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

Pick TherapyAppointment if

• Fits if you are a solo therapist who sees few clients and takes insurance
• Works for a group practice that wants reports by clinician and location

Look elsewhere if

• Pricey if you are busy: the $10 rate ends once you book more than 10 sessions
• Watch out: claims cost $0.15 each, benefit lookups $0.07 and payments 2.9% + $0.30
• Watch out: integrated telehealth is $15 a month per provider, and Zoom needs your own licence
• Pricey if you prescribe: e-prescribing is $65 a month per prescriber plus a $110 setup fee

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• Watch out: Enterprise needs at least 30 users, and full medical billing and credentialing go through partners at unpublished prices

TherapyAppointment

• Insurance claims cost $0.15 each (paid to Office Ally) and benefit lookups $0.07; payments cost 2.9% + $0.30.
• Integrated telehealth is $15 a month per provider; Zoom integration is $5 plus your own Zoom for Healthcare license.
• E-prescribing is $65 a month per prescriber plus a $110 setup fee.
• Single sign-on on the Group plan is $5 a month per staff member.

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.

TherapyAppointment

Scheduling and reminders

Customizable availability, client self-scheduling, multiple locations, free appointment reminders and 2-way sync with Google, iCal and Outlook.

Client portal and messaging

A secure portal with unlimited client messaging, paperless intake with e-signatures, assessments and progress notes.

Insurance billing

Electronic claims, benefits verification, automatic ERA posting, and claim progress logs with notices for problem claims.

Reporting

Audit reports, earnings tracking and practice analytics; the Group plan adds financial and data reports by clinician and location.

Add-on tools

TA Integrated Telehealth, Zoom integration, AI Notes at $0.59 per chart note, e-prescribing and integrated payment processing.

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.

TherapyAppointment

• Solo Practice$10

  per month until you book more than 10 sessions

  Intro rate after the 30-day trial. It rises to $39 a month past 10 sessions, and to $59 past 39.

• Solo Practice (standard)$59

  per month, after booking 40 sessions

  Standard rate for solo clinicians once they book 40 sessions; every feature is included.

• Group Practice$59

  per month, plus $39 per additional clinician

  Unlimited sessions, payroll report summary, reports by clinician and location, supervisor sign-off and new-client triage.

• Edu & Non-ProfitCustom

  Special pricing for 501(c)(3) organizations, universities and training centers, quoted by sales.

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.

TherapyAppointment

• Nonprofit

  Special pricing for non-profits and schools

  501(c)(3) organizations, universities and training centers can ask sales for special pricing; the page gives no figures.

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.