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PaperlessEHR vs TheraNest
TheraNest is a popular EHR for therapy practices. PaperlessEHR adds CRM and ERP for behavioral health agencies that need referral pipelines and multi-program operations.
How does PaperlessEHR compare to TheraNest?
PaperlessEHR is purpose-built for behavioral health agencies needing EHR + CRM + ERP on one platform — referral tracking, PSR documentation, Medicaid authorizations, and multi-site reporting. TheraNest excels for smaller therapy practices focused on scheduling and clinical notes. PaperlessEHR starts at $59/user/month and fits organizations outgrowing EHR-only tools.
Quick Verdict
TheraNest serves therapy practices with scheduling, notes, billing, and telehealth in a practice-management-focused package. It works well for smaller groups that do not run complex multi-program agencies.
PaperlessEHR fits organizations adding referral CRM, PSR documentation, authorization tracking, and agency ERP as they scale beyond a single therapy group.
Feature Comparison
| Capability | PaperlessEHR | TheraNest |
|---|---|---|
| EHR — Clinical Documentation | ✓ SOAP, DAP, psychiatry, PSR | ✓ Therapy templates |
| EHR — Group & PSR Documentation | ✓ Multi-program templates | Limited |
| CRM — Referral Pipeline | ✓ Full Sunbase CRM | Limited |
| CRM — Intake Automation | ✓ Configurable workflows | Basic |
| ERP — Multi-Program Management | ✓ Agency-wide | Practice focus |
| ERP — Authorization Tracking | ✓ Real-time units | Basic |
| Insurance Billing | ✓ Claims, ERA, denials | ✓ Billing |
| Telehealth | ✓ Integrated | ✓ Available |
| Starting price | From $59/user/mo | Varies by plan |
| HIPAA & BAA | ✓ | ✓ |
When TheraNest Is the Right Fit
Choose TheraNest for smaller therapy practices that need scheduling, notes, and billing without multi-program agency operations or referral CRM complexity.
FAQ
TheraNest Comparison Questions
How does PaperlessEHR compare to TheraNest?
PaperlessEHR adds CRM and ERP for referral pipelines and multi-program operations; TheraNest excels for smaller therapy practices focused on clinical notes and scheduling. PaperlessEHR from $59/user/month includes all three pillars on Sunbase.
When should a TheraNest user switch to PaperlessEHR?
Consider switching when you add PSR programs, community referral tracking, Medicaid authorization monitoring, or multi-site reporting that TheraNest does not support natively.
Last updated: August 2026
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