TheraNest vs TheraPlatform (2026): which should you pick?

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

Pick TheraPlatform if

• Fits if you are a solo therapist who wants video sessions inside the same tool
• Makes sense if you bill insurance and want it in one place

Look elsewhere if

• Tight if you want a second provider, because Basic cannot add one
• Pricey once you add extras, as text reminders, claims, faxing, recording and AI Notes are billed on top
• Skip it if you want phone apps, since the pages list none
• Watch out: the 3-month early-bird prices are not the ongoing price

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.

TheraPlatform

• Basic cannot add providers; a second provider needs Pro or Pro Plus.
• Several features are billed on top of the plan: text reminders, claims, insurance checks, faxing, session recording and AI Notes.
• The pricing page does not say whether the listed monthly figures assume annual billing.
• It is a web product; the pages read list no mobile apps.

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.

TheraPlatform

Video sessions

Built-in video with screen sharing, group sessions, a waiting room, a whiteboard and more than 30 interactive therapy apps. Session recording and transcription are billed per minute.

Scheduling and client portal

Color-coded calendar, online booking, a booking widget for a website, email reminders and a client portal with secure messaging. Text reminders cost $0.02 per message.

Notes and treatment plans

Customizable progress notes, assessments and treatment plans, a template library, outcome measures, ICD-10 search and client signatures. AI Notes is an add-on at $30 per provider.

Invoicing and payments

Automated invoicing, superbills, card processing, AutoPay and payment reminders, with a free biller account.

Insurance claims

CMS-1500 claims, batching, ERA with auto payment posting and EOBs. Electronic claim filing is $0.25 per claim and insurance verification is $0.10 per request.

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.

TheraPlatform

• Basic$39

  per month for 1 provider (billing period not stated)

  One provider only, with unlimited clients, scheduling, documentation, billing, insurance billing and unlimited telehealth. Early-bird: $19.50 for 3 months.

• Pro$69

  per month, plus $39 per extra provider (billing period not stated)

  Adds more providers at $39 each, with the same core features as Basic. The page shows $34.50 for 3 months as an early-bird offer.

• Pro Plus$79

  per month, plus $49 per extra provider (billing period not stated)

  Adds more providers at $49 each, with the same core features. The page shows $39.50 for 3 months as an early-bird offer.

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.

TheraPlatform

• Other savings

  Early-bird 50% off for 3 months

  The pricing page lists 50% off the first 3 months for new customers who purchase during the free trial: $19.50, $34.50 and $39.50 a month on the three plans.