Azalea EHR Review: AI Billing & Telehealth Made Simple

At a Glance

Azalea Health was founded in 2008 in Valdosta, Georgia, by Baha Zeidan and Douglas Swords and is now headquartered in Atlanta. The company focuses on providing cloud-based healthcare IT solutions, including electronic health records (EHR), practice management, revenue cycle management, telehealth, and healthcare analytics. Their platform is designed with a provider-first approach, aiming to simplify workflows, strengthen patient interactions, and improve outcomes, particularly for rural health clinics, critical access hospitals, health systems, and small practices across the United States. Over the years, Azalea Health has been recognized for their work in healthcare technology, earning accolades such as being named one of the Top 100 Fastest-Growing Health Tech Companies by Inc. 5000. Their commitment to underserved providers, combined with features like Azalea Analytics and telehealth integrations, highlights their role as a trusted partner in advancing accessible, modern care.

Features of Azalea Health

Cloud-based platform: Azalea is fully cloud-based, meaning practices don’t need to invest in expensive on-site servers or IT infrastructure. Staff can access the system securely from anywhere with an internet connection, which makes it easier for multi-location practices and providers who need remote access.

Single patient record: The system keeps all patient information, clinical, billing, and scheduling under one record. This unified approach reduces duplicate entries and ensures that every department sees the same updated information. For providers, it means fewer errors and faster decision-making since lab results, notes, and billing details are all accessible in one place.

Patient engagement portal: Azalea includes a portal where patients can log in to schedule appointments, message providers, access records, and request prescription refills.

Health Information Exchange (HIE): The platform supports connectivity with external healthcare systems through HIE capabilities. This makes it easier to share patient data across hospitals, clinics, and specialists, improving care coordination.

Integrated billing workflows: Azalea combines clinical and financial tools within the same system, reducing the need for third-party billing software. The integrated workflows help automate coding, claims submission, and payment posting.

Customizable templates: While users report some limits on advanced customization, Azalea does provide a library of templates that can be adjusted to fit common patient conditions and specialties.

Real-time updates: Information in Azalea updates instantly across the system. When one staff member makes a change, such as entering lab results or updating demographics, it appears immediately for all users.

Telehealth sessions: The platform includes built-in telehealth functionality, allowing providers to conduct secure virtual visits within the same system they use for charting and billing. Telehealth notes and encounter details are automatically tied to the patient’s record, ensuring continuity of care without requiring separate software.

Plans & Prices

Azalea EHR does not list standard pricing on their website, but customer reviews share different experiences. One reviewer from a small business mentioned being charged $7,500 to regain access to patient records, describing it as a forced payment despite already investing heavily in the system. Another review noted being in a five-year contract that automatically renewed.

Some smaller clinics found Azalea more affordable upfront compared to larger enterprise vendors, though several reviewers noted that the base package was limited and that additional tools raised the overall cost.

Pros

AI-powered documentation and billing

Azalea Health EHR uses AI to speed up charting and billing by suggesting documentation entries, auto-coding claims, and flagging errors before submission. This reduces manual work for clinicians, improves claim accuracy, and helps practices get paid faster while maintaining consistent patient records.

Variety of templates

The platform includes a wide selection of pre-built templates that address different patient conditions and specialties. Providers can adjust these templates to fit their unique workflows, whether they’re documenting a routine check-up, managing chronic conditions, or recording more complex encounters.

Compliance certifications

Azalea holds SOC 2, HITRUST, and ONC certifications, which indicate that the system meets strict standards for security, privacy, and interoperability. These certifications give practices confidence that sensitive patient data is being handled according to industry best practices.

Demo availability

Before committing to a contract, practices can request a live demo of Azalea. This is an opportunity to see how features like scheduling, billing, or telehealth actually work in practice. Because several reviewers raised concerns about contracts, the demo is instrumental; it lets decision-makers ask direct questions, gauge how user-friendly the platform feels, and determine if the system’s workflows align with their own.

User-friendly design

Ease of use is one of the most common positives mentioned in reviews. Some reviewers said their team was fully trained in under a week, noting that the system’s interface is intuitive and easy to navigate with minimal training required. This reduces onboarding time for new employees and allows practices to get up and running quickly.

Cons

Lacks customization options

A common frustration among users is the system’s limited customization. Client reviews often mention that they cannot hide unwanted templates, which clutter the interface and make it harder to focus on the tools they actually use. In addition, the inability to add new fields or significantly edit templates restricts practices from tailoring the system to their workflows.

Downtime and performance issues

Several reviewers report frequent connection problems and periods of downtime. Because Azalea is cloud-based, internet reliability directly impacts performance, but users have also noted internal slowdowns within the platform itself. Tasks such as posting charges, running reports, or navigating between sections can lag, disrupting workflows and frustrating staff.

High costs

Pricing is another major concern raised by users. While Azalea initially appears cost-effective compared to larger enterprise systems, many practices say the costs add up quickly due to add-ons, package changes, and rate increases. Some reviewers specifically described the platform as overpriced for what it delivers, especially given its limitations in customization and speed. Others felt that they weren’t getting enough value for the cost, particularly when paying extra for features that are standard in competing systems.

Customer Experience

Most reviews of Azalea are positive. The platform holds a 3.9 rating on G2 and a 4.2 rating on both Capterra and Software Advice. Users often praise their ease of use and customer support, though some report negative experiences related to contracts and billing.

Positive reviews

Positive reviews often point to Azalea’s ease of use, helpful support staff, and smooth onboarding. Many users found the system simple to navigate for scheduling and billing, which made daily tasks more efficient. One reviewer noted their team was fully trained in just a week, with a seamless transition from their old system. Another highlighted how quickly support responded to enhancement requests, adding that the platform worked especially well in their pediatrics office with strong revenue cycle management support.

Critical reviews

Negative reviews highlight significant frustrations. Several customers said they were locked into long-term contracts without trials and felt key services were never delivered. One small practice owner reported being denied access to six months of patient records unless they paid $7,500, describing the experience as dishonest. While some complaints center on cost or slow performance, others raise deeper concerns about trust and compliance, which ultimately led some practices to leave Azalea.

How Can I Contact Azalea EHR?

To learn more about Azalea Health’s EHR, you can contact their sales team at 866-306-6097. For customer support, call 877-777-7686 or email support@azaleahealth.com. Their main office is located at 6 Concourse Parkway, Suite 2550, Atlanta, GA 30328, and general inquiries can be sent to info@azaleahealth.com. Keep in mind that Azalea is a healthcare software provider, not a medical clinic, so patients needing access to records or accounts should contact their physician directly.

You can also stay connected with Azalea Health via social media. Follow them on Facebook, LinkedIn, Instagram, and Twitter for updates and news.

Conclusion

Azalea Health offers a cloud-based EHR and practice management platform that combines documentation, billing, analytics, and telehealth in one system, making it particularly appealing to small practices, rural clinics, and critical access hospitals. Users appreciate its ease of use, responsive customer support, and certifications such as SOC 2, HITRUST, and ONC, which reinforce trust in its security and compliance standards. At the same time, reviews highlight drawbacks including high costs, limited customization, and long-term contracts that can restrict flexibility, along with occasional performance slowdowns. Azalea can deliver strong core features and simplified workflows, but it’s important to carefully evaluate pricing, contract terms, and feature needs before making a commitment.

If you are considering alternatives to Azalea, begin with our curated list of top medical software to see how other providers compare. You can then use our comparison tool to review features and pricing side by side. For more insights and industry updates, visit our blog for expert articles designed for healthcare practices.