# TheraNest review (2026): is it worth $27 a month, billed yearly?

> Mental health EHR with claims, telehealth and credentialing help

Checked Oct 24, 2026 · graded Oct 24, 2026 by ToolGPA.

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.

- **Category:** Therapy & Clinic Software
- **Made by:** Ensora Health
- **Website:** https://ensorahealth.com/product/theranest-mental-health/
- **Runs on:** Web
- **Who should skip it:** Tight if you stay on Essentials: online booking, secure messaging, custom forms and bundled claims start on Advanced.
- **Facts last checked:** Oct 24, 2026

## 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).

- **Pricing model:** Free trial
- **Free plan:** None.
- **Free trial:** 21-day free trial of the Premier plan, no credit card required.

| Plan | Price | What you get |
| --- | --- | --- |
| 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. |
| Group | Custom | Custom pricing for group mental health practices, quoted on request. |

Read from https://ensorahealth.com/pricing/theranest-mental-health/ on Oct 24, 2026. Prices change, so confirm with TheraNest before buying.

## Ways to pay less

- **One month free with yearly billing** (Annual discount): 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. Source: https://ensorahealth.com/pricing/theranest-mental-health/

## 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.

## Good for

- Insurance-based therapists who want claims bundled into the plan
- Practices that need help getting in-network with payers
- Group practices with schedulers and billers, who are free

## 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.

## ToolGPA grades

**GPA: 2.2 out of 4**, graded Oct 24, 2026. 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.

- **Value for money: C.** Essentials 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.
- **Free plan and trial: C.** A 21-day trial of Premier with no card. There's no free plan.
- **Features: B.** Scheduling, 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.
- **Ease of use: C.** No App Store rating on record. Intake forms, note templates, payer enrollment and claims all take setting up, though the credentialing team prepares the enrollments.
- **Platforms and integrations: C.** Web only, with no mobile apps named, and Wiley Treatment Planners is the one integration listed. No API on record.

These are ToolGPA's own grades. 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.

## Where it 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.

The category's chart of price against score: https://toolgpa.com/charts/therapy-clinics

## Keep it, 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.

- You could make: Clinical notes and appointment booking: 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: Speech turned into text you can trust.
- You could not: AI features, unless you pay a model provider for each request yourself.
- You could not: What a company asks for before it lets staff use something: HIPAA.
- 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.

## Works with

Wiley Treatment Planners

**Tags:** Clinical notes, Insurance billing, Telehealth, Appointment booking, AI features, Transcription

## Alternatives

- [TherapyNotes](https://toolgpa.com/tools/therapynotes): Behavioral health EHR with notes, insurance billing and client portal. [Compare](https://toolgpa.com/compare/theranest-vs-therapynotes)
- [SimplePractice](https://toolgpa.com/tools/simplepractice): Practice management and EHR for private-practice therapists. [Compare](https://toolgpa.com/compare/simplepractice-vs-theranest)
- [Sessions Health](https://toolgpa.com/tools/sessions-health): Mental health EHR with a free plan and low-cost insurance claims. [Compare](https://toolgpa.com/compare/sessions-health-vs-theranest)
- [Tebra](https://toolgpa.com/tools/tebra): EHR, medical billing and patient marketing for independent practices. [Compare](https://toolgpa.com/compare/tebra-vs-theranest)
- [Owl Practice](https://toolgpa.com/tools/owl-practice): Web-based practice management built for mental health therapists. [Compare](https://toolgpa.com/compare/owl-practice-vs-theranest)

## Sources

The prices, plans, platforms and features above were read from these pages on Oct 24, 2026:

- https://ensorahealth.com/product/theranest-mental-health/
- https://ensorahealth.com/pricing/theranest-mental-health/

Page: https://toolgpa.com/tools/theranest
Listed by ToolGPA (toolgpa.com).