Blog

Nov 19, 2026

Elation EHR alternatives for cash-pay practices (2026)

Elation EHR alternatives for cash-pay functional and longevity practices: Elation's real 2026 prices, what its AI does, how to export your data, who should stay.

Sunita Mohanty

Founder & CEO of Ultralight

Dr. Lexi Gonzales

Medical Reviewer

If you run a cash-pay functional or longevity practice and you are looking for Elation EHR alternatives, this guide is for you. Elation Health is a primary care EHR. Its homepage headline reads "Modern Primary Care Runs on Elation," and its title tag calls it "An AI-Native EHR Platform for Primary Care." It is a common first pick for physicians starting a direct primary care practice, and because many longevity and functional medicine practices start as cash-pay primary care, Elation keeps showing up on our prospects' shortlists.

Here is the test I would apply to any EHR that calls itself AI-native: does the AI work across the whole chart, reading labs, wearables, messages, and prior visits, and does it help you make better clinical decisions, or does it write the note and stop? By that test Elation's AI is a scribe plus summaries. Below: what Elation's AI does and does not do, what Elation really costs once you add what a longevity practice needs, how to get your data out, which alternative fits which practice, and who should stay.

Every price below comes from the vendor's own published page, retrieved October 8, 2026 and re-checked November 11, 2026. Elation's list prices come from its public EHR Product Guide, since its pricing page shows no numbers. Every quote comes from a recorded call with a clinician or practice staff member who uses or used Elation, reproduced word for word and anonymized. Ultralight is our product. We say where we think it fits and who should stay on Elation.

Elation EHR alternatives: the shortlist by practice type

The best Elation EHR alternative depends on what your practice does. For cash-pay functional and longevity practices, Ultralight puts the AI scribe, copilot, clinical decision support, telehealth, wearables, and patient app in one $525 seat. For coaching and program-based practices, Practice Better or Healthie. Cerbo is the incumbent functional medicine EHR with many direct lab connections and an AI scribe, without a copilot. Insurance or hybrid practices should usually stay on Elation.

Ultralight

Fits: cash-pay functional and longevity practices, solo or group, that want the AI scribe, copilot, clinical decision support, telehealth, wearables, and patient app in one seat price.
Published price: $525 per prescribing seat, $300 per non-prescribing seat, $50 per month for unlimited admin users, $995 implementation. Launch pricing for practices under 50 patients; ask about discounts.
Confirm in the demo: how labs become trended values, what the copilot prepares before a visit, how clinical decision support can be tailored to your own protocols and SOPs, and the migration scope for your Elation export.

Cerbo

Fits: functional and integrative practices that want an established incumbent with direct connections to specialty labs (Cerbo's features page says "more than 40") and in-chart dispensing, and that do not need a copilot.
Published price: $281 per prescribing provider, plus $79 patient portal, $27 telehealth, $27 fax, and $29 to $59 AI Scribe. Setup $1,195.
Confirm in the demo: the all-in monthly number with every add-on, how faxed or PDF labs get trended, and what the AI does beyond the note. Our Cerbo EHR alternatives guide covers it in full.

Practice Better or Healthie

Fits: coaching, nutrition, and program-based practices, and virtual practices that run on programs and client engagement. Both sell e-prescribing as an add-on.
Published price: Practice Better Starter $35, Professional $69, Plus $99, Team $155 per month. Healthie Essentials $49.99, Plus $129.99, Group $149.99 per month plus $50 per added clinician. Healthie's Enterprise tier and API access are priced separately and not published; expect both to cost a lot more than the plan price.
Confirm in the demo: client limits per plan, prescribing eligibility, what the metered AI add-on does at your visit volume, and for Healthie, the API and Enterprise quote in writing.

Stay on Elation

Fits: insurance or hybrid practices that want fast primary care charting and a chart laid out like Epic.
Published price: $375 per DPC provider or $425 per standard provider. Not included in that seat: Elation AI (the scribe) at $199, telehealth at $25, API access at $150, read-only access at $50, each per provider per month, plus 2.99% on membership payments and 3.99% on patient payments. No wearable integration at any price.
Confirm before renewing: your all-in number with Elation AI and telehealth, and the 60-day notice date in your contract.

How much does Elation EHR cost in 2026?

Elation EHR costs $425 per provider per month for a Standard Provider and $375 for a DPC Provider, per Elation's public EHR Product Guide. Elation AI (Note Assist, the ambient scribe) is $199 per provider per month beyond 10 free notes, telehealth is $25, and API access is $150. A solo provider with scribe and telehealth pays $649 per month at list on the Standard tier. Implementation is not published; one quote we saw was $1,040. A functional or longevity practice then adds tools Elation does not have, which is where the real number lives. The detail is below.

Elation's pricing page shows no prices. It says "Tailored pricing with a technology partner that is with you every step of the way," and asks you to fill out a form. Review sites fill the gap with a stale number: ITQlick, TrustRadius, and medicalrecords.com all repeat "$349" or "$350 per provider per month," with no source, and none of them match what Elation itself publishes.

Elation does publish a rate card. Its EHR Product Guide, a public page last modified April 21, 2026 and described in its own metadata as information "for current customers only," lists these per-provider, per-month prices (retrieved October 8, 2026, unchanged November 11, 2026):

Standard Provider: $425
Standard DPC Provider: $375
Premium Provider: $500
Elation AI (Note Assist, the ambient scribe): $199
Integrated Telehealth: $25
Developer Platform Core (API access): $150
Read-only access for an inactive account: $50
Non-prescribing or limited-use user: $215 (Standard) or $250 (Premium)
Membership Management: 2.99% of collected card payments. Patient Payments: 3.99%.
eFax: 1,500 pages per prescribing provider per month included, then $0.07 per page.

Implementation is not on the rate card. Elation's own data migration page says inbound data migration is complimentary when you join.

What Elation AI does and does not do

Elation's pricing page headline reads "See EHR Pricing: Now With Free, Native-AI Solutions Included," and its September 3, 2026 press release says its AI features are available "for no additional cost." The rate card lists Elation AI at $199 per provider per month. Elation's Note Assist guide explains the gap: every provider gets 10 AI-generated notes per month at no cost, and "an optional unlimited upgrade is available." Ten notes a month is two or three clinic days. A full-time practice is paying the add-on.

Here is what the AI is, in Elation's own words:

Note Assist is "Elation's leading ambient scribe clinical documentation tool." It listens to the visit, writes the note, and "tracks the action items you want your patient to complete after their visit."
Actions turns what you said in the visit into tasks such as lab orders and referrals for you to "review and sign off on."
Clinical Insights produces "fast, cited chart summaries that help clinicians prepare for visits" from problem lists, medications, visit notes, labs, vitals, and immunizations.
Wordsmith drafts referral letters, provider letters, and patient letters.

That is an ambient scribe, task extraction, chart summaries, and letter drafting. Nothing on Elation's pages describes a copilot you can ask questions of across the chart, clinical decision support tuned to your protocols, or any reading of wearable data, because Elation has no wearable integration. Elation's own site never uses the words "copilot" or "clinical decision support." If those are what you mean by AI-native, Elation is not it, and its telehealth is a Zoom add-on that Elation's help center says "may come with additional fees."

The quote a longevity physician read to us

In late September, a physician launching a solo cash-pay longevity practice next spring was on a demo with our team. He had an Elation quote he had not signed, and he read it to us line by line:

EHR: $425 per provider per month
Telemedicine: $25 per user per month
Note Assist, the ambient scribe: $129 per provider per month
"Developer ongoing costs": $150 per month. His words: "I don't know what that means."
Implementation: $1,040 one time

That is $729 per month plus $1,040 up front for one provider. His Note Assist line was $70 below the $199 list price, so the rate card is a starting point and Elation negotiates. His developer line is the one he could not explain, and neither can we; the rate card describes it as API access, and his practice is not building software. If you are handed an Elation quote, ask what each line is for and which ones you can strike. Without the developer line, his quote was $579 per month.

Earlier in the same call he had said, "Elation health is obviously a little bit cheaper but obviously it's missing a whole lot of this stuff." The base seat is cheaper. The full configuration was not, and the tools he would still have needed are below.

Is Elation EHR built for functional or longevity medicine?

No, and Elation does not claim otherwise. Elation markets to primary care and direct primary care. Its specialties page lists Family Medicine, Geriatrics, Pediatrics, Internal Medicine, and GYN and Women's Health, plus a platform "designed for DPC and patient membership management." Functional medicine appears on its site as one option in the specialty dropdown of its pricing form. Longevity does not appear on either page.

A longevity or functional practice runs on different data: specialty lab panels that arrive as PDFs, biological age and glycan age tests, continuous glucose, sleep and HRV from a ring or a watch, and protocols that change based on trends. On Elation, that data has nowhere to go. There is no wearable integration. Elation's partner directory routes wearables to Heads Up Health, a separate analytics platform priced at $250 per month plus $6 per client, with $1,000 onboarding, on its Professional plan (retrieved November 11, 2026). The scribe is a separate line. Patient texting is a separate app. Membership billing is a separate app.

The longevity physician with the quote described his planned stack on the call: Elation, Spruce for patient texting, Hint for memberships, Health Compiler for analytics, Heidi for notes, and QuickBooks. Ten seconds into the call he said, "I have a lot of moving parts and if there's a way to consolidate, that'd be great." Each of those tools works. Together they are five logins, five bills, and a chart that does not see the texts, the memberships, the wearable data, or the specialty labs. For primary care, that trade is fine. For a practice whose product is the trend line, the chart has to hold the trend.

What do clinicians say about Elation EHR?

Clinicians on Elation praise the charting speed and the Epic-like layout, and complain about support, small workflow gaps, and price. Elation has 83 reviews on Software Advice at 3.8 out of 5 overall, with ease of use the highest-rated category at 4.2 and customer support the lowest at 3.3. The quotes below are from recorded calls between July and September 2026 with clinicians who were on Elation at the time or had just left it. Anonymized, word for word.

The paper cuts. A functional medicine physician two years on Elation:

"A lot of stuff doesn't work well." "It's kind of outdated."
On Fullscript: "It's integrated with FullScript, but like somehow it pulls it in like 25 times." "It's like the same one listed like five times."
On fax: "The fax was driving me the craziest because we would send a fax for a referral and then you never know if it gets through or it doesn't get through."
On intake: "It looks like it's trying to be automated and integrated, but, like, it's not."
On cash-pay billing: "It won't let you send super bills." "But like, it's been two years and I'm asking for that because I'm just cash pay."
And, fairly: "I don't know, it's not like the worst ever."

Support.

The same physician: "And customer service is pretty bad." "You can't get anything fixed."
A physician at a membership practice, waiting on his export from Elation: "Talking to them is like screaming at a brick wall."
Reviewers on Software Advice describe support as ticket-based, and several say they could not reach a person when they needed one.

What they liked.

The same functional medicine physician: "I like the way it looks." "Like it's kind of set up like epic, which I'm used to in other settings." "So that's kind of why I've stayed with it."
A concierge physician with about a thousand patients on Elation: "It does what we need." "But overall it's a simple EMR that's easy to navigate."
A staff member at a California membership practice, on the state immunization registry sync: "You can hit check care registry and then it syncs with it, pulls any immunization records from the registry and then you can just import it straight into the chart." "Super helpful, actually." We do not have a state immunization registry connection today.

How do you export your data from Elation?

You can export your data from Elation as C-CDA, PDF, and CSV files. Single-patient exports are self-service; a practice-wide export goes through Elation Support and arrives as a password-protected zip with a download link that expires in six days. Elation is ONC-certified, which is why a standard export exists at all, and that is good news for anyone leaving. The detail, from Elation's own pages, retrieved October 8, 2026:

Elation's Drummond certification page says "Elation Health version 3.0 was ONC-certified on December 31, 2018."
From the EHI Export Criteria and offboarding checklist: you can self-serve single-patient C-CDA and EHI exports. A practice-wide export goes through Support and comes as PDFs, CSVs, and XML/C-CDA, in a password-protected zip.
"You will have 6 days to download the file before the download link expires."
The EHI export "does not support cohorting or filtering of patient data." You get everyone.
"Expedited or customized exports may include additional costs."
Under Elation's service agreement, you can request your export "within sixty (60) calendar days of the date of termination" at no additional cost. After that window Elation may delete your content. Read-only access past termination is $50 per provider per month on the rate card.

Two things to know before you request it. First, Elation's export is not clean. Our practice success lead, who has run several Elation migrations into Ultralight, explained what Elation sends: it "doesn't distinguish medications and supplements, it just puts it all in one," and "it doesn't actually send us the start dates or end dates to most things, including active problems list." Future appointments are not in the export at all; you rebook them. Second, the export can run late and large. One membership practice waited on its file past the date Elation promised, and when it arrived, "it took me like three hours to upload a 40 gigabyte file into the shared drive."

Four rules for leaving Elation:

Find your renewal date and count back 60 days. Elation's contract auto-renews for a year unless you give written notice 60 days out, so that is your real deadline.
Request the full export through Support before you give notice, and download it the day the link arrives. Six days is not long.
Ask your new vendor, in writing, which Elation data types become structured fields and which land as PDFs, and who cleans up the rest.
Keep a local copy of the export, or read-only access, for at least a quarter.

For the general playbook, including when not to switch, see How to switch EHRs (and when you shouldn't).

Ultralight as an Elation alternative: what you get and what we have not built

Ultralight (formerly Vibrant Practice) is an AI-native EHR for functional, integrative, and longevity practices. We have launched more than 80 practices on it, about half of them migrations from another EHR and half new practices, and the value they describe comes down to two things: fewer tools, with more of the practice in one place, and AI they can use across their work rather than in one feature. This is our product, so read the shortlist above too.

Price: Core plan $525 per prescribing seat per month, $300 per non-prescribing seat, $50 per month for unlimited admin users. Implementation $995 per practice. Data migration custom priced by record count and complexity. Launch plan with special pricing for practices under 50 patients; ask about discounts. (pricing)
Included in the seat, no add-on fees: patient app and portal with messaging, telehealth, e-fax, the AI scribe, the AI copilot, clinical decision support in every chart, wearable integrations, and hands-on onboarding with a dedicated Slack channel. Elation prices the scribe and telehealth separately and has no wearable integration. Not included in our seat today: health record exchange access, SMS integration, and API access. Some of our practices add HIPAA-compliant SMS through an outside app, and the Hint Health membership billing integration is listed by Hint at $100 per month for 100 members ($50 per month for 50 members on the launch plan).
AI scribe. Works for in-person and telehealth visits and drafts your note from the conversation, with no note cap. After the visit it drafts the after-visit summary and a structured care plan covering supplements, medications, nutrition, and lifestyle, and it queues the lab and supplement orders you spoke about for you to review and send.
AI copilot. A chat panel that sits beside the chart with the full context of that patient: labs, specialty panels, wearable data, prior notes, questionnaires, and messages. Ask it to prepare you for a visit, pull every marker that has moved since the last panel, or calculate something from the patient's values. During his demo, the longevity physician asked whether the PhenoAge calculation he had built as a Heidi template could live inside the chart. It can, as a saved prompt the copilot runs against the full chart.
Clinical decision support. This is the part clinicians tell us makes them feel like better clinicians, not just faster ones. You set your own optimal ranges, and the chart flags what is in and out of range by your standards rather than the lab's. You save your protocols and SOPs as snippets, and the copilot applies them to the patient in front of you: compare this patient's labs to my age-adjusted targets, draft my HRT protocol for these values, find the ICD-10 codes for this assessment. The AI brings the evidence and your own rules to the visit; you make the call. See AI scribe, copilot, and clinical intelligence for the full feature list.
Integrations: Quest and Labcorp, with BioReference for New York and New Jersey; specialty lab results parsed from the PDF into trended values, with direct specialty lab connections in progress (ask us for dates); Fullscript for supplements; e-prescribing through Photon, with DoseSpot for compounded and controlled medications; wearables such as Oura, Apple Health, Dexcom, and Freestyle Libre (the full list is in our wearable data guide); and payments through Hint and Stripe.
Migration from Elation: We take Elation's export (PDF, C-CDA, CSV), run a dry run, and give you a report of what we found before you approve the full migration. Our AI parses the PDFs into structured labs, notes, medications, and documents. You get a chart filled in with the years of data you bring, organized the way you would chart it, rather than a folder of documents attached to an empty chart your team has to fill. We tell you now what will need cleanup: medications and supplements come as one list, problem lists come without dates, and appointments do not come at all.
Not built yet: a state immunization registry connection, IV ordering, and inventory tracking. If any is core to your practice today, ask us for dates before you sign.

For a wider field, including OptiMantra, Charm, and Jane, see our best EHRs for functional and longevity medicine guide.

Elation vs Ultralight pricing, on the same configuration

On the same configuration, Ultralight costs less than Elation once you add the scribe, and far less once you add the tools a longevity practice needs around Elation. A solo prescriber with scribe and telehealth pays $649 per month on Elation's Standard tier at list ($599 on the DPC tier) and $525 per month on Ultralight. Add wearables and patient texting, which Elation does not have, and the Elation stack passes $900 per month. On Elation's base seat alone, Elation is $100 cheaper. Compare the configuration you need rather than the base seat on either site. Elation list prices are from its EHR Product Guide; Ultralight's are from our pricing page; both retrieved October 8, 2026 and re-checked November 11, 2026.

Solo prescriber, scribe and telehealth, no staff. Elation at list: $425 seat + $199 Elation AI + $25 telehealth = $649 per month on the Standard tier, or $599 on the DPC tier. The quote the longevity physician read us was $729 with the developer line, $579 without it. Ultralight: $525 per month, with the scribe, copilot, clinical decision support, telehealth, fax, wearables, and patient app in the seat. The recurring gap is $124 per month against Elation's standard list price.

Solo prescriber, with the tools a longevity practice adds. Elation at list, plus Heads Up Health Professional for wearables and lab trending ($250 per month plus $6 per client, with $1,000 onboarding), plus Spruce Basic for patient texting ($24 per user per month): $649 + $250 + $24 = $923 per month before client fees, plus $1,000 Heads Up onboarding. Ultralight: $525 per month with wearables and patient messaging in the seat, and an outside texting app only if you need SMS to a phone number.

Year one, with setup. Ultralight: $525 x 12 + $995 = $7,295. Elation at list: $649 x 12 = $7,788 before implementation, which Elation does not publish. On the quote we saw: $729 x 12 + $1,040 = $9,788, a difference of $2,493 against Ultralight. With Heads Up and Spruce added at list: $923 x 12 + $1,000 Heads Up onboarding = $12,076, before Elation's implementation fee, a difference of $4,781 against Ultralight.

Solo prescriber plus one admin. Ultralight: $525 + $50 = $575 per month, $7,895 in year one. Elation lists a non-prescribing or limited-use user at $215 on the Standard tier; confirm whether a front-desk admin needs one.

Five prescribers. Elation at list: 5 x $649 = $3,245 per month before staff. Ultralight: 5 x $525 + $50 = $2,675 per month, everything in.

If you want Elation's base seat and nothing else, Elation is $100 a month cheaper than Ultralight, or $150 cheaper on the DPC tier. Eleven notes a month into Elation AI and the order flips. Add $100 per month to Ultralight if you bill memberships through Hint. Both exclude data migration.

A demo checklist for practices leaving Elation

Bring this to every demo, including ours.

Record a five-minute mock visit. Does the system produce a complete note, or a transcript you still have to structure?
Upload three specialty lab PDFs for one patient. Ask to see one marker trended against the last three, next to the patient's wearable data.
Ask the AI a clinical question about that patient, using your own optimal ranges. Does it answer from the chart, or does it only write notes?
Ask for the all-in monthly price for your exact headcount, with the scribe, telehealth, fax, portal, and wearables included, in writing.
Hand them a sample Elation C-CDA and ask which fields become structured data and which become PDFs.
Send a patient message, book a follow-up, and recommend a supplement. Then open the chart and check that all three landed.
Ask how many Elation practices they have migrated and what the longest one took.

We built Ultralight to pass this list. Run it on us.

Who should stay on Elation

Some practices should not switch, and we would rather say so than onboard someone who will be unhappy.

If you are an insurance or hybrid practice. Elation is built for you. We do not bill insurance.

If your visits are short and your notes are simple. Ten free Note Assist notes a month covers a part-time practice. If the note is your only problem, use the free tier and revisit in a year.

If you need a state immunization registry connection. The California practice that moved to us will tell you they miss it. We do not have one.

If your brain works in Epic. The functional medicine physician stayed on Elation for two years because "it's kind of set up like epic, which I'm used to in other settings." That is a real reason. In our experience switching costs 30 to 60 days of split attention, and layout familiarity is worth something.

Where to start

If you are a cash-pay functional or longevity practice and your Elation quote has a scribe line, a telehealth line, and a developer line you cannot explain, and you are about to add a wearables platform and a texting app on top, we built Ultralight for you: one seat price with the AI scribe, a copilot and clinical decision support that read the whole chart, wearables in the chart, and a migration team that has parsed Elation's export before.

See Ultralight in action and bring your Elation quote. We will tell you plainly whether the math works for your practice.

Frequently asked questions about Elation EHR alternatives

What is the best alternative to Elation EHR for a cash-pay practice?
For a cash-pay functional or longevity practice, Ultralight is the alternative we built for that job: AI scribe, copilot, clinical decision support, telehealth, wearables, e-fax, and patient app in one $525 seat, with specialty lab PDFs parsed into trends and a migration team that has parsed Elation's export before. Coaching and program-based practices fit Practice Better or Healthie. Insurance and hybrid practices usually should stay on Elation.

How much does Elation EHR cost per month compared to Ultralight?
Elation EHR costs $425 per provider per month for a Standard Provider and $375 for a DPC Provider, per Elation's public EHR Product Guide (retrieved October 8, 2026, unchanged November 11). Elation AI (Note Assist) adds $199, telehealth $25, and API access $150. A solo provider with scribe and telehealth pays $649 at list, and $923 once a wearables platform and a texting app are added. Ultralight is $525 per prescribing seat with the scribe, copilot, telehealth, wearables, fax, and patient app included, plus $995 implementation.

Does Elation Health publish its pricing?
Not on its pricing page, which says pricing is "tailored" and asks you to fill out a form. The list prices are on Elation's EHR Product Guide page, which is public but labeled for current customers. The "$349 per provider per month" that review sites repeat does not appear on any Elation page we found. Ultralight publishes every price on its pricing page: $525 prescribing seat, $300 non-prescribing seat, $50 for unlimited admin users, $995 implementation.

Is Elation EHR good for functional medicine or longevity medicine?
Elation does not market to functional, integrative, or longevity practices. Its specialties page lists family medicine, geriatrics, pediatrics, internal medicine, women's health, and DPC. Functional and longevity practices that use it add a separate wearables platform, a separate lab trending tool, and often a separate scribe. Ultralight is built for those practices: specialty lab PDFs become trended values in the chart, wearable data sits next to labs, and the copilot and clinical decision support read the whole chart.

Elation Health vs Ultralight: what is the difference?
Elation is a primary care EHR priced by seat plus add-ons: $425 per provider, $199 for the AI scribe, $25 for telehealth, and no wearable integration. Ultralight is an AI-native EHR for functional and longevity practices priced at $525 per prescribing seat with the AI scribe, copilot, clinical decision support, telehealth, wearables, fax, and patient app included. On the same solo configuration Elation is $649 per month at list and Ultralight is $525. Elation has insurance billing and a state immunization registry connection. Ultralight has specialty lab PDF parsing, wearable trends next to labs, and AI that reads the whole chart.

Is Elation EHR AI-native?
Elation calls itself AI-native. Its AI, in its own words, is an ambient scribe (Note Assist), task extraction from the visit (Actions), cited chart summaries (Clinical Insights), and letter drafting (Wordsmith), with 10 free notes a month and unlimited notes at $199 per provider per month. Elation's pages never describe a copilot, clinical decision support, or wearable data. Ultralight's AI scribe, copilot, and clinical decision support are included in the seat and work across labs, wearables, messages, and prior visits.

Does Elation EHR have an AI scribe, and is it included?
Elation's Note Assist gives every provider 10 AI-generated notes per month free. Unlimited notes are a paid upgrade, listed as "Elation AI" at $199 per provider per month on the EHR Product Guide; one quote we saw in September 2026 had it at $129. A full-time practice uses 10 notes in two or three clinic days. Ultralight's AI scribe is included in the seat for in-person and telehealth visits, with no note cap.

Does Elation integrate with wearables like Oura or a CGM?
No. Elation has no native wearable integration. Its partner directory routes wearables to Heads Up Health, a separate platform priced at $250 per month plus $6 per client with $1,000 onboarding on its Professional plan (retrieved November 11, 2026). Ultralight connects Oura, Apple Health, Dexcom, Freestyle Libre, Garmin, Fitbit, and more directly from the patient app, and the data lands in Trends next to labs at no extra cost.

Is telehealth included with Elation EHR?
No. Integrated Telehealth is $25 per provider per month on Elation's rate card, and Elation's help center says enabling it "may come with additional fees." Ultralight includes telehealth in the seat, with the AI scribe running on telehealth visits, and patients join from the web app or the mobile app.

How do I switch from Elation to Ultralight?
Find your renewal date and count back 60 days; Elation needs written notice before then. Request your full export from Elation Support before you give notice, and download it within the six-day link window. Send it to us. We run a dry run, give you a report of what we found, and after your approval parse the PDFs, C-CDA, and CSVs into structured labs, notes, medications, and documents. Medications and supplements arrive as one list, problem lists arrive without dates, and future appointments do not come across, so plan to rebook. Implementation is $995, and our onboarding target from signed quote to seeing patients is two to four weeks, depending on how often your team can meet for training.

Can I export my patient data from Elation Health?
Yes. Elation is ONC-certified and exports C-CDA, plus PDFs and CSVs, through self-service for single patients or through Support for the whole practice. The download link expires in six days. You can request the export at no additional cost within 60 days of termination; after that, Elation may delete your data. Ultralight has migrated several practices from that export.

Does Ultralight work with Hint Health like Elation does?
Yes. Hint is a membership billing and enrollment platform rather than a full EHR, and many DPC practices run it alongside their EHR. Ultralight integrates with Hint for membership billing; Hint lists the integration at $100 per month for 100 members, or $50 per month for 50 members on the launch plan. Ultralight also takes payments through Stripe.

Is Elation EHR good for cash-pay practices?
Elation sells a $375 DPC tier, membership management at 2.99% of card payments, and a Hint integration, so it can run a cash-pay primary care practice. For cash-pay functional and longevity practices, the fit is weaker. One cash-pay functional medicine physician told us after two years that it still would not send superbills to her patients, which she had been asking for "because I'm just cash pay." Ultralight is built for cash-pay functional and longevity practices and does not bill insurance.