TheraNest (Ensora Health) vs CoralEHR
TheraNest was a trusted independent EHR for over a decade. Then KKR acquired Therapy Brands in 2021, and in April 2025 the company rebranded to Ensora Health. Therapists have reported visible degradation since. Here's how it compares to CoralEHR today.
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Choose TheraNest (Ensora Health) if…
- You're already deeply invested in TheraNest's group-practice workflows and don't want to migrate
- You need built-in insurance billing and a clearinghouse for high claim volume
- You bill per-client (legacy pricing) and your contract grandfathers you into the older model
- You need e-prescribing — TheraNest offers an eRx + PDMP add-on ($45/mo + $135 setup)
- You're a multi-site or supervisor-led group practice and need TheraNest's hierarchy features
Choose CoralEHR if…
- You want to leave a PE-owned platform (KKR acquired Therapy Brands in 2021) before further support degradation
- You want one transparent price ($29/$79/$35-per-clinician) — no per-therapist surprise scaling
- You're a private-pay practice that doesn't need TheraNest's insurance billing infrastructure
- You want AI — the scribe, reports, treatment-plan suggestions and form builder — included on Pro with no per-seat fee, vs TheraNest's $35/provider/month AI add-on that isn't included even on its top tier
- You want freedom to choose your payment processor — TheraNest forced clients onto its in-house processing
- You want a 30-day free trial with no credit card and a 20% annual discount
Feature-by-Feature Comparison
O Overview
| Feature | TheraNest | CoralEHR |
|---|---|---|
| Best For | Solo & group MH practices | Private-pay solo and group practices |
| Scheduling & Reminders | ~ 30 free text/phone per mo on Advanced, then $0.10 each; unlimited on Premier | ✓ Reminders on every plan |
| Key Integrations | In-house payments, clearinghouses | Stripe, Google Cal, Stedi (Pro) |
| Data Export | CSV, PDF export | Export your data anytime |
P Pricing
| Feature | TheraNest | CoralEHR |
|---|---|---|
| Starting Price (Solo) | $29/therapist/mo | $29/mo |
| Per Additional Clinician | $29 / $59 / $89 per therapist | $35/clinician |
| Free Trial | ✓ 21-day free trial of Premier | ✓ 30-day free trial, no credit card |
| No Setup Fees | ✓ Except eRx: $135 setup | ✓ No setup fees |
| Annual Discount | ✓ 1 month free on annual billing | ✓ 20% off annual billing |
B Billing & Claims
| Feature | TheraNest | CoralEHR |
|---|---|---|
| Insurance Billing | ~ Advanced & Premier tiers | ~ Pro, via Stedi: eligibility checks and out-of-network claims; in-network claims in January |
| Electronic Claims | ✓ | ~ Pro, via Stedi: out-of-network now, in-network in January |
| Superbills | ✓ | ✓ |
| ERA/EOB Processing | ✓ | ~ Pro: the payment remittance is included with each claim |
| Integrated Payments | ✓ Required in-house processing; 2.99% + $0.30 | ✓ Stripe integration |
| Cost Per Claim | $0.23/claim | $0.55 |
| Client Invoicing | ✓ | ✓ |
| Revenue Dashboard (30/90/365-day, AR aging, payouts) | ~ Basic billing reports | ~ Pro. Owner dashboard: revenue, sessions, no-shows and overdue notes per clinician. |
T Telehealth
| Feature | TheraNest | CoralEHR |
|---|---|---|
| Built-in Video | ~ Included in Premier; $12/mo add-on on lower tiers | ✓ Individual, couples and group sessions |
| Included in Base Price | ~ Premier only; $12/mo add-on on Essentials & Advanced | ✓ All plans |
| HIPAA-Compliant Video | ✓ | ✓ Encrypted in transit and at rest on HIPAA-eligible AWS infrastructure |
| Screen Sharing | ✓ | ✓ |
| Group Video Sessions | ✓ | ✓ |
| Mobile Telehealth | ✓ iOS & Android app (reviewers call it thin) | ✓ |
D Documentation & AI
| Feature | TheraNest | CoralEHR |
|---|---|---|
| Progress Notes | ✓ | ✓ Progress, chart and private psychotherapy notes |
| Note Type Coverage | ✓ SOAP/DAP/BIRP | ✓ Detailed EMDR and other modality templates; build your own |
| Treatment Plan Templates | ✓ | ✓ Treatment plans with ICD-10 diagnoses; AI suggestions on Pro |
| AI-Powered Notes | ~ AI Session Assistant $35/provider/mo add-on on every tier - not included even in Premier; lighter AI note polish from Essentials | ~ Pro. AI scribe drafts the note; no session recordings stored; you review and sign. |
| AI Features Beyond Note-Drafting | ~ AI Session Assistant (in-person + telehealth scribe), $35/provider add-on | ~ 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, ready-made intake, consent and HIPAA forms, packets |
| E-Signatures | ✓ | ✓ |
| Wiley Treatment Planners | ✓ $25/mo add-on; included in Premier | ✗ Own templates instead |
I In-Session Therapy Tools
| Feature | TheraNest | 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 | TheraNest | CoralEHR |
|---|---|---|
| Online Scheduling | ✓ | ✓ |
| Digital Intake Forms | ✓ | ✓ |
| Secure Messaging | ✓ | ✓ |
| Client Payment Portal | ✓ | ✓ |
| Document Sharing | ✓ | ✓ |
| Appointment Reminders | ✓ | ✓ |
S Security & Compliance
| Feature | TheraNest | 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 | ✗ | ✗ SOC 2-aligned controls. Not SOC 2 certified. |
S Support
| Feature | TheraNest | CoralEHR |
|---|---|---|
| Phone Support | ✓ | ~ 24/7 support on every plan. No published phone line. |
| Live Chat | ✓ | ✗ |
| Email Support | ✓ | ✓ 24/7 support on every plan |
| Knowledge Base | ✓ | ✓ |
| Onboarding Assistance | ✓ | ✓ We set up your practice, team and roles when you join |
| Dedicated Account Manager | ✗ | ✗ 24/7 support on every plan instead |
Pricing Snapshot
TheraNest / Ensora prices per-therapist after a May 2025 model change: Essentials $29, Advanced $59, and Premier $89 per therapist per month, with one month free on annual billing. The add-on stack is where costs climb: its AI Session Assistant is $35/provider/month on every tier — not included even in Premier; telehealth is +$12/month below Premier; Wiley Treatment Planners are +$25/month (included in Premier); extra practice administrators cost $19–29/month; e-prescribing runs $45/month + $135 setup; and there's an annual $19.50/therapist AMA CPT fee each December. Advanced includes 30 claims, 30 eligibility checks, and 30 text reminders monthly, with overage fees after. Card processing is 2.99% + $0.30 through its required in-house processor. A 21-day free trial is available.
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.
For a solo private-pay therapist, TheraNest Essentials ($29) + telehealth ($12) + AI Session Assistant ($35) lands at $76/month — for an EHR whose AI is a recording scribe and whose reviews cite disappearing notes and weeks-long support waits. CoralEHR Pro at $79/month includes the AI documentation suite, telehealth, and 24/7 support — with no per-therapist scaling surprises.
Overview
TheraNest launched in 2008 and built a strong reputation as an independent, mental-health-focused EHR for solo therapists and group practices. In May 2021, private equity firm KKR acquired Therapy Brands (TheraNest's parent company) for $1.25 billion. In April 2025, the company rebranded to Ensora Health — and by mid-2026 had partially reversed course, marketing the product as "TheraNest" again while support portals still say "Ensora Mental Health."
Therapists who have used the platform across the acquisition timeline have reported pricing-model changes, a forced payment-processor migration, slower support, and rebrand churn. Public Trustpilot and BBB threads from 2024–2026 describe delayed support, payment-processing outages during the processor change, claims problems, and login/documentation disruption after the Ensora rename. We do not repeat unsourced dollar-loss figures or unnamed BBB allegations as facts.
CoralEHR takes the opposite structural posture. It's founder-owned, with published Starter and Pro prices, a 30-day free trial with no credit card, and a one-year price-lock guarantee. It's purpose-built for private-pay therapy practices — no insurance billing infrastructure to subsidize, no PE owner pressuring for margin extraction.
The fundamental question for a TheraNest user in 2026 isn't which platform has more features today — TheraNest still has more (insurance billing, e-prescribing, group-practice hierarchy, longer track record). The question is whether KKR's portfolio company will keep getting better, or whether the next 2–3 years look more like the last two.
Strengths & Weaknesses
TheraNest / Ensora Strengths
- Insurance billing built-in — claims submission, ERA/EOB, integrated clearinghouses, optional managed-billing (RCM) services
- E-prescribing available — eRx + PDMP add-on with controlled-substance support
- Group practice features — multi-clinician hierarchy, supervisor sign-off workflows
- Wiley Treatment Planners — included on the Premier tier
- Long track record — over 17 years of platform iteration, with native iOS and Android apps
- Low entry price — $29/therapist Essentials is genuinely cheap for part-time and self-pay practices, and now includes a light AI note-polish feature
TheraNest / Ensora Weaknesses
- PE-owned (KKR) — Therapy Brands acquired by KKR in 2021; reviewers report constant price hikes, automated support, and degradation since
- AI costs extra on every tier — the AI Session Assistant is a $35/provider/month add-on even on the $89 Premier plan; no tier includes it
- Rebrand whiplash — the April 2025 Ensora rebrand changed login URLs and documentation, and by mid-2026 the product was being marketed as "TheraNest" again
- Forced payment processor migration — practices lost the ability to choose their processor; BBB complaints document weeks-to-months of broken card processing during the transition
- Reliability problems — 2025–2026 reviewers report disappearing documents and appointments, notes that don't auto-save, and freezes on PHQ-9/GAD-7 scoring
- Claims and billing failures — BBB complaints cite claims stuck unsubmitted and managed-billing customers left with a fraction of normal revenue
- Support complaints — public reviews describe multi-day waits and auto-closed tickets. We do not publish an unsourced SLA miss or a contract-release-for-BBB-takedown claim.
- Add-on stack — telehealth +$12, Wiley +$25, admins +$19–29, eRx +$45, annual CPT fee, and reminder/claim overage fees pile onto the advertised tiers
- One-way calendar sync — Google/Apple sync is outbound-only and limited to 60 days ahead
CoralEHR Strengths
- Founder-owned, not PE — no portfolio-company margin pressure or rebrand chaos
- Transparent published pricing — $29 Starter / $79 Pro per month solo; $35 / $85 per clinician for groups
- Price-lock guarantee — your rate is locked for a full year
- 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)
- Migration help — we help import notes, clients, calendar, and intake forms
- Included, not an add-on maze — HIPAA-eligible encrypted telehealth, Stripe payments, email reminders, and 2-way Google Calendar sync on every plan
- Choose your payment processor — Stripe-based, not locked into a portfolio company's billing arm
- 30-day free trial, no credit card
CoralEHR Weaknesses
- Insurance is on Pro — eligibility checks and out-of-network claims via Stedi now; in-network claims from January
- No e-prescribing — TheraNest offers it as an add-on
- Newer platform — less established track record than TheraNest's 17+ years
- Smaller integration ecosystem — fewer third-party connections
Migration Notes
Migrating from TheraNest / Ensora to CoralEHR is straightforward, and we do the work for free:
- Export your TheraNest data — TheraNest supports CSV and PDF exports for client records, clinical notes, and billing history. If export is blocked, escalate via support and your BAA/contract. HIPAA 164.524 is the patient's right of access from you, the covered entity — not a statutory right to a particular vendor file format.
- CoralEHR migrates everything in 48 hours — our team imports your client demographics, appointment history, clinical notes, intake forms, and active treatment plans. You don't touch a CSV.
- Redirect scheduling links — update your Psychology Today profile, website, and email signature to point to your new CoralEHR scheduling link.
- Move payment processing to Stripe — if you were on TheraNest's in-house processing (forced post-acquisition), CoralEHR uses Stripe directly. Lower processor lock-in risk.
- Re-collect consents — use CoralEHR's digital intake forms to gather updated consent documents under the new platform.
Most solo and small-group practices complete the full migration in a single onboarding session.
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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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