Cowboy Systems is an all-in-one, AI-native EHR and practice-management platform for physical therapy and allied health clinics. Providers complete a full initial evaluation in about 6 minutes, and claims go out clean the first time. Here is how Cowboy Systems compares with Prompt.
Prompt is a modern physical-therapy EHR known for automation and a clean interface, covering documentation, scheduling and billing for rehab clinics.
Both are modern platforms. Cowboy Systems stands apart on three things: a 24/7 AI phone receptionist that answers calls and books patients, native iPhone and Android apps for both patients and providers, and AI documentation that drafts the note so a full initial evaluation takes about 6 minutes, with the therapist reviewing and signing. Cowboy Systems is also all-in-one, adding marketing, patient reactivation and a website builder in the same login.
| Capability | Cowboy Systems | Prompt |
|---|---|---|
| All-in-one in one login (EHR, billing, scheduling, patient & provider apps, marketing, website, phone agent) | Yes — all included in one platform and one login | Modern EHR with documentation, scheduling and billing; verify marketing, website and phone-agent coverage |
| AI clinical documentation — full initial evaluation in about 6 minutes | Yes — the SI agent drafts the note; the therapist reviews and signs | Automation-focused; verify current AI documentation features |
| 24/7 AI phone receptionist that answers calls and books patients | Yes — a built-in AI phone agent books patients around the clock | No native 24/7 AI phone agent (verify) |
| Native iPhone and Android apps for both patients and providers | Yes — native apps for patients and providers | Mobile access varies (verify native patient and provider apps) |
| Built-in marketing and patient reactivation | Yes — reviews, recalls and win-back built in | Marketing/reactivation coverage varies (verify) |
| Public pricing (no sales call to see it) | Yes — from $249/mo for up to 2 providers, listed on the site | Pricing typically via sales quote |
| Architecture built this decade (AI-native) | Yes — designed around AI from the start | Modern PT EHR |
Comparison compiled in 2026 from public information and reflects how Cowboy Systems is built. Prompt is a product of its respective company; its features and plans change over time — confirm current details on Prompt's own site.
Yes. Cowboy Systems is an AI-native alternative to Prompt: it adds a 24/7 AI phone receptionist that books patients, native iPhone and Android apps for patients and providers, AI documentation that completes a full initial evaluation in about 6 minutes, and built-in billing, marketing and a website builder, all in one login.
Yes. Onboarding includes a guided migration that reads exports from common PT systems, brings patients, appointments and documents across, checks every row before saving, and lets you undo any import in one click.
Pricing is public: $249 a month for up to 2 providers, $449 a month for up to 5 with unlimited SI notes, and custom Enterprise pricing. Optional full-service billing is 4% of collections on top of the plan.