eClinicalWorks vs ICANotes: Which is Better in 2026?
Choosing between eClinicalWorks and ICANotes comes down to understanding what each tool does best. This comparison breaks down the key differences so you can make an informed decision based on your specific needs, not marketing claims.
Bottom line: eClinicalWorks is our overall pick for EHR/EMR workflows. Pick ICANotes if you need its specific feature set.
Short on time? Here's the quick answer
We've tested both tools. Here's who should pick what:
eClinicalWorks
Reinventing healthcare with an AI-powered cloud EHR system for enhanced patient engagement and practice efficiency.
Best for you if:
- • AI-powered EHR system for comprehensive practice management.
- • Enhances patient engagement through self-scheduling, telehealth, and secure messaging.
ICANotes
The best mental health EMR & EHR software for clinical excellence and streamlined practice management.
Best for you if:
- • All-in-one mental health EMR and EHR platform with integrated practice management.
- • Features AI-powered, menu-driven templates for rapid and compliant clinical documentation.
| At a Glance |  eClinicalWorks |  ICANotes |
|---|---|---|
Starts at | $449/moEHR Only | $10/moTelehealth |
Best For | EHR/EMR | EHR/EMR |
Rating | 3.4/5 | 3.9/5 |
Choose eClinicalWorks or ICANotes?
Choose eClinicalWorks if
Reinventing healthcare with an AI-powered cloud EHR system for enhanced patient engagement and practice efficiency.
- Integrates advanced AI for improved efficiency and documentation.
- Offers comprehensive solutions tailored to various medical specialties.
- Enhances patient experience with self-service options and 24/7 support.
Choose ICANotes if
The best mental health EMR & EHR software for clinical excellence and streamlined practice management.
- Significantly reduces note completion time to an average of 3 minutes.
- Comprehensive all-in-one platform eliminates the need for multiple separate systems.
- Designed by clinicians for behavioral health, ensuring relevant and intuitive workflows.
| Feature | eClinicalWorks | ICANotes |
|---|---|---|
| Pricing Model | Paid | Paid |
| User Rating | ★3.4/5 556 reviews | ★3.9/5 94 reviews |
| Categories | EHR/EMRHealthcare | EHR/EMRPractice Management |
In-Depth Analysis
eClinicalWorks
Reinventing healthcare with an AI-powered cloud EHR system for enhanced patient engagement and practice efficiency.
Strengths
- +Integrates advanced AI for improved efficiency and documentation.
- +Offers comprehensive solutions tailored to various medical specialties.
- +Enhances patient experience with self-service options and 24/7 support.
- +Demonstrates high first-pass acceptance rates for RCM, indicating strong billing efficiency.
Weaknesses
- -Specific pricing details are not publicly available, requiring direct contact for quotes.
- -The extensive feature set might have a learning curve for new users.
Key features
ICANotes
The best mental health EMR & EHR software for clinical excellence and streamlined practice management.
Strengths
- +Significantly reduces note completion time to an average of 3 minutes.
- +Comprehensive all-in-one platform eliminates the need for multiple separate systems.
- +Designed by clinicians for behavioral health, ensuring relevant and intuitive workflows.
- +Enhances compliance with audit-ready documentation and ONC Cures Certification.
- +Strengthens client relationships through integrated communication and engagement tools.
Weaknesses
- -Specific pricing details are not publicly available without a demo or trial.
- -While AI-assisted, it still relies on menu-driven input, which might not suit all documentation styles.
Key features
Pricing: eClinicalWorks vs ICANotes
| Plan | eClinicalWorks | ICANotes |
|---|---|---|
| Tier 1 | $449/mo per provider EHR Only | $55/mo Notes Only (Unlimited Notes) |
| Tier 2 | $599/mo per provider EHR with Practice Management | $75/mo Non-Prescribing (Unlimited Notes) |
| Tier 3 | 2.9% of practice collections RCM as a Service | $213/mo Prescribing (Unlimited Notes) |
| Tier 4 | N/A | $35/mo Notes Only (60 Notes/month) |
| Tier 5 | N/A | $45/mo Non-Prescribing (60 Notes/month) |
| Tier 6 | N/A | $138/mo Prescribing (100 Notes/month) |
| Tier 7 | N/A | $10/mo per user Telehealth |
| Tier 8 | N/A | $49/mo per user AI Scribe |
| Tier 9 | N/A | $25/mo Additional User |
| Tier 10 | N/A | $34/month Claims (Up to 100) |
| Tier 11 | N/A | $51/month Claims (Up to 150) |
| Tier 12 | N/A | $63/month Claims (Up to 185) |
| Tier 13 | N/A | $119/month Claims (Up to 350) |
Pricing verified from each vendor's public pricing page. Compare in detail on eClinicalWorks pricing and ICANotes pricing.
Who Should Use What?
On a budget?
Both are paid. Compare plans on their websites.
Go with: eClinicalWorks
Want the highest-rated option?
eClinicalWorks: 3.4/5 (556 reviews). ICANotes: 3.9/5 (94 reviews).
Go with: ICANotes
Value user reviews?
eClinicalWorks: 556 reviews (3.4/5). ICANotes: 94 reviews (3.9/5).
Go with: eClinicalWorks
3 Questions to Help You Decide
What's your budget?
Both are paid. Pricing won't help you decide here.
What's your use case?
Both are ehr/emr tools. Compare their specific features to decide.
How important are ratings?
ICANotes is rated higher: 3.9/5 vs 3.4/5.
Key Takeaways
eClinicalWorks
- Larger review base (556 reviews)
- Our pick for this comparison
ICANotes
- Higher user rating: 3.9/5 vs 3.4/5
The Bottom Line
eClinicalWorks is our pick.
Frequently Asked Questions
Is eClinicalWorks or ICANotes better?
eClinicalWorks is rated in our evaluation. Both are paid.
What are eClinicalWorks and ICANotes used for?
eClinicalWorks: Reinventing healthcare with an AI-powered cloud EHR system for enhanced patient engagement and practice efficiency.. ICANotes: The best mental health EMR & EHR software for clinical excellence and streamlined practice management..
What does eClinicalWorks cost vs ICANotes?
eClinicalWorks is a paid tool. ICANotes is a paid tool. Visit their websites for detailed pricing.