Neither of these is the incumbent, which changes the question
An agency comparing two platforms this size has usually already ruled out the big one. That is worth saying out loud, because it means the decision is not “how much system do we need” — it is “which small vendor do we want to depend on”, and those are different questions with different failure modes.
Depending on a small vendor is not a worse bet than depending on a large one. It is a differently-shaped bet: you get people who answer the phone and a roadmap you can influence, and you carry the risk that a capability you need next year does not arrive. So the evaluation should spend less time on feature checklists, which both will pass, and more on the two things that are hard to reverse — how data goes in, and how it comes out.
What to compare them on
Both vendors are small and neither has published enough for us to cite with a date, so every competitor cell is a question for the demo rather than an answer from us.
| MegAligna | Office Puzzle | ABA Matrix | |
|---|---|---|---|
| Published pricing | Yes | No | No |
| Priced per active clinical seat, clients free | Yes | Ask the vendor | Ask the vendor |
| Program and goal library imported, not rebuilt 3 | Yes | Ask the vendor | Ask the vendor |
| Direct electronic claim submission 4 | No | Ask the vendor | Ask the vendor |
- 3 Between two small vendors, the library is where switching cost hides. Ask whether either imports one at all and in what format; a library rebuilt by hand is weeks of a BCBA's time that no quote mentions.
- 4 We do not transmit claims to payers. If either of these does and your agency relies on it, that settles the comparison before anything else on this page.
Because both are small, the questions that matter are about the company as much as the product:
- How many agencies our size run on it today, and will you put us in touch with one?
- Who answers when a technician is stuck mid-session — a support team, or the founder?
- What is on the roadmap for the next twelve months, and what happened to last year’s?
- If the company is acquired or closes, how do we get our data out, and in what format?
The first question is the one small vendors answer best and large ones answer worst, and it is worth more than any feature row: an agency your size already running the thing will tell you in ten minutes what a quarter of evaluation would.
Where MegAligna fits, and where it does not
Choosing between two small vendors is already a bet on a company rather than a feature grid, and a third option is one more bet of the same shape — newer than either. What would make it worth a look: a price you can check without a call, per-seat billing with learners never charged for, and session capture that keeps a technician’s in-progress data through a dropped connection.
What would rule it out: we do not transmit claims to payers, so charges go to a biller as an export — the CMS-1500 field guide shows what that export carries. An agency that files its own claims, needs a capability we have not built, or is mid-audit should not switch to any of the three.
Common questions
Which one is cheaper, Office Puzzle or ABA Matrix?
Is a smaller vendor riskier than CentralReach?
Can we trial one without moving our real data?
What should we ask a reference customer?
Add a third small vendor to the shortlist
14 days, no card required. Use made-up patients while you evaluate — real patient information waits until a business associate agreement is in place.