TheraNest review (2026): is it worth $27 a month, billed yearly?
Mental health EHR with claims, telehealth and credentialing help
TheraNest report card
Fair · out of 4.0 · graded Oct 24, 2026
Best for therapists who want claims and credentialing help
TheraNest, now sold by Ensora Health, covers scheduling, notes, claims, eligibility checks and telehealth, and its team handles payer credentialing with no commission. Essentials is $27 a therapist on yearly billing, but online booking, messaging and bundled claims start on Advanced at $54, and AI scribing, eRx and a CPT fee cost extra.
Who TheraNest is for
- 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
Who TheraNest is not for
- 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
Why TheraNest gets a 2.2
Five grades, each with its reason. The GPA is their average: an A is 4 points, an F is none.
- CValue for moneyEssentials is $27 a therapist a month on yearly billing, $29 monthly, between this category's cheaper quarter ($25) and middle ($39). Online booking and 50 bundled claims need Advanced at $54, and telehealth is $12 extra on Essentials.
- CFree plan and trialA 21-day trial of Premier with no card. There's no free plan.
- BFeaturesScheduling, a client portal, custom notes, case management with ICD-10 tools, primary and secondary claims, eligibility checks, telehealth, Ensai note polishing and a credentialing team. The job is covered, spread across three plans.
- CEase of useNo App Store rating on record. Intake forms, note templates, payer enrollment and claims all take setting up, though the credentialing team prepares the enrollments.
- CPlatforms and integrationsWeb only, with no mobile apps named, and Wiley Treatment Planners is the one integration listed. No API on record.
What these grades rest on. Graded from this listing, whose facts were read from Ensora Health's own pages on 24 October 2026. Not based on using the product, and shorter than our full reviews. How we review and grade.
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<a href="https://toolgpa.com/tools/theranest#review"><img src="https://toolgpa.com/badge/theranest.svg" alt="TheraNest: 2.2 GPA on ToolGPA" width="196" height="56"></a>Where TheraNest stands among therapy and clinic software
TheraNest's GPA of 2.2 is higher than 2 of the 12 other therapy and clinic software we grade, and level with 5.
It stands best on features (B, above 1 of 12) and worst on ease of use (C, above 0).
Its paid plans start at $27 a month, against a middle price of $39 for the category: 3 of the 10 others that charge start lower.
On features, ease of use and platforms it scores 2.3 out of 4. 3 tools score higher and cost less.
Each grade against the category
Every bar is all 13 therapy and clinic software we grade, cut by the letter each got. TheraNest’s own letter is outlined.
- CValue for moneyAbove 4 of 12, level with 6
- CFree plan and trialAbove 2 of 12, level with 9
- BFeaturesAbove 1 of 12, level with 11
- CEase of useAbove 0 of 12, level with 11
- CPlatforms and integrationsAbove 0 of 12, level with 2
Price against what you get
Each dot is one of 11 therapy and clinic software. Further left costs less, and higher up scores better on features, ease of use and platforms. Point at a dot to see which tool it is.
Features, ease of use and platforms, averaged
What paid plans start at, a month (each step along is roughly double) →
- The best score at each price
- Has a free plan
- No free plan
Keep TheraNest, or make your own?
Keep it
To replace TheraNest 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.
That makes this kind of software worth paying for, not this one in particular: 5 of the 12 other therapy and clinic software grade higher. It costs $324 a year.
What you could make
- Clinical notes and appointment booking: an app builder makes these well.
What you could not
- Insurance claims sent to payers through a clearinghouse.
- Video sessions that meet health privacy rules.
- Speech turned into text you can trust.
- AI features, unless you pay a model provider for each request yourself.
- What a company asks for before it lets staff use something: HIPAA.
- The depth: we grade its features B, which means it covers the whole job.
What this rests on. TheraNest’s listing: what it does, where it runs, what it plugs into and what it costs. It is a judgement about the kind of software this is. We have not built a replacement for it, and making your own means looking after it too. How we decide, and every tool’s verdict.
What is TheraNest?
TheraNest is a mental health EHR and practice management system for solo and group therapy practices, now sold by Ensora Health alongside its Fusion product for rehab therapy. It covers scheduling, a client portal, custom intake forms and progress notes, insurance claims and eligibility checks, telehealth and payments, with Ensai AI tools for notes. Plans are priced per therapist.
Worth knowing
- 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.
Key features
- 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.
TheraNest pricing
As of Oct 24, 2026, TheraNest is a paid product with a free trial, starting at $27 per therapist / month, billed yearly ($29 billed monthly).
- Starts at
- $27 per therapist / month, billed yearly ($29 billed monthly)
- Free plan
- None
- Free trial
- 21-day free trial of the Premier plan, no credit card required
| Plan | Price | What you get |
|---|---|---|
| Essentials | $27per 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 | $54per 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 | $82per 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. |
| Group | Custom | Custom pricing for group mental health practices, quoted on request. |
Read from ensorahealth.com on Oct 24, 2026. Prices change, so confirm with TheraNest before you buy.
Ways to pay less
- Annual discountOne 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.
Stated on ensorahealth.com
Works with
- Wiley Treatment Planners
TheraNest alternatives
- TheraNest vs TherapyNotes
Free trial · from $69/mo
- TheraNest vs SimplePractice
Free trial · from $49/mo
- TheraNest vs Sessions Health
Free plan · from $39/mo
- TheraNest vs Owl Practice
Free trial · from $60/mo
Common questions
Does TheraNest have an Android app?
No Android app was listed when its pages were read on Oct 24, 2026. TheraNest is listed for Web.
Does TheraNest have an iPhone app?
No iPhone app was listed when its pages were read on Oct 24, 2026. TheraNest is listed for Web.
Is TheraNest open source?
TheraNest is not described as open source on its own site, as read on Oct 24, 2026.
Sources for this page
The prices, plans, platforms and features above were read from these pages on Oct 24, 2026.