TherapyNotes review

TherapyNotes is the runner-up and the pick for practices that live on insurance billing. Every plan includes unlimited clients, appointments and notes, a custom client portal, secure client and staff messaging, basic telehealth, unlimited file storage, a mobile companion app and free data import from another EMR. Pricing is simple: $69 a month for a solo user, or $89 for the first clinician and $60 for each additional one on group plans, with non-clinical staff free. Billing is pay as you go at 25 cents per electronic claim, 9 cents per claim on ERA and 14 cents per eligibility request, and reminders cost 14 cents per text or call with email reminders free. Add-ons include Premium Telehealth, TherapyFuel, ePrescribe and MIPS reporting. Support is a real differentiator, with phone and email help every day of the week. The trade-off is that per-use fees add up for high-volume practices, and the solo price is higher than several rivals here.

Who it is for

Insurance-based solo and group practices that want predictable per-clinician pricing and free non-clinical staff accounts.

Price

Solo $69 per month for one user; Group $89 for the first clinician plus $60 per additional clinician.

Solo $69 /month for one user
Quoted from the vendor pricing page on November 6, 2026.

Key features

• Unlimited clients, appointments and notes with unlimited file storage
• Electronic billing at 25 cents per claim, 9 cents per claim on ERA and 14 cents per eligibility request
• Custom client portal, secure client and staff messaging and basic telehealth in every plan
• Premium Telehealth at $15 and TherapyFuel at $40 per clinician per month
• ePrescribe add-on at $65 per prescriber per month and MIPS reporting

Strengths and weaknesses

• Strength: 24/7 phone and email support included with every plan
• Strength: Non-clinical staff accounts are free on group plans
• Strength: Free client data import from another EMR and no signup fee
• Weakness: Claims, eligibility checks and text reminders are billed per use
• Weakness: Solo plan is $20 more than SimplePractice Starter
• Weakness: Premium telehealth features cost extra per clinician

Key facts

• Solo plan: $69 a month for one user
• Group plan: $89 first clinician, $60 each additional
• Free trial: 30 days, no credit card
• Support: 24/7 phone and email

Where it ranks

TherapyNotes is No. 2 in our Best Therapy Practice Management Software verdict.