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TherapyNotes, LLC vs Opus Comparison (2026)

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TherapyNotes, LLC

Opus

Overview

Web-based practice management & electronic health records (EHR) software for behavioral health with thousands of active users, and unlimited customer support.

Opus is a robust behavioral health software for treatment facilities and group practices of 5+ clinicians. One platform unifies EHR, CRM, and RCM — with AI-powered documentation, multi-provider scheduling, insurance verification, telehealth, and claims processing for UB-04 and CMS-1500 forms. Buil

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

/user

Per month

Free trial available
Credit cardless trial
Free account
Subscription based

User reviews

4.7

972

759

156

Value for money

Ease of use

Features

Customer support

87%

would recommend this app

4.8

Value for money

Ease of use

Features

Customer support

88%

would recommend this app

Pros

“Therapy Notes amazing customer support makes it possible for me, a clinician, to run a business of one, with their assistance supporting me to do my own billing as well as keep my EHR, scheduling new clients, onboarding documents, and everything else this system is designed to do!”

Colleen M.

Owner Provider

“I used the video capacity for multiple locations but have discontinued it.”

Irina R.

Psychologist

“I work with healthcare clients and one of my clients is integrated with TherapyNotes.”

Jenna O.

Digital Marketer

Pros

“I like that OPUS allows us to customize forms to fit our programs, pull the metrics we need, run reports easily, and keep the system simple enough for daily use.”

Misty K.

Director of Community Based Initiatives

“We have also appreciated Opus’s willingness to adapt their platform to the unique conditions of working in Alaska, particularly their openness to integrating with State of Alaska systems in ways that may reduce duplicate data entry and improve efficiency.”

Fred S.

Behavioral Health Director

“What I liked most about OPUS was its user-friendly design and ability to keep client information, documentation, scheduling, and reporting in one place.”

Michelle C.

Executive Director

Cons

“I was required to reconstruct claims, navigate appeals, and manually fax submissions. While TherapyNotes provided a document to support faxing, the burden of correcting the error and attempting to recover payment remained with me, despite having paid for a service intended to handle claims transmission.”

Michelle G.

Therapist

“It did not have the customizable features - color coordination, various billing rates for different individuals, submitting paperwork online. And I don't think it had an online portal for scheduling/cancelling appointments.”

Kristin L.

Therapist

“My overall experience with TherapyNotes was disappointing. While the platform itself has useful tools for managing a practice, my experience with the payment-processing side significantly changed my opinion.”

Marsha M.

Clinican

Cons

“The billing software and clearing house used in the backside of the system does not interface with many of our payer sources.”

Doug D.

Project Director

“At times, navigating between modules felt less intuitive than expected.”

Michelle C.

Executive Director

“We encountered situations where clients received reminders during the early morning hours (1am-4am) or did not receive sent messages.”

Jasmine M.

Executive director Therapist