Medesk vs Nookal (2026): which should you pick?

Pick Medesk if

• Fits if you're a solo or two-person clinic with under 50 visits a month
• Works for private clinicians outside the US who want online booking

Look elsewhere if

• Tight if you grow past 50 appointments a month, as you must move to Pro
• Pricey if you add modules, which cost 20% more on the base, and SMS is charged per message
• Watch out: the pricing page shows different prices by country, and $28 is the US figure
• Skip it if you bill insurers, since claim submission isn't listed

Pick Nookal if

• Fits if you run a physio or allied health clinic in Australia, New Zealand or the UK
• Makes sense if you have many admin staff, since their logins are free

Look elsewhere if

• Pricey if you work alone, as one practitioner is $87 a month
• Skip it if you need US insurance claiming, because the listed claim links are mostly elsewhere
• Tight if you want the patient portal or secure messaging, since they are add-ons on Professional
• Watch out: texts start at $0.05 each, JAN AI is $25 per practitioner a month, and the page shows Australian dollars first

Medesk

• The Pro price is quoted per 50 appointments a month, so it grows with volume; the free plan stops at 50.
• The pricing page shows different prices by country; $28 is the figure listed for the US.
• Extra modules cost 20% more on top of the base appointment price, and SMS is paid per message.
• Insurance claim submission is not listed on the pricing page.

Nookal

• The pricing page shows Australian dollars by default; the US figures here come from price data the page loads for US and Canadian visitors.
• Reminders, claims and add-ons are charged on top: texts from $0.05 each in US dollars, JAN AI $25 per practitioner a month on Professional.
• The patient portal, secure messaging and single sign-on are paid add-ons on Professional and above.
• Claiming integrations the pages list are mostly for Australia, New Zealand and the UK.

Medesk

Scheduling and online booking

A shared calendar plus booking links and a patient portal. The schedule syncs with Google Calendar, Outlook and iCal.

Electronic health records

Medical history, consultation notes, lab results and documents in one record, with templates, ICD-10 coding and prescriptions.

Video consultations

Appointments can be turned into video calls, and group sessions of up to 20 people are listed on the Pro plan.

Billing and finance

Invoices, payments, price lists, stock control and payroll calculations sit in the same account as the schedule.

Reports and analytics

The vendor lists more than 80 ready-made reports, a report builder and tracking of where new patients come from.

Patient messaging

Email reminders are included. SMS needs a separate module, with messages paid per use through a local provider.

Nookal

Scheduling and online booking

Multi-practitioner calendar and online appointment booking. Professional adds automated recalls and waitlist management.

Patient records and notes

Patient records, clinical notes and intake forms on every plan, with customizable intake and consent forms on Professional.

Invoicing and claiming

Invoicing and payment processing, plus claiming for Medicare Australia, DVA, New Zealand's ACC and UK insurers through Healthcode. Per-claim fees apply.

Reporting

Basic reporting on Essentials; advanced reports and KPI dashboards on Professional.

JAN AI assistant

An optional AI assistant for notes, letters and practice numbers, sold per practitioner who uses it.

Medesk

• Free$0

  2 users, 1,000 patient records and 50 appointments a month, with online booking, patient portal and email reminders.

• Pro$28

  per month for up to 50 appointments, billing basis not shown

  Unlimited users and records, custom branding, video calls and advanced booking. Price rises with appointment volume.

Nookal

• Essentials$87

  per month for 1 practitioner, billed monthly

  For 1 to 12 practitioners: $248 a month at 6. Booking, notes, invoicing, intake forms, basic reports. Read from the page's US price data.

• Professional$98

  per month for 1 practitioner, billed monthly

  Any team size: $265 a month at 6 practitioners. Adds KPI dashboards, recalls, waitlist, two-way SMS and invoice automation.

• EnterpriseCustom

  For multi-site groups and larger organizations. Adds API access, a dedicated account manager and priority support.