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

Pick Blueprint if

• Fits if you want AI notes without leaving the EHR you already use
• Works for a part-time practice where paying per session is cheaper than a seat

Look elsewhere if

• Skip it if you see many clients, as per-session charges add up compared with a flat $69 seat
• Watch out: the page shows the alongside plan at both $0.99 a session and $69 a seat
• Watch out: card payments are 3.15% + $0.30 and claims $0.30 each, and the page gives two different start dates for those fees
• Not for you if you want what the page marks coming soon, such as practice finance questions and website help

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• Watch out: Enterprise needs at least 30 users, and full medical billing and credentialing go through partners at unpublished prices

Blueprint

• The alongside-EHR option is shown as both $0.99 per session and $69 per seat a month with unlimited sessions.
• Card payments in the EHR are 3.15% + $0.30 and claims cost $0.30 each; the FAQ says payment fees start February 2027, a footnote says September 2026.
• The page shows a 50% first-purchase promotion for a limited time, which is not included in the prices listed here.
• Some Pro features, such as practice finance questions and website help, are marked as coming soon.

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.

Blueprint

AI documentation

Progress notes from live sessions, dictation or a typed summary, plus treatment plans, discharge summaries and client letters.

Session prep

Recaps of earlier sessions and suggested focus areas, with assessments, worksheets and interventions to assign from its clinical library.

AI Chat on the Pro tier

Lets you ask clinical questions using client history, draft referral and termination letters, and get help with calendar changes and denied claims.

Full EHR option

Scheduling, intake and forms, telehealth, a client portal, invoices and payments, and insurance billing are part of the all-in-one tier.

Works beside another EHR

The alongside option adds the AI to the system you already use, with notes you can copy into it or save straight to the chart.

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.

Blueprint

• Alongside your EHR$69

  per seat / month

  Blueprint's AI beside your current EHR, with unlimited sessions. The page also shows $0.99 per session; 5 free sessions.

• EHR Plus$0.99

  per session

  Blueprint's EHR with the AI scribe for notes, treatment plans and session prep.

• EHR Pro$1.49

  per session

  Adds AI Chat for clinical questions, letters, scheduling help and insurance questions.

• EnterpriseCustom

  Annual contracts and volume discounts, custom templates, EHR integrations and API access.

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.

Blueprint

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.