Alma vs TherapyNotes (2026): which should you pick?

Pick Alma if

• Fits if you are a fully licensed therapist who wants to take insurance without doing the credentialing yourself
• Makes sense if you want billing and notes in the same membership as the insurance program

Look elsewhere if

• Not for you if you hold a limited license, as it is open only to fully licensed clinicians
• Skip it if you only take cash-pay clients, since every new member must join the insurance program
• Pricey if you are starting out: $1,140 billed per year, and no monthly price was readable
• Watch out: you must be credentialed with Aetna, Cigna or Optum under Alma's tax ID, and joining goes through an application and a call

Pick TherapyNotes if

• Fits if you're a solo therapist billing insurance who wants a phone line answered at any hour
• Works for behavioral health groups with many billers and schedulers, as non-clinical users aren't charged

Look elsewhere if

• Pricey if you're solo, as $69 a month is near the top of what this category charges
• Watch out: Group and Enterprise rise to $89 plus $60 per extra clinician from 1 December 2026
• Watch out: eligibility checks and reminders are 14¢ each, e-claims 25¢ from December, mailed claims $1, cards 3.1% + 30¢
• Pricey if you want more than the basics: TherapyFuel AI is $40 a clinician, ePrescribe $65, and HD or group telehealth $15
• Watch out: Enterprise needs at least 30 users, and full medical billing and credentialing go through partners at unpublished prices

Alma

• Alma is open only to fully licensed clinicians, not those with limited licenses.
• All new members must join its insurance program and be credentialed with at least one of Aetna, Cigna or Optum under Alma's Tax ID.
• Joining goes through an application and a call; the monthly billing price was not readable, only the $1,140 annual figure.
• Alma says it takes no cut of cash-pay sessions.

TherapyNotes

• Group and Enterprise rates rise to $89 for the first clinician plus $60 per additional from 1 December 2026; Solo stays at $69.
• Much is billed per use: 14¢ per eligibility check or text and voice reminder, 25¢ per e-claim from December, $1 per mailed claim, 3.1% + 30¢ per card payment.
• TherapyFuel AI is $40 per clinician a month, ePrescribe $65 per prescriber a month, and Premium Telehealth $15 per clinician a month.
• Enterprise needs at least 30 users. Full medical billing and credentialing come through partners, at prices not published.

Alma

Insurance program

Credentialing in 45 days or less, multi-state credentialing, automated eligibility checks, claims and weekly or bi-weekly payouts. Alma says it negotiates rates.

Billing tools

Claims, invoices and superbills, stored client payment methods with auto-pay, a client cost estimator and reimbursement tracking.

EHR and clinical tools

Over 1,000 pre-written interventions, goals and objectives, PHQ-9 and GAD-7 assessments, high-risk symptom alerts and AI-assisted progress notes.

Treatment planning

A library of Wiley treatment planner goals, objectives and interventions built to meet insurance requirements.

Continuing education

Live and on-demand courses for CE credit and monthly workshops, at no extra cost to members.

Community and support

An operations team for claims, a customer support team, clinical advisors and a members-only community of about 30,000 peers and referrers.

TherapyNotes

Clinical notes and outcome measures

Progress, intake and consultation notes whose sections can be rearranged or added to, a group progress note wizard, a play therapy template and an outcome measure library.

TherapyFuel AI tools

A $40-per-clinician add-on whose Scribe transcribes sessions to draft notes. Once one clinician has it, the whole practice can generate client history summaries and contact notes.

Insurance billing

Electronic and paper claims, secondary claims, real-time eligibility checks and electronic remittance advice, each charged per use, with card payments that can be charged automatically overnight.

TherapyPortal

A custom client portal for secure messages, documents, forms and outcome measures, which can be sent to every active client at once.

Telehealth

Basic telehealth is free for two participants in standard definition. Premium, at $15 per clinician a month, allows 16 participants in full HD with screen sharing and captions.

Mobile app and support

An iPhone, iPad and Android companion app for the agenda, client details offline, messaging and telehealth, plus 24/7 live phone and email support for every user.

Alma

• Membership$95

  per month, billed annually at $1,140

  One membership with insurance program, EHR tools, CE courses and community; a monthly billing option exists but its price was not shown.

TherapyNotes

• Solo$69

  per month for 1 user

  For a provider who is the only user on the account. Unlimited clients, appointments and notes, client portal, basic telehealth and 24/7 support.

• Group$79

  per month, plus $50 per additional clinician

  Unlimited non-clinical users such as billers and schedulers. Rises to $89 plus $60 per additional clinician from 1 December 2026.

• Enterprise$79

  per month, plus $50 per additional clinician

  Group rates for accounts of at least 30 users, with a designated account manager. Same 1 December 2026 rise as Group.

Alma

No public discounts listed.

TherapyNotes

• Education

  Free classroom accounts

  TherapyNotes is free for simulated practices in a classroom, whatever the class size; these accounts leave out insurance and other billing features.