Jane App alternative for clinics run by payer rules

Booking-led or payer-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.

The clinics that outgrow it 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. Jane’s own guide says where that runs out: a prior authorization records a number of visits, not CPT units, and Jane sends no warning when one is about to expire. That operational middle is what MegAligna is built for.

Eleven rows, Jane’s strengths first

Jane's column comes from jane.app/pricing and Jane's own guides, checked October 14, 2026. Jane ships changes often: check the sources before relying on any row.

	MegAligna	Jane Practice plan
Online patient self-booking ¹	No	Yes
Chart template library ²	No	Yes
Phone support ³	No	Yes
US claim submission from inside the product ⁴	No	Partial
Free seats for admin, front desk and billers ⁵	Yes	Yes
Prices shown on the vendor website	Yes	Yes
Insurance billing included in the base price ⁷	Yes	No
Authorization units counted down, with warnings at booking ⁸	Yes	Partial
Timed units computed per payer rule from the note	Yes	Ask the vendor
Appointment cap on the entry plan ¹⁰	No	Yes
Free trial ¹¹	Yes	No

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 Jane lists over 10,000 templates. Ours ships a much smaller set focused on ABA and therapy note formats.
³ Jane offers chat, email and phone support on its plans.
⁴ Jane submits 837 claims and receives acknowledgements and remittances through a Claim.MD account you connect; its Canadian integrations include TELUS eClaims and Pacific Blue Cross. We do not transmit claims at all: every field a superbill or CMS-1500 needs is captured and exported for your biller, and the printed forms wait on our AMA CPT license.
⁵ Not a point of difference. Jane does not charge for staff without bookable hours.
⁷ Jane bills insurance features as an add-on from CAD $20 a month, and it applies to the whole account rather than per opted-in practitioner.
⁸ Jane records the authorization number, dates and, optionally, a visit count; its guide says visits are counted by number rather than CPT units and that no expiry notification is sent.
¹⁰ Jane's Balance plan is limited to 20 appointments a month. Practice and Thrive are not capped.
¹¹ Jane states it has no free trial and offers a demo account and a booked walkthrough instead. Ours is 14 days without a card.

What Jane costs at five clinicians

Jane’s entry price is real. What changes the total is the structure above it: the Practice plan carries one practitioner, each additional bookable provider is priced by the hours they book, and the tools a growing clinic reaches for (insurance billing, the AI scribe at CAD $15 per opted-in practitioner, group telehealth and payroll) are 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, US claim submission through Claim.MD, 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, checked 14 October 2026.

Planning the 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 a clinic leave Jane?

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

Does Jane submit US insurance claims now?

Yes, through its Insurance Billing add-on and a Claim.MD account you connect, which carries claims out and acknowledgements and remittances back. If that is how you want to bill, it is a point in Jane's favour; this product exports claim data to a biller instead.

Will you add online self-booking?

Patient self-booking is on the roadmap as part of the patient portal, with no committed date. If self-booking is the core of your clinic, choose Jane rather than wait.

Book a test patient against a test authorization

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