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.
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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 value 24/7 phone support — TherapyNotes' most consistently praised feature
- You need Wiley Treatment Planners for evidence-based treatment planning
- 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 — the scribe, reports, treatment-plan suggestions and form builder — included on Pro with no per-seat fee, vs TherapyNotes' $40/clinician TherapyFuel add-on
- You want auto-scored assessments with safety alerts on every plan
- You want true 2-way Google Calendar sync — TherapyNotes syncs one way only
- You want 24/7 support and personalized onboarding over self-service setup
Feature-by-Feature Comparison
O Overview
| Feature | TherapyNotes | CoralEHR |
|---|---|---|
| Best For | Solo & group, insurance-heavy | Private-pay solo and group practices |
| Scheduling & Reminders | ~ Email free; $0.14 per text or phone reminder | ✓ Reminders on every plan |
| Key Integrations | Built-in clearinghouse (Claim.MD) | Stripe, Google Cal, Stedi (Pro) |
| Data Export | CSV, PDF export | Export your data anytime |
P Pricing
| Feature | TherapyNotes | CoralEHR |
|---|---|---|
| Starting Price (Solo) | $69/mo | $29/mo |
| Per Additional Clinician | $50/mo per additional | $35/clinician |
| Free Trial | ✓ 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 |
B Billing & Claims
| Feature | TherapyNotes | CoralEHR |
|---|---|---|
| Insurance Billing | ✓ | ~ 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 | ✓ Built-in processing; 3.1% + $0.30 per transaction | ✓ Stripe integration |
| Cost Per Claim | $0.14/claim | $0.55 |
| Client Invoicing | ✓ | ✓ |
| Revenue Dashboard (30/90/365-day, AR aging, payouts) | ~ Basic billing reports; no visual analytics dashboards | ~ Pro. Owner dashboard: revenue, sessions, no-shows and overdue notes per clinician. |
T Telehealth
| Feature | TherapyNotes | CoralEHR |
|---|---|---|
| Built-in Video | ✓ Basic 1:1 telehealth included | ✓ Individual, couples and group sessions |
| Included in Base Price | ✓ Basic 1:1 on all plans | ✓ 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 | ~ Up to 16 participants via Premium Telehealth $15/mo add-on | ✓ |
| Mobile Telehealth | ✓ Via mobile app or browser | ✓ |
D Documentation & AI
| Feature | TherapyNotes | CoralEHR |
|---|---|---|
| Progress Notes | ✓ | ✓ Progress, chart and private psychotherapy notes |
| Note Type Coverage | ✓ SOAP/DAP/BIRP; reviewers call templates rigid | ✓ 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 | ~ TherapyFuel $40/clinician/mo add-on (incl. ambient Scribe) | ~ Pro. AI scribe drafts the note; no session recordings stored; you review and sign. |
| AI Features Beyond Note-Drafting | ~ TherapyFuel: scribe, contact notes, client-history summaries | ~ 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 | ~ Limited templates | ✓ Form builder, ready-made intake, consent and HIPAA forms, packets |
| E-Signatures | ✓ | ✓ |
| Wiley Treatment Planners | ✓ $15/mo add-on | ✗ Own templates instead |
I In-Session Therapy Tools
| Feature | TherapyNotes | 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 | TherapyNotes | CoralEHR |
|---|---|---|
| Online Scheduling | ✓ | ✓ |
| Digital Intake Forms | ✓ | ✓ |
| Secure Messaging | ✓ | ✓ |
| Client Payment Portal | ✓ | ✓ |
| Document Sharing | ✓ | ✓ |
| Appointment Reminders | ✓ | ✓ |
S Security & Compliance
| Feature | TherapyNotes | 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 | TherapyNotes | 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
TherapyNotes costs $69/month for a solo practitioner after a December 2025 price increase (from $59). Group plans are $79/month for the first clinician plus $50/month for each additional clinician. Basic 1:1 telehealth is included; Premium Telehealth (group calls, HD, screen share) is a $15/clinician/month add-on. Its TherapyFuel AI is a $40/clinician/month add-on, text and phone reminders cost $0.14 each, Wiley Treatment Planners are about $15/month extra, and card processing runs 3.1% + $0.30. There is 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.
For a solo therapist who doesn't bill insurance, the $69/month TherapyNotes cost goes primarily toward billing infrastructure you won't use — and adding AI brings it to $109/month. CoralEHR's $29/month Starter offers a more targeted feature set at a lower price, and Pro at $79 includes the AI.
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 — plus the most consistently praised phone support in the category.
CoralEHR takes a different approach. Instead of building around insurance workflows, it focuses entirely on private-pay therapy practices. CoralEHR includes built-in HIPAA-compliant telehealth and Stripe-based payment processing on every plan, with AI-powered note generation included on Pro — no per-feature add-ons.
The fundamental difference: TherapyNotes excels at insurance billing and claims management. CoralEHR excels at streamlining the private-pay workflow, with EMDR and in-session tools built into telehealth. AI documentation is Pro only. 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
- 24/7 phone support — fast access to knowledgeable humans, its most consistently praised attribute
- Reliable ERA/EOB processing — automated payment posting saves hours
- Structured, compliance-friendly documentation — SOAP, DAP, BIRP templates with a To-Do workflow that keeps unsigned notes visible
- Wiley Treatment Planners — evidence-based treatment planning add-on
TherapyNotes Weaknesses
- AI is a $40/clinician add-on — TherapyFuel costs $40/clinician/month on top of the base plan, and reviewers describe its notes as formulaic and wordy, requiring heavy editing
- December 2025 price increase — solo went from $59 to $69/month and group from $69+$40 to $79+$50, with no annual discount to offset it
- Per-unit fees stack up — $0.14 per text/phone reminder, $0.14 per claim, per ERA, and per eligibility check, plus 3.1% + $0.30 card processing
- Shallow measurement-based care — built-in outcome measures are limited to PHQ-9, GAD-7, and CAGE-AID
- Only a companion mobile app — the long-awaited mobile app (January 2026) covers agenda, messaging, and telehealth join, but not billing or full documentation
- No public API, no bulk actions — sessions must be updated one by one, there's no API for analytics or integrations, and calendar sync is one-way only, creating a practical scale ceiling around 10–15 clinicians
- Dated, rigid UX — reviewers describe the interface as old-feeling, note templates as rigid, and the treatment-plan module as frustrating
- Insurance-centric design — the UI and workflow prioritize claims/billing, adding friction for private-pay users
CoralEHR Strengths
- 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)
- Auto-scored assessments — PHQ-9, GAD-7 and more, with safety alerts
- Built for private-pay — no insurance billing clutter in the interface
- Included, not add-ons — telehealth, payments, scheduling, and email reminders on every plan
- 2-way Google Calendar sync — true bidirectional sync on every plan
- 24/7 support — on every plan, with personalized setup when you join
CoralEHR Weaknesses
- Insurance is newer — out-of-network claims on Pro now, in-network from January
- Newer platform — less established track record than TherapyNotes
- Fewer integrations — smaller ecosystem of third-party connections
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.
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Frequently Asked Questions
Common questions about TherapyNotes vs CoralEHR.
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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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