Best for: Healthcare organizations and health-tech developers that need a universal EHR API plus patient-facing booking, messaging, and payment tools.
At a Glance
Doxy.me
Fresha
NexHealth
Primary category
Healthcare & Wellness
Healthcare & Wellness
Healthcare & Wellness
Rating
Not documented
Not documented
Not documented
Pricing model
Freemium
Subscription
Custom
Starting price
Free
From $14.95/month per team member (Team plan)
Custom
Free plan
Yes
Yes
Not documented
Free trial
Not documented
Yes
Not documented
Platforms
Web
Web, iOS, Android
Web
Team collaboration
Not documented
Not documented
Not documented
AI features
Not documented
Not documented
Not documented
Public API
Not documented
Not documented
Yes
Standout Differences
Three different jobs under one category
Doxy.me handles the video visit itself, Fresha handles booking and payments for salon-and-spa-style wellness businesses, and NexHealth handles EHR-integration infrastructure plus patient booking/messaging for clinical providers — genuinely different problems, not competing options for the same buyer.
Doxy.me, Fresha, NexHealth
HIPAA compliance is explicitly documented for only one
Only Doxy.me's description explicitly states HIPAA compliance, which matters most if the buyer is running actual clinical telehealth visits rather than wellness bookings.
Doxy.me
Free tier vs. per-team-member vs. custom
Doxy.me offers a free tier, Fresha is priced per team member starting at $14.95/month, and NexHealth is fully custom-quoted — three very different pricing models to plan a budget against.
Doxy.me, Fresha, NexHealth
Developer/API access is NexHealth's differentiator
NexHealth's standout feature is its universal EHR API for health-tech developers, a technical integration layer that neither Doxy.me nor Fresha offers.
NexHealth
Feature-by-Feature
Core Function
Feature
Doxy.me
Fresha
NexHealth
Live video telehealth visits
Available
Unavailable
Unavailable
Consumer-facing appointment booking
Unavailable
Available
Available
EHR API for developers
Unavailable
Unavailable
Available
Point of sale/payments for in-person services
Unavailable
Available
Available
Patient messaging
Not documented
Not documented
Available
Compliance & Audience
Feature
Doxy.me
Fresha
NexHealth
HIPAA compliance explicitly stated
Available
Not documented
Not documented
Built for salons/spas/barbershops
Unavailable
Available
Unavailable
Built for healthcare providers/health systems
Available
Unavailable
Available
Pricing
Feature
Doxy.me
Fresha
NexHealth
Free tier available
Available
Unavailable
Unavailable
Per-team-member/per-seat pricing
Not documented
Available
Not documented
Publicly listed starting price
Available
Available
Unavailable
Pricing Compared
Starting price reflects the lowest paid tier, not the full cost for every team size or usage level.
Doxy.me
Free — Free free
Premium — $29/month (billed annually) or $35/month (billed monthly) monthly
Clinic — Custom pricing monthly
Fresha
Independent — $19.95/month monthly
Team — $14.95/month per team member monthly
Enterprise — Contact for pricing monthly
NexHealth
Custom — Custom Contact sales
Pros & Cons
Doxy.me
Pros
Genuinely usable free plan, not just a limited trial
No app or account required for patients, lowering the barrier to adoption
HIPAA compliant with a signed BAA on paid plans
Long track record in telehealth, founded in 2014
Group call and automated notetaking features useful for group therapy or family visits
Cons
No native mobile app; relies entirely on browser support, with some browser-specific quirks on iOS
Free plan lacks the reporting, multi-user, and notetaking features needed by larger practices
Premium and Clinic pricing is per provider per month, which can add up for multi-provider clinics
Fresha
Pros
Free marketplace listing helps businesses reach new clients organically
Combines consumer booking, payments, and business management in one platform
Large global network across 120+ countries and 130,000+ businesses
7-day free trial with no credit card required
Pricing scales down per seat for larger teams (Team plan)
Cons
Card processing fees and marketplace commission add to the base subscription cost
One-time 20% commission on marketplace-acquired new clients can be significant for high-ticket services
Enterprise pricing is not published and requires contacting sales
Independent (single-operator) plan costs more per month than the per-seat Team plan
NexHealth
Pros
Deep, standardized two-way sync with a wide range of legacy EHR and PM systems
Reduces no-shows through automated booking and reminder workflows
Well-capitalized unicorn-stage company with strong investor backing
Serves both practices directly and third-party developers via API access
Backed by notable individual investors including Scott Belsky and Naval Ravikant
Cons
Pricing is not publicly published and requires a sales conversation
Primarily built for dental and medical practices rather than general-purpose use
Integration setup with legacy PM/EHR systems can take time to configure
Smaller overall footprint than legacy EHR incumbents like Epic
Feature depth and pricing can vary significantly depending on the specific EHR being integrated
Use Cases
Choose Doxy.me: Healthcare providers who need a simple, HIPAA-compliant browser-based video visit tool, including a free tier for solo practitioners.
Choose Fresha: Salons, spas, barbershops, and wellness businesses that need consumer-facing online booking, scheduling, and payments.
Choose NexHealth: Healthcare organizations and health-tech developers that need a universal EHR API plus patient-facing booking, messaging, and payment tools.
Doxy.me
Solo therapist telehealth visits — Run HIPAA-compliant video sessions with clients without requiring them to install any software.
Small primary care telehealth — Add video visits to an existing practice using the free or Premium plan without new hardware.
Multi-provider clinic telehealth — Manage video visits, scheduling, and reporting across several providers under one clinic account.
Group therapy sessions — Host group video calls with up to 25 participants for family or group counseling sessions.
Fresha
Independent stylist scheduling — A solo hairstylist manages their own booking calendar and takes digital payments through Fresha.
Multi-staff salon management — A salon with several stylists manages staff schedules, client records, and payments in one system.
New client acquisition via marketplace — A spa lists itself on Fresha's consumer marketplace to attract new local clients searching for appointments.
Consumer appointment booking — A consumer searches Fresha to find and book a nearby available appointment outside business hours.
NexHealth
Automated Patient Booking and Communication — Practices use NexHealth to let patients self-schedule online and receive automated reminders that reduce no-shows.
Multi-Location Scheduling Management — Dental Service Organizations use NexHealth to standardize booking and patient communication across many locations and EHR systems.
EHR Integration for Third-Party Products — Health-tech developers use NexHealth's Synchronizer API to integrate their own products with multiple EHR/PM systems without building custom point integrations.
Frequently Asked Questions
Do Doxy.me, Fresha, and NexHealth compete with each other?
Not really. Doxy.me is specifically a video-visit tool for telehealth, Fresha is booking and POS software for salons, spas, and barbershops, and NexHealth is an EHR API plus patient booking/messaging layer for healthcare organizations. A buyer would typically choose based on which specific job needs doing rather than pick one as a substitute for the others.
Can a telehealth practice use these together?
Potentially — a clinic could use NexHealth for EHR integration and patient booking/messaging while using Doxy.me for the actual video call, since neither documents that its own product covers both tasks on its own.
Which of these is HIPAA-compliant?
Doxy.me explicitly states it is HIPAA-compliant. HIPAA compliance isn't documented in the summaries for Fresha or NexHealth, so healthcare buyers evaluating either should confirm directly with the vendor if that's a hard requirement.
Which is cheapest to start?
Doxy.me has a free tier. Fresha starts at $14.95/month per team member. NexHealth's pricing is fully custom with no public starting price.
Is Fresha suitable for a medical practice?
Fresha is built for salons, spas, barbershops, and wellness businesses — its documented focus is consumer booking and payments, not clinical records or HIPAA-governed patient care, so it isn't a fit for a medical practice's clinical workflow the way NexHealth or Doxy.me are.