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 documentation — notes, treatment plans, and form builder — included on Professional with no per-seat fee, vs TherapyNotes' $40/clinician TherapyFuel add-on
- You want a broad measurement-based-care library — TherapyNotes ships only PHQ-9, GAD-7, and CAGE-AID; CoralEHR auto-scores 35+ instruments
- You want true 2-way Google Calendar sync — TherapyNotes syncs one way only
- You prefer founder-led, personalized onboarding over self-service setup
Feature-by-Feature Comparison
O Overview
| Feature | TherapyNotes | CoralEHR |
|---|---|---|
| Best For | Solo & group, insurance-heavy | Solo private-pay |
| Scheduling & Reminders | ~ Email free; $0.14 per text or phone reminder | ✓ Email & SMS reminders |
| Key Integrations | Built-in clearinghouse (Claim.MD) | Stripe, Google Cal |
| Data Export | CSV, PDF export | CSV, PDF export |
P Pricing
| Feature | TherapyNotes | CoralEHR |
|---|---|---|
| Starting Price (Solo) | $69/mo | $29/mo |
| Per Additional Clinician | $50/mo per additional | From $35/clinician/mo |
| Free Trial | ✓ 30-day free trial, no credit card | ✓ 30-day free trial, no credit card |
| No Setup Fees | ✓ | ✓ No setup fees + free white-glove migration |
| Annual Discount | ✗ | ✓ ~20% off annual billing |
B Billing & Claims
| Feature | TherapyNotes | CoralEHR |
|---|---|---|
| Insurance Billing | ✓ | ✗ Private-pay focused |
| Electronic Claims | ✓ | ✗ |
| Superbills | ✓ | ✓ |
| ERA/EOB Processing | ✓ | ✗ |
| Integrated Payments | ✓ Built-in processing; 3.1% + $0.30 per transaction | ✓ Stripe integration |
| Cost Per Claim | $0.14/claim | N/A |
| Client Invoicing | ✓ | ✓ |
| Revenue Dashboard (30/90/365-day, AR aging, payouts) | ~ Basic billing reports; no visual analytics dashboards | ✓ 30/90/365-day filters, AR aging buckets, full payouts dashboard |
T Telehealth
| Feature | TherapyNotes | CoralEHR |
|---|---|---|
| Built-in Video | ✓ Basic 1:1 telehealth included | ✓ HIPAA-compliant video |
| Included in Base Price | ✓ Basic 1:1 on all plans | ✓ All plans |
| HIPAA-Compliant Video | ✓ | ✓ Encrypted, 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 | ✓ | ✓ Template-aware sections, markdown + rich text |
| Note Type Coverage | ✓ SOAP/DAP/BIRP; reviewers call templates rigid | 8 types |
| Treatment Plan Templates | ✓ | 22 templates |
| AI-Powered Notes | ~ TherapyFuel $40/clinician/mo add-on (incl. ambient Scribe) | ✓ Scratchpad → AI draft → AI judge → clinician redraft → sign |
| AI Features Beyond Note-Drafting | ~ TherapyFuel: scribe, contact notes, client-history summaries | 11 AI features |
| AI Form Builder (plain-language → form) | ✗ | ✓ Describe a form in plain language; iterative chat refinement; version history with diff |
| AI Progress Reports (PDF, date-ranged) | ✗ | ✓ Weekly summaries of patient data - assessments, treatment plan, notes, recommendations. Clinician-reviewed; AI assists, does not replace clinical judgment |
| Custom Forms | ~ Limited templates | ✓ Drag-and-drop, undo/redo, autosave, 17 question types |
| E-Signatures | ✓ | ✓ |
| Wiley Treatment Planners | ✓ $15/mo add-on | ✗ Built-in modality templates instead |
M Modality-Specific Tools
| Feature | TherapyNotes | CoralEHR |
|---|---|---|
| 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 | 0 | 6 builders |
P Patient Symptom Tracking
| Feature | TherapyNotes | CoralEHR |
|---|---|---|
| Roadmapped Conditions | ✗ | Tourette's live; ADHD + OCD next |
I In-Session Therapy Tools
| Feature | TherapyNotes | CoralEHR |
|---|---|---|
| Digital Sand Tray (play therapy miniatures) | ✗ | ✓ Search 200+ miniatures, favorites, "Surprise Me" mode, fullscreen pop-out for client-facing sessions |
| 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 | 0 | 6+ tools |
I Interoperability & Data Portability
| Feature | TherapyNotes | CoralEHR |
|---|---|---|
| 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 | ✗ | ✓ SMART on FHIR app launch with OAuth 2.0 / OIDC for third-party app integration |
| Multi-Provider Data Sharing | ✗ | ✓ FHIR-based handoff to neurologists, PCPs, psychiatrists for shared patient care; powers TicVision and other vertical integrations |
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) | ✓ | ✓ |
| Data Encryption | ✓ AES-256 | ✓ Encrypted in transit and at rest on AWS |
| Audit Logs | ✓ | ✓ |
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 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 starts at $29/mo (Starter), $79/mo (Professional), or From $35/clinician/mo (Practice for 6+ clinicians). Every plan includes a 30-day free trial with no credit card, a 20% annual billing discount, and free white-glove migration — with telehealth, scheduling, Stripe payments, and personalized onboarding included on every plan, and AI documentation (notes, treatment plans, form builder) included on Professional with no per-seat add-on. An optional, consent-first ambient AI scribe is available too.
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 Professional 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 Professional — 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 modern tools like AI documentation, a 35+ instrument assessment library, and modality-specific builders. 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 Professional — notes, treatment plans, and form builder with no per-seat add-on (optional ambient scribe, opt-in)
- 35+ auto-scored assessments — PHQ-9, GAD-7, SCARED, ASRS, Y-BOCS, PCL-5 and more, with trend graphs that feed treatment plans
- Built for private-pay — no insurance billing clutter in the interface
- Included, not add-ons — telehealth, payments, scheduling, and SMS/email reminders on every plan
- 2-way Google Calendar sync — true bidirectional sync on every plan
- 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
- No phone-support team — founder-led support is direct but not a 24/7 call center
- 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
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Reviewed by Aanish Sachdev, Co-Founder of CoralEHR
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