Does Numetix work with athenahealth, eClinicalWorks, Dentrix and Open Dental?
Yes. Numetix does the bookkeeping for medical and dental practices running athenahealth, eClinicalWorks, Dentrix, Open Dental, Tebra and Kareo, with the accounting ledger kept in QuickBooks Online or Xero. The part most practices want explained is what platform support actually means for a bookkeeping service, because it is not what people assume. This page gives you the plain compatibility list, then shows exactly how the integration works and why a report-based approach is the right one for your books and your patient data.
The compatibility list
Numetix works with the practice-management and medical-billing systems most independent practices actually run, and reconciles them into a standard accounting ledger. Here is the full list.
System | Supported | What Numetix works from |
|---|---|---|
athenahealthmedical practice management | Yes | Production and collections, payer remittances, adjustments, and accounts-receivable reports |
eClinicalWorksmedical EHR and billing | Yes | Charges, patient and insurance payments, contractual adjustments, and aging reports |
Dentrixdental practice management | Yes | Day sheets, production versus collections, PPO write-offs, and deposit detail |
Open Dentaldental practice management | Yes | Production and income reports, insurance and patient ledgers, and adjustment detail |
Tebra and Kareomedical practice management and billing | Yes | Encounter and payment reports, remittances, and accounts-receivable aging |
QuickBooks Online and Xeroaccounting ledger | Yes | This is where Numetix keeps the books and reconciles everything above into your financial statements |
If you run a system that is not on this list, it almost certainly still works, because the method does not depend on the brand of software. That is worth explaining next.
What platform support actually means for a bookkeeping service
This is the point that most compatibility questions are really asking, so it is worth stating clearly. When a bookkeeping service says it works with athenahealth or Dentrix, that can mean two very different things, and for accounting only one of them matters.
It does not mean the bookkeeper logs into your clinical software, touches patient records, or replaces the system your front desk runs on. It means the bookkeeper works from the financial reports your practice-management system already produces, the production and collections, the insurance and patient payments, the contractual adjustments, and the accounts-receivable aging, and reconciles them into your accounting ledger. That reconciliation, tying what the practice-management system recorded to what actually landed in the bank, is the entire job.
This report-based approach is lighter and safer than a live connection, and for bookkeeping it is usually all that is required. It is also why the list above is not really a limit. Any modern practice-management system exports these reports, so the method travels across systems. So what for you: you do not have to change your clinical software to get proper books, and you do not have to hand a bookkeeper access to your patient system to do it.
How the monthly reconciliation works
In practice the workflow is the same regardless of which system you run. Each month Numetix does the following.
Pulls the financial reports from your system. Production and collections, the payment and adjustment detail, insurance remittances, and accounts-receivable aging from athenahealth, eClinicalWorks, Dentrix, Open Dental, Tebra or Kareo.
Reconciles remittances to deposits. A single bank deposit bundles many patients and many payers, so Numetix matches each deposit back to what the payers and patients actually paid, and records contractual adjustments and write-offs correctly rather than treating them as lost revenue.
Ties the practice-management system to the ledger. What your system produced and what your accounting file recorded are reconciled to each other, so the two systems agree at month end.
Produces statements you can read. Clean financials in QuickBooks Online or Xero, with production versus collections, net collection rate, and, where relevant, profit by provider or location.
For a fuller explanation of the payer-side work in step two, see our guide on choosing a bookkeeping service for a medical practice. For the software side, see the best accounting software for a medical practice and what it will not do.
Your practice-management system is not your accounting software
One distinction underlies all of this, and it is worth making explicit because it is where the confusion starts. A practice needs two different kinds of software, and a bookkeeping service is the bridge between them.
System | What it does |
|---|---|
Practice-management and billingathenahealth, eClinicalWorks, Dentrix, Open Dental, Tebra, Kareo | Runs scheduling, charting, insurance claims and patient billing. This is where production and collections are recorded, and where the reports Numetix works from come from. |
Accounting ledgerQuickBooks Online, Xero | Runs bank and card reconciliation, expenses, payroll coordination and financial statements. This is where Numetix keeps the books. |
The bookkeeping service is the monthly work that reconciles the two, so that what your billing system produced matches what reached the bank and appears in your financial statements. That is the job Numetix does, on whichever of these systems you already run.
Frequently asked questions
Does Numetix log into my clinical system or see patient records?
No. Numetix works from the financial reports your practice-management system exports, not from inside the clinical software, and it does not need patient records to keep the books. Keeping clinical and patient data in your existing system and out of the accounting file is the cleaner design from a privacy standpoint, and it is how the reconciliation is meant to work.
I run a system that is not on your list. Can you still help?
Almost certainly. The method depends on the financial reports a system exports, not on its brand, and every modern practice-management system produces production, collections, adjustment, remittance and accounts-receivable reports. If your system can export those, Numetix can reconcile them into your books. The listed systems are simply the ones practices ask about most.
Do I have to switch my accounting to a particular software?
No. Numetix keeps the books in QuickBooks Online or Xero, whichever you already use, and reconciles your practice-management reports into it. You do not have to change either your clinical system or your accounting ledger to work with Numetix.
Is this bookkeeping or medical billing?
This is bookkeeping and accounting, not medical billing. Numetix does not submit or chase insurance claims, which your billing team or billing company handles inside the practice-management system. Numetix takes the financial results of that work and turns them into reconciled, readable books, including production versus collections and net collection rate.
Product and company names referenced here are the property of their respective owners and are used only to describe compatibility; their mention does not imply any partnership, integration certification, or endorsement. This article is general information, not accounting, tax, or legal advice.
Numetix is an AI-first accounting firm. AI runs the bookkeeping, tax, payroll, and reporting workflow. Industry experts handle the judgment, month-end close, review, and advisory. We serve founder-led service firms across law, consulting, IT, healthcare, creative, and nonprofit. Headquartered in California, serving clients nationwide.
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