Change Healthcare (Optum) vs eClinicalWorks
Side-by-side from the Top 11 rankings of The 11 Best Revenue Cycle Management Software (2026) and The 11 Best EHR Software for Medical Practices (2026). Last verified July 12, 2026.
The short answer
eClinicalWorks ranks higher on Top 11 (#4 vs #6) for Practice administrators, CFOs, and billing leaders at hospitals, physician groups, and specialty practices / Physicians and practice managers choosing an electronic health records system. A feature-rich, unified platform for small to mid-sized private practices.
At a glance
| Change Healthcare (Optum) | eClinicalWorks | |
|---|---|---|
| Top 11 rank | #6 / The 11 Best Revenue Cycle Management Software (2026) | #4 / The 11 Best EHR Software for Medical Practices (2026) |
| Score (out of 9.4) | 8.2 | 8.6 |
| Best for | Very large clearinghouse and payer reach | All-in-one for SMB practices |
| Pricing | $$$ (custom, per-transaction) | $$$ ($449 to $699/mo/provider) |
| HQ | Nashville, USA | Westborough, MA, USA |
| Founded | 2007 | 1999 |
Change Healthcare (Optum)
One of the largest US clearinghouses, with a 2024 outage on its record.
www.optum.com/en/business/insights/change-healthcare.htmlSee full entry in The 11 Best Revenue Cycle Management Software (2026)
eClinicalWorks
A feature-rich, unified platform for small to mid-sized private practices.
www.eclinicalworks.comSee full entry in The 11 Best EHR Software for Medical Practices (2026)
Methodology and scoring weights live at /methodology. No vendor pays for placement — see about.