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Comparison

Office Puzzle vs CentralReach — how to choose

Office Puzzle and CentralReach are aimed at different sizes of ABA organization: CentralReach at agencies wanting one platform across the whole revenue cycle, Office Puzzle at smaller and mid-sized providers wanting something lighter to run. Neither publishes a public rate card, so both evaluations begin with a quote against your own headcount.

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The comparison is really about size

Agencies rarely short-list these two because they look alike. They short-list them because they are at the point where the question is no longer “which ABA platform” but “how much platform do we actually need”.

CentralReach sells breadth: one system intended to carry an agency from intake through claim submission and remittance, with a decade of accumulated depth aimed at large, multi-site organizations. Office Puzzle is positioned at the smaller and mid-sized end of the same market, where that breadth is a cost rather than a feature — the depth an eighty-clinician agency needs is overhead for a twelve-clinician one.

So the honest framing is not which product is better. It is whether you are buying a system to grow into or a system to run today.

What to compare them on

A frame for your own evaluation, not a verdict. We hold no dated public source on Office Puzzle, so its column is left for you to fill in on the demo call.

  MegAligna Office Puzzle CentralReach
Published pricing Yes No No
Priced per active clinical seat, clients free Yes Ask the vendor Ask the vendor
Modules in the plan 3 One plan, everything in it Ask the vendor Ask the vendor
Direct electronic claim submission 4 No Ask the vendor Yes
  • 3 The size question in one row. Count the modules you would open in a normal week, then ask each vendor to quote only those — a quote that includes what you were shown in the demo describes the demo, not your agency.
  • 4 CentralReach's breadth includes claim submission and remittance, and this is the row where we lose outright. If your agency files its own claims electronically, rule us out here and spend the time on the other two.

Take the size framing into both demos. The questions that separate a system you grow into from one you outgrow are these:

  • Which modules are in the quote, and which would a team our size open in a normal week?
  • What does the quote become at twice our headcount — and at half?
  • Who configures the system on day one, and is that a separate line?
  • How long does leaving take, and what does the export actually contain?

The second question is the one to write down. The answer matters at renewal, which is exactly when nobody remembers what was said on the sales call.

Where MegAligna fits, and where it does not

If size is the real question, a third answer is a system priced so that size stops changing the rate: MegAligna publishes its prices and charges per active clinical seat, so a twelve-clinician agency and an eighty-clinician one pay the same per person, and clients are never counted. Technicians keep working through a dropped connection, because in-progress session data is held on the device.

The gap is precisely the thing CentralReach is strongest at. We do not transmit claims to payers — charges leave for your biller as an export, and the CMS-1500 field guide shows what that export carries. An agency that files its own claims, depends on something a decade-old platform has built and we have not, or is mid-audit should stay where it is.

Common questions

Which one is cheaper, Office Puzzle or CentralReach?
Neither publishes a rate card, so the honest answer only arrives as two quotes. Ask both to price the same headcount and client count, and ask what unit each one counts. A figure quoted online for either is a third-party estimate: useful as a rough bracket, not as a price.
Is Office Puzzle a full CentralReach replacement?
That depends entirely on which parts of CentralReach you actually use. Agencies that use it as a records and scheduling system have a much wider set of alternatives than agencies that run their whole revenue cycle through it, and the second group should map every workflow they would be giving up before shortlisting anything.
Is CentralReach private-equity owned?
No. CentralReach was acquired by Roper Technologies in March 2025. Roper is a strategic acquirer that holds businesses long-term, which is a materially different ownership model from private equity, and the distinction matters if your concern is what happens to the product roadmap.
Can we pilot a smaller system alongside CentralReach?
Yes, but not with real records on a trial. A pilot puts client information in the new system, and that needs a business associate agreement in place first — ask each vendor for theirs. Before that point, rebuild one team's typical week in test data and see whether the smaller system covers it. MegAligna bills per active clinical seat, so a later pilot costs one team, not the agency.

See how much system you actually need

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

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