athenaIDX is an on-premise or cloud-hosted enterprise RCM solution that helps health systems, hospitals, billing services, and large practices optimize financial performance and successfully adapt to healthcare payment reform. It is based on the Centricity medical practice and EMR software that was formerly owned and supported by GE Healthcare acquired by Veritas Capital in 2018, spun off into a new entity (Virence Health), and then rebranded as a product of athenahealth (also a Veritas…
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Maxio
Score 8.3 out of 10
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Maxio helps B2B SaaS companies maximize their revenue operations. The financial operations platform is designed to meet the unique financial challenges of B2B SaaS, including billing, subscription management, revenue & expense recognition, and SaaS metrics & analytics.
$599
per month
Recurly
Score 8.7 out of 10
Enterprise companies (1,001+ employees)
Recurly is a subscription billing platform and manages customer communications via email, business performance monitoring, and account changes. A merchant bank account is required to work with Recurly. A payment gateway is part of the product but it integrates with other gateways, such as PayPal, to give shoppers a more comprehensive suite of payment options.
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Pricing
athenaIDX
Maxio
Recurly
Editions & Modules
No answers on this topic
Build
$0
30 Day Trial
Grow
$599
per month up to $100k in monthly billings
Scale
Custom
Elite
Custom Quote
per month
Offerings
Pricing Offerings
athenaIDX
Maxio
Recurly
Free Trial
No
Yes
Yes
Free/Freemium Version
No
No
No
Premium Consulting/Integration Services
No
Yes
Yes
Entry-level Setup Fee
No setup fee
No setup fee
Optional
Additional Details
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Build Plan - Developer-friendly sandbox where you can try out billing for free for 30 days.
Grow Plan - Complete B2B subscription management platform with billing, revenue recognition, and reporting.
Scale Plan - Tailored solution to support high billing volumes and advanced requirements. Talk with Sales about available volume-based discounts.
We evaluated several recurring billing services - but Chargify was the only one we found that supported our current merchant portal. They had the widest selection of merchant portals - and the most competitive service fees.
I couldn't recommend IDX to anyone. Most of the reviews on this site appear to be for the program that broke off from Athena IDX, Centricity Practice Solutions (CPS). CPS is a much more capable program managed by Unlimited Systems (a separate company) that should NOT be confused with Athena IDX (managed by Athena Health). It's possible that Athena IDX was usable in the 90s compared to other peer programs at that time, but there are so, so many better, modern solutions available now for far less money. This software is priced at the enterprise level with a level of quality that is below budget tier with an ancient feature set to boot.
In my opinion, Maxio is well suited for a large company with simple products/billing scenarios and 10s of thousands of dollars available to waste on implementation, learning curve, and mistakes. For any other company, I do not advise purchasing Maxio.
Recurly is great for tracking transactions and reviewing payment method declines. The platform is extremely helpful when dealing with scenarios where someone believes they have been fraudulently charged for the product. Recurly allows for transaction filtering, which is very helpful when trying to find possibly fraudulent charges very easy. If expecting precise, detailed information about a card decline, Recurly would not be very helpful.
One of the best things about Centricity is it is flexible. We are able to add a data point behind a term (CPS calls this an observation term) and track any data needed. These observation terms also allow us to pull information forward and display information needed to make a good decision or used to decrease errors. For example in our history forms given to the patients one of the questions is side of injury. This affected side displays on our EMR forms which helps providers and prevents mistakes.
CPS integrates with other programs. We are paperless and use DocuSign to send each patient their history, ROS and all new paperwork. This allows us to import the history into the forms and has saved us from adding extra staff (FTEs) to room and take history. The history form can be completed at home or in the waiting room. Each section has a observation term behind it and allows it to be placed into the note at the correct section. Since we have a fully integrated product we do not have to have another program to enter or transfer our charges from the EMR to the PM side of the program.
Our notes look great! We did a lot of customization which gave us the detail and look we wanted. It seems like a lot of work at first, but the outcome has so much efficacy. We increased our providers without having to increase our staffing and it is due to he efficiencies we gained by using the EMR.
One other note, Centricity is flexible but that means it is complicated. You can not have flexibility without it be complicated don't let that stop you the end results can be great.
Statements print only current open accounts, would be nice to print a total statement for patients so they can see if payments are split between open and closed/zeroed out accounts
Options for Cash-based businesses. While it's not GAAP compliant and most users are accrual, many SaaS start ups are still small and operating on a cash basis.
Commissions Module since SO already has all our data intergrations
So many different features and data entry points that manual data entry errors are common
I really can't think of any shortcomings on Recurly because they have tried to cover all bases well. However, I believe that pricing could be little competitive because Recurly can become quite expensive when you have acquired a good number of subscribers. So apart from price, there are no shortcomings I can think of on product side.
I believe we would continue to use Recurly because they have shown that they are continually improving their software, and they listen to their customers
Apart from a lot of scope, which it has for improvement, like analytics, api's, customer service, downtimes. It still provides a lot of value, it is helpful for us in Business crtical areas, managing subscriptions and creating and launching coupons, ease of usability, camparatively lower maintainence are some valid reasons to prefer Recurly.
They are willing to help with most challenges and are pretty easy to get ahold of by phone. They are limited in their reach, when it comes to bulk cancellations, along with some other bulk edits. It is no fault to them, Chargify is just a system that hasn’t been upgraded much over the years.
Training consists of overly specific points with no general process considerations. Trainers will regularly go 'into the weeds' on pointless edge cases while the meat of the training still needs to be addressed.
Athena IDX is more reliable than other platforms. It rarely has latency challenges where it has to be intermittently shut down or updated. It is accessible on multiple devices and overall, easy to use and navigate.
I inherited SaaSOptics from several predecessors that worked on it before me. I believe they used Chargebee or Chargify before SaaSOptics, but I haven't used them. I pray that the market comes up with a better product for subscription revenue management, SaaS metric reporting, and financial projections. Unfortunately, I don't have the time or the team to be able to successfully complete the transition to new software at this time, so I feel like I'm stuck with SaaSOptics at this point
Recurly does a much better job at handling subscription payments than QuickBooks Online. We only use QuickBooks Online when we have a client who cannot pay via credit/debit card. In those cases, we send out automatic invoices via QuickBooks Online instead. 95% of our clients are processed through Recurly.
Extremely expensive software for the limited feature set. We're talking millions of dollars with off hours support (anything outside of 8-6EST) that starts at $1200 for the first hour and $300 for each hour afterwards.
Multitasking isn't a thing unless you assign more licenses (thereby increasing your costs). Users can quite literally only have one IDX window open at a time unless you assign more licenses. This slows down everyone as there are plenty of times where examining different parts of a patient's profile is useful.
Reporting has been nearly impossible as we use modern reporting software. IDX's analytics site is firmly stuck in the 1990s and lacks decades of innovation present in something like Power BI.
Nickel and diming philosophy. A limited API server costs ~$10k/month. Setting up a new facility in IDX costs you and requires a 4 month lead time. Many more instances of this.
Limitations in Chargify's invoicing capability has resulted in our finance team having to manually send invoices from our accounting system. This has resulted in 10-15 hours a week of resource wasted on something that Chargify should automatically do. If this isn't addressed, then the wasted time will increase as we scale.
Providing an interface for our subscribers to manage their own accounts has simplified our business tremendously. This alone has freed up hours of our staff's time each day.
Many customers receive new credit cards due to expiration or fraud. The time we spent in updating this information prior to using Recurly's Revenue Recovery feature versus now is significant.