Moxcares vs Athenahealth
Enterprise-grade EHR + RCM, priced as a share of collections.
Athenahealth is a full enterprise EHR and revenue-cycle-management suite with a large network and deep payer coverage. Pricing is opaque and typically structured as a percentage of collections on multi-year contracts.
A serious fit for larger groups that want a network-scale EHR and are comfortable with % -of-collections pricing and long contracts. For a clinic or small group that wants a public price, month-to-month terms, and an AI staff member instead of a bigger back office, Moxcares is the modern alternative.
The buyer's comparison
The rows below are the ones clinics tell us actually matter — pricing shape, AI staff, audit provability, and how patients experience day-to-day communication.
| What clinics actually care about | Moxcares | Athenahealth |
|---|---|---|
| Transparent public pricing (no "call for a quote") | ✓ | —% of collections |
| Month-to-month, cancel anytime | ✓ | —Multi-year norms |
| Per-clinic pricing (staff seats included) | ✓ | —% of collections |
| Entry price for a small practice | ✓From $99/mo | —4–7% of collections |
| AI staff you hire, supervise, and audit | ✓Mox, $99/mo | ◐Assistant features |
| AI answers patient texts, books & reschedules by reply | ✓ | ◐Limited |
| AI schedule management ("block Friday" auto-rebooks patients) | ✓ | — |
| AI ambient scribe / auto-charting | ✓ | ✓Add-on |
| AI phone receptionist (voice) | ✓ | ◐ |
| Online booking + configurable intake library | ✓ | ✓ |
| Waitlist that auto-heals the calendar | ✓ | ◐ |
| Patient messaging without forcing a portal login | ✓Verified secure links | —Portal-centric |
| Built-in eFax (send, receive, file-to-chart) | ✓ | ◐ |
| Charting (notes, vitals, documents, letters) | ✓ | ✓Full EHR |
| Payments: links, cash/check, card-present terminal | ✓ | ✓ |
| Insurance eligibility verification | ✓ | ✓ |
| Claims & remits | ✓ | ✓Core |
| e-Prescribing (including EPCS) | ✓ | ✓ |
| Data freedom: full export + switching guides OUT | ✓Pledge | — |
| Free / fast migration IN (C-CDA with review queue) | ✓ | ◐Paid services |
| Append-only, hash-chained audit trail (tamper-evident) | ✓+ daily WORM anchoring | ◐Audit logs |
| AI actions attributed to a named AI actor in the audit trail | ✓ | — |
| Chart access read-logging (who viewed, not just who edited) | ✓ | ✓ |
| MFA enforced for chart access | ✓ | ✓ |
| Your data never trains AI models | ✓Contractual | ◐Unclear |
| HIPAA BAA included | ✓ | ✓ |
| Built ground-up for AI staff (not AI bolted onto legacy) | ✓ | — |
Switching from Athenahealth
Migrations feel scary. Ours is deliberately boring — one afternoon of setup and a review queue that keeps you in control of every record before it goes live.
- 1Export in one placePull your patient list, upcoming schedule, and clinical documents from Athenahealth — we send a plain-English checklist so nothing is missed.
- 2We import via C-CDAPatients, providers, appointments, and chart documents come in through a C-CDA-compliant import pipeline. Documents land in a review queue with proposed patient matches.
- 3You approve, we go liveYour team walks the review queue with us. Nothing writes to a live chart until a human accepts it. Go-live is usually a Friday afternoon.
- 4We stay on the phone for two weeksSame-day support during the first two weeks — front-desk, billing, and clinical questions answered by a real person.
If Moxcares isn't earning your business, take your data and go — we publish a full export path and a switching-guide OUT for every module. That's a pledge, not a support ticket you'll dread filing.
See what a modern, AI-native clinic day feels like.
Start a 7-day trial. Bring one clinic over. If it's not clearly better than Athenahealth, we'll help you move back — no charge.