TherapyNotes vs CoralEHR
TherapyNotes is a top-rated EHR for insurance-heavy behavioral health practices. But if you're private-pay, you may be paying for features you'll never use. Here's how it compares to CoralEHR.
Choose TherapyNotes if…
- You bill insurance heavily and need a built-in clearinghouse with low per-claim costs
- You want a mature, well-established platform with a strong reputation in behavioral health
- You need Wiley Treatment Planners for evidence-based treatment planning
- You want both phone and live chat support included on all plans
- You work in a group practice where multiple clinicians share a single EHR
Choose CoralEHR if…
- You run a private-pay-only practice and don't need insurance billing
- You want AI-powered clinical notes included — TherapyNotes has no AI features
- You want all features included without per-clinician pricing tiers
- You prefer founder-led, personalized onboarding over self-service setup
- You want end-to-end encrypted telehealth included at no extra cost
Feature-by-Feature Comparison
O Overview
| Feature | TherapyNotes | CoralEHR |
|---|---|---|
| Best For | Solo & group, insurance-heavy | Solo private-pay |
| Scheduling & Reminders | ✓ Email & SMS reminders | ✓ Email & SMS reminders |
| Key Integrations | Built-in clearinghouse, Stripe | Stripe, Google Cal |
| Data Export | CSV, PDF export | CSV, PDF export |
P Pricing
| Feature | TherapyNotes | CoralEHR |
|---|---|---|
| Starting Price (Solo) | $49/mo | Free Pilot |
| Per Additional Clinician | $30/mo | TBD |
| Free Trial | ✓ 30-day free trial | ✓ Free pilot program |
| No Setup Fees | ✓ | ✓ |
| Annual Discount | ✗ | TBD |
B Billing & Claims
| Feature | TherapyNotes | CoralEHR |
|---|---|---|
| Insurance Billing | ✓ | ✗ Private-pay focused |
| Electronic Claims | ✓ | ✗ |
| Superbills | ✓ | ✓ |
| ERA/EOB Processing | ✓ | ✗ |
| Integrated Payments | ✓ Built-in processing | ✓ Stripe integration |
| Cost Per Claim | $0.14/claim | N/A |
| Client Invoicing | ✓ | ✓ |
T Telehealth
| Feature | TherapyNotes | CoralEHR |
|---|---|---|
| Built-in Video | ✓ | ✓ HIPAA-compliant video |
| Included in Base Price | ✓ All plans | ✓ All plans |
| HIPAA-Compliant Video | ✓ | ✓ E2EE |
| Screen Sharing | ✓ | ✓ |
| Group Video Sessions | ✓ | ✓ |
| Mobile Telehealth | ✓ Browser-based | ✓ |
D Documentation & AI
| Feature | TherapyNotes | CoralEHR |
|---|---|---|
| Progress Notes | ✓ | ✓ SOAP & DAP formats |
| Note Templates (SOAP/DAP) | ✓ SOAP/DAP/BIRP | ✓ SOAP/DAP |
| Treatment Plans | ✓ | ✓ |
| AI-Powered Notes | ✗ | ✓ AI-powered clinical notes |
| Custom Forms | ~ Limited templates | ✓ |
| E-Signatures | ✓ | ✓ |
| Wiley Treatment Planners | ✓ $15/mo add-on | ✗ |
C Client Portal
| Feature | TherapyNotes | CoralEHR |
|---|---|---|
| Online Scheduling | ✓ | ✓ |
| Digital Intake Forms | ✓ | ✓ |
| Secure Messaging | ✓ | ~ Coming soon |
| Client Payment Portal | ✓ | ✓ |
| Document Sharing | ✓ | ✓ |
| Appointment Reminders | ✓ | ✓ |
S Security & Compliance
| Feature | TherapyNotes | CoralEHR |
|---|---|---|
| HIPAA Compliant | ✓ | ✓ |
| BAA Provided | ✓ | ✓ |
| Two-Factor Auth (2FA) | ✓ | ✓ |
| Data Encryption | ✓ AES-256 | ✓ E2EE on AWS |
| Audit Logs | ✓ | ✓ |
| SOC 2 Certified | ✗ | ✗ |
S Support
| Feature | TherapyNotes | CoralEHR |
|---|---|---|
| Phone Support | ✓ | ✓ Founder's personal line |
| Live Chat | ✓ | ✗ |
| Email Support | ✓ | ✓ |
| Knowledge Base | ✓ | ✓ |
| Onboarding Assistance | ✓ | ✓ Personalized pilot onboarding |
| Dedicated Account Manager | ✗ | ✓ Founder-led support |
Pricing Snapshot
TherapyNotes starts at $49/month for a solo practitioner. Additional clinicians cost $30/month each. Telehealth is included in all plans. Wiley Treatment Planners are available as a $15/month add-on. There is no annual discount.
CoralEHR is currently in a free pilot program with every feature included — AI notes, telehealth, scheduling, Stripe payments, and personalized onboarding.
For a solo therapist who doesn't bill insurance, the $49/month TherapyNotes cost goes primarily toward billing infrastructure you won't use. CoralEHR's pilot program offers a more targeted feature set at no cost.
Overview
TherapyNotes has been a trusted name in behavioral health EHR since its founding. It's known for reliable insurance billing, a built-in clearinghouse with some of the lowest per-claim costs in the industry ($0.14/claim), and solid documentation tools including SOAP, DAP, and BIRP templates.
CoralEHR takes a different approach. Instead of building around insurance workflows, it focuses entirely on private-pay therapy practices. CoralEHR includes AI-powered note generation, built-in telehealth with end-to-end encryption, and Stripe-based payment processing — all in a single plan with no add-ons.
The fundamental difference: TherapyNotes excels at insurance billing and claims management. CoralEHR excels at streamlining the private-pay workflow with modern tools like AI documentation. If you don't bill insurance, TherapyNotes's core strength becomes an unused cost center.
Strengths & Weaknesses
TherapyNotes Strengths
- Best-in-class insurance billing — built-in clearinghouse at $0.14/claim, one of the lowest in the industry
- Reliable ERA/EOB processing — automated payment posting saves hours
- Strong documentation — SOAP, DAP, BIRP templates with customization
- Phone + live chat support — both available on all plans
- Wiley Treatment Planners — evidence-based treatment planning add-on
TherapyNotes Weaknesses
- No AI features — no AI-powered notes, dictation, or documentation assistance
- Limited custom forms — template-based, less flexible than competitors
- No annual discount — you pay the same whether monthly or annually
- Higher base price — $49/month is above average for solo therapists
- Insurance-centric design — the UI and workflow prioritize insurance billing, adding friction for private-pay users
CoralEHR Strengths
- AI-powered notes — generate clinical documentation with AI, included in every plan
- Built for private-pay — no insurance billing clutter in the interface
- All features included — telehealth, payments, scheduling, no add-ons
- E2EE telehealth — end-to-end encrypted video sessions
- Founder-led support — direct access to the founder for setup and ongoing help
CoralEHR Weaknesses
- No insurance billing — not suitable for practices that bill insurance
- Newer platform — less established track record than TherapyNotes
- Fewer integrations — smaller ecosystem of third-party connections
- Secure messaging coming soon — not yet available
Migration Notes
Moving from TherapyNotes to CoralEHR is a straightforward process:
- Export your data — TherapyNotes supports CSV and PDF exports for client demographics, clinical notes, and billing records.
- Import to CoralEHR — The CoralEHR onboarding team assists with importing your client list, appointment history, and key documents.
- Update your scheduling — Replace your TherapyNotes scheduling links on your website, directory listings, and email signature.
- Re-collect consents — Use CoralEHR's digital intake forms to gather updated consent documents under the new platform.
The migration typically completes in a single onboarding call with the CoralEHR founder.
Frequently Asked Questions
Common questions about TherapyNotes vs CoralEHR.
Ready to Try CoralEHR?
See how CoralEHR simplifies private-pay therapy practice management with AI-powered notes, built-in telehealth, and Stripe payments.
Reviewed by Aanish Sachdev, Co-Founder of CoralEHR
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