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

Pick DrChrono if

• Fits if you run a medical practice and want charting and billing in one place
• Makes sense if you want lab links built in

Look elsewhere if

• Skip it if you want a price, as every tier says to request a quote
• Pricey if you send a lot of texts or faxes: $0.05 a text, $0.07 a faxed page and $0.10 a phone call beyond plan limits
• Watch out: extended lab integration for over 40,000 labs is $30 per provider per month
• Watch out: electronic patient statements are $0.59 each and paper claims $1.00 each

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• Watch out: Enterprise needs at least 30 users, and full medical billing and credentialing go through partners at unpublished prices

DrChrono

• Amounts are not published: each tier on the pricing page says to request a quote.
• The vendor lists fees beyond plan limits: $0.05 per text, $0.07 per faxed page and $0.10 per phone call.
• Extended lab integration covering over 40,000 labs is $30 per provider per month.
• Electronic patient statements are $0.59 each, and paper claims are $1.00 each.

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.

DrChrono

EHR with specialty templates

Form and template library by specialty, customization tools, photo and drawing tools, custom vitals, and text-expanding macros.

Medical billing

Custom billing codes, real-time eligibility checks and claim management, with revenue cycle tools on Growth and Premium.

Patient engagement

A patient portal with an app, check-in kiosk, appointment profiles, email, text and phone reminders, and a scheduling widget for your website.

Telehealth

Video visits built into the EHR, with online scheduling and digital check-in.

AI documentation

EverHealth Scribe is the vendor's AI clinical documentation tool; the pricing page lists it as an add-on, with advanced AI on Premium.

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.

DrChrono

Pricing could not be confirmed. See drchrono.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.

DrChrono

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.