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 the AI scribe, reports, treatment-plan suggestions and a form builder on Pro
- You want auto-scored assessments (PHQ-9, GAD-7 and more) with safety alerts on every plan
- You practice EMDR or play therapy and want a detailed EMDR template, bilateral stimulation and a virtual sandtray inside the EHR
- You want a lower entry price — CoralEHR Starter is $29 with telehealth included, vs Sessions at $39
Feature-by-Feature Comparison
O Overview
| Feature | Sessions | CoralEHR |
|---|---|---|
| Best For | Budget-conscious solo & small groups | Private-pay solo and group practices |
| Scheduling & Reminders | ✓ Email, text & voice included at no extra cost | ✓ Reminders on every plan |
| Key Integrations | Stripe (only processor), Google Calendar | Stripe, Google Cal, Stedi (Pro) |
| Data Export | Free inbound migration; export details unpublished | Export your data anytime |
P Pricing
| Feature | Sessions | CoralEHR |
|---|---|---|
| Starting Price (Solo) | $39/mo | $29/mo |
| Per Additional Clinician | $29/mo per additional | $35/clinician |
| 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 | ~ Pro, via Stedi: eligibility checks and out-of-network claims; in-network claims in January |
| Electronic Claims | ✓ $0.19-$0.25 per claim | ~ Pro, via Stedi: out-of-network now, in-network in January |
| Superbills | ✓ Automatic superbills | ✓ |
| ERA/EOB Processing | ✓ ERA auto-posting; eligibility $0.15/report | ~ Pro: the payment remittance is included with each claim |
| Integrated Payments | ✓ Stripe only; 2.9% + $0.30 | ✓ Stripe integration |
| Cost Per Claim | $0.25/claim | $0.55 |
| 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 | ~ Pro. Owner dashboard: revenue, sessions, no-shows and overdue notes per clinician. |
T Telehealth
| Feature | Sessions | CoralEHR |
|---|---|---|
| Built-in Video | ~ $10/mo per practitioner add-on | ✓ Individual, couples and group sessions |
| 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 | ✓ Progress, chart and private psychotherapy notes |
| Note Type Coverage | ✓ SOAP/DAP/BIRP/Narrative + custom | ✓ Detailed EMDR and other modality templates; build your own |
| Treatment Plan Templates | ✓ Custom templates; objectives carry into progress notes | ✓ Treatment plans with ICD-10 diagnoses; AI suggestions on Pro |
| AI-Powered Notes | ~ AI Assist $35/practitioner/mo add-on (GA April 2026) | ~ Pro. AI scribe drafts the note; no session recordings stored; you review and sign. |
| AI Features Beyond Note-Drafting | ~ Notes from typed summary or telehealth transcription; in-person scribe "coming soon" | ~ Pro. AI reports, AI form builder and treatment-plan suggestions. |
| AI Form Builder (plain-language → form) | ✗ | ~ Pro. Describe a form in plain language. |
| AI Progress Reports (PDF, date-ranged) | ✗ | ~ Pro. Clinician-reviewed summaries. AI does not replace clinical judgment. |
| Custom Forms | ✓ Form builder (reviewers find custom forms fiddly) | ✓ Form builder, ready-made intake, consent and HIPAA forms, packets |
| E-Signatures | ✓ | ✓ |
| Wiley Treatment Planners | ✗ | ✗ Own templates instead |
I In-Session Therapy Tools
| Feature | Sessions | CoralEHR |
|---|---|---|
| Digital Sand Tray (play therapy miniatures) | ✗ | ✓ Virtual sandtray live in telehealth; clients place, recolour and create objects |
| EMDR Bilateral Stimulation Tool | ✗ | ✓ Live inside the telehealth session; configurable shape, direction and speed |
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 | ✓ |
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 | ✓ | ✓ |
| SOC 2-aligned controls | ✗ Tracks HITRUST CSF annually; no SOC 2 attestation published | ✗ SOC 2-aligned controls. Not SOC 2 certified. |
S Support
| Feature | Sessions | CoralEHR |
|---|---|---|
| Phone Support | ✗ Email-only, M-F 8am-5pm CST | ~ 24/7 support on every plan. No published phone line. |
| Live Chat | ✗ | ✗ |
| Email Support | ✓ Praised as fast and human | ✓ 24/7 support on every plan |
| Knowledge Base | ✓ | ✓ |
| Onboarding Assistance | ✓ Free data migration | ✓ We set up your practice, team and roles when you join |
| Dedicated Account Manager | ✗ | ✗ 24/7 support on every plan instead |
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) or $79/mo (Pro, with the AI scribe, insurance billing and group tools). Groups pay $35 or $85 per clinician, owner seat included, and less past 10 clinicians; interns are free. Every plan includes a 30-day free trial with no credit card, a 30-day money-back guarantee, a 20% annual billing discount and 24/7 support. Telehealth, scheduling, and Stripe payments are on every plan.
The head-to-head: for a telehealth practice without AI, Sessions is $49/month vs CoralEHR Starter at $29. For an AI-powered practice, Sessions is $84/month vs CoralEHR Pro at $79 — and CoralEHR's AI includes treatment-plan generation and a form builder, not just note drafting. Sessions' genuine edge is mature insurance billing; CoralEHR's insurance tools are on Pro, with in-network claims arriving in January.
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 Pro tier ($79) adds optional AI documentation with no per-seat fee. Where Sessions covers the basics economically, CoralEHR adds a detailed EMDR template, bilateral stimulation and a virtual sandtray in session, therapy tools like the DBT diary card, and auto-scored assessments with safety alerts.
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 Pro — the AI scribe, reports, treatment-plan suggestions and form builder with no per-seat add-on (the AI scribe stores no session recordings)
- Measurement-based care — auto-scored PHQ-9, GAD-7 and more, with safety alerts
- Treatment plans with goal tracking — objectives tied to assessment scores, 22 templates, AI-assisted generation
- Modality templates and in-session tools — a detailed EMDR template; bilateral stimulation, a virtual sandtray and therapy tools built into telehealth
- 24/7 support — on every plan
- 24/7 support — not a ticket queue
CoralEHR Weaknesses
- Insurance is newer — out-of-network claims on Pro now, in-network from January; Sessions is more mature for insurance-heavy practices
- 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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Back to all comparisonsReviewed by Arhaan Gupta, Co-Founder & CEO of CoralEHR Pricing and features last verified September 19, 2026.
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