EHR Comparison
CoralEHR vs SimplePractice
Compare pricing, card fees, AI notes, telehealth, and the EHR workflows that matter when you do not need insurance billing overhead.
We migrate you from SimplePractice in 48 hours, free - first two months on us → Jump to comparison table →Starting monthly price, before feature fit
Price is only the first pass. The full comparison below covers AI notes, telehealth, payments, migration, support, and private-pay workflow fit.
CoralEHR
$29
SimplePractice
$49+
TherapyNotes
$69
Public starting prices change. Use this chart as a quick orientation, then verify current pricing on each vendor's site.
Choose SimplePractice if…
- You bill insurance and need built-in claims submission and ERA processing
- You want a large, established marketplace of integrations and add-ons
- You run a multi-discipline wellness practice (not just therapy)
- You need Wiley Treatment Planners for structured treatment planning (included on Essential and Plus)
- You prefer a platform with a large user community and extensive knowledge base
Choose CoralEHR if…
- You run a private-pay-only practice and want a streamlined, focused workflow
- You want AI documentation — notes, treatment plans, and form builder — included on Professional with no per-seat fee, vs SimplePractice's $35/clinician/mo AI Note Taker add-on
- You want group video sessions and full 2-way Google Calendar sync without being pushed to a $99 tier
- You prefer founder-led, personalized support over ticket-based help desks
- You want a locked-in rate with a ~20% annual discount — SimplePractice bills monthly only, with no annual discount
Feature-by-Feature Comparison
How CoralEHR stacks up against SimplePractice and TherapyNotes across every category that matters.
O Overview
| Feature | CoralEHR | SimplePractice | TherapyNotes |
|---|---|---|---|
| Best For | Solo private-pay | Solo & group, all payers | Solo & group, insurance-heavy |
| Scheduling & Reminders | ✓ Email reminders on every plan | ~ Email, SMS & voice on Essential & Plus; no client reminders on Starter | ~ Email free; $0.14 per text or phone reminder |
| Key Integrations | Stripe, Google Cal | Stripe, Google Cal, clearinghouses | Built-in clearinghouse (Claim.MD) |
| Data Export | CSV, PDF export | Per-note PDFs; users report incomplete exports | CSV, PDF export |
P Pricing
| Feature | CoralEHR | SimplePractice | TherapyNotes |
|---|---|---|---|
| Starting Price (Solo) | $29/mo | $49/mo | $69/mo |
| Per Additional Clinician | Custom | $74/clinician/mo | $50/mo per additional |
| Free Trial | ✓ 30-day free trial, no credit card | ✓ 30-day free trial, no credit card | ✓ 30-day free trial, no credit card |
| No Setup Fees | ✓ No setup fees | ✓ | ✓ |
| Annual Discount | ✓ ~20% off annual billing | ✗ Monthly billing only | ✗ |
B Billing & Claims
| Feature | CoralEHR | SimplePractice | TherapyNotes |
|---|---|---|---|
| Insurance Billing | ✗ Private-pay focused | ✓ | ✓ |
| Electronic Claims | ✗ | ✓ | ✓ |
| Superbills | ✓ | ✓ | ✓ |
| ERA/EOB Processing | ✗ | ✓ | ✓ |
| Integrated Payments | ✓ Stripe integration | ✓ Required integrated processing; 3.15% + $0.30 per transaction | ✓ Built-in processing; 3.1% + $0.30 per transaction |
| Cost Per Claim | N/A | $0.25-$0.50/claim | $0.14/claim |
| Client Invoicing | ✓ | ✓ | ✓ |
| Revenue Dashboard (30/90/365-day, AR aging, payouts) | ~ Professional and Practice. 30/90/365-day filters, AR aging, payouts. | ~ Basic billing reports | ~ Basic billing reports; no visual analytics dashboards |
T Telehealth
| Feature | CoralEHR | SimplePractice | TherapyNotes |
|---|---|---|---|
| Built-in Video | ✓ HIPAA-eligible video | ✓ 1:1 telehealth included on all plans (since March 2025 repricing) | ✓ Basic 1:1 telehealth included |
| Included in Base Price | ✓ All plans | ✓ 1:1 video on all plans | ✓ Basic 1:1 on all plans |
| HIPAA-Compliant Video | ✓ Encrypted in transit and at rest on HIPAA-eligible AWS infrastructure | ✓ | ✓ |
| Screen Sharing | ✓ | ✓ | ~ Premium Telehealth $15/clinician/mo add-on |
| Group Video Sessions | ✓ | ~ Plus only; +$20/mo add-on on Essential; not on Starter | ~ Up to 16 participants via Premium Telehealth $15/mo add-on |
| Mobile Telehealth | ✓ | ✓ iOS & Android app | ✓ Via mobile app or browser |
D Documentation & AI
| Feature | CoralEHR | SimplePractice | TherapyNotes |
|---|---|---|---|
| Progress Notes | ✓ Template-aware sections, markdown + rich text | ✓ | ✓ |
| Note Type Coverage | 8 types | ✓ SOAP/DAP/BIRP | ✓ SOAP/DAP/BIRP; reviewers call templates rigid |
| Treatment Plan Templates | 22 templates | ✓ Custom plans on Essential & Plus | ✓ |
| AI-Powered Notes | ~ Professional and Practice. Scratchpad → AI draft → clinician review → sign. Not on Starter. | ~ AI Note Taker $35/mo per clinician add-on; may retain de-identified transcripts for AI training from June 16, 2026 | ~ TherapyFuel $40/clinician/mo add-on (incl. ambient Scribe) |
| AI Features Beyond Note-Drafting | ~ Professional and Practice. Coral assistant, plan generation, note transform, reports, voice preferences. | ~ AI Note Taker $35/mo (scribe + pre-appointment summaries) | ~ TherapyFuel: scribe, contact notes, client-history summaries |
| 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 | ✓ Drag-and-drop, undo/redo, autosave, 17 question types | ✓ | ~ Limited templates |
| E-Signatures | ✓ | ✓ | ✓ |
| Wiley Treatment Planners | ✗ Built-in modality templates instead | ✓ Included on Essential & Plus; not on Starter | ✓ $15/mo add-on |
M Modality-Specific Tools
| Feature | CoralEHR | SimplePractice | TherapyNotes |
|---|---|---|---|
| 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 | 6 builders | 0 | 0 |
P Patient Symptom Tracking
| Feature | CoralEHR | SimplePractice | TherapyNotes |
|---|---|---|---|
| Roadmapped Conditions | Tourette's on Professional+ | ✗ | ✗ |
I In-Session Therapy Tools
| Feature | CoralEHR | SimplePractice | TherapyNotes |
|---|---|---|---|
| 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 | 6 tools | 0 | 0 |
I Interoperability & Data Portability
| Feature | CoralEHR | SimplePractice | TherapyNotes |
|---|---|---|---|
| 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 | CoralEHR | SimplePractice | TherapyNotes |
|---|---|---|---|
| Online Scheduling | ✓ | ✓ | ✓ |
| Digital Intake Forms | ✓ | ✓ | ✓ |
| Secure Messaging | ✓ | ✓ | ✓ |
| Client Payment Portal | ✓ | ✓ | ✓ |
| Document Sharing | ✓ | ✓ | ✓ |
| Appointment Reminders | ✓ Email reminders | ~ Essential & Plus only; none on Starter | ✓ |
S Security & Compliance
| Feature | CoralEHR | SimplePractice | TherapyNotes |
|---|---|---|---|
| HIPAA Compliant | ✓ | ✓ | ✓ |
| BAA Provided | ✓ | ✓ | ✓ |
| Two-Factor Auth (2FA) | ✓ Optional MFA | ✓ | ✓ |
| Data Encryption | ✓ AES-256 at rest and TLS in transit. Not end-to-end encrypted. | ✓ AES-256 | ✓ AES-256 |
| Audit Logs | ✓ | ✓ | ✓ |
S Support
| Feature | CoralEHR | SimplePractice | TherapyNotes |
|---|---|---|---|
| Phone Support | ✓ Founder's personal line | ~ Plus plan only | ✓ |
| Live Chat | ✗ | ✓ | ✓ |
| Email Support | ✓ | ✓ | ✓ |
| Knowledge Base | ✓ | ✓ | ✓ |
| Onboarding Assistance | ✓ Email onboarding on Starter. Dedicated CSM on Practice. | ✓ | ✓ |
| Dedicated Account Manager | ~ Practice plan. Starter is email support. | ✗ | ✗ |
What switching from SimplePractice actually looks like
Before (SimplePractice)
- ✗ $49-$99/mo tiers built for insurance billing - the entry plan jumped 69% overnight in March 2025 under private-equity ownership, with no annual discount
- ✗ Nickel-and-dimed: AI notes +$35/clinician, group sessions +$20/mo on Essential, extra clinicians $74/mo (Plus required), annual CPT fee, 3.15% + $0.30 card processing
- ✗ Full 2-way Google Calendar sync only on the $99 Plus tier - no sync at all on Starter
- ✗ Telehealth quality and disconnect complaints since 2024 - reviewers report dropped sessions; we do not publish an unsourced outage count
- ✗ From June 16, 2026, de-identified Note Taker transcripts may be retained to improve that feature. SimplePractice says it is not training a foundation model; existing users are opted out by default
- ✗ Insurance-billing UI on every screen; support by ticket, not conversation
After (CoralEHR)
- ✓ Telehealth, scheduling & payments on every plan - no add-on maze
- ✓ AI notes, treatment plans & forms on Professional - no per-seat add-on
- ✓ Price-lock guarantee - your rate never changes
- ✓ Clean private-pay workflow + a direct line to the founder
Migration is straightforward
Export your data from SimplePractice (CSV + PDF), and the CoralEHR team imports client demographics, appointment history, and documents in a single onboarding session. Most solo practices switch in under an hour.
Frequently Asked Questions
Common questions about switching from SimplePractice to CoralEHR.
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Reviewed by Aanish Sachdev, Co-Founder of CoralEHR
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