Cliniko alternatives

Five practice management systems worth looking at instead of Cliniko, what each one is actually for, and the case for staying where you are.

Who wrote this

We make Clinic+, which is one of the six below. Everything about the other five was read from their own sites on , and each entry says what it is good for and what it is not — ours included. Products change; theirs is the page to believe if you find a difference.

Why people look

  • The bill grows with the team. Cliniko charges by practitioner band, so hiring moves you up a bracket whether or not the new person is full time.
  • Insurance billing. Claims and eligibility are not listed among Cliniko's features, and for a clinic paid largely through insurers that is the whole job.
  • Stock. Not listed either, which matters if your treatments consume something expensive.
  • Wanting the website to do more. Cliniko has online booking; some clinics want the enquiry answered before the booking form is reached.

First — the case for staying on Cliniko

Cliniko includes every feature at every price level and puts no limit on locations, admin users or reception staff. That is unusual and it is genuinely good: nobody using it is ever told an area is not on their plan. If your complaint is a missing feature rather than the model, check the list again before you move — migrating a clinic costs months, and most of this page is not worth that.

The alternatives

  1. Jane

    Best for: Clinics paid through insurers, or running video appointments

    Jane covers the two things Cliniko's feature pages do not: it submits insurance claims and runs eligibility checks, and telehealth video is part of the product. It is aimed at the same allied-health world — their site names physiotherapy, chiropractic, massage, mental health, acupuncture and naturopathy — so the move is lateral rather than a change of category. There is also an AI scribe for the clinical note, sold as an add-on.

    Not for you if: Features are tiered and several capabilities are priced separately, so the entry number and the eventual number are further apart than with Cliniko's flat feature set. There is no free plan.

    Visit Jane
  2. Halaxy

    Best for: Australian practices, and anybody who wants to pay nothing to start

    Halaxy runs a permanently free core platform — not a trial — with unlimited practitioners, unlimited locations and unlimited file storage, and charges by credit for the premium things you actually use. It integrates with Medicare, DVA, ECLIPSE, TAC, HICAPS, Workcover, Comcare and NDIS, which is a list that means everything in Australia and very little outside it.

    Not for you if: The credit model is harder to forecast than a flat subscription — the bill depends on how much SMS and telehealth you use. And the funding-body integrations, which are the strongest reason to pick it, are Australian.

    Visit Halaxy
  3. Zanda

    Best for: Clinics whose real problem is the diary, not the record

    Formerly Power Diary — powerdiary.com now redirects to zandahealth.com — and still shaped around scheduling: appointments, reminders, client database, treatment notes, online booking and reports. Their site covers psychology, counselling, physiotherapy, OT, speech, chiropractic, podiatry, massage, nutrition and social work, from solo up to 100+ practitioners. Administrative users are free; you pay per practitioner.

    Not for you if: If you came to this page because you need insurance claims or stock, this is not the one — it is a scheduling-first system and does not pretend otherwise. Trial only, no free plan.

    Visit Zanda
  4. Noterro

    Best for: Solo and small clinics in Canada or the US wanting claims and AI notes cheaply

    Noterro puts direct insurance billing on its top plan — TELUS eClaims in Canada, Availity, Office Ally and Trizetto in the US — and includes an AI voice-to-chart scribe on every plan, charged by usage after an allowance. Aimed at chiropractors, massage and physical therapists, osteopaths, speech and OT, mental health and medspas.

    Not for you if: The claims integrations are North American; elsewhere that reason to choose it disappears. Direct billing is top-plan only, so the plan you want may not be the plan you priced.

    Visit Noterro
  5. SimplePractice

    Best for: Solo and small behavioural health practices

    Long established in mental health specifically — their pricing page carries the APA, ACA and AAMFT and cites 250,000 practitioners. Client portal, telehealth access and ePrescribe as an add-on. If you are a therapist rather than a physiotherapist, this is the room you are probably looking for.

    Not for you if: The centre of gravity is behavioural health and mostly the United States. For a physiotherapy or podiatry clinic outside it, the fit is looser than Jane or Zanda. Trial only, no free plan.

    Visit SimplePractice
  6. Clinic+

    This is us

    Best for: Clinics whose website should answer, and clinics that carry stock or work in more than one currency

    Ours. An assistant on your own site answers visitors in the language they wrote in — from your hours, services and FAQ — and writes the appointment into the calendar itself, rather than presenting a booking form to somebody who has not decided yet. Stock is recorded in the currency you paid with the rate kept from that day, valued in yours, with low-stock warnings per branch. There is a free plan, and every price is published.

    Not for you if: No insurance claims, no telehealth video, and no marketing automation. We are younger than everything else on this list and have fewer integrations. Multiple branches sit on our top plan, where Cliniko and Halaxy include locations throughout — if you run several sites, that is a real reason to pick one of them over us.

    What Clinic+ does

Questions

Is there a free alternative to Cliniko?
Two on this list. Halaxy runs a permanently free core platform with unlimited practitioners and locations, paid for by credits on premium features — the most generous free tier here, including more generous than ours. Clinic+ also has a free plan. Everything else offers a trial and then charges.
Which alternative handles insurance claims?
Jane submits claims and runs eligibility checks. Noterro includes direct billing on its top plan through TELUS eClaims in Canada and Availity, Office Ally or Trizetto in the US. Halaxy connects to the Australian funding bodies — Medicare, DVA, NDIS and the rest. Clinic+ does none of this: we record who the insurer is and stop there.
What happened to Power Diary?
It is now called Zanda. powerdiary.com redirects permanently to zandahealth.com. If you are comparing an older article that lists both, they are one product.
How hard is it to leave Cliniko?
Cliniko lets you export your own data, which is the part that usually decides whether a migration is possible at all. Patients, contacts and appointment history normally move cleanly; treatment notes and attachments are the ones to check in detail, with whichever system you are moving to. Plan for months rather than weeks, and expect to run both in parallel for part of it.
Should I move at all?
Often no. Cliniko gives every customer every feature and does not charge extra for locations or admin staff, which is rarer than it sounds. Switching a clinic costs months of everybody's attention. Move for a structural reason — a model that stops working as you hire, or a capability that genuinely is not there — not for a feature you have not checked twice.

If ours is the one that fits, it costs nothing to find out

Run one real week through it alongside what you have now. Free plan, no card, and the head-to-head against Cliniko is written out if you want the detail.

From the blog

Before you move anything

The migration is the project, not the licence. These set out what to ask before you sign, and what never comes across.