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.
Calculate Your Savings
Enter your current EHR costs and see exactly what switching to CoralEHR would save.
Frequently Asked Questions
Common questions about TherapyNotes vs CoralEHR.
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Reviewed by Aanish Sachdev, Co-Founder of CoralEHR
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