Qualifacts CareLogic vs TheraNest (2026): which should you pick?

Pick Qualifacts CareLogic if

• Fits if you run a behavioral health agency or a clinic network
• Works for programs that need compliance and I/DD support in the record

Look elsewhere if

• Skip it if you're a solo therapist, since it is built for agencies
• Not for you if you want a price or a trial before talking to sales
• Watch out: AI tools and revenue cycle management are sold as separate offerings
• Tight if you want a simple setup, because it is configured for each agency

Pick TheraNest if

• Fits if you're an insurance-based therapist who wants claims bundled into the plan
• Works for therapists who need help getting in-network, with one or two payer enrollments included

Look elsewhere if

• Tight if you stay on Essentials: online booking, secure messaging, custom forms and bundled claims start on Advanced
• Watch out: Advanced covers 50 claims, checks and reminders a month, then 23¢ a claim, 25¢ a check and 10¢ a reminder
• Pricey if you add the Session Assistant at $35 a month, eRx at $45 plus $135 setup, or Wiley below Premier at $25
• Watch out: each therapist pays a $19.50 yearly CPT fee, cards cost 2.99% + 30¢, and Premier's unlimited has a fair usage policy
• Skip it if you might downgrade soon, as the change only takes effect when your contract ends

Qualifacts CareLogic

• No prices are published; every quote comes through a demo request.
• It is built for agencies, so a solo therapist may find it more than needed.
• AI tools, revenue cycle management and some other services are sold as separate offerings.

TheraNest

• Advanced includes 50 claims, eligibility checks and reminders a month per practice; then claims cost $0.23, checks $0.25 and reminders $0.10 each.
• Add-ons: Ensai Session Assistant $35 a month per provider, Wiley Treatment Planner $25 a month below Premier, eRx $45 a month per therapist plus a $135 setup fee.
• Each therapist pays an AMA CPT license fee of $19.50 a year, billed in December; card payments cost 2.99% + $0.30.
• Premier's unlimited claims and reminders fall under a fair usage policy, and a downgrade takes effect only when the current contract ends.

Qualifacts CareLogic

Self-service configuration

Clinical, billing and compliance teams set up data collection, workflows and alerts themselves instead of waiting on outside IT.

Treatment planning

Treatment plans and forms are configurable, with a single-screen client view and review timeframes set to match payer rules.

Billing and claim validation

Handles state-specific billing requirements, bulk claim updates and alerts before a claim goes out.

I/DD and autism support

Service documentation, medication management with ePrescribing and an Electronic Visit Verification module for these programs.

Compliance programs

The vendor lists support for HIPAA, 42 CFR Part 2, MIPS and APM reporting and CCBHC programs.

Virtual care and portal

Telehealth and a client portal sync with the EHR, and Qualifacts iQ adds AI documentation tools.

TheraNest

Scheduling and client portal

Calendar management with personal calendar sync and staff availability, and a portal where clients see documents and appointments and pay online. Online booking starts on Advanced.

Notes and case management

Custom client, case and progress notes, built-in clinical case management with ICD-10 tools, and Wiley treatment planning, which is included on Premier.

Insurance claims and eligibility

Primary and secondary claims sent singly or in batches through clearinghouse partners, real-time eligibility checks, and billing automation on Premier.

Telehealth

HIPAA-compliant video for individual and group sessions, unlimited on Advanced and Premier and a $12-a-month add-on per therapist on Essentials.

Ensai AI

Ensai polishes progress notes on every plan. The Ensai Session Assistant, $35 a month per provider, scribes telehealth and office sessions into notes and writes case summaries.

Credentialing

A specialist team prepares and follows up payer enrollments with no commission: one or two payers per therapist by plan, and one more on annual billing.

Qualifacts CareLogic

Pricing could not be confirmed. See qualifacts.com.

TheraNest

• Essentials$27

  per therapist / month, billed yearly ($29 billed monthly)

  Scheduling, client portal, calendar sync, basic intake forms and notes, Ensai note polishing and card payments. Telehealth is a $12 add-on.

• Advanced$54

  per therapist / month, billed yearly ($59 billed monthly)

  Adds online booking, secure messaging, custom forms and notes, unlimited individual and group telehealth, and 50 free claims and eligibility checks a month.

• Premier$82

  per therapist / month, billed yearly ($89 billed monthly)

  Adds insurance billing automation, Wiley Practice Planner, and unlimited claims, eligibility checks and text and phone reminders under a fair usage policy.

• GroupCustom

  Custom pricing for group mental health practices, quoted on request.

Qualifacts CareLogic

No public discounts listed.

TheraNest

• Annual discount

  One month free with yearly billing

  TheraNest's pricing page gives one month free on annual plans: Essentials is $319 a year instead of $348, Advanced $649 instead of $708 and Premier $979 instead of $1,068.