Sessions Health vs CoralEHR
Sessions Health is the budget favorite among therapist EHRs — $39/month, honest pricing, and warm support. CoralEHR starts lower at $29 and goes deeper on clinical tools. Here's an honest look at how they compare.
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Choose Sessions Health if…
- You bill insurance — Sessions Health includes e-claims, ERA auto-posting, and eligibility checks
- You want the lowest-risk budget choice with a track record of never raising prices on existing customers
- You only see a few clients — its free plan covers up to 3 active clients
- You want simple, clean software and don't need modality tools, analytics, or interoperability
- Email-based support that responds quickly is enough for you
Choose CoralEHR if…
- You want telehealth included — Sessions charges $10/practitioner/month extra; CoralEHR includes group-capable video on every plan, even the $29 Starter
- You want AI documentation included — Sessions' AI Assist is a $35/practitioner/month add-on; CoralEHR includes AI notes, treatment plans, and a form builder on Professional
- You want a broader auto-scored library (PHQ-9, GAD-7, CY-BOCS, PCL-5, and others). Outcome trend dashboards are Professional+
- You practice EMDR, IFS, ERP, ACT, or play therapy and want modality builders and in-session tools in the EHR
- You want an AI-free option that's still cheaper — CoralEHR Starter is $29 with no AI, vs Sessions at $39
Feature-by-Feature Comparison
O Overview
| Feature | Sessions | CoralEHR |
|---|---|---|
| Best For | Budget-conscious solo & small groups | Solo private-pay |
| Scheduling & Reminders | ✓ Email, text & voice included at no extra cost | ✓ Email reminders on every plan |
| Key Integrations | Stripe (only processor), Google Calendar | Stripe, Google Cal |
| Data Export | Free inbound migration; export details unpublished | CSV, PDF export |
P Pricing
| Feature | Sessions | CoralEHR |
|---|---|---|
| Starting Price (Solo) | $39/mo | $29/mo |
| Per Additional Clinician | $29/mo per additional | Custom |
| Free Trial | ✓ 30 days, no credit card | ✓ 30-day free trial, no credit card |
| No Setup Fees | ✓ | ✓ No setup fees |
| Annual Discount | ✗ | ✓ ~20% off annual billing |
B Billing & Claims
| Feature | Sessions | CoralEHR |
|---|---|---|
| Insurance Billing | ✓ E-claims, batch & secondary claims | ✗ Private-pay focused |
| Electronic Claims | ✓ $0.19-$0.25 per claim | ✗ |
| Superbills | ✓ Automatic superbills | ✓ |
| ERA/EOB Processing | ✓ ERA auto-posting; eligibility $0.15/report | ✗ |
| Integrated Payments | ✓ Stripe only; 2.9% + $0.30 | ✓ Stripe integration |
| Cost Per Claim | $0.25/claim | N/A |
| Client Invoicing | ✓ Automatic invoices, Autopay | ✓ |
| Revenue Dashboard (30/90/365-day, AR aging, payouts) | ~ Limited reporting - no custom date ranges or per-provider income views | ~ Professional and Practice. 30/90/365-day filters, AR aging, payouts. |
T Telehealth
| Feature | Sessions | CoralEHR |
|---|---|---|
| Built-in Video | ~ $10/mo per practitioner add-on | ✓ HIPAA-eligible video |
| Included in Base Price | ✗ $10/mo add-on | ✓ All plans |
| HIPAA-Compliant Video | ✓ | ✓ Encrypted in transit and at rest on HIPAA-eligible AWS infrastructure |
| Screen Sharing | ✓ | ✓ |
| Group Video Sessions | ~ Capped at 4 participants | ✓ |
| Mobile Telehealth | ~ Browser-based; no native app | ✓ |
D Documentation & AI
| Feature | Sessions | CoralEHR |
|---|---|---|
| Progress Notes | ✓ SOAP, DAP, BIRP, Narrative + custom templates | ✓ Template-aware sections, markdown + rich text |
| Note Type Coverage | ✓ SOAP/DAP/BIRP/Narrative + custom | 8 types |
| Treatment Plan Templates | ✓ Custom templates; objectives carry into progress notes | 22 templates |
| AI-Powered Notes | ~ AI Assist $35/practitioner/mo add-on (GA April 2026) | ~ Professional and Practice. Scratchpad → AI draft → clinician review → sign. Not on Starter. |
| AI Features Beyond Note-Drafting | ~ Notes from typed summary or telehealth transcription; in-person scribe "coming soon" | ~ Professional and Practice. Coral assistant, plan generation, note transform, reports, voice preferences. |
| AI Form Builder (plain-language → form) | ✗ | ~ Professional and Practice. Describe a form in plain language; version history. |
| AI Progress Reports (PDF, date-ranged) | ✗ | ~ Professional and Practice. Clinician-reviewed summaries. AI does not replace clinical judgment. |
| Custom Forms | ✓ Form builder (reviewers find custom forms fiddly) | ✓ Drag-and-drop, undo/redo, autosave, 17 question types |
| E-Signatures | ✓ | ✓ |
| Wiley Treatment Planners | ✗ | ✗ Built-in modality templates instead |
M Modality-Specific Tools
| Feature | Sessions | CoralEHR |
|---|---|---|
| EMDR Builder (Shapiro 8-phase, SUD/VOC) | ✗ | ✓ Shapiro 8-phase, target sequencing, SUD 0-10, VOC 1-7, body-scan installation |
| IFS Builder (Schwartz parts mapping) | ✗ | ✓ Manager / exile / firefighter parts mapping, burden tracking |
| ERP Builder (Foa fear hierarchies, SUDS) | ✗ | ✓ Foa fear-domain hierarchies, SUDS pre/peak/post (0-100), response prevention |
| ACT Builder (hexaflex, VLQ) | ✗ | ✓ Hexaflex, 10-domain VLQ, 7 named defusion techniques, 1-5 snapshots |
| SPT Builders (Synergetic Play Therapy) | ✗ | ✓ SPT-Child (caregiver partnership) + SPT-NARM (adult disconnection patterns) |
| Modality-Specific Builder Count | 0 | 6 builders |
P Patient Symptom Tracking
| Feature | Sessions | CoralEHR |
|---|---|---|
| Roadmapped Conditions | ✗ | Tourette's on Professional+ |
I In-Session Therapy Tools
| Feature | Sessions | CoralEHR |
|---|---|---|
| Digital Sand Tray (play therapy miniatures) | ✗ | ✓ 146 searchable miniatures, favorites, Surprise Me, fullscreen pop-out |
| EMDR Bilateral Stimulation Tool | ✗ | ✓ Horizontal/vertical/diagonal BLS patterns, speed control, fullscreen for screen sharing |
| Guided Breathing Exercises | ✗ | ✓ Box, 4-7-8, calm breath patterns with visual pacing |
| Grounding Exercise (5-4-3-2-1 sensory) | ✗ | ✓ 5-4-3-2-1 sensory grounding exercise |
| Feelings Volcano (children's emotional regulation) | ✗ | ✓ Feelings volcano - children's emotional regulation interactive |
| Worry Muncher (cognitive defusion) | ✗ | ✓ Worry muncher - cognitive defusion exercise |
| Total Built-in Therapy Tools | 0 | 6 tools |
I Interoperability & Data Portability
| Feature | Sessions | CoralEHR |
|---|---|---|
| FHIR R4 API | ✗ | ✓ FHIR R4 endpoints for Patient, Encounter, Observation, Condition, MedicationStatement, DocumentReference |
| US Core Profiles (USCDI) | ✗ | ✓ US Core profiles compliant - meets USCDI v3 data classes |
| SMART on FHIR App Launch | ✗ | ~ Professional and Practice. SMART on FHIR app launch with OAuth 2.0 / OIDC. |
| Multi-Provider Data Sharing | ✗ | ~ Professional and Practice. FHIR handoff for shared care, including TicVision. |
C Client Portal
| Feature | Sessions | CoralEHR |
|---|---|---|
| Online Scheduling | ✓ Request-based; clinician approves | ✓ |
| Digital Intake Forms | ✓ | ✓ |
| Secure Messaging | ✓ No read receipts | ✓ |
| Client Payment Portal | ✓ | ✓ |
| Document Sharing | ✓ Unlimited document storage | ✓ |
| Appointment Reminders | ✓ Email, text & voice included | ✓ Email reminders |
S Security & Compliance
| Feature | Sessions | CoralEHR |
|---|---|---|
| HIPAA Compliant | ✓ | ✓ |
| BAA Provided | ✓ | ✓ |
| Two-Factor Auth (2FA) | ✓ | ✓ Optional MFA |
| Data Encryption | ✓ AES-256 | ✓ AES-256 at rest and TLS in transit. Not end-to-end encrypted. |
| Audit Logs | ✓ | ✓ |
S Support
| Feature | Sessions | CoralEHR |
|---|---|---|
| Phone Support | ✗ Email-only, M-F 8am-5pm CST | ✓ Founder's personal line |
| Live Chat | ✗ | ✗ |
| Email Support | ✓ Praised as fast and human | ✓ |
| Knowledge Base | ✓ | ✓ |
| Onboarding Assistance | ✓ Free data migration | ✓ Email onboarding on Starter. Dedicated CSM on Practice. |
| Dedicated Account Manager | ✗ | ~ Practice plan. Starter is email support. |
Pricing Snapshot
Sessions Health charges $39/month for the first practitioner (unlimited clients) and $29/month per additional practitioner, with unlimited free admin staff. A free plan covers one practitioner with up to 3 active clients. The add-ons matter: integrated telehealth is $10/practitioner/month (capped at 4 participants), AI Assist is $35/practitioner/month, e-claims run $0.19–$0.25 each, eligibility checks $0.15, and Stripe processing is 2.9% + $0.30. A solo therapist using telehealth pays $49/month; add AI and it's $84/month. There's a 30-day free trial, no contracts, and no annual discount.
CoralEHR is $29/mo (Starter, AI-free) or $79/mo (Professional, optional AI). Practice for 6+ is custom — contact us. Every plan includes a 30-day free trial with no credit card and a 20% annual billing discount. Telehealth, scheduling, email reminders, and Stripe payments are on every plan.
The head-to-head: for an AI-free telehealth practice, Sessions is $49/month vs CoralEHR Starter at $29. For an AI-powered practice, Sessions is $84/month vs CoralEHR Professional at $79 — and CoralEHR's AI includes treatment-plan generation and a form builder, not just note drafting. Sessions' genuine edge is insurance billing, which CoralEHR doesn't offer.
Overview
Sessions Health, founded by a team that includes a practicing psychotherapist, has earned a loyal following as the value pick in therapy EHRs: $39/month for solo practitioners, $29/month per additional clinician, free admin staff accounts, and a reputation for never raising prices on existing customers. Its support — email-only, but fast and human — is consistently praised, and it covers the essentials well: notes, scheduling with included SMS reminders, a client portal, Stripe payments, superbills, and real insurance e-claims with ERA auto-posting.
For years, Sessions also marketed itself as the deliberately AI-free choice. That changed in April 2026, when it launched AI Assist — a $35/practitioner/month add-on that generates notes from typed summaries or telehealth transcription. The "no AI on principle" positioning is gone; AI is now simply another paid add-on, and its ambient scribe only works inside Sessions' own telehealth, which itself costs $10/practitioner/month extra.
CoralEHR competes from a different angle: it starts below Sessions at $29/month with telehealth included, and its Professional tier ($79) adds optional AI documentation with no per-seat fee. Where Sessions covers the basics economically, CoralEHR adds modality builders (EMDR, IFS, ERP, ACT, play therapy), in-session tools, a named auto-scored assessment library, and a FHIR R4 API. Starter is AI-free.
Strengths & Weaknesses
Sessions Health Strengths
- Honest, stable pricing — $39/$29 per practitioner with a track record of grandfathering existing customers' rates; no contracts
- Fast, human support — email-only but consistently praised for replies within hours
- Insurance billing included — e-claims with volume pricing, batch and secondary claims, ERA auto-posting, real-time eligibility
- Included reminders — email, text, and voice appointment reminders at no extra cost
- Free data migration in — switchers from SimplePractice call the transition smooth
- Therapist-designed — co-founded by a psychotherapist; clean, easy-to-learn interface with 2-way Google Calendar sync
Sessions Health Weaknesses
- Telehealth costs extra — $10/practitioner/month add-on, capped at 4 participants; reviewers report connection hiccups, some moving sessions to Zoom
- AI is a $35/practitioner add-on — AI Assist (GA April 2026) reverses the old "intentionally no AI" stance, and its ambient scribe only works inside Sessions' own paid telehealth; in-person transcription is still "coming soon"
- Thin clinical tooling — no modality-specific tools, treatment plans are manual text entry, and the custom form builder is described as fiddly
- Limited reporting — no custom date ranges, weak per-provider income views; group practices report a ceiling around ten clinicians
- No native mobile app, no public API, no Wiley planners, no e-prescribing
- Missing table-stakes touches — no read receipts on secure messages, no daily agenda email, occasional lost note text from mid-session errors
CoralEHR Strengths
- Lower entry price with more included — $29 Starter includes group-capable telehealth, email reminders, and Stripe payments
- AI included on Professional — notes, treatment plans, and form builder with no per-seat add-on (optional ambient scribe, opt-in)
- Measurement-based care — auto-scored PHQ-9, GAD-7, pediatric CY-BOCS, PCL-5, SCARED, and others. Adult Y-BOCS is custom-form only. Trend graphs are Professional+
- Treatment plans with goal tracking — objectives tied to assessment scores, 22 templates, AI-assisted generation
- Modality builders and in-session tools — EMDR, IFS, ERP, ACT, play therapy; bilateral stimulation and digital sand tray built in
- FHIR R4 API and SMART on FHIR — real data portability and multi-provider sharing
- Founder-led support — a direct line, not a ticket queue
CoralEHR Weaknesses
- No insurance billing — Sessions wins outright for practices that bill insurance
- Newer platform — Sessions has been earning its reputation since ~2019
- No free plan — CoralEHR offers a 30-day trial; Sessions' free tier suits 1–3 client caseloads indefinitely
- No native mobile app — like Sessions, CoralEHR is a responsive web app
Migration Notes
Moving from Sessions Health to CoralEHR is straightforward:
- Export your data — Sessions Health support can help you export client records and notes; their support team is responsive to export requests.
- Import to CoralEHR — CoralEHR's onboarding team imports your client demographics, appointment history, and documents free of charge.
- Update your scheduling — Replace booking links on your website, Psychology Today profile, and email signature.
- Re-collect consents — Use CoralEHR's digital intake forms to gather updated consents under the new platform.
Most solo practices complete the migration in a single onboarding call with the CoralEHR founder.
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Frequently Asked Questions
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Reviewed by Aanish Sachdev, Co-Founder of CoralEHR
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