Best Behavioral Health Billing Software (2026)

Short answer

Behavioral health billing software splits into two groups that solve different problems. Buying from the wrong group is the most common mistake in this category. SimplePractice, TherapyNotes, and TheraNest bundle a full EHR (scheduling, progress notes, telehealth, billing) for the solo therapist or single practice, and they do that job well; broad PM/EHR suites like Tebra sit in the same practice-owned bucket. The other group is for the billing company running claims across many BH practices, which needs a cross-practice claim queue, ERA posting that handles time-based codes, and authorization tracking that spans the whole client book. Medi is in that group: a billing-layer operating platform priced per client practice ($20, no per-provider fee), with no EHR. A solo clinician should buy SimplePractice or TherapyNotes; a billing company managing three or more BH practices needs the cross-practice layer.

Sources: G2 Medical Billing · Capterra Medical Billing Software · Software Advice Medical Billing

How to read this list

The evaluation mistake is comparing these tools as if they are the same kind of product. They fall into two groups.

• **Practice-owned EHR/PM products** (SimplePractice, TherapyNotes, TheraNest, and broad suites like Tebra): scheduling, notes, and billing in one subscription, owned by the practice. The BH-specific EHRs are right for solo clinicians and small groups; Tebra is a general-purpose suite priced per provider. Neither is built for a billing company spanning many practices, because each client practice is a separate instance with its own login.
• **Billing-company operating layers** (Medi): one claim queue across the whole book, with BH realities (time-based CPT, authorization tracking, parity documentation) handled in the billing layer. The clinical side stays in each client's own system.

If you are a solo therapist, SimplePractice or TherapyNotes is the right call and you can stop here. If you run a billing company managing three or more behavioral health practices, keep going.

The main options

SimplePractice

SimplePractice is the most widely used practice management platform in behavioral health. It packages scheduling, telehealth, insurance billing, client messaging, and HIPAA-compliant notes into one product, and the UX is clean for a clinician running their own book. Per SimplePractice's published pricing, plans run $49 per clinician per month (Starter/Essential) to $99 (Plus). Claim fees differ by plan: Essential includes 10 claims per month then $0.35 per claim, and Plus includes 35 claims per month then $0.25 per claim (dropping to $0.23 above 250 per month). For a solo therapist or a two-to-five-clinician group, having the EHR and billing in one place is real value.

It does not fit a billing company. Each account is owned by the practice, so you work as a guest in each client's system, with no consolidated claim queue or ERA inbox across clients and no billing-company dashboard spanning practices. Twenty BH clients means twenty separate logins. Compare Medi vs SimplePractice.

TherapyNotes

TherapyNotes is strong for a single BH practice that wants structured clinical documentation alongside billing. Its note templates are built for behavioral health (progress notes, treatment plans, intake) in the format payers expect on audit. Per TherapyNotes' published pricing, plans run $69 per month solo and $79 plus $50 per additional clinician for groups, with $0.14 per claim, one of the lower per-claim rates in the category.

The limit for a billing company is the same as SimplePractice: the product is built to be owned by the practice. There is no portal that consolidates claims or ERA across clients, so a billing company posts ERA line items inside each client's account separately, which does not scale across a large book.

TheraNest

TheraNest competes with SimplePractice and TherapyNotes at a lower price point, with scheduling, notes, a client portal, and claim submission. TheraNest does not publish pricing; reviewers cite tiers from roughly $29 per month solo to $89 for larger practices, so confirm current rates with the vendor. For a cost-watching clinician with basic requirements, it is reasonable.

For a billing company, the structural issue applies again: it is a single-practice product scoped to one account, with no cross-client view. Development velocity has trailed SimplePractice in recent years, so check current feature parity before committing.

Tebra

Tebra (formerly Kareo) is a general-purpose PM and EHR, not purpose-built for behavioral health but used across many BH practices. Per Tebra's published pricing, its Billing Starter tier runs $99 to $199 per provider per month (the fair comparison to Medi); fuller EHR bundles run $399 to $799. It also publishes a transactional fee schedule: electronic claims are $0.99 each after the first 50 per provider per month, ERA retrieval and eligibility checks are included at no per-transaction cost. Its feature set is broader than the BH-specific EHRs, including a clearinghouse relationship and revenue cycle tools, which is why billing companies sometimes consider it for BH clients.

The challenge is the per-provider, per-practice model. Twenty practices averaging four providers each means cost that scales with provider headcount, and each practice is its own instance with its own login and ERA inbox. Cross-practice denial trends require manual aggregation, so billing companies on Tebra usually keep a separate tracker for anything that needs the whole book at once. Tebra handles BH codes (90837, 90834, 90832) but has no BH-specific workflow around authorization tracking or parity auditing. Compare Medi vs Tebra and the Tebra migration guide.

Medi

Medi is built for the billing company managing multiple BH practices, not the clinician or single practice. Medi has no EHR, scheduling, clinical notes, or prior-authorization submission. If you need any of those, the clinician-first options above are the answer.

What Medi does is operate the billing layer across the whole book. Claims from every client practice land in one queue. ERA 835 files post across all clients in one inbox, paid and denied lines separated and CARC codes translated to plain language. Time-based codes like 90837 post at the correct allowed amount without the overcounting a generic system can introduce when 15-minute increment codes sit alongside procedure codes. Authorization tracking flags visits that exceed the approved session count before the denial arrives.

Denials carry no extra charge, which matters in behavioral health because parity and authorization denials arrive in clusters and you should not pay to receive one. Platform pricing is $20 per client practice per month, with volume pricing available. No per-provider fee, so a practice with eight therapists costs the same as one with one. No contract, free data export, migration free with a 12-month term or $100 per practice otherwise (capped at $3,000). Claim submission is $0.70 per claim, flat and line-blind, ERA remittance included. Volume tiers step to $0.65 from 501 to 5,000 claims and $0.55 beyond 5,000 per month. The full EDI schedule is at /pricing. Model your book with the pricing calculator.

Medi routes through one clearinghouse, Stedi. That is deliberate: one routing path, one place to investigate when a batch does not acknowledge, and a per-claim rate visible on the invoice rather than buried in a per-provider seat. For the full platform choice across all specialties, see best medical billing software for billing companies.

How to choose

• **Clinician or billing company?** If you bill on behalf of other practices, the clinician EHRs are the wrong category.
• **How many client practices?** At one or two, working inside each client's EHR is feasible. Above five or so, the missing consolidated view becomes the constraint.
• **Does BH-specific billing matter?** Time-based codes, authorization-driven visit limits, and parity documentation are real workflows. Handling them in the billing layer saves manual reconciliation downstream.
• **How does per-provider pricing scale?** Both the clinician EHRs and Tebra price per seat. If your BH clients have multiple clinicians, seat pricing grows faster than a per-practice flat rate.
• **Notes, or only billing?** If clinicians need somewhere to chart, the EHR lives in the client's system. If billing is the only function you provide, an EHR you cannot control adds no value.

Next steps

If you run a third-party billing company managing three or more BH practices and want a unified billing layer without per-provider pricing, the next steps are the demo, the pricing details, and the pricing calculator. The behavioral health billing companies guide covers the operational side of running a BH-focused billing company.

Frequently asked questions

What is the best behavioral health billing software for a solo therapist?

SimplePractice and TherapyNotes are the two strongest options for a solo clinician or small group in 2026. Both bundle scheduling, clinical notes, and billing into one product. SimplePractice has a cleaner UX and a larger user base; TherapyNotes has lower per-claim fees and more structured note templates. TheraNest is a lower-cost alternative worth evaluating if budget is the constraint. Medi is not on this list because it has no EHR, scheduling, or notes; it is built for billing companies operating across multiple client practices.

Is there billing software built specifically for behavioral health billing companies?

Most BH billing software is built for the clinician or single practice. Medi is built for the billing company operating across multiple BH client practices. The distinction is structural: Medi gives one claim queue, one ERA inbox, and billing-layer authorization tracking that spans the whole book, rather than a separate login per client. The behavioral health billing companies guide covers what that operating model looks like.

How does behavioral health billing differ from medical billing?

BH claims usually have fewer line items per visit, because most BH services are a single time-based psychotherapy code (90837, 90834, 90832) rather than a visit code plus multiple procedures. Authorization management is heavier, since many BH payers require session-count authorization and deny once the count is exceeded. Parity compliance adds a documentation layer medical billing does not have. Denial rates can run higher because parity and authorization-exhaustion denials are common and require appeal workflows.

How does Medi price behavioral health billing?

Medi charges $20 per client practice per month with no per-provider fee, so a BH practice with six therapists costs the same as one with one. Volume pricing is available. Claim submission is $0.70 per claim, flat and line-blind, with ERA remittance included at no extra charge. Volume tiers step to $0.65 from 501 to 5,000 claims and $0.55 beyond 5,000 per month. The full schedule is at /pricing and you can model your book at /tools/pricing-calculator.

Can a billing company use SimplePractice or TherapyNotes for its clients?

Yes, with friction. Both are designed to be owned and operated by the practice, not a third-party billing company. Working inside a client's account means using the client's login with no consolidated view across clients, no billing-company ERA inbox, and no cross-client denial queue. Billing companies using these products for clients usually maintain spreadsheets to track anything that needs the whole book at once.

How we sourced these prices

Pricing for other vendors comes from their public pricing pages where they publish one, and from third-party aggregators and customer reports where they do not. Treat gated figures as approximate and confirm with each vendor. Where a vendor does not publish, this page says so rather than presenting an estimate as fact. Medi's own pricing is published in full at /pricing.

Sources: Capterra Medical Billing Software · G2 Medical Billing · Software Advice Medical Billing · SimplePractice Pricing · TherapyNotes Pricing