IDEXX Neo vs Instinct: Veterinary Software Compared

A side-by-side look at IDEXX Neo and Instinct. See how these veterinary practice management systems compare on features, deployment, and Puppilot sync support.

26 Features Compared Both Sync with Puppilot Updated 2026

IDEXX Neo Cloud

Parent CompanyIDEXX Laboratories
FoundedModern IDEXX cloud offering; launched ~2016
DeploymentCloud-Based
PricingSubscription
User Base
Best ForPractices looking for a cloud practice management system
Puppilot Sync Full Sync
VS

Instinct Cloud

Parent CompanyInstinct Science
Founded~2015
DeploymentCloud-Based
PricingSubscription
User BaseER/specialty hospitals
Best ForEmergency, specialty, and high-volume hospitals that need real-time treatment tracking and automated charge capture
Puppilot Sync Full Sync

Feature-by-Feature Comparison

How IDEXX Neo and Instinct stack up across 26 core capabilities

FeatureIDEXX NeoInstinct
EMR / Medical Records Core Clinical
SOAP Notes Core Clinical
AI SOAP / Transcription Core Clinical
Treatment Sheets / Whiteboard Core Clinical
Prescription Management Core Clinical
Digital Imaging / DICOM Core Clinical
Controlled Substance Logging Core Clinical
Appointment Scheduling Scheduling
Online Booking (Client Self-Service) Scheduling
Boarding / Hospitalization Scheduling
Inventory Management Financial
Invoicing & Billing Financial
Payment Processing Financial
Wellness Plans Financial
Client Communication (Reminders) Client Engagement
2-Way Messaging / Texting Client Engagement
Client Portal / App Client Engagement
Telemedicine / Video Client Engagement
Reporting & Analytics Operations
Multi-Location Support Operations
Mobile App / Access Operations
Digital Forms (Intake/Consent) Operations
IDEXX Lab Connection Lab Connections
Antech Lab Connection Lab Connections
Heska Lab Connection Lab Connections
IDEXX Web PACS Imaging Lab Connections

Strengths & Weaknesses

IDEXX Neo

Details coming soon.

Instinct

+ Digital treatment sheets are the industry gold standard for ER/specialty
+ AI Scribe auto-populates SOAP notes from chart data
+ Patient safety warning system prevents medication errors
Not designed for general practice — ER/specialty only
No client communication, online booking, or client portal features
Requires connection with a full PIMS for billing and scheduling

Puppilot Syncs with Both

Whether your clinic runs IDEXX Neo or Instinct, Puppilot's AI phone answering service syncs directly with your practice management system to answer calls with real patient context. Learn more about how Puppilot works with IDEXX Neo and Instinct.

Puppilot + IDEXX Neo Full Sync

Reads: Patient records, appointment schedule, medical history, medications, client info

Writes: Appointment booking, call notes, follow-up tasks

Connection: Cloud API

Setup: Days

Puppilot + Instinct Full Sync

Reads: Patient records, appointment schedule, medical history, medications, client info

Writes: Appointment booking, call notes, follow-up tasks

Connection: Cloud API

Setup: Days

Frequently Asked Questions

IDEXX Neo is IDEXX Neo: AI-powered features, cloud-based. Instinct is Industry-first digital treatment sheets with AI scribe and patient safety warnings for ER/specialty. The best choice depends on your clinic's size, specialty, and workflow preferences.

It depends on your priorities. IDEXX Neo is best for Practices looking for a cloud practice management system. Instinct is best for Emergency, specialty, and high-volume hospitals that need real-time treatment tracking and automated charge capture. Consider factors like your budget, whether you prefer cloud or on-premise, and which lab systems you use.

Yes. Puppilot syncs with both IDEXX Neo and Instinct, providing AI-powered phone answering that reads patient records and appointment data directly from either system.

Yes, data migration between IDEXX Neo and Instinct is possible, though it typically requires careful planning and may involve a third-party migration service. Your Puppilot service would continue working seamlessly through the switch.