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PaperlessEHR vs SimplePractice vs TherapyNotes — Feature Matrix
Side-by-side comparison of clinical, billing, CRM, and agency features. See what PaperlessEHR includes in your subscription that SimplePractice Essential and TherapyNotes charge extra for — or do not offer at all.
Last updated: August 2026
What does PaperlessEHR include that SimplePractice and TherapyNotes charge extra for?
PaperlessEHR includes ePrescribe, PHQ-9/GAD-7 screeners, AI documentation, unlimited claim export, CRM referral pipelines, and PSR/Medicaid auth tracking from $59/user/month. SimplePractice Essential charges add-ons for ePrescribe, screeners, and Note Taker AI, plus per-claim fees after 10 claims/month. TherapyNotes lacks CRM, PSR documentation, and agency operations entirely.
Included in PaperlessEHR — competitors charge extra
These capabilities are bundled in PaperlessEHR. SimplePractice sells many as paid add-ons; TherapyNotes does not offer CRM or PSR/agency workflows at all.
ePrescribe (DoseSpot)
Included in PaperlessEHR. SimplePractice charges an add-on on every tier.
Included in PaperlessEHRPHQ-9 / GAD-7 screeners
Included with portal assign and outcome trending. SimplePractice sells screeners as an add-on.
Included in PaperlessEHRAI documentation / scribe
One-click transcript-to-note included (3 free/week, unlimited paid). SimplePractice Note Taker is a paid add-on.
Included in PaperlessEHRPPI Clinical Library
Diagnosis-driven SMART goals included — no Wiley license fee. Bundled on SP Essential+.
Included in PaperlessEHRCRM + referral pipeline
Full intake kanban, public forms, and partner pages. Not available on SimplePractice or TherapyNotes.
Included in PaperlessEHRPSR / Medicaid auth tracking
Unit burn-down, export guards, and PSR rosters. Not offered by SP or TN.
Included in PaperlessEHR37 clinical templates + form designer
BH, psychiatry, SLP/PT/OT, and PSR templates — ahead of generic note libraries.
Included in PaperlessEHREHR + CRM + ERP in one platform
Clinical, referral growth, and agency operations from $59/user/mo — not EHR-only.
Included in PaperlessEHRFull feature matrix
Compared against SimplePractice Essential ($79/mo) and TherapyNotes. Rows highlighted in green show PaperlessEHR advantages.
Included Add-on (extra cost) Partial Not available
Clinical documentation
| Capability | PaperlessEHR | SimplePractice Essential ($79/mo) | TherapyNotes |
|---|---|---|---|
| SOAP, DAP, BIRP progress notes | Included | Essential+ | Included |
| Treatment plans (SMART goals) | Included | Essential+ | Included |
| PHQ-9 / GAD-7 scored instruments | Included | Add-on | Included |
| Intelligent documentation (diagnosis → suggestions) | Included | Not available | Not available |
| Audit-readiness live checklist | Included | Partial | Partial |
| PSR progress notes | Included | Not available | Not available |
| Group session documentation | Included | Included | Included |
| Supervision / cosignature queue | Included | Included | Included |
| E-prescribing (DoseSpot) | Included | Add-on | IncludedPer-prescriber fee may apply |
AI & documentation tools
| Capability | PaperlessEHR | SimplePractice Essential ($79/mo) | TherapyNotes |
|---|---|---|---|
| AI scribe / Note Taker | Included | Add-on | TherapyFuelVendor scribe |
| One-click transcript → structured note | Included | Not available | Not available |
| PPI Clinical Library (SMART goals) | Included | Essential+Wiley license | Limited |
| 37 templates + form designer | Included | Custom templates | Therapy-focused |
| Ambient session recorder + STT | Included | Limited | Partial |
Practice management
| Capability | PaperlessEHR | SimplePractice Essential ($79/mo) | TherapyNotes |
|---|---|---|---|
| Scheduling calendar | Included | Included | Included |
| Telehealth (HIPAA video) | Included | Included | Included |
| Client portal | Included | Included | Included |
| Waitlist + slot backfill | Included | Essential+ | Included |
| SMS / email reminders | Included | Essential+ | IncludedPer-message fees may apply |
| Secure client messaging | SMS inbox | Essential+ | Included |
| Google / iCal calendar sync | iCal feed | Essential+ | Included |
| Auth-aware scheduling copilot | Included | Not available | Not available |
Billing & RCM
| Capability | PaperlessEHR | SimplePractice Essential ($79/mo) | TherapyNotes |
|---|---|---|---|
| Insurance claims (837P) | Unlimited export | 10/mo incl.Then ~$0.35/claim | IncludedPer-claim fees may apply |
| ERA/835 import + auto-post | Included | Essential+ | Included |
| CMS-1500 / superbill PDF | Included | Included | Included |
| Eligibility (270/271) | Batch 271 | Plus only | Included |
| Claim scrubbing pre-export | Included | Included | Included |
| Denial work queue | Included | Included | Included |
| Stripe online pay links | Included | Included | Limited |
CRM & growth
| Capability | PaperlessEHR | SimplePractice Essential ($79/mo) | TherapyNotes |
|---|---|---|---|
| Referral / intake pipeline (kanban) | Included | Not available | Not available |
| Public intake form | Included | Appointment requests | Limited |
| Public referral partner page | Included | Not available | Not available |
| Intake AI summary | Included | Not available | Not available |
| Marketing review SMS | Included | Included | Included |
| Public practice microsite | Included | Included | Included |
Agency & PSR
| Capability | PaperlessEHR | SimplePractice Essential ($79/mo) | TherapyNotes |
|---|---|---|---|
| Medicaid authorization tracking | Included | Not available | Basic billing |
| PSR group roster + attendance | Included | Not available | Not available |
| Field visit / mobile PSR notes | Included | Not available | Not available |
| CFARS / FARS outcomes dashboard | Included | Not available | Not available |
| Practice analytics (BI pulse) | Included | Limited | Limited |
| Staff LMS (courses & tests) | Included | Not available | Not available |
Pricing notes
- SimplePractice Essential: 10 electronic claims included per month, then ~$0.35 per claim. ePrescribe, PHQ-9/GAD-7, and Note Taker AI are add-ons on all tiers.
- TherapyNotes: base plan includes core EHR; electronic claim submission and some reminder channels may incur per-transaction fees — verify current TherapyNotes pricing.
- PaperlessEHR: unlimited 837P export, ERA/835 auto-post, ePrescribe, screeners, and AI scribe credits included in subscription tiers from $59/user/month.
Competitor pricing and feature packaging as of August 2026. Verify current plans with SimplePractice and TherapyNotes before purchasing.
Where PaperlessEHR is still catching up
We publish honest gaps so you can evaluate fit. These are active roadmap items or enterprise-tier features.
| Capability | PaperlessEHR today | Context |
|---|---|---|
| Secure portal HIPAA messaging | SMS inbox only (partial) | SP Essential+ and TherapyNotes offer portal messaging threads. |
| Stripe Tap to Pay (in-person) | Not built | Planned; online pay links available today. |
| Out-of-office calendar blocks | Not built | SP Plus and TherapyNotes include OOO blocks. |
| Multi-site enterprise ERP | Upgrade path | Full agency ERP available on PaperlessEHR enterprise tier. |
Related comparisons
Frequently asked questions
Does PaperlessEHR include ePrescribe?
Yes. DoseSpot ePrescribing is included in PaperlessEHR. SimplePractice charges ePrescribe as an add-on on every subscription tier.
Are PHQ-9 and GAD-7 screeners included?
Yes. PaperlessEHR includes scored PHQ-9 and GAD-7 instruments with portal assignment and outcome trending. SimplePractice sells behavioral health screeners as a paid add-on.
How does PaperlessEHR claim pricing compare to SimplePractice Essential?
PaperlessEHR includes unlimited 837P claim export with no per-claim fee. SimplePractice Essential includes 10 electronic claims per month, then charges approximately $0.35 per additional claim.
Does TherapyNotes have CRM or PSR documentation?
No. TherapyNotes focuses on therapy practice EHR. PaperlessEHR adds Sunbase CRM for referral pipelines and PSR/Medicaid agency workflows that TherapyNotes does not offer.
See PaperlessEHR with your workflows
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