# ICANotes review (2026): is it worth $35 a month? > Behavioral health EHR with menu-driven notes Checked Nov 12, 2026 ยท graded Nov 12, 2026 by ToolGPA. ICANotes is a cloud EHR built for mental health and behavioral health clinicians. It centers on menu-driven note templates with AI assistance, and adds scheduling, a client portal, billing, telehealth, labs and e-prescribing. Prices are per clinician and split by full-time or part-time use. - **Category:** Therapy & Clinic Software - **Made by:** ICANotes (since 1999) - **Website:** https://www.icanotes.com - **Runs on:** Web - **Who should skip it:** Pricey if you prescribe: $213 a month full-time plus a $99 activation fee. - **Facts last checked:** Nov 12, 2026 ## Pricing As of Nov 12, 2026, ICANotes is a paid product with a free trial, starting at $35 per month for a part-time clinician ($55 full-time), notes only. - **Pricing model:** Free trial - **Free plan:** None. - **Free trial:** 30-day free trial, no credit card required. | Plan | Price | What you get | | --- | --- | --- | | Notes Only | $55 per full-time clinician / month | Unlimited notes, templates and cloud storage for non-prescribers. Part-time: $35 a month for 60 notes. | | Non-Prescribing | $75 per full-time clinician / month | Adds scheduling with reminders, a client portal, messaging, billing tools and reporting. Part-time: $45, 60 notes. | | Prescribing | $213 per full-time clinician / month | Adds e-prescribing, medication management and lab ordering. Part-time: $138, 100 notes. $99 activation fee. | Read from https://www.icanotes.com/pricing/ on Nov 12, 2026. Prices change, so confirm with ICANotes before buying. ## Key features - **Menu-driven notes:** Template-driven progress notes, assessments and treatment plans, including BIRP and DAP formats, that you can customize. - **AI scribe option:** AI Clinical Notes are an optional $49 per user per month add-on on top of the base plan. - **Scheduling and client portal:** Online forms, self-scheduling, automated reminders, secure messaging and a portal for clients come with the Non-Prescribing plan and above. - **Billing:** Verifies insurance, submits claims electronically and posts payments. Claims pricing is quoted by sales. - **E-prescribing and labs:** The Prescribing plan adds e-prescribing with medication management, plus lab ordering and results. - **Rating scales and treatment plans:** Over 100 clinical rating scales live inside the chart, and treatment plans track goals and interventions over time. ## Good for - Mental health clinicians who want a purpose-built EHR rather than a general medical one - Part-time clinicians who want a cheaper tier with a note cap - Practices with prescribers who need e-prescribing in the same chart ## Worth knowing - Telehealth is a $20 per user per month add-on; the AI scribe is $49 per user per month. - Text reminders, claims and patient statements are priced by contacting sales. - Part-time plans cap notes: 60 a month on the first two tiers and 100 on Prescribing. - The pricing page also points to a separate ICANotes (Classic) price list that is not covered here. ## ToolGPA grades **GPA: 2.2 out of 4**, graded Nov 12, 2026. ICANotes is a behavioral health EHR with menu-driven notes, scheduling, a portal, billing and e-prescribing on higher tiers. A 30-day trial needs no card, but the AI scribe is $49 more, telehealth $20 more, and the page still points to a separate Classic price list. - **Value for money: C.** Notes Only is $55 full-time, Non-Prescribing $75 and Prescribing $213, against a middle of $39 and a dearest tenth from $79. - **Free plan and trial: C.** A 30-day trial with no card and no free plan. - **Features: B.** Notes, scheduling, portal, billing, e-prescribing, labs and rating scales across tiers, but claims and text reminders are priced by contacting sales. - **Ease of use: C.** No store rating on record. An EHR means setting up templates and billing first. - **Platforms and integrations: C.** A web service with no integrations or apps listed. These are ToolGPA's own grades. Graded from this listing, whose facts were read from ICANotes's own pages on 12 November 2026. Not based on using the product, and shorter than our full reviews. ## Where it stands among therapy and clinic software - ICANotes's GPA of 2.2 is higher than 15 of the 38 other therapy and clinic software we grade, and level with 9. - It stands best on features (B, above 18 of 38) and worst on ease of use (C, above 0). - Its paid plans start at $35 a month, against a middle price of $39 for the category: 11 of the 26 others that charge start lower. - On features, ease of use and platforms it scores 2.3 out of 4. 7 tools score higher and cost less. The category's chart of price against score: https://toolgpa.com/charts/therapy-clinics ## Keep it, or make your own? **Keep it.** To replace ICANotes you would be making insurance claims sent to payers through a clearinghouse. That is not a weekend's work, with an AI app builder or without one. It costs $420 a year. - You could make: Clinical notes, appointment booking and templates: an app builder makes these well. - You could not: Insurance claims sent to payers through a clearinghouse. - You could not: Video sessions that meet health privacy rules. - You could not: AI features, unless you pay a model provider for each request yourself. - You could not: The depth: we grade its features B, which means it covers the whole job. A judgement by ToolGPA from this listing, by rules that are the same for every tool. Nothing was built to test it. **Tags:** Clinical notes, Insurance billing, Telehealth, Appointment booking, AI features, Templates ## Alternatives - [TherapyNotes](https://toolgpa.com/tools/therapynotes): Behavioral health EHR with notes, insurance billing and client portal. [Compare](https://toolgpa.com/compare/icanotes-vs-therapynotes) - [SimplePractice](https://toolgpa.com/tools/simplepractice): Practice management and EHR for private-practice therapists. [Compare](https://toolgpa.com/compare/icanotes-vs-simplepractice) - [Valant](https://toolgpa.com/tools/valant): Behavioral health EHR for therapy and psychiatry practices. [Compare](https://toolgpa.com/compare/icanotes-vs-valant) - [TheraNest](https://toolgpa.com/tools/theranest): Mental health EHR with claims, telehealth and credentialing help. [Compare](https://toolgpa.com/compare/icanotes-vs-theranest) - [Owl Practice](https://toolgpa.com/tools/owl-practice): Web-based practice management built for mental health therapists. [Compare](https://toolgpa.com/compare/icanotes-vs-owl-practice) ## Sources The prices, plans, platforms and features above were read from these pages on Nov 12, 2026: - https://www.icanotes.com/pricing/ - https://www.icanotes.com Page: https://toolgpa.com/tools/icanotes Listed by ToolGPA (toolgpa.com).