Healthie vs TherapyNotes

Last updated: July 9, 2026

TL;DR

Healthie and TherapyNotes are both EHRs, but built for different practices. TherapyNotes is a behavioral-health-focused EHR known for strong insurance billing, 24/7 support, and built-in outcome measures, while Healthie spans solo to large groups across behavioral health, nutrition, and multi-specialty wellness with group charting, programs, and an open API. Choose by specialty breadth and whether you need group charting or a wider platform.

Who Each Platform Is Best For

Healthie is best for

  • Practices across behavioral health, nutrition, women's health, and multi-specialty wellness that expect to grow from solo to multiple providers.
  • Teams that run group sessions or need group charting.
  • Practices that want an open API, programs, or a broader platform beyond behavioral health.

SimplePractice is best for

  • Behavioral-health practices focused on therapy documentation and insurance billing.
  • Teams that value 24/7 support and built-in outcome measures.
  • Small-to-scaling group practices with straightforward, single-specialty workflows.

Core Feature Comparison

CapabilityHealthieTherapyNotes
Multi-provider supportNative, any team sizeGroup/Enterprise plans
Role-based permissionsMulti-tier rolesAdmin and clinician; 2FA
Multi-location schedulingAll providers and locationsSupported (calendar views)
Group appointmentsNative (scheduling, telehealth, charting)Group therapy; telehealth up to 16
Insurance billingCMS-1500, superbills, ERA/EOB (partners)Strong; built-in clearinghouse
ReportingProvider, location, org levelBasic; billing and A/R
API accessFull APINot documented
White-labelEnterprise onlyNo; portal branding
AI scribeAvailableTherapyFuel ($40/mo per clinician)
Workflow automationAvailableAutomated to-do and reminders
Programs & coursesPrograms and group webinarsNot listed
TelehealthIndividual and groupIndividual (free); group on Premium
Mobile appiOS and AndroidNo native app; web-based
ComplianceHIPAA, HITRUST, SOC 2HIPAA, PCI; BAA
Setup complexityModerateLow; guided
Data migrationAssistedAssisted (scope varies)
SupportChat, email, video; 1:1 on Group24/7 phone and email
Annual billing discount10%Not advertised
Per-clinician pricing$50/mo (Group plan)Solo $59; Group $69 + $40 each
Free planNo; 14-day trialNo; 30-day trial
Client portalFull portalFull (TherapyPortal)
Intake formsFully customCustom (portal forms)
E-prescribingVia partnerAdd-on (DrFirst)
Outcome measuresNot confirmedIncluded (Outcome Measure Library)
BAA availableYesYes
Group chartingNative; individual records and claimsIndividual notes per participant

Workflow Comparison

Scheduling

Healthie supports multi-provider and multi-location scheduling within a single organization account, with native group appointments. TherapyNotes offers multi-clinician calendars with views by clinician, client, or location, which suits behavioral-health group practices, and supports group therapy scheduling and group telehealth (up to 16 participants on its Premium tier).

Day to day, Healthie runs a configurable org-level workflow across scheduling, intake, documentation, group sessions, and programs. TherapyNotes centers a focused behavioral-health workflow — scheduling, documentation with therapy templates, and an integrated billing pipeline — with an automated to-do list that surfaces documentation and billing tasks.

Billing

Both platforms handle insurance billing. TherapyNotes offers strong, behavioral-health-focused billing with a built-in clearinghouse, electronic claims (14¢ per claim), ERA/EOB reconciliation, and real-time eligibility. Healthie supports CMS-1500, superbills, and ERA/EOB via partner integrations across a broader range of specialties and payer mixes.

Charting and Clinical Documentation

Healthie's group charting documents a single group session and automatically generates individual client records and claims from that one visit. TherapyNotes provides behavioral-health documentation templates and a built-in Outcome Measure Library with automated scoring, but group sessions require individual notes and claims per participant — it does not offer group charting.

Onboarding and Setup

TherapyNotes is designed for low-complexity, guided setup and is consistently praised for 24/7 phone and email support. Healthie's setup is rated moderate: org-level configuration takes more upfront investment but enables multi-provider infrastructure, with assisted migration and onboarding support. TherapyNotes offers a 30-day free trial; Healthie offers a 14-day trial of its Plus plan.

Pricing

Healthie

  • Core plan: $18/month (annual) / $20/month (monthly)
  • Essentials plan: $45/month (annual) / $50/month (monthly)
  • Plus plan: $115/month (annual) / $130/month (monthly)
  • Group plan: $135/month (annual) / $150/month (monthly) + $50/month per additional practitioner (unlimited)
  • Annual billing discount: 10% off monthly rate
  • Free trial: 14-day free trial of the Plus plan (no credit card required)

SimplePractice

  • Solo: $59/month (single user)
  • Group/Enterprise: $69/month first clinician + $40/month per additional
  • Add-ons: Premium Telehealth $15/mo per clinician; TherapyFuel AI $40/mo per clinician; electronic claims 14¢ each; SMS 14¢ each
  • Free trial: 30-day (no credit card); no free plan

Pricing for both platforms changes periodically. Verify current rates at gethealthie.com and simplepractice.com before making a purchasing decision.

Switching and Migration

Healthie

Healthie offers assisted, CSV-based migration with onboarding support, covering demographics, tags, notes, documents, and appointments (chart notes import as PDFs). Timelines typically run from about one to twelve weeks depending on data complexity, and migration is a paid add-on. A dedicated onboarding contact supports the transfer and initial configuration.

SimplePractice

TherapyNotes offers assisted onboarding and can import some patient demographic and insurance data, though the full set of supported source systems, data types, and timeline is not fully documented publicly. Confirm migration scope with TherapyNotes before relying on it for a complex switch.

Strengths and Limitations

Healthie

Strengths

  • Scales from solo to large groups without a platform switch
  • Native group scheduling, telehealth, and group charting (individual records and claims from one session)
  • Multi-tier role permissions and org-level reporting
  • Full API plus marketplace for custom integrations
  • Programs and courses for asynchronous and group care

Limitations

  • Moderate setup — org-level configuration takes time
  • E-prescribing is via partner integration rather than fully native
  • Built-in outcome-measure tooling is unconfirmed
  • May exceed the needs of a solo provider wanting minimal configuration

SimplePractice

Strengths

  • Strong, built-in insurance billing with an integrated clearinghouse
  • 24/7 phone and email support (consistently well-reviewed)
  • Built-in outcome measures with automated scoring
  • Low-complexity, guided setup
  • Behavioral-health-specific documentation templates

Limitations

  • No native mobile app — web-based only
  • No group charting — individual notes and claims per participant
  • No structured programs or courses
  • No publicly documented open API
  • Add-on fees stack up (telehealth, AI, per-claim, SMS)

Best Fit by Use Case

Use CaseHealthieTherapyNotesNotes
Solo providerStrong fitStrong (behavioral health)
Small group (2–5)Strong fitStrong (behavioral health)
Scaling / large groupStrong (multi-specialty)Strong for single-specialty BHChoose by specialty breadth
Insurance-heavy billingCMS-1500, ERA/EOB via partnersStrong; built-in clearinghouse
Cash-pay / wellness programsStrong (programs, group care)Limited; no programs
Group therapy / group sessionsStrong (native group charting)Group scheduling; no group chartingIndividual notes per participant

Frequently Asked Questions

Which platform is best for group practices — Healthie or TherapyNotes?

It depends on specialty breadth. TherapyNotes is a strong behavioral-health EHR with excellent billing and support. Healthie fits practices that span behavioral health, nutrition, and multi-specialty wellness, or that need group charting, programs, or an open API.

Does TherapyNotes handle insurance billing well?

Yes. TherapyNotes offers strong, behavioral-health-focused billing with a built-in clearinghouse, electronic claims (14¢ per claim), ERA/EOB, and real-time eligibility — a core strength of the platform.

How do Healthie and TherapyNotes handle group sessions?

Healthie offers native group scheduling, telehealth, and charting that generates individual client records and claims from one session. TherapyNotes supports group therapy scheduling and group telehealth (up to 16 on Premium) but requires individual notes and claims per participant and has no group charting.

Does TherapyNotes have a mobile app?

No. TherapyNotes is web-based with no native mobile app; it is accessible via mobile browser. Healthie offers native iOS and Android apps.

Summary

For behavioral-health practices focused on therapy documentation, insurance billing, and responsive support, TherapyNotes is a strong, purpose-built choice. Healthie is the better fit for practices that span multiple specialties, run group sessions needing group charting, deliver programs, or need an open API. In short: TherapyNotes for single-specialty behavioral health; Healthie for multi-specialty and group-oriented practices.

 

Before deciding, ask your team:

  • Are we single-specialty behavioral health, or expanding into nutrition and wellness?
  • Do we run group sessions that need group charting?
  • Do we need native mobile apps or an open API?
  • How much do add-on fees (telehealth, AI, claims, SMS) affect our total cost?

Last updated: July 9, 2026. Data reflects publicly available information as of this date. Verify current pricing, plan availability, and feature support directly with each vendor before making a purchasing decision.