AZZLY Rize EHR Review (2026)
All-in-one cloud EHR built specifically for addiction treatment and behavioral health.
Vendor Assessment Scorecard
Weighted rubric using fit signals (deployment model, scope, pricing posture, certification, market maturity, and review rating), then calibrated to separate tiers more clearly.
Composite Score
6.7/10
AZZLY Rize Overview
AZZLY Rize - an Electronic Health Record and Revenue Cycle Management Software
Overview
AZZLY Rize is a purpose-built electronic health record (EHR) platform for behavioral health and substance use disorder (SUD) treatment. Unlike general-purpose EHR systems that bolt on behavioral health modules as an afterthought, Rize was designed from the ground up for the workflows, documentation requirements, and regulatory realities that addiction treatment and mental health providers face every day.
What makes AZZLY Rize distinctive in the behavioral health EHR market is its all-in-one architecture. The platform bundles clinical documentation (EHR), revenue cycle management (RCM), and a customer relationship management (CRM) module into a single cloud-native application. For treatment centers that would otherwise need to purchase, integrate, and maintain three or more separate systems, this consolidation is a meaningful operational advantage.
Founded in 2014 and headquartered in Miami, FL, AZZLY built Rize on Microsoft Azure's cloud infrastructure, which provides enterprise-grade security, HIPAA compliance, and the reliability that healthcare organizations require. The platform is ONC-certified and serves a growing base of SUD treatment centers, behavioral health organizations, MAT (Medication-Assisted Treatment) clinics, and residential treatment facilities across the United States.
Key Features
Integrated CRM for Admissions
Track referral sources, manage the admissions pipeline, verify insurance eligibility, and convert inquiries into admissions -- all within the EHR. This is rare for behavioral health platforms and eliminates the need for a standalone CRM.
BH-Specific Clinical Documentation
Pre-built templates for behavioral health assessments, treatment plans, progress notes, group notes, and discharge summaries. Templates align with accreditation standards from CARF, Joint Commission, and state-specific requirements.
E-Prescribing with EPCS
Full e-prescribing integrated into the clinical workflow, including Electronic Prescribing of Controlled Substances (EPCS). Essential for MAT programs prescribing buprenorphine, naltrexone, and other controlled medications.
Built-in Billing & RCM
Claims submission, ERA/EOB processing, denial management, and accounts receivable tracking built directly into the platform. No need for a separate billing system or third-party clearinghouse integration.
ASAM Criteria Integration
Supports ASAM (American Society of Addiction Medicine) level-of-care criteria for patient placement, continuing stay, and discharge decisions. Critical for SUD treatment centers managing patients across multiple care levels.
Census Management
Real-time census tracking for residential and inpatient programs, with bed management, admissions/discharge tracking, and census reporting that maps directly to billing and utilization review workflows.
Outcomes Tracking & Reporting
Built-in outcomes measurement tools for tracking treatment effectiveness, patient progress, and program-level metrics. Supports data-driven quality improvement and payer reporting requirements.
Telehealth & Patient Portal
Integrated telehealth for virtual visits with documentation and billing within the same workflow. Patient portal for secure messaging, appointment scheduling, and intake form completion.
Pros
- + Purpose-built for behavioral health and SUD. Every feature, template, and workflow was designed for addiction treatment and behavioral health providers. No adapting a general EHR to fit your specialty.
- + True all-in-one platform (EHR + RCM + CRM). Eliminates the cost and complexity of maintaining separate billing, practice management, and CRM systems. One vendor, one login, one data set.
- + Integrated CRM for the admissions pipeline. Few behavioral health EHRs include a real CRM. For treatment centers where admissions are the lifeblood of the business, this is a significant differentiator.
- + ASAM criteria integration. Native support for ASAM placement criteria streamlines clinical decision-making and supports insurance authorization workflows for SUD treatment.
- + Cloud-native on Microsoft Azure. Enterprise-grade cloud infrastructure with strong uptime, automatic updates, and HIPAA-compliant hosting. No on-premise servers to manage.
- + Responsive, accessible customer support. As a focused company serving a specific niche, AZZLY is known for hands-on support. Users report being able to reach real people who understand behavioral health workflows -- not just generic help desk agents.
- + ONC-certified. Meets federal health IT standards, qualifies for meaningful use, and satisfies payer and regulatory requirements for certified EHR technology.
- + Guided implementation with BH expertise. AZZLY provides dedicated implementation support from a team that understands behavioral health operations, not a generic onboarding playbook.
- + E-prescribing with EPCS built in. Critical for MAT programs, and having it natively in the EHR rather than through a third-party integration reduces friction and risk of prescribing errors.
Considerations
- − Behavioral-health specific scope. AZZLY is purpose-built for behavioral health and SUD treatment. Multi-specialty medical groups that need broad primary care or surgical workflows may need a second platform.
- − Quote-based enterprise pricing. AZZLY follows the standard behavioral health enterprise model of custom pricing. Buyers should request a full module-level quote early to compare total cost of ownership.
- − Best fit is organizations that want an all-in-one model. AZZLY minimizes integration burden by covering clinical, billing, and admissions in one system. Organizations with highly customized third-party ecosystems should validate integration requirements during discovery.
Pricing
AZZLY Rize uses quote-based pricing that is tailored to the size of the organization, number of users, and selected modules. Exact pricing is not publicly disclosed, which is standard practice among behavioral health EHR vendors (Netsmart, Qualifacts, and most enterprise BH platforms follow the same model).
The most important pricing consideration for AZZLY Rize is total cost of ownership. Because the platform bundles EHR, RCM, and CRM into a single system, organizations should compare the all-in cost against the combined expense of purchasing separate systems for each function. A typical behavioral health center that pieces together a standalone EHR, a third-party billing service, and a CRM tool can easily spend more in aggregate than an all-in-one solution -- and that does not account for the cost of building and maintaining integrations between those systems.
Pricing Comparison Framework
| Cost Component | Separate Systems | AZZLY Rize (All-in-One) |
|---|---|---|
| EHR license | $200-500/provider/mo | Single bundled quote |
| Billing / RCM service | 4-8% of collections | |
| CRM tool | $50-150/user/mo | |
| Integration costs | $5,000-20,000+ setup | None (native) |
| Ongoing maintenance | Multiple vendor contracts | Single vendor relationship |
For a detailed breakdown of EHR pricing models across the industry, see our EHR cost guide.
Who Should Use AZZLY Rize
AZZLY Rize is an excellent fit for organizations whose clinical work centers on behavioral health and substance use disorder treatment. Specifically:
- Substance use disorder treatment centers -- residential, PHP, IOP, and outpatient programs that need ASAM-aligned documentation, census management, and SUD-specific billing workflows.
- Behavioral health organizations -- multi-disciplinary practices offering counseling, psychiatry, and addiction services that benefit from integrated clinical and financial operations.
- MAT (Medication-Assisted Treatment) clinics -- programs prescribing buprenorphine, naltrexone, or methadone that require EPCS-capable e-prescribing tightly integrated with clinical documentation.
- Residential treatment facilities -- programs managing beds, census, levels of care, and length-of-stay alongside clinical documentation and insurance authorizations.
- Small to mid-size organizations (5-100+ staff) -- facilities that want enterprise-level functionality without the enterprise-level price tag and implementation complexity of platforms like Netsmart.
- Centers that value a single-vendor approach -- organizations tired of managing multiple software vendors and integrations who want one platform for clinical, billing, and admissions.
Who Should NOT Use AZZLY Rize
No EHR is right for everyone. AZZLY Rize is not the best fit for:
- General medical practices -- primary care, internal medicine, pediatrics, and other non-behavioral-health specialties need a general ambulatory EHR. See our vendor directory for general EHR options.
- Hospitals and large health systems -- organizations that need inpatient medical/surgical EHR capabilities, large-scale enterprise infrastructure, or deep integration with hospital information systems should evaluate Epic or Oracle Health.
- Solo therapists on a tight budget -- individual practitioners with simple needs and limited budgets may find platforms like TherapyNotes or SimplePractice more cost-effective for their scale.
- Organizations requiring extensive third-party integrations -- if your operation depends heavily on a complex ecosystem of third-party clinical, lab, or analytics tools, a larger platform with a broader integration marketplace may be more practical.
- Multi-specialty medical groups -- groups that combine behavioral health with primary care, OB/GYN, or other medical specialties under one roof will need a more generalized platform or a dual-system approach.
Implementation
AZZLY Rize implementations are generally faster than what behavioral health organizations experience with larger enterprise EHR platforms. Several factors contribute to this:
- Cloud-native deployment. There is no on-premise hardware to procure, configure, or maintain. The platform is accessed through a web browser, which simplifies rollout across multiple locations.
- BH-specific templates out of the box. Because Rize ships with behavioral health documentation templates, organizations spend less time building forms and workflows from scratch compared to configuring a general EHR for BH use cases.
- Dedicated implementation team. AZZLY assigns implementation specialists who understand behavioral health operations. This contrasts with larger vendors where implementation teams may lack domain-specific expertise.
- All-in-one reduces integration work. With EHR, billing, and CRM bundled together, there is no need to set up and test integrations between multiple systems -- one of the most time-consuming and error-prone phases of any EHR implementation.
Typical implementation timelines range from 4 to 12 weeks depending on organization size, data migration complexity, and the number of customizations required. This compares favorably to the 6-18 month timelines common with enterprise behavioral health EHR deployments.
For a comprehensive overview of what to expect during an EHR implementation, see our EHR implementation checklist.
Frequently Asked Questions
Is AZZLY Rize only for substance use disorder treatment centers?
No. While AZZLY Rize was originally designed for SUD treatment, it supports a full range of behavioral health services including mental health counseling, psychiatry, MAT programs, and dual-diagnosis treatment. It is not, however, designed for general medical or hospital settings.
Does AZZLY Rize include billing and revenue cycle management?
Yes. AZZLY Rize is an all-in-one platform that bundles EHR, billing/RCM, and CRM into a single system. You do not need a separate billing clearinghouse or practice management system, which reduces costs and eliminates integration headaches.
Is AZZLY Rize ONC-certified?
Yes. AZZLY Rize is ONC-certified, meaning it meets federal standards for health information technology and qualifies providers for meaningful use and MIPS reporting requirements.
How much does AZZLY Rize cost?
AZZLY Rize uses quote-based pricing tailored to facility size and needs. While exact figures are not published, the all-in-one model (EHR + RCM + CRM) often delivers better total cost of ownership than purchasing separate systems for each function. See our EHR cost guide for a broader pricing comparison.
Can AZZLY Rize handle e-prescribing for controlled substances (EPCS)?
Yes. AZZLY Rize includes integrated e-prescribing with EPCS support, which is essential for MAT programs prescribing buprenorphine (Suboxone) and other controlled substances used in addiction treatment.
Does AZZLY Rize support telehealth?
Yes. AZZLY Rize includes integrated telehealth capabilities, allowing providers to conduct virtual visits, document sessions, and bill for telehealth services from within the same platform.
Verdict
AZZLY Rize occupies a well-defined and valuable position in the behavioral health EHR market. It is not trying to be everything to everyone -- and that focus is its greatest strength. For substance use disorder treatment centers and behavioral health organizations that need purpose-built clinical tools, integrated billing, and a real admissions CRM in one platform, Rize delivers a compelling package.
The all-in-one architecture is the headline differentiator. While competitors like Netsmart offer broader enterprise capabilities and platforms like TherapyNotes excel for small therapy practices, AZZLY Rize hits a sweet spot for small to mid-size SUD and behavioral health organizations that want clinical depth without operational complexity. The integrated CRM -- uncommon in this segment -- adds particular value for treatment centers where admissions volume directly drives revenue.
The trade-offs are real. AZZLY is a smaller company with less brand recognition than the incumbents, the integration ecosystem is more limited, and pricing requires a sales conversation. But for the right organization -- one that values BH specialization, operational simplicity, and responsive vendor support -- those trade-offs are well worth it.
EHRSource Recommendation
AZZLY Rize is a strong choice for SUD treatment centers and behavioral health organizations seeking a purpose-built, all-in-one platform. We recommend it for small to mid-size facilities that prioritize BH-specific workflows, integrated billing and CRM, and a responsive vendor relationship. If your needs extend beyond behavioral health into general medical care, evaluate broader platforms alongside or instead.
Evaluating multiple options? See our behavioral health EHR comparison for a side-by-side look at the leading platforms, or read our EHR selection guide for a structured evaluation framework.