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EHR and practice management systems by segment. The columns that matter most for an MSO-PC group are embedded clearinghouse (does it constrain your choice?) and multi-entity (can it run several PCs?). Checked August 2026. Vendors change ownership, rebrand, and change bundling frequently. Verify current capabilities directly, and test multi-entity support with your actual structure before signing. See Choose an EHR/PM system.

Independent medical practice

Enterprise and health system

Dental

🦷 For a DSO, multi-location and multi-entity architecture is the primary selection criterion, ahead of clinical features. Denticon and Open Dental are the ones most often cited for group practice. Confirm 837D and dental attachment handling. See Dental: the DSO model.

Behavioral health

🧠 Two things to test: supervision billing support for pre-licensed clinicians, and 42 C.F.R. Part 2 handling if you deliver SUD treatment. Generic behavioral EHRs frequently handle neither well. See Behavioral health.
A different category: platforms like Alma, Headway, and Grow Therapy are network and payer-contracting platforms rather than EHRs. They handle credentialing and billing on a clinician’s behalf under their own contracts. Useful for individual clinicians; structurally different from an MSO-PC group operating its own PCs, and worth understanding before assuming they substitute.

Physical therapy, occupational therapy, chiropractic

🦴 Generic EHRs handle visit authorization counts and plan-of-care certification tracking badly, and those are the two workflows that drive PT denials. This is a segment where specialty software genuinely matters. See Physical therapy and chiropractic.

Optometry and ophthalmology

👁 The two requirements generic systems miss: dual medical and vision plan billing, and optical inventory. See Optometry and vision.

Dermatology, aesthetics, and med spa

💉 Med spa platforms are frequently retail-oriented rather than clinical, and may not handle a good faith exam workflow, prescription product tracking, or the PC/MSO separation. Test those. See Med spas and aesthetics.

Veterinary

🐾 No claims infrastructure needed. The requirements are inventory and pharmacy, point-of-sale, and wellness plan subscription management, with subscription revenue correctly treated as deferred. See Veterinary.

What to test in every demo

Regardless of segment:
  1. Your specialty’s common encounter, end to end
  2. Multi-entity, several Tax IDs, several group NPIs, per-entity settlement
  3. A messy 835 — with a PLB takeback, interest, and a secondary transfer — and watch the exception queue
  4. Your six KPI reports, without exporting to a spreadsheet
  5. Data export, what, how, how fast, at what cost
  6. Clearinghouse flexibility, and get the answer in writing