Purpose-built for aesthetic medicine.
Nextech is a well-established specialty EHR with deep clinical capabilities. Prospyr offers a modern alternative built from the ground up for med spas — with AI-powered workflows, built-in marketing, and fast onboarding.
A complete platform — clinical, marketing, and AI — purpose-built for aesthetics
Feature-by-Feature Comparison
Prospyr leads in 6 of 16 categories
| Features & Capabilities |
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Nextech |
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| HIPAA-Compliant EHR |
Complete electronic health records built for aesthetic medicine. Clinical charting with SOAP notes, ICD-10 diagnosis codes, vital sign tracking, lab results, and secure document storage. Every patient record is encrypted with full audit logging and role-based staff permissions — so you always know who accessed what.
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| Online Patient Booking |
Patients book directly from your website with real-time provider availability, multi-service selection, and provider preference. The system automatically checks room and equipment availability to prevent conflicts. Supports recurring appointments, group bookings, and deposits — with automated SMS and email reminders to reduce no-shows.
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| ePrescribing (eRx) |
Prescribe directly from the patient chart with access to nationwide pharmacy networks. View medication history, track pending refills, manage prescription change requests, and handle prior authorizations — all without leaving Prospyr. Each provider enrolls individually for full compliance.
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| Before & After Photo Management |
HIPAA-secure photo documentation with side-by-side before and after comparisons, image markup and annotation tools, and organized media galleries. Photos link directly to patient records and treatment timelines. Patients can view their own photos securely through the portal.
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| Intake Forms & Digital Consent |
Drag-and-drop form builder with unlimited custom fields for any intake workflow. Digital consent management with e-signatures and automatic PDF generation. Set location-specific or service-specific consent requirements, send paperwork requests before appointments, and import your existing forms.
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| Integrated Payment Processing |
Accept payments in-office with terminal integration or remotely via payment links and Apple Pay. Full invoice management with deposits, discounts, tips, surcharges, refunds, and authorization holds. Patients can pay through the portal or from an emailed link — reducing front desk bottlenecks.
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| Memberships & Packages |
Create membership programs with recurring billing and automatic benefit application at checkout. Bundle treatments into packages. Built-in patient wallet with store credit, gift card purchasing and transfers, coupon management, and a loyalty rewards program — all managed from one place.
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Basic |
| Full Patient Portal |
A branded self-service portal where patients book appointments, pay invoices, view treatment history, manage memberships, update payment methods, access shared clinical notes, view before/after photos, message your team, redeem rewards, and manage gift cards. Passwordless login keeps it simple for patients.
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| Email & SMS Marketing Automation |
Visual email builder with customizable templates, scheduled campaigns, and open/click analytics. SMS campaigns with scheduling and delivery tracking. Build targeted audiences using patient data, appointment history, or even natural language descriptions — then preview audience size before you send.
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Basic |
| AI-Powered Features |
AI smart notes that transcribe and structure clinical documentation from audio — saving providers time on charting. AI audience targeting that builds patient segments from plain-English descriptions. AI-powered voice call analysis for quality and training. AI lead form generation and an AI knowledge base for patient-facing Q&A.
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| Inventory & Consumable Tracking |
Track every product in your practice with brand, type, and location-level quantities. Get low-stock alerts and expiration date monitoring. Map consumables to services so inventory decrements automatically after each treatment. Manage purchase orders and vendor relationships from one dashboard.
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| Multi-Location Management |
Run multiple locations from a single account with location-specific schedules, provider assignments, consent forms, phone numbers, pricing, and surcharge rates. Providers can float between locations. Supports multi-brand operations with centralized reporting or independent configurations per site.
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| Telehealth / Video Consultations |
Offer virtual consultations with integrated video that creates meeting links automatically, sends join instructions via SMS, and supports session recording. Telehealth visits flow through the same scheduling and billing system as in-person appointments — no separate platform needed.
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| Reputation & Review Management |
Pull in Google Reviews automatically, monitor reviews across platforms, and reply to Google reviews directly from Prospyr. Track provider-level review performance and spot trends with a sentiment dashboard — helping you protect and grow your online reputation.
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| Lead Generation & CRM |
Build custom lead capture forms and embed them on your website. Track every lead through a visual pipeline with event logging, tagging, call notes, and list views. AI can generate lead forms for you. Integrates with popular CRMs for bi-directional sync so no lead falls through the cracks.
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| Built-In VoIP Phone System |
Make and receive calls directly from Prospyr with call recording, AI transcription, and smart routing. Assign dedicated phone numbers per location with caller ID. Includes full fax support — send, receive, and manage faxes without a separate service.
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| Switch to Prospyr | See the full comparison |
Common reasons practices explore alternatives
Based on user reviews and industry feedback — here's where practices often want more from Nextech.
Extended Implementation Timeline
Nextech's comprehensive feature set often requires a significant implementation investment. The transition period can be longer and more complex than newer platforms designed for faster onboarding.
Marketing and Growth Tools Are Separate
Nextech focuses on clinical workflows, but marketing automation, reputation management, and lead CRM are not included. You'll need separate vendors for these growth-critical capabilities.
Built for Specialty Medicine, Not Aesthetics Specifically
Nextech serves dermatology, ophthalmology, and other specialties. While capable, it wasn't specifically designed for the unique workflows of aesthetic medicine — consultations, treatment packages, memberships, and photo documentation.
Why practices choose Prospyr instead
Fast, Guided Onboarding
Go live in days with free data migration, a dedicated onboarding specialist, and an intuitive interface your team can learn quickly — not a months-long implementation project.
Complete Platform — Clinical + Growth
Marketing automation, reputation management, lead CRM, VoIP phone system, and AI workflows — all built into the same platform as your EHR, scheduling, and billing.
Designed for Aesthetic Medicine
Every workflow, form, and feature is built around how med spas and aesthetic practices actually operate — from consultations to treatment packages to patient loyalty programs.
Switching is easier than you think
Our dedicated migration team handles everything — patient records, appointment history, consent forms, clinical notes, and photos. You keep running your practice while we bring everything over securely.
Every migration gets a dedicated specialist, a step-by-step timeline, and a verification process so nothing gets left behind.
Ready to make the switch?
Join practices across the country that chose Prospyr for their med spa. We handle the data migration for you, for free.
Free data migration. Dedicated onboarding. Live in days, not months.