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TheraNest vs TherapyAppointment Comparison (2026)

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Good recommendations?

TheraNest

TherapyAppointment

Overview

Most EHRs aren’t built for mental health, but TheraNest is. Built for solo and small group mental health practices.

TherapyAppointment is the longest-standing EMR practice management solution. Our tools are designed to help solo and group practitioners simplify charting, automate billing and claims, allow client self-scheduling, send automated appointment reminders, conduct telehealth sessions, and more.

Platforms supported

Web-based
iPhone app
Android app
Windows Phone app

Typical customers

Freelancers
Small businesses
Mid size businesses
Large enterprises

Customer support

Phone
Online
Knowledge base
Video tutorials

view more detailsview details

Platforms supported

Web-based
iPhone app
Android app
Windows Phone app

Typical customers

Freelancers
Small businesses
Mid size businesses
Large enterprises

Customer support

Phone
Online
Knowledge base
Video tutorials

view more detailsview details

Video & Screenshots

No videos yet

Pricing

Starting from

/user

Per month

Free trial available
Credit cardless trial
Free account
Subscription based

Starting from

Per month

Free trial available
Credit cardless trial
Free account
Subscription based

User reviews

4.4

598

320

Value for money

Ease of use

Features

Customer support

70%

would recommend this app

4.1

107

Value for money

Ease of use

Features

Customer support

65%

would recommend this app

Pros

“A helpful enhancement would be a pop-up notification upon login reminding clients that their provider has sent forms requiring completion, along with clear instructions on where to locate those forms within the portal.”

Chloe V.

Administrative and Billing Assistant

“Group-practice administration, supervision oversight, advanced billing workflows, reporting, automation, and real-time operational visibility is non existent.”

Zina O.

Management

“I found the scheduling, documentation, billing, and client management features helpful in keeping workflows efficient and reducing administrative burdens.”

Heather S.

General Manager

Pros

“This system was perfect for when we were a small practice.”

Erica M.

Client Care Coordinator and on-staff therapist

“With the overcharges, I would be paying less for more to go to Therapy Notes or Simple Practice.”

Allison M.

Director

“We are finally cutting the cord with them and I cannot wait!”

Chris D.

Clinical Psychologist and Director

Cons

“Managing a group practice with multiple clinicians, supervisors, billing staff, insurance workflows, credentialing considerations, documentation oversight, and a high volume of claims required more visibility and automation than the platform provided. As I mentioned earlier it is limited, outdated and lacks core features needed for a successful RCM.”

Zina O.

Management

“What I really DON'T like is the daily schedule page because I have to scroll down to see all my appointments, and if my browser window is not fully expanded, I can't access the "copy note from last session" function on my very last client of the day.”

Lavinia M.

Licensed Professional Counselor, Owner

“I know of fellow clinicians who lost thousands of dollars to their claims submission feature, claims got lost, some of them weren't even submitted and no way to resolve denials. Where we began running into limitations was as our organization became larger and operationally more complex.”

Zina O.

Management

Cons

“Lack of reporting, lack of claims submission, had no ability of bill secondary claims, transfer of information from clearinghouse is lacking, posting of ERA's was constantly mismatched, tech support was very unhelpful, lacked ability to edit claims, no means to extract data in anything other than pdf or ext. file, posting of eob's meant hunting through all claims for one payer, absolutely no auditing capabilities, no ability to set up work queue in system, patient portal was difficult to use, no note take capabilities, unable to see claim history or changes, data from clearinghouse not pulled in order or timely manner.”

Regina S.

Billing Manager

“Reporting was limited, there was no ability to upload or maintain electronic records.”

Erica M.

Client Care Coordinator and on-staff therapist

“The company continually add really useless updates which always causes other problems in the system. ”

Chris D.

Clinical Psychologist and Director