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Healthcare · head to head

eClinicalWorks vs IDEXX Neo

eClinicalWorks logo

eClinicalWorks

Healthcare

Comprehensive EHR and practice management platform

From
On request
Rated
-
Full reviewWebsite
IDEXX Neo logo

IDEXX Neo

Veterinary

Cloud practice management from IDEXX, designed around IDEXX analysers and reference laboratories

From
On request
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: eClinicalWorks pricing details not disclosed on website; requires sales consultation or demo; IDEXX Neo the value depends on running IDEXX diagnostics, so a practice that later changes analyser or reference laboratory supplier loses the main reason it chose the software and faces two migrations instead of one.
  • They diverge on capability: eClinicalWorks covers Electronic Health Records, IDEXX Neo covers IDEXX analyser integration.
  • Prices and features above were last checked on 31 August 2026.

Where they differ

Only the attributes on which eClinicalWorks and IDEXX Neo actually diverge.

Attributes where eClinicalWorks and IDEXX Neo differ
AttributeeClinicalWorksIDEXX Neo
Pricing modelUnknownquote
PlatformsWeb, Cloud-basedWeb, iOS, Android
CategoryHealthcareVeterinary
Founded1999Unknown

Identical on both: starting price (On request), free tier (No), user rating (Not yet rated).

What each one covers

Drawn from each product's published feature list. An absence here means we hold no record of it - not that the product lacks it.

Only in eClinicalWorks

  • Electronic Health Records
  • Practice Management
  • Revenue Cycle
  • Patient Portal
  • ePrescribing
  • Telehealth
  • HL7
  • FHIR

Only in IDEXX Neo

  • IDEXX analyser integration
  • Reference laboratory integration
  • Cloud hosting
  • Templated medical records
  • Scheduling and reminders
  • Invoicing and inventory

What people use each for

The jobs each tool is most often brought in to do.

eClinicalWorks

  • EHR and practice management for multi-specialty medical practicesnot IDEXX Neo
  • Patient engagement through telehealth (healow) and secure messagingnot IDEXX Neo
  • Revenue cycle management with 98%+ first-pass acceptance ratenot IDEXX Neo
  • AI-powered clinical documentation with Sunoh.ai medical scribenot IDEXX Neo

IDEXX Neo

  • A one to three doctor small animal clinic that already runs IDEXX in-house analysersnot eClinicalWorks
  • A practice moving off a server-based system that wants hosting and backup to stop being its problemnot eClinicalWorks
  • A new clinic opening with IDEXX diagnostics that wants the laboratory workflow set up on day onenot eClinicalWorks
  • A practice whose staff turnover is high and which needs software simple enough to train someone on in a daynot eClinicalWorks

Where each one falls short

Documented limitations, not opinions. Every one is a constraint you would hit in normal use.

eClinicalWorks

  • Pricing details not disclosed on website; requires sales consultation or demo
  • No published technical system requirements specified
  • Cloud-based solution requires reliable internet connectivity for clinics

IDEXX Neo

  • The value depends on running IDEXX diagnostics, so a practice that later changes analyser or reference laboratory supplier loses the main reason it chose the software and faces two migrations instead of one.
  • Software pricing is often folded into a diagnostics purchase agreement, which makes it hard to see what the practice management system actually costs and harder still to compare it against a neutral vendor.
  • It is designed for small single-site practices, so multi-location groups quickly hit limits in reporting, consolidated inventory and cross-site records and are steered towards Cornerstone instead.
  • Reporting and inventory management are basic by design, so a practice that wants detailed production analysis by veterinary surgeon or tight stock control will need to export and work outside the system.
  • The third-party integration surface is narrower than open cloud systems, so specialist tools for communication, imaging or wellness plans may not connect without manual work.

Pricing, plan by plan

eClinicalWorks

On request

No published plan breakdown. See the eClinicalWorks review.

IDEXX Neo

On request
  • IDEXX Neo$undefined/year
    • Quoted per practice, frequently as part of a diagnostics agreement
    • Cloud hosting, backup and updates included
    • Data conversion charged separately

Which should you pick?

Choose eClinicalWorks if

  • You need electronic health records.
  • You work on Web, Cloud-based.
  • You also want practice management.
eClinicalWorks review

Choose IDEXX Neo if

  • You need idexx analyser integration.
  • You work on Web, iOS, Android.
  • You also want reference laboratory integration.
IDEXX Neo review

Questions people ask

Is eClinicalWorks or IDEXX Neo better?
Neither clearly leads. eClinicalWorks starts at On request and IDEXX Neo at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, eClinicalWorks or IDEXX Neo?
eClinicalWorks starts at On request and IDEXX Neo at On request.
Does eClinicalWorks or IDEXX Neo run on more platforms?
eClinicalWorks runs on Web, Cloud-based. IDEXX Neo runs on Web, iOS, Android.
What is eClinicalWorks best used for?
eClinicalWorks is most often used for ehr and practice management for multi-specialty medical practices, patient engagement through telehealth (healow) and secure messaging, revenue cycle management with 98%+ first-pass acceptance rate, ai-powered clinical documentation with sunoh.ai medical scribe. Of those, ehr and practice management for multi-specialty medical practices and patient engagement through telehealth (healow) and secure messaging are not what IDEXX Neo is typically brought in for.
What can eClinicalWorks do that IDEXX Neo cannot?
eClinicalWorks covers Electronic Health Records, Practice Management, Revenue Cycle, Patient Portal. IDEXX Neo covers IDEXX analyser integration, Reference laboratory integration, Cloud hosting, Templated medical records.

Answered from the vendors’ own pages

eClinicalWorks: What does eClinicalWorks EHR cost per provider?

eClinicalWorks EHR costs $449/month per provider with no startup costs. This includes the electronic medical record system, mobile access, patient portal, messaging, document management, prescribing, reporting, and 24/7 support with cloud hosting.

Source
IDEXX Neo: Do I have to use IDEXX diagnostics?

No, but almost all the advantage of choosing Neo over a neutral cloud system comes from the IDEXX analyser and reference laboratory integration.

eClinicalWorks: What is the cost of eClinicalWorks with Practice Management?

eClinicalWorks EHR with Practice Management costs $599/month per provider with no startup costs. This adds practice management functionality and billing implementation services.

Source
IDEXX Neo: How is Neo different from Cornerstone?

Cornerstone is the older on-premise product for larger and multi-site hospitals, with much deeper inventory and reporting. Neo is cloud, simpler and aimed at small practices.

eClinicalWorks: What is eClinicalWorks' Revenue Cycle Management pricing?

eClinicalWorks RCM as a Service costs 2.9% of practice collections with no startup costs. It covers claim processing, denial management, appeals, and accounts receivable visibility.

Source
IDEXX Neo: Is pricing published?

No. It is quoted per practice and is frequently negotiated alongside diagnostics commitments, so ask for the software price as a standalone figure.

eClinicalWorks: Is there a cost for data migration to eClinicalWorks?

No, eClinicalWorks offers free data migration for practices switching from other EHR systems.

Source
IDEXX Neo: Can I export my records if I leave?

Data extracts are available on request, but plan the extract and test it before you commit, because migration off a diagnostics-linked system is usually a bigger project than expected.

eClinicalWorks: Are training costs included with eClinicalWorks?

Initial training is included for practices with 1-9 providers. Additional fees apply for larger practices.

Source
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