A Jane app alternative for clinics that run on billing rigor

Jane is well-liked multi-discipline clinic software with strong online booking and published pricing. MegAligna is an alternative for practices whose center of gravity is clinical and billing rigor rather than self-booking: authorization tracking, timed-unit charge capture, superbills and biller-ready exports. Jane remains the better choice if online patient self-booking is how your schedule fills.

Jane vs MegAligna: booking-led against operations-led

Jane is organized around the patient booking online: the schedule fills itself, and everything downstream follows from it. Clinics whose growth runs on that loop — wellness-leaning, direct-booking, multi-discipline — are well served by Jane and have little reason to move.

Practices that outgrow Jane tend to share a shape. Care is driven by authorizations or referrals rather than self-booking, charges carry units and modifiers a biller scrutinizes, and the front desk spends its day on payer paperwork. That operational middle is what MegAligna is built for.

Jane vs MegAligna: feature comparison

Jane's column is taken from jane.app/pricing, retrieved 4 August 2026. Jane ships changes often — check the source before relying on any row. Rows where Jane is ahead are included.

	MegAligna	Jane Practice plan
Online patient self-booking ¹	No	Yes
Free seats for admin, front desk and billers ²	Yes	Yes
Published price	Yes	Yes
Insurance billing included in the base price ⁴	Yes	No
US direct-to-payer submission from the vendor ⁵	No	No
Authorization unit tracking with warnings at booking ⁶	Yes	No
Timed units computed per payer rule from the note	Yes	Partial
Appointment volume cap on the entry plan ⁸	No	Yes
Free trial ⁹	Yes	No
Chart template library ¹⁰	No	Yes
Phone support ¹¹	No	Yes

¹ Jane's signature strength, and not available here at all. For a clinic whose bookings arrive through its website, this row alone is a sufficient reason to choose Jane.
² Not a point of difference. Jane charges only for profiles with bookable hours, so admin and support staff are free there too.
⁴ Jane bills insurance features as an add-on from $20/month, and the fee applies across the whole account rather than per opted-in provider.
⁵ Neither product does this. Jane's direct integrations — TELUS eClaims, Teleplan, Pacific Blue Cross ProviderNet — are Canadian. We do not transmit claims at all: we capture every field a superbill or CMS-1500 needs and export it for your biller. The rendered PDFs are gated on AMA CPT licensing and not released yet.
⁶ Jane's published feature list covers insurance policies and claim-state tracking; authorization units drawn down per appointment are not among them.
⁸ Jane's Balance plan is capped at 20 appointments a month. Their Practice and Thrive plans are uncapped.
⁹ Jane states it has no free trial, offering a demo account and a booked walkthrough instead. Ours is 14 days without a card.
¹⁰ Jane publishes a library of over 10,000 templates. Ours ships a much smaller set focused on ABA and therapy note formats.
¹¹ Jane offers chat, email and phone with no time limits, and it is one of the most consistently praised things about them.

What Jane costs at five clinicians

Jane’s entry price is genuine. What changes the total a year in is the structure above it: the base plan carries one practitioner, each additional bookable provider is priced by the hours they book, and four capabilities a growing clinic reaches for — insurance billing, AI scribe, group telehealth and payroll — are billed as separate add-ons.

A five-clinician practice with one administrator

Five full-time bookable clinicians and one non-bookable admin, wanting insurance billing. Both products bill the admin seat at zero.

Base plan, first clinician: CAD $79/month, includes one full-time practitioner.
4 more full-time clinicians: CAD $35 each per month for staff booking 24+ hours a week; $17.50 part-time.
Insurance Billing add-on: CAD $20/month plus $5 per additional full-timer — applied account-wide, not per provider.
5 clinical seats: USD $20 per active clinical seat. Admin, front desk and biller seats are free, and clients are never counted.

In fairness: Jane's stack buys things ours does not have at all — online patient self-booking, 1:1 telehealth, a 10,000-template chart library and phone support. If those matter to your practice, the higher number is buying something real. The comparison is only useful for a practice that would not use them.

Currencies are shown as each vendor publishes them and are not converted. Jane figures from jane.app/pricing, retrieved 4 August 2026.

Planning the actual move is a separate job from choosing: switching from Jane covers what the importer accepts, what happens to standing appointments on cutover, and the order to do it in.

Common questions

Why would anyone leave Jane?

Usually a payer, not the product: the practice signs contracts that bring authorizations, timed units and audits, and discovers its software is organized around the calendar rather than the payer file. Nothing broke — the business model changed underneath it.

Can both systems run during a transition?

Yes, and they should for one billing cycle: Jane keeps historical records and any in-flight patient payments; new visits document and bill from here. Demographics and schedules import via CSV.

Will you add online self-booking?

Patient self-booking is on the roadmap as part of the patient portal, with no committed date. Practices for which self-booking is the core loop should choose Jane rather than wait.

Try it end to end with test data

14 days, no card required. Use made-up patients while you evaluate — real patient information waits until a business associate agreement is in place.

Start a 14-day free trial See pricing