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

Pick Tebra if

• Fits if you run an independent medical or mental health practice that bills insurance
• Works for practices that want their website, listings and review replies next to the EHR

Look elsewhere if

• Skip it if you want a price before talking to sales, as every package is quoted after a demo
• Not for you if you want to try it first, as there's no free plan or trial on record
• Watch out: controlled-substance prescribing adds about $75 a provider, and PDMP checks $500 a facility plus about $50 a user a year
• Skip it if your team uses Android phones, as the app is listed for iPhone and iPad only
• Watch out: pricing is per clinical provider, with lower tiers only for providers billing 100 claims or fewer a month

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• Watch out: Enterprise needs at least 30 users, and full medical billing and credentialing go through partners at unpublished prices

Tebra

• No subscription prices are published; every package (EHR Starter, Billing Starter, EHR+, Patient Experience + Marketing, All in One) is quoted after a demo.
• Controlled-substance prescribing adds about $75 per provider for EPCS setup, and PDMP checks cost $500 per facility plus about $50 per user a year.
• Pricing is per clinical provider; providers billing 100 claims or fewer a month can get lower-tier pricing.
• The mobile app is listed on the App Store for iPhone and iPad; the pages read mention no Android app.

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.

Tebra

Cloud EHR with AI Note Assist

Charting with flowsheets and templates, treatment plans, AI-generated clinical notes, e-prescribing with controlled-substance and PDMP checks, electronic labs and MIPS reporting.

Billing and claims

Real-time eligibility checks, charge capture, electronic claims with rejection and denial handling, automatic payment posting and insurance enrollment. Managed billing is also offered.

Patient scheduling and intake

Online scheduling, digital intake, custom appointment reminders, HIPAA-compliant two-way messaging and a patient portal.

Practice marketing

A custom practice website, listings on 80+ web profiles including Google Business Profile, patient feedback collection and AI-drafted replies to reviews.

Telehealth

Video visits are built into the platform alongside the EHR, and are listed in Tebra's packages on the pricing page.

Mobile app

An iPhone, iPad and Apple Watch app for the schedule, patient records, secure messages, clinical notes, e-prescribing, labs and superbills.

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.

Tebra

Pricing could not be confirmed. See tebra.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.

Tebra

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.