Charm EHR vs TherapyNotes (2026): which should you pick?

Pick Charm EHR if

• Fits if you run a psychiatry or medical practice that prescribes and orders labs
• Works for a practice that wants an AI scribe inside the EHR

Look elsewhere if

• Skip it if you need to know the price first, as the pricing page is a request form
• Not for you if you only do talk therapy, as it is a general medical EHR with a psychiatry page
• Watch out: what the free start includes is not stated
• Too light on detail for planning a budget: no per-provider or billing-claim rates are shown

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• Watch out: Enterprise needs at least 30 users, and full medical billing and credentialing go through partners at unpublished prices

Charm EHR

• No prices are published: the pricing page is a request form.
• It is a general medical EHR with a psychiatry page, not built only for therapists.
• The site gives no billing-claim or per-provider rates, and what the free sign-up includes is not stated.

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.

Charm EHR

AI scribe and assistant

CharmAI Scribe helps write visit notes, and CharmAssist is a clinical assistant that can draft referral letters and read lab results.

Specialty SOAP templates

Custom SOAP templates tailored to a specialty, with decision trees to drill into chart annotations and a flowsheet for vitals and labs.

Private charting for psychiatry

The psychiatry page describes private charting that restricts psychotherapy notes to the treating psychiatrist.

E-prescribing and labs

Electronic prescriptions to over 70,000 pharmacies, plus lab interfaces for LabCorp, Quest and others over HL7.

Patient portal and billing

A patient portal for appointments, documents and questionnaires, plus practice management and a medical billing platform.

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.

Charm EHR

Pricing could not be confirmed. See charmhealth.com.

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.

Charm EHR

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.