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Healthcare · head to head

Healthie vs Signant Health

Healthie logo

Healthie

Healthcare

EHR, scheduling and client engagement for nutrition, wellness and virtual-first care

From
$19/month
Rated
-
Full reviewWebsite
Signant Health logo

Signant Health

Healthcare

eCOA-first clinical trial platform that has grown outward into EDC, eConsent and televisits

From
On request
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: Healthie the Core plan is capped at ten active clients, which no working practice stays under, so the real entry price for anyone with a caseload is the 49 dollar Essentials tier or higher.; Signant Health no pricing is published, and the software licence is a minority of the real bill once instrument licensing, translations, device provisioning and services are added, so early budget estimates are routinely too low.
  • They diverge on capability: Healthie covers Active client based tiers, Signant Health covers eCOA and ePRO.
  • Prices and features above were last checked on 31 August 2026.

Where they differ

Only the attributes on which Healthie and Signant Health actually diverge.

Attributes where Healthie and Signant Health differ
AttributeHealthieSignant Health
Starting price$19/monthOn request
Pricing modelPer month by active client countquote
PlatformsWeb, iOS, Android, APIWeb, iOS, Android

Identical on both: free tier (No), 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 Healthie

  • Active client based tiers
  • Charting and templates
  • Telehealth
  • Food and symptom journalling
  • Programmes and courses
  • Public API
  • ePrescribing
  • Insurance claims

Only in Signant Health

  • eCOA and ePRO
  • Unified platform
  • eConsent
  • Randomisation and supplies
  • TeleVisits
  • Rater training
  • Data surveillance
  • Instrument library

What people use each for

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

Healthie

  • A registered dietitian in private practice who needs charting, scheduling, superbills and a client food journal in one subscriptionnot Signant Health
  • A virtual care startup using the API as a compliant clinical backend rather than building charting and scheduling from scratchnot Signant Health
  • A wellness group practice selling packaged twelve week programmes with group video sessions and course contentnot Signant Health
  • A health coaching business that bills clients directly and needs card payment, intake forms and messaging without insurance complexitynot Signant Health

Signant Health

  • A central nervous system or psychiatry trial where the primary endpoint is a rated scale and rater consistency decides the readoutnot Healthie
  • A global study needing an outcome instrument translated and linguistically validated across a dozen languagesnot Healthie
  • A decentralised or hybrid protocol combining televisits, eConsent and at-home patient reported outcomesnot Healthie
  • A sponsor consolidating separate eCOA, eConsent and randomisation vendors onto one platform to cut reconciliation worknot Healthie

Where each one falls short

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

Healthie

  • The Core plan is capped at ten active clients, which no working practice stays under, so the real entry price for anyone with a caseload is the 49 dollar Essentials tier or higher.
  • Insurance billing is not native: claim submission runs through a separately priced ClaimMD integration starting around 30 dollars a month, so a practice that bills payers is buying and reconciling two systems.
  • Costs stack quickly beyond the headline plan, with ePrescribing at 40 dollars per clinician per month, inbound fax at 10 dollars, additional Group clinicians at 50 dollars each and card processing at 2.9 per cent plus 30 cents.
  • Client counting is based on active clients, and the definition of active is set by the vendor rather than by you, so seasonal or intermittent caseloads can push a practice into a higher tier for clients it is barely seeing.
  • It is built around ambulatory wellness and virtual care, so specialties needing lab ordering, imaging, in house dispensing or complex care coordination will find the clinical model too thin and will not find those modules to buy.

Signant Health

  • No pricing is published, and the software licence is a minority of the real bill once instrument licensing, translations, device provisioning and services are added, so early budget estimates are routinely too low.
  • Linguistic validation is charged per instrument per language and is on the critical path to first patient in, so adding a country late in start-up produces both a cost and a schedule hit.
  • Provisioned participant devices bring logistics, replacement, shipping and cellular connectivity obligations that persist for the life of the trial and are frequently underestimated.
  • The EDC component is newer than the eCOA heritage, so sponsors with complex data management requirements often keep an incumbent EDC and lose the single-database benefit that justifies the platform.
  • It is priced and scoped for sponsor-grade trials, which makes it a poor fit for investigator-initiated or academic studies that need outcome collection without the services layer.

Pricing, plan by plan

Healthie

$19/month
  • Core$19/month
    • Up to ten active clients
    • Scheduling and payments
    • Charting and telehealth
  • Essentials$49/month
    • Up to 250 active clients
    • Custom forms
    • CMS 1500 generation
  • Plus$129/month
    • Unlimited active clients
    • Group telehealth
    • Online programmes
  • Group$149/month
    • Unlimited active clients
    • Shared calendar and team management
    • Roles and permissions

Signant Health

On request
  • SmartSignals Unified Platform$undefined/year
    • Priced per study through a sales process
    • Modules selected per protocol: EDC, eCOA, randomisation, eConsent, TeleVisits
    • Instrument licensing paid to scale owners on top of platform cost

Which should you pick?

Choose Healthie if

  • You need active client based tiers.
  • You work on Web, iOS, Android, API.
  • You also want charting and templates.
Healthie review

Choose Signant Health if

  • You need ecoa and epro.
  • You work on Web, iOS, Android.
  • You also want unified platform.
Signant Health review

Questions people ask

Is Healthie or Signant Health better?
Neither clearly leads. Healthie starts at $19/month and Signant Health at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Healthie or Signant Health?
Healthie starts at $19/month and Signant Health at On request.
Does Healthie or Signant Health run on more platforms?
Healthie runs on Web, iOS, Android, API. Signant Health runs on Web, iOS, Android.
What is Healthie best used for?
Healthie is most often used for a registered dietitian in private practice who needs charting, scheduling, superbills and a client food journal in one subscription, a virtual care startup using the api as a compliant clinical backend rather than building charting and scheduling from scratch, a wellness group practice selling packaged twelve week programmes with group video sessions and course content, a health coaching business that bills clients directly and needs card payment, intake forms and messaging without insurance complexity. Of those, a registered dietitian in private practice who needs charting, scheduling, superbills and a client food journal in one subscription and a virtual care startup using the api as a compliant clinical backend rather than building charting and scheduling from scratch are not what Signant Health is typically brought in for.
What can Healthie do that Signant Health cannot?
Healthie covers Active client based tiers, Charting and templates, Telehealth, Food and symptom journalling. Signant Health covers eCOA and ePRO, Unified platform, eConsent, Randomisation and supplies.

Answered from the vendors’ own pages

Healthie: Is the API available without an enterprise contract?

Yes. API access is available on standard published plans, which is why digital health startups use it as a clinical backend.

Signant Health: What is Signant best at?

Electronic clinical outcome assessment, particularly rated scales in central nervous system and psychiatry trials, together with rater training and endpoint quality services.

Healthie: Can Healthie submit insurance claims?

Only through the separately priced ClaimMD integration. Native CMS 1500 generation is included, but submission is an add-on.

Signant Health: Is pricing published?

No. Everything is quoted per study, and instrument licences, translations and devices sit on top of the platform cost.

Healthie: What does an active client mean for billing?

It is a client with recent activity in the platform, not everyone in your database. Tiers are set by that count, not by seats.

Signant Health: Can I use it only for eCOA?

Yes. The modules are selected per protocol, and many sponsors take eCOA and eConsent while keeping an existing EDC.

Healthie: Is it HIPAA compliant?

Yes, and a business associate agreement is available. The client-facing mobile app and portal are covered.

Signant Health: What drives the timeline?

Translation and linguistic validation of outcome instruments, which is per language per instrument and sits on the critical path to study start.

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