SolutionReach vs Relatient for Clinics: Which Fits in 2027
Key Takeaways
The category decision: choose SolutionReach if your front desk runs on texts, reminders, review requests and payments. Choose Relatient if the bottleneck is phone-based scheduling tied to a supported EHR or practice management system.
Pricing: neither vendor publishes a dollar price on its own site, so both are Quote-based. You cannot compare list prices yet, so ask each vendor for a written quote that defines every usage limit.
Ownership: Relatient merged with Radix Health in 2021 and kept the Relatient name. SolutionReach has been backed by Summit Partners since 2012.
Evidence: most figures on both vendor sites are vendor-reported, and many leave out the baseline or time period. Get the definitions in writing before you rely on them.
Compliance: any vendor that touches patient data, and any automation layer placed above one, needs a signed business associate agreement before data moves.
What each product is, and what changed
A patient engagement platform is software that sends and confirms appointments, answers or routes patient messages, and in some products collects reviews or payments. Both products in this comparison fit that definition, but they reached it from different starting points.
One fact changes the comparison before you read any feature list. Relatient is the surviving company from a 2021 combination. Relatient merger: announced August 5, 2021 according to HIT Consultant (2021). The article says Relatient would add Radix Health's patient access solutions to its existing platform, and the combined business kept the Relatient name. It also names Brighton Park Capital as Relatient's existing investor as of 2021. We could not confirm current ownership from public pages, so ask Relatient who owns it today and whether an ownership change would alter your contract.
We found no merger or sale involving SolutionReach in our search. Its investor listing shows Summit Partners with a 2012 investment marked current, and describes SolutionReach as "a leading patient engagement and communication platform for medical, dental and vision practices" according to Summit Partners (2012).
TL;DR: SolutionReach is the stronger first look when texting and reviews run the front desk. Relatient is the one to test when phone scheduling and a supported EHR integration decide the project.
How we evaluated these two products
This comparison uses six weighted criteria. We scored each product from 1 to 5 on each criterion using only public vendor pages, the independent sources cited here, and the implementation details each vendor published. We did not run either product, so the scores describe what each vendor says it does and what its pages leave unsaid. The weights are our analysis, not vendor data.
| Criterion | Weight | Scale | Why it matters here |
|---|---|---|---|
| Patient messaging (reminders, two-way text, reviews, payments) | 20% | 1–5 | Decides whether one product covers the daily front-desk loop |
| Scheduling and self-booking | 20% | 1–5 | Drives fill rate and how many reschedules staff must handle |
| Named PM/EHR integration | 20% | 1–5 | Without a working integration, the tool becomes a second calendar |
| Pricing transparency and contract terms | 15% | 1–5 | Quote-only pricing shifts budget risk onto the buyer |
| Voice AI and call handling | 10% | 1–5 | Matters most when phones are the bottleneck |
| Compliance paperwork (BAA, consent handling) | 15% | 1–5 | Required before any patient data moves |
The weights favor the work that happens every day at the front desk: messages, scheduling and an integration that writes back to the system of record. Pricing transparency and compliance carry real weight, but they work as gates, since neither vendor shows a price and any vendor handling patient data must sign a BAA. Voice AI gets the smallest weight because it only helps when calls are the constraint. We do not publish a total score, because the gaps depend on limits you can only verify in a quote.
Feature matrix: what each vendor publicly describes
| Capability | SolutionReach | Relatient |
|---|---|---|
| Appointment reminders | Listed | Listed as automated reminders under personalized communications |
| Two-way texting | Listed | Not named as SMS; text link for self-scheduling is mentioned |
| Online self-scheduling | Listed | Listed, with 24/7 self-service booking |
| Review invitations | Listed (text linking to a Google or Facebook review page) | Not mentioned |
| Payments | Listed (text-to-pay, online and in-office) | Mobile payments under financial clearance; Dash Pay named |
| Voice AI call handling | AI Receptionist named, described as after-hours and peak-time scheduling | Listed: bookings, cancellations, reschedules, call routing |
| Named PM/EHR integrations | None named on the pricing page | Eight named on the integrations page, plus logos for others |
| Scheduling API | Not named | Dash Direct API solutions listed, no details on the page we read |
SolutionReach's pricing page is the most complete public list of its communication features. It names reminders, two-way texting, online scheduling, review invitations and text-to-pay. It also lists an AI Receptionist, described in one line as AI-powered scheduling for after-hours and peak call times, so ask how it hands calls to staff. For integrations, the page refers to location management and says onboarding depends on your practice management system, but it names no specific systems.
Relatient's public pages center on scheduling and access. Its integrations page lists eight systems, athenahealth, ModMed, Oracle Health, Greenway Health, eClinicalWorks, NextGen, Epic and Veradigm, with logos for several more, according to Relatient (undated page). The same page says Dash connects through proprietary APIs, FHIR APIs, HL7v2.X interfaces and direct database links. For systems it does not list, it says Relatient can use open standards such as HL7v2.X, FHIR APIs and CSV. The pages we read do not mention review requests. If reviews are a must-have, Relatient is the weaker fit on the public evidence.
Pricing and contract terms
Pricing checked October 29, 2026.
SolutionReach's pricing page publishes no dollar prices. It lists four packages, Patient Connect, Practice Efficiency, Practice Growth and Enterprise, each routed to a quote request, and says "We offer yearly contract options." The monthly message allowances are 1,750, 3,500 and 4,500, with the top tier listed as "TAILORED." Enterprise is aimed at 6+ locations. The allowances appear in one row beside the package names rather than as labeled plan text, so confirm in the quote which allowance belongs to which package. Patient Connect plan: 1,750 monthly messages according to SolutionReach (2026).
Relatient's voice AI and integrations pages publish no prices, plans or tiers. Their only commercial step is "Request a Demo," so the only public pricing structure you can compare today is SolutionReach's allowance table.
| Item | SolutionReach | Relatient |
|---|---|---|
| Published list price | Quote-based | Quote-based |
| Packages | Patient Connect, Practice Efficiency, Practice Growth, Enterprise | Not published |
| Monthly message allowance | 1,750 / 3,500 / 4,500 / Tailored | Not published |
| Contract term | Yearly contracts | Not published |
| Location threshold for top tier | 6+ locations (Enterprise) | Not published |
| Onboarding claim | Under 1 week (vendor FAQ) | Phases listed (design, data backfill, configuration, testing, go-live); no timeline |
A total-cost comparison needs more than the subscription line. Build a sheet with five rows: the quote, the overage rule once messages exceed the allowance, any integration or onboarding fee, staff hours to build and check templates, and the cost of any second tool you still need. Put each vendor's answer on the same sheet, and mark any line a vendor will not answer as unknown rather than zero.
Where each product fits, and where it falls short
SolutionReach fits practices in medical, dental or vision care that want one patient communication suite for reminders, texting, reviews and payments, on a yearly contract with a published message allowance to model against. Its own summary of its market matches that mix. Its limitations are concrete: the pricing page names no PMS integrations, pricing is quote-only, the message cap has to be checked against your monthly volume, and the AI Receptionist gets only a one-line description with no detail on staff handoff. On implementation, the FAQ claims onboarding in under 1 week, but the same page says timing depends on your practice management system. Treat the one-week claim as a hypothesis until you have a written plan for your system.
Relatient fits practices on one of the listed EHR or PM systems that want scheduling, voice AI and an open scheduling interface, and that can work through a demo-led sale. Its voice page makes the strongest automation claim in this comparison: 70% of calls resolved without human intervention, according to Relatient (undated page). The page does not define the sample, time period or what counts as resolved, and it names no escalation triggers beyond saying that call details carry over when a call goes to staff. One more public figure needs context: launch coverage in May 2025 said Dash Voice AI could offload, on average, a quarter of scheduling-related call volume. Dash Voice AI: about 25% of scheduling call volume offloaded according to Smart Customer Service (2025). That is a vendor-reported average, and the article did not describe how non-routine calls reach staff. Relatient's limitations are its missing prices, its demo-first sale, and the thin public detail on texting, reviews and payments.
Who this is for
Choose SolutionReach if your front-desk problem is reminders, confirmations, reviews and payments, and you want to model cost against a published message allowance.
Choose Relatient if your practice runs on a supported EHR or PM system, phone scheduling is the main bottleneck, and you are willing to go through a demo-led quote.
Choose neither yet if you have not picked an EHR or practice management system. The integration decision comes first, and both products depend on it.
Red flags: the vendor will not name your practice management system and version in the contract; the message allowance is below your monthly message count; or the vendor will not sign a business associate agreement before any data export.
Running the numbers on a 400-visit month
Consider an illustrative clinic that books 400 visits a month. Pediatric trial: no-show rate 23.5% with texts, 38.1% without according to PubMed Central (2016). Applied to 400 visits, the control rate implies 152 no-shows (400 × 0.381 = 152.4), and the text-reminder rate implies 94 (400 × 0.235 = 94.0), so the difference is about 58 fewer missed visits a month (152.4 − 94.0 = 58.4). That trial ran in one pediatric practice with 169 randomized participants, so treat the 58 as a planning hypothesis, not a forecast for your clinic. To check it, export each month's sent messages and match them to appointment outcomes. Twilio's message status guide shows REST message responses that carry a date_created field, which is enough to sort sends by day and reconcile them against the schedule. Twilio is used here only as an example of delivery tracking; it is not one of the two products compared.
| Source | Year | Figure | Type |
|---|---|---|---|
| PubMed Central pediatric trial | 2016 | 23.5% vs 38.1% no-show | Peer-reviewed trial |
| Smart Customer Service on Voice AI | 2025 | About 25% of scheduling call volume | Trade press, vendor-reported |
| Relatient Voice AI page | Undated | 70% of calls resolved without human intervention | Vendor-reported |
| HIT Consultant on the merger | 2021 | Announced August 5, 2021 | Trade press |
| Summit Partners on SolutionReach | 2012 | Investment marked current | Investor listing |
Where an orchestration layer fits above either vendor
US Tech Automations would sit above whichever engagement tool a clinic picks. In practice, that means a configurable workflow that reads appointment events, decides the next step, and queues the right message or human task. The workflows below are proposed designs, not descriptions of any live customer or measured result.
The first proposed workflow handles no-show follow-up. The trigger is a visit whose status changes to no-show in an export or event from the practice management system. The workflow checks consent on file, confirms the visit type is on an approved list, and counts prior attempts before it sends a rebooking text through the clinic's chosen messaging tool. The output is a staff queue entry showing the patient, visit type, delivery status and attempt count. Prerequisites: a PM export or API event that carries appointment status and a consent field, and a messaging vendor that accepts outbound sends from an external system. We did not find SolutionReach API documentation on the pages we read, and Relatient describes its scheduling APIs as available through its Dash Direct program, so confirm each vendor's integration path in writing. Human review points: a front-desk lead approves any message outside the approved template, and any patient flagged for a clinical hold goes to a person, never to the automation.
The second proposed workflow handles cancellations. The trigger is a cancellation event from the scheduler. The workflow matches the freed slot against a waitlist rule set by provider and visit type, then drafts one offer per slot. The output is an offer waiting for staff approval, with the slot and the patient's contact preference attached. If a voice agent already writes cancellations back to the schedule, drop the trigger step and confirm that first, because two systems writing to one schedule creates conflicts that no workflow can fix. Staff approve every offer before it sends, and requests such as refills or medical records route to a clinician.
The alternative many small practices consider is stitching these steps together in Zapier, Make or n8n, or building them in-house. Those tools can support run histories, retries, error branches and audit evidence when they are configured well, and for a simple two-step reminder a no-code tool may be enough. The buyer still designs and owns the rest: observability, idempotency so a retry does not send a second text, escalation paths, access controls, and maintenance when a vendor changes a field name. A proposed design on US Tech Automations would configure those controls as part of the workflow, with the same prerequisites and review points listed above, but the clinic keeps ownership of every approval.
Compliance comes before any data moves. The HIPAA rule at 45 CFR 164.504(e) requires a written contract with any business associate that sets the permitted uses of protected health information, requires appropriate safeguards, requires reporting of unauthorized uses or breaches, and requires subcontractors to accept the same restrictions, according to Cornell Law School. Texting adds a second rule set. A 2015 FCC ruling, as summarized by a law firm, allowed healthcare texts to a patient's wireless number only within limits of no more than one communication per day and three per week per provider, according to Lewis Rice (2015). That summary also excludes billing and payment content from the exemption, and opt-outs must be honored immediately. The source is a decade old, so have counsel confirm the current FCC rules before you configure any reminder sequence.
The honest case against this layer is strong in three situations. If the only job is appointment reminders and review requests, the messaging suite's built-in sequences are simpler to run. If one vendor already handles scheduling and its phone AI, a second layer adds a second writer to the schedule with nothing new to automate. If no one on staff will clear a review queue each day, the workflow will create tasks nobody closes, and a native reminder setting in your system will serve you better.
Decision checklist before you sign
Ask each vendor to name your PM or EHR and version in the contract, and confirm the integration is live for that version.
Get the message allowance per package in writing, plus the overage rule.
Confirm whether the voice agent writes cancellations and reschedules back to your schedule, and what triggers a handoff to staff.
Ask for the definition, time period and sample behind every percentage on the vendor's site.
Require a signed business associate agreement before any export or pilot data moves.
Confirm change-of-control and renewal terms, since SolutionReach is PE-backed and Relatient has already merged once.
Get the implementation timeline in writing, with the named tasks and the staff hours each one needs.
Glossary
Business associate agreement (BAA): a written HIPAA contract with any vendor that creates, receives, maintains or transmits protected health information for your practice.
Practice management (PM) system: the scheduling and billing software that holds the appointment record of truth.
Message allowance: the monthly number of patient messages a package includes before overage rules apply.
Voice AI: software that answers inbound calls and handles tasks such as booking, cancellation and routing.
No-show: an appointment the patient does not attend or cancel in time.
Self-scheduling: patients booking or changing appointments without calling the front desk.
Write-back: a tool updating the appointment record in the PM or EHR system, not just reading it.
Idempotency: a design property that ensures a retried action does not repeat its effect, such as a second text.
Frequently asked questions
Is SolutionReach cheaper than Relatient?
Neither vendor publishes a dollar price, so public information cannot settle which one is cheaper. Compare written quotes on the same five-line sheet described above.
Did Relatient merge with another company?
Yes. In 2021 it combined with Radix Health and kept the Relatient name, as reported in HIT Consultant's 2021 article.
Do I need a business associate agreement with either vendor?
Yes, if the vendor will create, receive, maintain or transmit protected health information for your practice. Ask for the signed agreement before any export or pilot data moves.
Can either product send review requests?
SolutionReach's pricing page lists review invitations that link patients to a Google or Facebook review page. The Relatient pages we read do not mention reviews.
Does a voice AI replace front-desk staff?
No public source supports full replacement. Relatient's own figure of 70% of calls resolved without human intervention still leaves 30% of calls that need a person, and its design sends those calls to staff with the details attached.
Is SolutionReach owned by a private equity firm?
Its main investor is Summit Partners, and its investor listing marks the 2012 investment as current. Ask whether a sale or new investor would change your contract.
Choosing between them
Start with the bottleneck. Texts, reminders and reviews point to SolutionReach, while phone scheduling tied to a supported EHR points to Relatient. Ask both vendors for written quotes, integration proof and a signed BAA before you commit. When you are ready to design the approval queue, see how US Tech Automations configures this for the workflows described above.
About the Author

Helping businesses leverage automation for operational efficiency.