The TheraNest Insider’s Guide
Everything we know about TheraNest in one document: what it costs, its grades, getting a refund, getting help and what else to look at. Read it here, or keep a copy.
TheraNest
The Insider’s Guide
Mental health EHR with claims, telehealth and credentialing help
Every plan, grade, refund rule and rival among therapy and clinic software, read from TheraNest’s own pages.
Made by Ensora Health · checked Oct 24, 2026 · toolgpa.com
Contents
- 01WelcomeWhat it is, who it suits, its grades and the ten things to know first
- 02What it costsEvery plan, the free plan, ways to pay less and how prices have moved
- 03What it doesIts main features, where it runs, what it works with and who makes it
- 04Where it standsIts grades against its category, and whether to keep it or make your own
- 05The alternativesThe tools it is most often weighed against, side by side
- 06Quick answersThe questions people ask about it, each answered in a line or two
- 07About ToolGPAWho made this guide, what else is on the site, and how to cite it
ToolGPA put this guide together from TheraNest’s own pages, its app-store listings and our grades. Every fact in it is on TheraNest’s page too, where it is kept up to date. Checked Oct 24, 2026.
Part 01 · Overview
Welcome
What it is, who it suits, its grades and the ten things to know first
2.2
GPA, above 2 of the 12 other therapy and clinic software we grade
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.
To get you started, here are 9 things to know about TheraNest, taken from its own pages and our grades.
Intake forms, note templates, payer enrollment and claims all take setting up, though the credentialing team prepares the enrollments.
- 1
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.
- 2
Paid plans start at $27 a month
As its pricing page puts it: $27 per therapist / month, billed yearly ($29 billed monthly).
- 3
You can try it first
21-day free trial of the Premier plan, no credit card required
- 4
It runs on Web
Web.
- 5
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.
- 6
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.
- 7
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.
- 8
A 2.2 GPA, above 2 of 12
That is against the other therapy and clinic software we grade, on value, the free plan, features, ease of use and platforms.
- 9
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.
TheraNest at a glance
- Pricing
- Free trial, from $27 per therapist / month, billed yearly ($29 billed monthly)
- Free plan
- No
- Free trial
- 21-day free trial of the Premier plan, no credit card required
- Runs on
- Web
- Made by
- Ensora Health
- Category
- Therapy & Clinic Software
- Our grade
- 2.2 GPA, fair
The report card
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.
| Subject | Grade | Comment |
|---|---|---|
| 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. |
An A is worth 4 points, a B 3, a C 2, a D 1 and an F nothing. The GPA is the average of the five.
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 it 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
Good to know
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.
Part 02 · Pricing
What it costs
Every plan, the free plan, ways to pay less and how prices have moved
$27
A month to start
TheraNest is a paid product with a free trial, starting at $27 per therapist / month, billed yearly ($29 billed monthly).
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.
Trying it first
21-day free trial of the Premier plan, no credit card required
Read from ensorahealth.com on Oct 24, 2026.
Ways to pay less
Annual discount
One 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
Part 03 · Features
What it does
Its main features, where it runs, what it works with and who makes it
1
Place it runs: Web
Mental health EHR with claims, telehealth and credentialing help. Here is what it does, as its own site describes it, and what it covers: AI features, transcription, clinical notes, insurance billing, telehealth, appointment booking.
The job is covered, spread across three plans.
- 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.
Where it runs
- Web
What it works with
- Wiley Treatment Planners
TheraNest is made by Ensora Health.
Part 04 · Standing
Where it stands
Its grades against its category, and whether to keep it or make your own
2/12
Other therapy and clinic software it is graded above
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
- CFree plan and trialAbove 2 of 12
- BFeaturesAbove 1 of 12
- CEase of useAbove 0 of 12
- CPlatforms and integrationsAbove 0 of 12
Price against what you get
Each dot is one of 11 therapy and clinic software. Further left costs less; higher up scores better on features, ease of use and platforms. TheraNest is the marked dot.
What paid plans start at, a month (each step along is roughly double) →
Keep it, or make your own?
Whether this is something you could build for yourself with an AI app builder, and what you would give up.
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.
Part 05 · Alternatives
The alternatives
The tools it is most often weighed against, side by side
TherapyNotes, SimplePractice, Sessions Health, Tebra and Owl Practice
The 5 tools TheraNest is most often weighed against, with where each one differs from it.
- 2.2GPA
TherapyNotes
Free trial · from $69/mo
Behavioral health EHR with notes, insurance billing and client portal.
- Only TherapyNotes lists iOS and Android apps.
- TheraNest also covers appointment booking.
- 2.8GPA
SimplePractice
Free trial · from $49/mo
Practice management and EHR for private-practice therapists.
- Only SimplePractice lists iOS and Android apps.
- 2.2GPA
Sessions Health
Free plan · from $39/mo
Mental health EHR with a free plan and low-cost insurance claims.
- Sessions Health has a free plan. TheraNest does not, though it has a free trial.
- 2.0GPA
Tebra
Paid
EHR, medical billing and patient marketing for independent practices.
- Only Tebra lists an iOS app.
- TheraNest also covers transcription.
- Tebra also covers review collection.
- 2.2GPA
Owl Practice
Free trial · from $60/mo
Web-based practice management built for mental health therapists.
- TheraNest also covers transcription.
Part 06 · Questions
Quick answers
The questions people ask about it, each answered in a line or two
13
Questions, each answered in a line or two
The short version of everything above, for when you only need the answer. Each one is told in full in its part of the guide.
Is TheraNest free?
No, TheraNest is a paid product, but you can try it first. 21-day free trial of the Premier plan, no credit card required.
How much does TheraNest cost?
TheraNest lists 4 plans. Essentials: $27 per therapist / month, billed yearly ($29 billed monthly).
What platforms does TheraNest work on?
TheraNest is available on Web.
Does TheraNest offer any discounts?
TheraNest publicly lists the following: One month free with yearly billing.
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.
What does TheraNest integrate with?
TheraNest's listing names Wiley Treatment Planners. A listing names up to eight integrations, so it may connect to more.
Who makes TheraNest?
TheraNest is made by Ensora Health.
What are the alternatives to TheraNest?
The closest alternatives to TheraNest in our directory are TherapyNotes, SimplePractice, Sessions Health, Tebra and Owl Practice.
How does TheraNest compare with other 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.
Is TheraNest good value for money?
ToolGPA grades TheraNest C for value for money. 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.
Could I make my own version of TheraNest?
To replace TheraNest you would be making insurance claims sent to payers through a clearinghouse.
Where this guide comes from
The prices, plans, platforms and features were read from TheraNest’s own pages on Oct 24, 2026, and the grades were given on Oct 24, 2026. 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.
Every tool we list gets five grades, A to F, each with its reason, and a GPA that averages them. How each is decided is at toolgpa.com/grades. This guide is ToolGPA’s own work; it is not made, paid for or approved by Ensora Health. Prices change, so check ensorahealth.com before you buy.
Part 07 · About
About ToolGPA
Who made this guide, what else is on the site, and how to cite it
3,189
Tools graded, in 94 categories
ToolGPA grades software the way a school report grades a pupil: five subjects, a letter for each with the reason written beside it, and a GPA that averages them. Prices, plans and platforms are read from each maker’s own pages and dated, so you always know how fresh a figure is.
Every grade, review and ranking on ToolGPA is our own judgement. No company can pay for a grade or change one. Every tool on the site has a guide like this one, free to download and pass on. It all lives at toolgpa.com.
3,189
tools graded
94
categories
426
price changes on record
579
apps priced in 12 countries
What else is on toolgpa.com
- TheraNest, kept up to dateEverything in this guide, with prices and grades as they are todaytoolgpa.com/tools/theranest
- How grades are givenThe rules behind every letter and every GPAtoolgpa.com/grades
- Value chartsWhat each tool costs against what it scores, for every categorytoolgpa.com/charts
- CompareAny two tools side by side, plan by plantoolgpa.com/compare
- Price changesEvery price rise and cut on record, each with its sourcetoolgpa.com/price-changes
- Prices by countryWhat apps cost on the App Store in 12 countriestoolgpa.com/prices-by-country
- Pay lessEvery public discount: yearly billing, students, nonprofitstoolgpa.com/save
- Keep or makeWhich tools are worth paying for, and which you could build yourselftoolgpa.com/keep-or-make
Scan for the live page
Prices and grades as they are today
Quoting this guide?
Please name ToolGPA and link to the live page, so readers can check the figures for themselves:
ToolGPA, "TheraNest: The Insider's Guide", checked Oct 24, 2026. https://toolgpa.com/tools/theranest
Know someone choosing between therapy and clinic software?
Send them this guide: toolgpa.com/tools/theranest/guide
ToolGPA elsewhere: youtube.com/@toolgpa
See our other guides
The best-graded therapy and clinic software after TheraNest, each with an Insider's Guide of its own.
- Therapy & Clinic Software Insider's GuideEvery one of the 13 therapy and clinic software we grade, compared
- SimplePractice Insider's GuidePractice management and EHR for private-practice therapists2.8 GPA
- Carepatron Insider's GuidePractice management with a free plan, AI scribe and telehealth2.6 GPA
- Zanda Insider's GuideBrowser-based practice software for allied health and therapy clinics2.6 GPA
Choosing software? Every tool graded, every price dated.
Compare tools at toolgpa.com ›Everything in this guide is ToolGPA’s own summary of what TheraNest’s pages, its app-store listings and public reviews said on the dates shown. Grades are our judgement under the rules at toolgpa.com/grades. Every grade, review and ranking on ToolGPA is our own judgement. No company can pay for a grade or change one. TheraNest is a trademark of its owner, and this guide is not made, paid for or approved by Ensora Health. Prices and plans change: check ensorahealth.com before you buy.