Best Primary Care EHR Software Solutions for 2026

Pabau: Best all-in-one primary care EHR for growing clinics. Records, scheduling, billing, and patient communication in one platform.

Elation Health: Best for independent, physician-led practices that want a simple, charting-first EHR.

Practice Fusion: Best low-cost EHR for solo providers or small clinics. Simple and quick to set up.

eClinicalWorks: Best for larger, multi-provider groups that need enterprise-grade workflows and integrated billing.

Primary care comes with a lot to manage, from patient records and appointments to prescriptions and billing.

The best primary care EHR software for 2026 brings everything into the one system.

In this guide, we compare the top options by features, pricing, and usability to help you make the right choice.

Software	Best for	Stand-out strength	Price starting point	G2 rating
Pabau	Growing and multi-location clinics	All-in-one EHR, scheduling, billing, and patient engagement in one system	From $69/month	4.7
Elation Health	Independent primary care practices	Clinician-first charting with strong lab and registry integrations	Quote-based	4.3
Practice Fusion	Solo providers and small teams	Affordable, browser-based EHR with fast setup	$199/provider/month	3.8
RXNT	Small to mid-sized US practices focused on cost control	Straightforward EHR, billing, and e-prescribing with transparent pricing	$118/provider/month	4.2
eClinicalWorks	Larger or enterprise groups	Enterprise-grade clinical workflows with built-in revenue cycle tools	$449/provider/month	3.7

Pabau: Best all-in-one primary care EHR

Pabau is an all-in-one primary care Electronic Health Record (EHR) and practice management software.

It combines clinical documentation with scheduling, prescriptions, billing, and patient communication in one place.

Primary care clinics use Pabau to:

Manage treatment plans and patient records digitally
Automate reminders, intake forms, and follow-ups
Prescribe medication and take payments during the same visit
Track performance and handle daily operations without extra tools

Most EHRs handle charting only. Pabau supports both care delivery and practice operations, so teams can run the clinic from a single system.

Key features

Here are the key Pabau features for primary care clinics.

Paperless patient records

Pabau replaces paper charts with structured digital records. You document care in real time during the visit.

Key capabilities include:

Digital charts for history, diagnoses, allergies, and notes
SNOMED and ICD coding built in
Macros for faster, standardized documentation

Voice dictation for hands-free documentation

Pro Tip

Create macros for common visits like annual checkups or repeat meds. Charting drops from minutes to seconds and stays consistent across clinicians.

Insurance billing and payment processing

Pabau handles billing, insurance, and payments inside the same system as appointments and charts. Charges, claims, and invoices are recorded automatically.

The billing setup covers:

Built-in Point of Sale (POS) for cards, online payments, and invoices
Insurance profiles linked directly to patient records
Claim tracking and remittance management
Custom price lists by insurer or service

The result is faster checkout, fewer billing errors, and quicker payments.

Prescriptions

Prescriptions are created and sent directly from the patient chart. Safety checks run before medication is issued.

Built-in tools include:

Dosage guidance from an integrated drug database
Allergy, interaction, and contraindication alerts
One-click repeat prescriptions
Access to 91,000+ US pharmacies

Every prescription is logged automatically for a complete medication history.

Echo AI clinical assistant

Echo AI reduces admin and adds an extra safety layer during prescribing. It helps you:

Transcribe consultations into structured treatment notes
Generate letters and summaries from patient data

Flag risks and contraindications before prescribing

Pro Tip

un the AI scribe during consults and finish notes before the next patient. Most teams cut documentation time by more than half.

Pricing

Plan	Price	Users	Clients
Startup	$69 / month (per user)	1	< 100 clients
Team	Talk to sales	2–3 users	Unlimited clients
Medium	Talk to sales	4–5 users	Unlimited clients
Group	Talk to sales	6–15 users	Unlimited clients
Enterprise	Custom quote	15+ users	Unlimited clients

See Pabau’s pricing page for full plan details and features.

Where Pabau shines

Unified system: Records, scheduling, billing, and prescriptions run in the same platform.
Faster documentation: Macros, templates, and dictation speed up charting and standardize notes.
Built-in automation: Reminders, forms, and follow-ups send automatically, reducing manual admin.

Where Pabau falls short

Initial setup: The broader feature set takes time to configure properly.
Startup limits: The entry plan caps client numbers, which may require upgrading sooner.
Advanced for small teams: Solo or low-volume clinics may not need the full depth of tools.

Customer reviews

“I love how intuitive Pabau is for managing patient journeys. The integrated appointment scheduling, clinical notes, and treatment photos make it simple to track patient progress and ensure high-quality care.” – Olena K., verified G2 reviewer

“This all-in-one system is incredibly convenient. You don’t need to purchase countless add-ons to access the tools that everyone values, which sets it apart from other companies.” – Uliana R., G2 reviewer

Who Pabau is best for

Primary care clinics: Practices that need clinical records, prescribing, and billing in one platform.
Insurance-based teams: Clinics handling claims, remittance, and patient payments daily.
Growing practices: Multi-provider or multi-site teams that want structure, reporting, and automation built in.

Elation Health

Elation Health is a primary care EHR built specifically for independent, physician-led practices.

It focuses heavily on clean charting and everyday clinical workflows. You get strong documentation, labs, and billing inside the EHR. Marketing, automation, and broader practice operations are more limited.