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

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• Watch out: Enterprise needs at least 30 users, and full medical billing and credentialing go through partners at unpublished prices

Pick Valant if

• Fits if you run a behavioral health practice with therapists and prescribers
• Makes sense if you run group or IOP/PHP programs

Look elsewhere if

• Skip it if you want a price, as the pricing page asks for contact details
• Watch out: licences depend on provider count and type, with add-ons on top
• Watch out: revenue cycle management is a separate service
• Skip it if you want a free trial, as none is listed

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.

Valant

• No prices are published: the pricing page asks for contact details and says quotes are custom.
• The vendor says licenses depend on provider count and type (therapist, prescriber, supervisor), with add-ons priced on top.
• Revenue cycle management is a separate service from the EHR.

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.

Valant

Clinical documentation

Narrative-generating documentation, treatment planning and integrated outcome measures, with an AI Notes Assist option.

Intake and consent forms

Consent and intake forms, intake and assessment automation, and prospective patient management for new referrals.

Billing and utilization review

Billing with an integrated clearinghouse, eligibility checking and utilization review, aimed at practices billing insurers.

Group and IOP/PHP support

Group therapy documentation, plus program types for intensive outpatient and partial hospitalization care.

Patient portal and telehealth

A patient portal called MYIO, telehealth, online bill pay and integrated patient communications.

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.

Valant

Pricing could not be confirmed. See valant.io.

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.

Valant

No public discounts listed.