Two very different amounts of software
Office Puzzle’s pitch is a single price for everything: $19.99 per user per month, with every feature in every account, unlimited clients and no tiers or add-ons. Its about page says it began as a tool for one RBT in 2018 and now serves more than 800 practices. The feature list covers service plans, session data, AI-drafted notes, scheduling, payroll calculation, EVV and claims.
CentralReach sells a suite. Its home page lists practice management and data collection, AI scheduling, ABLLS-R and AFLS assessments, AI note drafting and note checking, caregiver training, a staff learning-management system, AI claim tools, the BillMax managed-billing service and a separate PK-12 special education line: used, it says, by 4,000 practices and over 200,000 professionals. It has a smaller edition, CR Essentials, aimed at startup and small practices. Neither edition shows a price.
That gap in scope is the comparison. A twelve-clinician agency will not open most of CentralReach’s modules; an eighty-clinician agency may need several that Office Puzzle does not list.
What each vendor says on its own site
Competitor cells restate each vendor's own pages as checked on October 14, 2026; the pages are listed under Sources.
| MegAligna | Office Puzzle | CentralReach | |
|---|---|---|---|
| Price | $20 per clinical seat | $19.99 per user, per month | Not published |
| Who counts toward the price 2 | Clinical staff only | Every user, including admin and billing staff | Ask the vendor |
| Claims submitted to payers 3 | No | yes, batched by payer and submitted | yes, electronic, from session notes |
| Offline session capture | Yes | Not stated on its site | yes, CR Mobile, iOS and Android |
| Free trial | 14 days | 30 days, no card | Demo or consultation |
- 2 Office Puzzle's FAQ defines a user as any staff member who needs access: BCBAs, RBTs, administrators and billers alike. Count your logins, not just your clinicians, before comparing.
- 3 Both competitors submit claims; we export charges to your biller instead. If you file electronically yourself, that settles it against us.
Sizing the decision
Office Puzzle’s arithmetic is something you can do before any call: a team of 25 logins lists at $499.75 a month. CentralReach’s number arrives only after discovery, so bring three things to that call: your weekly-login count, the modules you would open in an ordinary week, and the question of what the quote becomes if headcount halves. CentralReach pricing covers what moves that quote, and CentralReach vs Rethink covers who owns it. If the other name on your shortlist is AlohaABA rather than CentralReach, Office Puzzle vs AlohaABA sets Office Puzzle’s single per-user price against AlohaABA’s per-staff price with data collection sold per client.
On the same 25 people, MegAligna‘s price depends on how many are clinical, because admin, front-desk and biller seats are free. What we lack is the thing both of these have: we do not transmit claims to payers, and charges leave for your biller as an export (what the export carries).
Common questions
Is Office Puzzle cheaper than CentralReach?
Does CentralReach have a version for small practices?
Can Office Puzzle replace CentralReach entirely?
Can we pilot a smaller system alongside CentralReach?
Price your clinical team, not your logins
14 days, no card required. Use made-up patients while you evaluate: real patient information waits until a business associate agreement is in place.
Sources
- Office Puzzle pricing, $19.99 per user per month, all features, unlimited clients, 30-day trial, no contract (checked October 14, 2026)
- Office Puzzle FAQ, who counts as a user; integrated billing and claims management (checked October 14, 2026)
- Office Puzzle billing and compliance, claims batched by payer and submitted to any payer (checked October 14, 2026)
- Office Puzzle about page, since 2018, 800+ practices, began as a tool for one RBT (checked October 14, 2026)
- CentralReach home page, 4,000 practices, 200,000 professionals, full product lineup, demo-only buying path (checked October 14, 2026)
- CentralReach PM + Clinical, electronic claim submission from session notes (checked October 14, 2026)
- CentralReach CR Mobile, iOS and Android, offline capture (checked October 14, 2026)
- CR Essentials, CentralReach's edition for startup and small practices, no price listed (checked October 14, 2026)