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Practice Efficiency

Praxis EMR Alternative for Functional Medicine (2026)

Looking for a Praxis EMR alternative for functional medicine? Compare Praxis with Cerbo, OptiMantra, and Practice Better, and see when to add HANS beside your EMR.

By Andrew Le, MDReviewed by Andrew Le, MDOctober 13, 20266 min read

If you want a Praxis EMR alternative for a functional medicine practice, Cerbo is the closest fit for small-to-midsize cash and membership clinics, OptiMantra fits clinics that dispense supplements and sell packages, and Practice Better fits solo and coaching-led practices. If Praxis already runs your billing and charting well, you can keep it and add HANS for complex case work beside it.

Updated October 2026. The HANS team wrote this page. Every Praxis fact links to a Praxis page, every other vendor fact links to that vendor's site, and access dates are in Sources.

What Praxis EMR is

Praxis describes itself as a template-free EHR with an AI engine that learns from each physician user, and its functional medicine page says it is the best EHR for small and mid-sized practices including functional medicine specialists (Praxis functional medicine page). The same page lists integrated billing, integrated real-time labs with values streamed into the chart, e-prescribing, and a patient portal (Praxis functional medicine page). The Praxis home page introduces Reflective Ambient Intelligence, which it says reconciles AI-captured speech with the doctor's own prior clinical knowledge (Praxis home).

Praxis's costs page lists an initial purchase price per provider license, with non-provider users included at no cost and 20 hours of initial training included with a new license (Praxis costs and limitations). That page publishes no dollar amounts, so contact Praxis for a quote (Praxis costs and limitations).

Praxis EMR alternatives, by fit

  • Cerbo: best for small-to-midsize functional clinics on cash, membership, or direct-pay billing. It lists Genova, Vibrant, and Rupa lab integrations and supplement dispensary integrations (Cerbo functional medicine page).
  • OptiMantra: best for integrative clinics with inventory, compounding, and packages. It lists Fullscript drop-shipping, lab ordering, and a point-of-sale system with memberships (OptiMantra integrative and functional page).
  • Practice Better: best for solo and nutrition-led practices. It lists Fullscript, Rupa Health, and an AI Charting Assistant add-on (Practice Better integrations, Practice Better pricing).
  • HANS: best for independent functional medicine practitioners who see complex cases and patients arriving with their own research, and want case-specific plans and explanations instead of a fixed template. It runs as a desktop app on its own or alongside your current system.

Praxis vs alternatives on the four functional medicine slots

Tool Specialty labs (DUTCH, Genova, GI-MAP) Fullscript Cash/membership billing Patient timelines Source
Praxis EMR Not stated on vendor site (integrated real-time labs listed) Not stated on vendor site Not stated on vendor site Not stated on vendor site Praxis functional medicine page
Cerbo Yes. Genova, Vibrant, and Rupa Not stated on vendor site Yes Longitudinal tracking of integrated lab results Cerbo functional medicine page
OptiMantra Yes. Rupa, Evexia, Access, and more Yes Yes. Packages and memberships Lab trends over time OptiMantra integrative and functional page
Practice Better Yes. Rupa Health and Fullscript Labs Yes Packages and payment plans Not stated on vendor site Practice Better integrations, Practice Better pricing
HANS Yes. Specialty lab results feed the record No Coming soon Yes. Years of labs on one timeline How HANS works, HANS pricing

How does HANS compare with Praxis AI charting?

HANS is an AI copilot for independent functional medicine practitioners that helps them evaluate the protocols and claims patients bring in and explain them with answers grounded in each patient's own labs, history and current research.

Praxis puts its AI inside the EHR, where it learns each physician's charting (Praxis functional medicine page). HANS is a separate desktop app. It drafts a SOAP note from the encounter that learns your documentation style over time, and every note stays a draft until you sign it (How HANS works). HANS also answers case questions from a curated clinical library with numbered citations, and it carries the patient's conditions, medications, allergies, and labs into each answer (How HANS works). HANS has no integration with Praxis, so a finished note moves into Praxis by PDF or Word export or copy and paste.

Is Praxis a good fit for a solo functional medicine practice?

Praxis's functional medicine page names small and mid-sized independent practices as its audience (Praxis functional medicine page). A solo practitioner should weigh the license purchase and yearly support fees described on its costs page (Praxis costs and limitations) against subscription tools. Our best EMR for a solo functional medicine practice guide compares those.

Does Praxis support cash or membership billing?

The Praxis functional medicine page describes integrated and professional billing (Praxis functional medicine page). It does not mention membership billing (Praxis functional medicine page). Ask Praxis directly. Cerbo and OptiMantra state membership support on their own pages, and cash and membership billing in HANS is coming soon.

What should you switch to from Praxis?

Stay on Praxis if insurance billing, e-prescribing, and its template-free charting work for you, since those are listed strengths on its own page. Move to Cerbo or OptiMantra if you need named specialty lab integrations, or to OptiMantra if you need Fullscript. Add HANS beside Praxis if the record system is fine and the bottleneck is preparing complex cases. See also our Power2Practice vs Praxis vs HANS comparison and the best EMR for functional medicine roundup.

HANS pricing

  • Solo: $297/mo billed annually ($3,564/yr)
  • Growing: $549/mo billed annually, 2x the Solo usage allowance, links licenses into one practice
  • Established: $799/mo billed annually, 3x the Solo usage allowance, newest features first
  • Clinic: volume licenses with SSO and one invoice, priced on request

HANS sells per practitioner license, with a 30-day money-back guarantee on every purchase (HANS pricing).

Frequently asked questions

What is a good Praxis EMR alternative for functional medicine?

Cerbo fits small-to-midsize cash and membership clinics, OptiMantra fits clinics with inventory and packages, and Practice Better fits solo and nutrition-led practices, based on each vendor's own pages (Cerbo functional medicine page, OptiMantra integrative and functional page, Practice Better integrations).

Does Praxis EMR use AI?

Yes. Praxis says its template-free EHR has an AI engine that learns from each physician user, and its home page describes Reflective Ambient Intelligence (Praxis functional medicine page, Praxis home).

How much does Praxis EMR cost?

Praxis's costs page lists an initial purchase price per provider license, yearly support and maintenance fees, and optional add-on costs, without published dollar amounts (Praxis costs and limitations). Contact Praxis for a quote.

Does HANS integrate with Praxis?

No. HANS has no integration with Praxis or any other EMR. Notes leave HANS as PDF or Word exports or by copy and paste (How HANS works).

What is HANS?

HANS is an AI copilot for independent functional medicine practitioners that helps them evaluate the protocols and claims patients bring in and explain them with answers grounded in each patient's own labs, history and current research.

Sources

Author and medical review

Written by Andrew Le, MD. Andrew Le, MD is the founder and CEO of HANS and the founder of Buoy Health and Renew Health.

Medically reviewed by Andrew Le, MD.

Next step

Check the plans on HANS pricing, then run HANS beside Praxis on a complex case for 30 days.