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Healthcare · head to head

Halaxy vs Kareo Clinical

Halaxy logo

Halaxy

Healthcare

Practice management for allied health that charges nothing for the software and earns on payments

From
Free
Rated
-
Full reviewWebsite
Kareo Clinical logo

Kareo Clinical

Healthcare

Specialized EHR and practice management for independent and small practices

From
$89/month
Rated
-
Full reviewWebsite

The short version

  • Only Halaxy has a free tier, so it costs nothing to try first.
  • Each has a real cost: Halaxy the software being free does not mean the platform is cheap: a clinic taking most payments by card pays roughly 1.5 to 1.9 per cent plus a fixed fee on every transaction, which on a high volume practice comfortably exceeds what a flat AUD 60 per practitioner subscription would have cost.; Kareo Clinical kareo is now part of Tebra and sold under the Tebra brand rather than as a standalone product
  • They diverge on capability: Halaxy covers No licence fee, Kareo Clinical covers Electronic Health Records.
  • Prices and features above were last checked on 31 August 2026.

Where they differ

Only the attributes on which Halaxy and Kareo Clinical actually diverge.

Attributes where Halaxy and Kareo Clinical differ
AttributeHalaxyKareo Clinical
Starting priceFree$89/month
Pricing modelFree software, revenue taken on payments and creditssubscription
Free tierYesNo
PlatformsWeb, iOS, AndroidWeb, Mobile
FoundedUnknown2010

Identical on both: user rating (Not yet rated), category (Healthcare).

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 Halaxy

  • No licence fee
  • Integrated claiming
  • Credit-based extras
  • Online booking
  • Clinical notes and templates
  • Card payments
  • Multi-practitioner diary
  • Patient portal

Only in Kareo Clinical

  • Electronic Health Records
  • Scheduling
  • Patient Portal
  • Medical Billing
  • ePrescribing
  • Analytics
  • Labs
  • Pharmacies

What people use each for

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

Halaxy

  • A solo psychologist starting out who wants Medicare and private health claiming without committing to a monthly subscription before there is any incomenot Kareo Clinical
  • A physiotherapy clinic that wants patient reminders, online booking and card payments reconciled against invoices in one systemnot Kareo Clinical
  • An NDIS provider that needs claim generation and service agreement tracking built into the same record as clinical notesnot Kareo Clinical
  • A multi-location allied health group in Australia that wants one diary across sites without paying per practitioner licencesnot Kareo Clinical

Kareo Clinical

  • Practice management, scheduling and billing for independent medical practicesnot Halaxy
  • Electronic health records and e-prescribing for small clinicsnot Halaxy
  • Insurance claim submission and patient payment collectionnot Halaxy

Where each one falls short

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

Halaxy

  • The software being free does not mean the platform is cheap: a clinic taking most payments by card pays roughly 1.5 to 1.9 per cent plus a fixed fee on every transaction, which on a high volume practice comfortably exceeds what a flat AUD 60 per practitioner subscription would have cost.
  • Credits are prepaid and consumed by ordinary daily activity including SMS reminders and Medicare claims, so running out mid-week silently stops reminders going to patients, which shows up as no-shows rather than as an error message.
  • Features that competitors treat as standard, including two-way calendar sync, API access and a dedicated SMS number, are locked behind the credit subscription, so the headline free tier is thinner than it first appears.
  • Claiming, funding and payment integrations are deeply Australian, so practitioners in the UK, Canada or the United States get the diary and notes but very little of the automation that makes the product worth choosing.
  • Because the vendor earns on payment volume, its interests and yours diverge on card processing: switching to a cheaper acquirer breaks the automatic reconciliation that is the main operational reason to stay on the platform.

Kareo Clinical

  • Kareo is now part of Tebra and sold under the Tebra brand rather than as a standalone product
  • Tebra publishes no rate: pricing varies with provider count, features and implementation requirements and is quoted during a demo
  • Billing counts clinical providers such as MDs, DOs, NPs and PAs, so adding a prescriber raises the bill even though non clinical staff are free
  • Electronic prescribing of controlled substances setup costs about $75 per provider as a one time fee
  • PDMP integration costs $500 one time per facility plus about $50 per user per year

Pricing, plan by plan

Halaxy

Free
  • HalaxyFree
    • Unlimited practitioners with no subscription fee
    • Diary, patient records, clinical notes and invoicing
    • Online booking page
  • Premium subscription$25/month
    • Priced at 25 credits per month, so roughly AUD 4 to 6 depending on credit rate
    • Two-way calendar sync
    • White-label branding

Kareo Clinical

$89/month
  • Clinical Starter$89/month
    • EHR
    • Scheduling
    • Patient Portal
  • Clinical Plus$189/month
    • Everything in Starter
    • Billing
    • Analytics

Which should you pick?

Choose Halaxy if

  • You need no licence fee.
  • You want to start without paying.
  • You work on Web, iOS, Android.
  • You also want integrated claiming.
Halaxy review

Choose Kareo Clinical if

  • You need electronic health records.
  • You work on Web, Mobile.
  • You also want scheduling.
Kareo Clinical review

Questions people ask

Is Halaxy or Kareo Clinical better?
Neither clearly leads. Halaxy starts at Free and Kareo Clinical at $89/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Halaxy or Kareo Clinical?
Halaxy has a free tier; the other does not. Paid plans start at Free for Halaxy and $89/month for Kareo Clinical.
Does Halaxy or Kareo Clinical run on more platforms?
Halaxy runs on Web, iOS, Android. Kareo Clinical runs on Web, Mobile.
Can I use Halaxy for free?
Yes. Halaxy has a free tier, so you can try it without paying. Kareo Clinical starts at $89/month.
What is Halaxy best used for?
Halaxy is most often used for a solo psychologist starting out who wants medicare and private health claiming without committing to a monthly subscription before there is any income, a physiotherapy clinic that wants patient reminders, online booking and card payments reconciled against invoices in one system, an ndis provider that needs claim generation and service agreement tracking built into the same record as clinical notes, a multi-location allied health group in australia that wants one diary across sites without paying per practitioner licences. Of those, a solo psychologist starting out who wants medicare and private health claiming without committing to a monthly subscription before there is any income and a physiotherapy clinic that wants patient reminders, online booking and card payments reconciled against invoices in one system are not what Kareo Clinical is typically brought in for.
What can Halaxy do that Kareo Clinical cannot?
Halaxy covers No licence fee, Integrated claiming, Credit-based extras, Online booking. Kareo Clinical covers Electronic Health Records, Scheduling, Patient Portal, Medical Billing.

Answered from the vendors’ own pages

Halaxy: Is Halaxy genuinely free or is there a hidden subscription?

The core practice management software has no subscription fee for any number of practitioners. Halaxy earns from card processing fees, prepaid credits for SMS and claiming, and an optional premium subscription priced at 25 credits a month.

Kareo Clinical: How much does Kareo Clinical (now Tebra) cost?

Kareo Clinical pricing is not published publicly. Pricing is based on the number of clinical providers in your practice, not seat licenses. Setup includes optional EPCS at $75/provider and PDMP Integration at $500 one-time per facility plus $50/user/year.

Source
Halaxy: What does it actually cost a busy clinic?

Budget for card fees of roughly 1.5 to 1.9 per cent plus 75 cents to a dollar per transaction, plus credits at about AUD 0.15 to 0.22 each for every SMS, claim and telehealth session. A clinic with heavy card volume can pay more in total than a flat-rate competitor.

Kareo Clinical: Does Tebra charge for front desk staff and medical assistants?

No. Tebra provides unlimited non-clinical staff access at no extra cost. Front desk staff, medical assistants, billers, and office admins can all access scheduling, charting, and claims modules without increasing billing.

Source
Halaxy: Can I use it outside Australia?

Yes for the diary, notes, invoicing and booking. No for Medicare, DVA, NDIS and Australian health fund claiming, which is where most of the value sits.

Kareo Clinical: Are there reduced rates for low-volume practices on Tebra?

Yes. Practices with providers billing under 100 claims monthly receive lower-tier pricing for those low-volume providers.

Source
Halaxy: Does it handle NDIS?

Yes, including NDIS claim generation, service agreements and plan management alongside clinical records.

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