Wall Check

Prospyr

Quote-based aesthetic EMR; all five walls active (sales-gated, metered SMS/AI, custom lock-in).

Gates 5/5 5 of the five walls fired — the score is a count, not a verdict.

Checked 2026-10-26 · re-check due 2026-12-25.

The five walls

! Price wall

The free tier ends. The limit you hit while everything still looks free.

Unpublished quote-based pricing; sales demo required with no public tier schedule.

source · checked 2026-10-26

! Permission wall

You can see the setting but not touch it. Licenses and admin roles decide what you control.

Telehealth medical director clearance (Qualiphy) and AI note transcription require contract add-ons.

source · checked 2026-10-26

✕ Gate wall

A human at the vendor decides your timeline — approvals, reviews, onboarding queues.

No self-serve account creation; mandatory sales qualification demo and manual onboarding queue.

source · checked 2026-10-26

! Meter wall

Cost scales with your success. Per-unit, per-seat, per-message pricing that grows as you do.

SMS segments, VoIP minutes, AI assistant usage, and payment processing fees meter with practice volume.

source · checked 2026-10-26

! Exit wall

Getting out costs more than getting in. Your data, your domain, your number — who keeps them.

Demographics and charts export; anatomical injection plots and card-on-file tokens do not port cleanly.

source · checked 2026-10-26

The twelve questions

What is the hard number where the free tier ends?
No public free tier; pricing custom quoted per clinic.
Does anything need approval by a human at the vendor?
Mandatory sales demo and vendor onboarding approval before software access.
What does a busy month actually cost at per-unit pricing?
SMS messaging, VoIP minutes, and merchant card processing fees meter with client volume.
Are there per-seat, per-line, or per-number add-on fees?
Per-provider bookable seat licenses and add-on fees for phone lines.
Can one real record be exported on day one — and does it open?
Patient records and photos export, but injection face plots and payment tokens do not transfer cleanly.

Documents read for this check: pricing page, changelog, terms of service, trust center.

Side-by-side comparisons

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