding, claim submission, denial management, and collections on behalf of the practice. DrChrono describes it as a "hybrid model" where practices can use their own in-house billers, DrChrono's team, or a combination. The pricing is typically a percentage of collections rather than a flat fee - third-party sources report a 3-8% range, but DrChrono does not publish this figure and it varies by volume and specialty. If your practice clients want to fully outsource billing to a single vendor who also provides their EHR, this is a coherent offering.

Medi is software only. The billing company supplies the staff, the expertise, and the client relationships. Medi organizes the work. This is not a limitation - it is the business model. A billing company that charges 4-7% of collections to its clients, and operates on Medi's per-practice platform fee plus transparent published EDI fees, retains the margin difference. A practice that buys DrChrono's Elite managed service is paying DrChrono a percentage of collections and getting the convenience of one vendor. Neither model is wrong. The choice depends on whether the buyer wants to outsource billing entirely or run their own billing operation with software support.

Migration

DrChrono does not publish migration or data export fee schedules. Third-party review sources estimate setup fees at $500 to $2,000 depending on practice complexity. Annual contracts mean that if a billing company or practice decides to leave DrChrono mid-term, the remaining months may still be owed - verify exit terms directly before signing.

Medi publishes its migration structure: migration is free with a 12-month commitment, or $100 per practice (one-time, capped at $3,000) on a month-to-month basis. Data export is always free. There is no early-termination fee on either term. That published structure lets a billing company model the actual cost of switching before the conversation starts, which DrChrono's custom-quote process does not allow.

The practical challenge for a billing company leaving any per-practice platform is the same as with any transition: the database export captures historical claim data, but the working state of revenue cycle - open denials, in-flight appeals, unposted ERAs, denial investigation notes mid-stream - does not migrate cleanly into a new system. DrChrono's billing data is also closely tied to its clinical records, so separating billing-relevant records from the EHR layer adds complexity that a billing-only migration off a non-EHR system does not have.

A transition approach that limits disruption:

• Legacy A/R closeout: leave the last sixty to ninety days of DrChrono operational claim work in DrChrono for collection, and start Medi forward-only
• Parallel ERA posting: run ERAs through both systems for two weeks to reconcile totals before full cutover
• Payer enrollment review: confirm clearinghouse trading-partner relationships and Stedi payer enrollments before cutover, not after; enrollment lead times vary by payer
• Practice-by-practice sequencing: onboard the simplest client practice first, then move the rest
• Contract audit: if the practice clients have their own DrChrono agreements separate from the billing company relationship, their exit obligations may be separate from yours

Security and audit posture

For a billing company operating under HIPAA with PHI obligations, the practical questions are audit log depth, data access controls, and what happens to PHI when a client practice relationship ends. Verify both with the vendor before signing.

Is Medi always a better fit than DrChrono?

No. DrChrono is a reasonable choice when the buyer is a practice that wants iPad-native EHR, scheduling, and billing from a single mobile-first vendor. For a small practice that does not want to manage separate clinical and billing software, DrChrono's integrated model is coherent and well-established - it has been in the App Store since iPhone and iPad EHR software was first possible, and its mobile-first depth is not a marketing claim. The Elite managed service is a real option for practices that want to fully hand off billing without running their own billing team, and the 96% clean claim rate through eProvider Solutions is a stated capability, not just a feature bullet.

Where DrChrono does not fit the billing company use case is structural: its primary tenant is the practice, not the billing company. There is no described multi-practice billing-company operator view, no cross-client work queue architecture, and no pricing model where adding providers inside a client practice costs nothing and adding practices triggers a declining per-practice rate. A billing company evaluating DrChrono would be using a platform designed for a different buyer, and adapting workflows that were not built around how a billing company actually operates.

The right answer depends on who your software is for. If it is for the practice, and the practice wants clinical plus billing from one iPad-first system, DrChrono is worth a serious look. If it is for the billing company that manages many practices as clients, Medi is built for that shape.

Other comparisons billing companies look at

• Medi vs Tebra - another practice-first EHR and billing platform; per-provider pricing with a different billing-company posture than DrChrono
• Medi vs SimplePractice - behavioral health and therapy-focused platform with its own billing layer
• Medi vs athenahealth - enterprise-oriented platform with a large payer network and managed RCM option
• Medi vs AdvancedMD - per-provider practice management and billing with a Central Billing Office offering for multi-client work
• Billing-company software evaluation guide - the criteria that matter when shortlisting across any practice-first or billing-company-first vendor

Frequently asked questions

Does DrChrono work for third-party billing companies managing multiple client practices?

DrChrono's product is designed around the practice as the primary user. Its billing features, including charge entry, claim submission, ERA posting, and denial management, are built for a practice's own billing staff or for use alongside DrChrono's managed billing team. DrChrono does not describe multi-practice operator views, cross-client work queues, or billing-company-specific access controls in its current product documentation. A billing company could use DrChrono if all of its client practices happen to use DrChrono as their EHR, but the platform does not offer the billing-company-as-operator architecture that a team working across unrelated client practices typically needs.

What are DrChrono's tier names and what does each include?

As of 2026, DrChrono's tiers are Essentials, Essentials Plus, Advanced, Advanced Plus, and Elite per drchrono.com/plans-and-pricing. Essentials and Essentials Plus cover EHR and practice management. Advanced and Advanced Plus add billing software including claim submission, ERA processing, and eligibility checks. Elite adds managed Revenue Cycle Management services with DrChrono's own certified coders and billing specialists. All tiers are custom-quoted. The Prometheus, Hippocrates, and Apollo tier names were used in earlier product versions; current materials use the Essentials through Elite naming.

What does DrChrono's managed RCM service cost?

DrChrono does not publish its managed billing pricing. Third-party sources including EHR Source and Software Finder report a percentage of collections in the 3-8% range for the Elite managed service, though the actual rate varies by practice volume, specialty, and contract. DrChrono positions the Elite tier as available for practices that want to outsource the full billing lifecycle rather than operate the software themselves. Contact DrChrono directly for current pricing.

What clearinghouse does DrChrono use?

DrChrono uses its own built-in clearinghouse called eProvider Solutions (ePS) for claim submission and ERA processing. Third-party sources also cite connections to Change Healthcare and Trizetto for routing. The clearinghouse is integrated into the platform and is not modular - you use ePS as part of using DrChrono billing. Medi uses Stedi exclusively for 837/835/270/271/276/277/278/277CA. If your current billing operation depends on a specific clearinghouse relationship, confirm payer enrollment compatibility before committing to either platform.

Can a billing company migrate from DrChrono to Medi without losing historical claim data?

DrChrono does not publish data export pricing. The migration pattern that works for billing operations is leaving the last sixty to ninety days of DrChrono operational claim work in DrChrono for legacy A/R collection and starting Medi forward-only. Because DrChrono is also an EHR, clinical records and billing records are coupled - the billing-relevant data you want to carry forward lives alongside chart data, SOAP notes, and ePrescribing history that has no place in a billing-only platform. Plan for a clean-cut migration date rather than attempting to move in-progress claim work, and verify the data export fee and format directly with DrChrono before beginning.

Medi publishes its migration cost: free with a 12-month commitment, or $100 per practice (one-time, capped at $3,000) on a month-to-month basis. Data export from Medi is always free. There is no early-termination fee on either term. Knowing those numbers before the conversation starts changes the calculus compared to starting with a custom-quote process on both sides.

Does DrChrono have a contract requirement?

Third-party reviews consistently report that DrChrono requires annual contracts and does not offer month-to-month terms. If you are mid-contract when you decide to switch, you may owe the remaining months. Verify exit terms, data export fees, and the definition of the subscription term in your specific contract before beginning a migration plan. DrChrono's terms are not published on the public website; the details are in the agreement you sign at onboarding.

Is DrChrono owned by EverCommerce?

Yes. EverCommerce completed its acquisition of DrChrono in November 2021, as reported by Healthcare IT News and confirmed in the EverCommerce investor announcement. DrChrono operates under EverCommerce's EverHealth solutions group as a distinct brand. EverHealth also owns other healthcare software products in the EverCommerce portfolio.

How current is this comparison?

Last reviewed 2026-06-03. DrChrono's pricing, tier structure, clearinghouse relationships, and managed service terms change. DrChrono does not publish pricing publicly; all per-provider estimates cited in this page come from third-party review sources and may not reflect current quotes. The primary sources for current product positioning are drchrono.com/plans-and-pricing, drchrono.com/billing, drchrono.com/revenue-cycle-management, EHR Source's DrChrono review, and the EverCommerce acquisition announcement. Get a direct quote from DrChrono before making any budget or contract decision.

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For more context on how Medi approaches multi-practice operations, see billing company operations and the software evaluation guide. For a parallel comparison against another EHR-bundled billing platform, see Medi vs AdvancedMD.