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MegAligna

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Scheduling Clinical notes Intake Patient portal Billing Reporting

ABA

ABA therapy software ABA scheduling ABA data collection Supervision calculator

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Comparison

Office Puzzle vs Rethink: operations or clinical content?

RethinkBH bundles practice management with a content library (RBT training, clinical protocols, parent training tools) plus a medical-necessity assessment, and prices by users, modules and services on request. Office Puzzle sells scheduling, sessions, notes, payroll and claims at a published $19.99 per user per month and advertises no curriculum. Decide whether you are buying content or operations.

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People type “office puzzle vs rethink” because both sell ABA practice software, but the two vendors are selling different things.

RethinkBH, the provider product of RethinkFirst, which also sells to employers and school districts: bundles scheduling, data collection, billing and documentation with content. Its provider page describes a library of RBT training resources, clinical protocols and parent-training tools, an on-demand RBT training course, a medical-necessity assessment and a parent portal. It says the platform is trusted by 96,000 providers, and states that pricing “varies depending on the number of users, modules, and services”.

Office Puzzle sells operations: service plans, session data, AI-drafted notes, scheduling, payroll calculation, EVV and claims, at $19.99 per user per month with everything included. Its pages describe no curriculum, assessment or training library.

Laid out side by side

Competitor cells restate each vendor's own pages as checked on October 14, 2026; sources are listed at the end of the page.

  MegAligna Office Puzzle RethinkBH
Training, protocol and curriculum content 1 No Not described yes, library of training resources, protocols and parent tools
Price Published, per clinical seat Published, $19.99 per user, per month On request, by users, modules and services
Claims to payers 3 No yes, batched by payer yes, BillAI, submitting through Stedi, with ERA auto-posting
Outsourced billing No Not advertised yes, managed billing run by RethinkBH
  • 1 If content is part of what you are buying, ask Rethink which parts of the library sit in the base quote and which are separate modules.
  • 3 We do not transmit claims; charges leave for your biller as an export.

Which weighting suits your agency

An agency that wants curriculum and staff training bought with its platform should weight the library rows and ask what happens to programs written on Rethink’s protocols if it leaves: content-linked programs are the part of an ABA record least likely to export cleanly. An agency that already has its own programs is buying operations, and Office Puzzle’s published price lets it check the arithmetic before a call. Rethink’s ownership and how it compares with the other large incumbent are on CentralReach vs Rethink.

If you bring your own programs, MegAligna is one more operations option: it ships no curriculum, lists its price per active clinical seat with clients never counted, and keeps session capture working through a dropped connection. Unlike both vendors here, it does not send claims to payers (what the biller export carries).

Common questions

Does Rethink publish its prices?
No. Its provider page says pricing varies with the number of users, modules and services and is quoted on request. Office Puzzle publishes $19.99 per user per month.
Is Rethink mainly a clinical content product?
It is a full practice-management system (scheduling, data collection, billing, notes) with a content library attached. The library is what Office Puzzle has no equivalent for.
Which claims network does each use?
RethinkBH names Stedi. Office Puzzle says it connects with any payer but does not name the network it uses, so ask during the demo.
Can we pilot a new system alongside the old one?
Once a business associate agreement covers the new system, before that, a pilot would put real client records somewhere no contract protects them. Office Puzzle's 30-day trial works with test clients in the meantime, and because MegAligna bills per active clinical seat, a later pilot costs one team rather than the whole agency.

Try it if you bring your own programs

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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Sources

  1. RethinkBH for providers, training and protocol library, iOS/Android apps, 96,000 providers, pricing varies by users, modules and services (checked October 14, 2026)
  2. RethinkBH BillAI, claims submitted through Stedi, ERA auto-posting, managed billing option (checked October 14, 2026)
  3. RethinkFirst home page, parent company serving employers, school districts and clinical practices (checked October 14, 2026)
  4. Office Puzzle pricing, $19.99 per user per month, all features, unlimited clients, 30-day trial (checked October 14, 2026)
  5. Office Puzzle clinical features, service plans, real-time data, AI-assisted note drafts; no curriculum described (checked October 14, 2026)
  6. Office Puzzle billing and compliance, claims batched by payer and submitted (checked October 14, 2026)