TheraNest review

TheraNest, now part of Ensora Health, earns its place with clear per-therapist pricing and an insurance-friendly top tier. Essentials at $29 per therapist a month covers scheduling, a secure client portal, calendar sync, basic intake forms and notes, the Ensai notes enhancement and card payments. Advanced at $59 adds online booking, secure messaging, custom intake forms and unlimited individual and group telehealth, along with 50 free claims, eligibility checks and reminders per practice each month. Premier at $89 is the interesting plan for insurance-based practices: it adds billing automation, the Wiley Practice Planner and unlimited claims, eligibility checks and text and phone reminders, subject to a fair usage policy. Yearly billing lowers each tier slightly. Add-ons include AI notes and case summaries, eRx with PDMP for prescribers and credentialing help. The catch is that the $29 entry price leaves out telehealth, online booking and messaging, so most practices will compare the $59 tier with rivals.

Who it is for

Insurance-based practices that want unlimited claims, eligibility checks and reminders in one predictable per-therapist price.

Price

Essentials $29, Advanced $59 and Premier $89 per therapist per month; lower rates on yearly billing.

TheraNest plans are $29, $59, or $89 per therapist per month, with unlimited clients on every plan.
Quoted from the vendor pricing page on November 6, 2026.

Key features

• Scheduling, secure client portal, calendar sync and basic intake forms and notes on Essentials
• Online booking, secure messaging, custom intake forms and unlimited individual and group telehealth on Advanced
• Unlimited claims processing, eligibility checks and text and phone reminders on Premier
• Wiley Practice Planner included on Premier
• Ensai AI notes and case summaries add-on and Ensora eRx with PDMP for prescribers

Strengths and weaknesses

• Strength: Unlimited clients on every plan
• Strength: Premier bundles unlimited claims and eligibility checks under a fair usage policy
• Strength: Advanced includes 50 free claims, eligibility checks and reminders per practice each month
• Weakness: Telehealth is an add-on on the Essentials plan
• Weakness: Online booking and secure messaging need the $59 Advanced plan
• Weakness: Prescribing requires a setup fee plus a monthly add-on

Key facts

• Plans: $29, $59 or $89 per therapist a month
• Unlimited claims: Premier plan
• Free trial: 21 days on Premier
• Owner: Ensora Health

Where it ranks

TheraNest is No. 4 in our Best Therapy Practice Management Software verdict.