Davix vs NubeFact vs Alegra vs Quesito: Best billing software for clinics in Peru? (2026)

If you manage a clinic, imaging center, or laboratory in Peru, you probably already use an electronic billing tool like NubeFact, Alegra, or Quesito to comply with SUNAT. They work fine for issuing receipts and invoices. But do they really meet the billing needs of a healthcare facility?

In this article, we compare 5 electronic billing solutions with hard data: NubeFact, Alegra, Quesito, Keyfacil, and Davix Commercial Management. They're not all the same — and the difference matters when you're billing insurers, managing agreements, and processing copays.

First things first: how much does each one cost?

All of them publish pricing — that's a good start. But the models are different:

Key insight: Davix charges S/.49/month + S/.0.25 per receipt issued, with no cap. A clinic issuing 200 receipts per month would pay S/.49 + S/.50 = S/.99 total (~$28 USD). With Alegra, 200 documents requires the PLUS plan at S/.199/month (~$55 USD). With NubeFact, S/.70 covers up to 500.

Which one is cheapest for my volume?

If you're looking at price alone, Quesito and NubeFact are cheaper at high volumes. But price isn't everything — what sets Davix apart isn't the cost per receipt, but what's included.

The real difference: healthcare-specific features

This is where generic billing tools fall short. A clinic doesn't bill like a retail store:

Result: NubeFact, Alegra, Quesito, and Keyfacil cover 2 out of 11 features. Davix covers 11 out of 11.

Generic billing tools do one thing well: issue tax receipts. But a clinic needs far more than that.

"But Davix seems like the same price..."

It's true that Davix costs S/.49/month (~$15 USD), similar to Alegra or Keyfacil. But what you get is fundamentally different:

With NubeFact or Alegra:

1. You manually enter each patient charge
2. You issue the tax receipt
3. If the patient has insurance, you calculate the copay by hand
4. You prepare the insurer settlement in Excel
5. You have no idea how much each insurer owes you without checking manually
6. If you have PACS or LIS, you enter study charges by hand

With Davix Commercial Management:

1. The patient registers → the system automatically applies the correct rate based on their agreement/insurance
2. The study (PACS) or test (LIS) is completed → the charge is generated automatically
3. The copay is calculated automatically based on the agreement
4. The tax receipt is submitted to SUNAT automatically
5. The insurer settlement is prepared automatically
6. You see in real time how much each insurer, each patient, and each agreement owes you

The savings aren't in the receipt price — they're in the hours of manual work you eliminate.

What if my clinic grows?

With a generic billing tool, as your clinic grows you'll need:

• An agreement management system (another software)
• A cash register control system (another software)
• Integration with your PACS or LIS (custom development)
• A financial reporting system (another software or Excel)

With Davix, everything is already integrated. And if tomorrow you need laboratory (LIS), imaging (PACS), or electronic health records (HIS), you simply activate another module that's already connected to your Commercial Management. No migration, no integration, no additional vendor.

Davix is a comprehensive yet modular solution: buy only what you need today, but when you need more, it's already there.

Frequently asked questions

Can NubeFact handle billing for a clinic?

NubeFact is good at issuing electronic tax receipts (invoices, receipts, credit notes) for SUNAT. That's what it does well. But it doesn't handle insurance agreements, copays, settlements, or differentiated rate schedules by patient type. If your clinic only serves private-pay patients and doesn't work with insurers, NubeFact may be enough. If you work with insurance companies, you need something more.

Can I use Alegra to bill insurance companies?

Alegra lets you issue invoices to any entity, including insurance companies. But it doesn't manage the full cycle: it doesn't calculate copays, doesn't prepare settlements, doesn't handle differentiated rates by agreement, and doesn't integrate with clinical systems. You'd have to do all of that manually or with other tools.

Does Davix replace NubeFact?

Yes. Davix Commercial Management includes full SUNAT electronic billing (invoices, receipts, credit notes, delivery guides). You don't need NubeFact or any other billing tool. Davix submits directly to SUNAT with UBL 2.1 validation.

Do I have to buy all Davix modules to use Commercial Management?

No. Each Davix product is sold separately. You can buy just Commercial Management (S/.49/month, ~$15 USD) without purchasing PACS, LIS, HIS, or any other module. If you later need another module, you activate it with no migration required.

What happens if I issue more than 500 receipts per month?

With NubeFact (S/.70 plan), the limit is 500 documents. With Alegra PLUS (S/.199), the limit is 350. With Davix there's no limit: you pay S/.0.25 per additional document. A clinic with 1,000 receipts/month would pay S/.49 + S/.250 = S/.299 (~$83 USD) with Davix, while Alegra would require an enterprise plan with no public pricing.

Conclusion

If your clinic only needs to issue receipts and invoices for private-pay patients, NubeFact (S/.70, ~$19 USD) or Quesito (S/.69, ~$19 USD) will do. They're generic billing tools that work fine for that.

But if you work with insurance companies, manage agreements, need to control copays and settlements, or want your clinical systems (PACS, LIS, HIS) to generate charges automatically — you need a system built for healthcare.

• Davix Commercial Management costs S/.49/month (~$15 USD) — the same range as generic billing tools.
• But it includes everything a clinic actually needs: agreements, copays, settlements, dynamic rate schedules, clinical integration.
• It doesn't force you to buy other modules. You only pay for what you use.
• It's the only solution with 100% public pricing and full transparency.

To see detailed pricing, visit davix.ai/precios/gestion-comercial/.