What switching an EMR actually involves.

Five stages. You get an export out of your current system, covering patients, invoices and their lines, payments, credit notes, clinical records and your product and payer setup. Every field in it is mapped into the new system and the load is rehearsed on de-identified records, so the first attempt happens somewhere harmless. Your invoice, payment and receivables totals are then put beside your own books and signed off by you, not by the vendor. Each location goes live only once its own numbers are signed off, which is why a group moves in waves rather than on one night. Afterwards the balances brought over stay payable at the front desk and read-only, so the history you reconciled cannot be edited later. With norvelle the migration fees are $0 and the work between the export and the sign-off is ours.

A norvelle developer runs the move, with two people on every step: one doing, one checking. Migration fees are $0, because the team that builds norvelle does the migration, so there is no implementation partner to pay. Features built only for your clinics are scoped and quoted separately.

Two things. Getting us the export, which sometimes means asking your current vendor for it, and signing off the totals at the end. Between those two, your team keeps seeing patients.

Yes. Migrated balances are payable from the first day at the front desk. They are locked against editing: a migrated invoice cannot be corrected, credited or written off in norvelle, which is what keeps the reconciled history reconciled.

Send a sample. If a system exports patients, invoices and payments, we can tell you exactly what moves and what does not, in writing, before you commit to anything.

No. Each brand and legal entity has its own database, so locations move in waves planned with you, and a location switches on when its numbers are signed off.