Bittsi Review 2026: Features, Pricing, Pros & Cons

Bittsi is an AI-native, cloud-based practice management system (PIMS) for veterinary hospitals, built with practicing veterinarians and used every day in working clinics. The whole visit runs through one system. An estimate built in the exam room becomes the treatment sheet in one click. Each treatment the team charts posts to the invoice and comes out of inventory, so the visit is entered once. Core modules: medical records and SOAP notes, scheduling and reminders, estimates and invoicing, inventory, prescriptions and labels, client texting, payments (Bittsi Pay), and analytics. Hospitalized and surgical patients are managed with a treatment sheet, an anesthesia sheet, a dental chart, and a status board with a TV view. AI is part of the workflow. Bittsi Scribe records the exam on a phone and drafts the SOAP note and the invoice. Sage, the clinical assistant, prepares a brief before each appointment, flags lab trends and drug interactions with weight-aware dosing, drafts estimates, reminders and client handouts, and suggests charges that were documented but not billed. The veterinarian reviews and signs every note. For emergencies, a patient Crash Card calculates crash-cart drug doses from the recorded weight and includes a toxicity calculator based on published thresholds. A code started in one room appears on every status board in the hospital. Bittsi Companion, the pet owner app for iOS and Android, gives clients a plain-language summary of each visit, medication reminders, and appointments. Growth tools build a clinic website and an online booking page from the practice's own record. Lab results from IDEXX and Antech flow into the patient chart. A named migration lead moves data from AVImark, Cornerstone, ezyVet, Provet, and eVetPractice, with staff training included, and practices can export all their data in standard formats.