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Healthcare Medicine

Top 10 Best Psychotherapy Billing Software of 2026

Explore top 10 psychotherapy billing software to streamline practice. Find tailored tools—discover now.

Sarah Mitchell

Sarah Mitchell

Feb 11, 2026

10 tools comparedExpert reviewed
Independent evaluation · Unbiased commentary · Updated regularly
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For mental health practitioners, efficient billing is critical to maintaining practice sustainability, and the right software streamlines workflows, minimizes administrative burdens, and ensures compliance. The tools below—ranging from all-in-one platforms to specialized solutions—offer diverse features to address the unique needs of psychotherapy practices.

Quick Overview

  1. 1#1: SimplePractice - All-in-one platform for mental health practitioners offering automated insurance billing, claims submission, superbills, and patient payments with full HIPAA compliance.
  2. 2#2: TherapyNotes - EHR and practice management software with robust billing features including electronic claims, ERA posting, and denial management for therapists.
  3. 3#3: TheraNest - Practice management tool specializing in mental health billing, invoicing, insurance tracking, and reporting for psychotherapy practices.
  4. 4#4: Practice Better - Client management software with integrated billing, insurance claims, online payments, and superbills designed for wellness and therapy professionals.
  5. 5#5: CounSol - Counseling-specific platform providing streamlined billing, electronic claims, patient statements, and HIPAA-secure payment processing.
  6. 6#6: My Clients Plus - Therapy practice management with advanced billing tools for insurance verification, claims submission, and revenue cycle management.
  7. 7#7: Kareo - Billing and practice management software supporting behavioral health with clearinghouse integration, claims scrubbing, and payment posting.
  8. 8#8: WriteUpp - Modern notes and billing software for therapists featuring automated superbills, invoicing, and insurance billing workflows.
  9. 9#9: Jane - Appointment scheduling and billing app for health professionals including telehealth billing, payments, and basic insurance claims.
  10. 10#10: TherapyAppointment - Online practice management system with billing capabilities for scheduling, invoicing, and payment collection tailored to therapists.

We curated these tools based on key features (including insurance processing, claims management, and payment handling), user experience (ease of use and navigation), and value, prioritizing platforms that deliver robust functionality without compromising simplicity.

Comparison Table

Navigating psychotherapy billing software can be complex, but this comparison table simplifies the process by highlighting top tools including SimplePractice, TherapyNotes, TheraNest, Practice Better, CounSol, and more. Readers will find key details on features, pricing, and usability to identify the best fit for their practice.

All-in-one platform for mental health practitioners offering automated insurance billing, claims submission, superbills, and patient payments with full HIPAA compliance.

Features
9.8/10
Ease
9.4/10
Value
9.2/10

EHR and practice management software with robust billing features including electronic claims, ERA posting, and denial management for therapists.

Features
9.5/10
Ease
9.0/10
Value
8.7/10
3TheraNest logo8.7/10

Practice management tool specializing in mental health billing, invoicing, insurance tracking, and reporting for psychotherapy practices.

Features
8.6/10
Ease
9.1/10
Value
9.0/10

Client management software with integrated billing, insurance claims, online payments, and superbills designed for wellness and therapy professionals.

Features
8.4/10
Ease
9.1/10
Value
7.9/10
5CounSol logo8.6/10

Counseling-specific platform providing streamlined billing, electronic claims, patient statements, and HIPAA-secure payment processing.

Features
8.4/10
Ease
9.1/10
Value
8.2/10

Therapy practice management with advanced billing tools for insurance verification, claims submission, and revenue cycle management.

Features
8.0/10
Ease
8.3/10
Value
8.7/10
7Kareo logo8.2/10

Billing and practice management software supporting behavioral health with clearinghouse integration, claims scrubbing, and payment posting.

Features
8.7/10
Ease
7.6/10
Value
7.9/10
8WriteUpp logo7.6/10

Modern notes and billing software for therapists featuring automated superbills, invoicing, and insurance billing workflows.

Features
7.2/10
Ease
8.5/10
Value
8.0/10
9Jane logo8.4/10

Appointment scheduling and billing app for health professionals including telehealth billing, payments, and basic insurance claims.

Features
8.2/10
Ease
9.1/10
Value
7.8/10

Online practice management system with billing capabilities for scheduling, invoicing, and payment collection tailored to therapists.

Features
8.1/10
Ease
7.4/10
Value
7.2/10
1
SimplePractice logo

SimplePractice

specialized

All-in-one platform for mental health practitioners offering automated insurance billing, claims submission, superbills, and patient payments with full HIPAA compliance.

Overall Rating9.6/10
Features
9.8/10
Ease of Use
9.4/10
Value
9.2/10
Standout Feature

Seamless end-to-end billing with real-time payer eligibility verification, auto-scrubbed claims, and direct EFT deposits

SimplePractice is a comprehensive EHR and practice management platform tailored for mental health professionals, with robust psychotherapy billing features including automated insurance claims submission, eligibility verification, and payment posting. It integrates billing seamlessly with scheduling, telehealth, documentation, and client portals to streamline workflows for therapists. The software supports both insurance and cash-pay practices, generating superbills, invoices, and handling ERA/EFT deposits efficiently.

Pros

  • Automated claims scrubbing, submission to 1000+ payers, and ERA auto-posting for efficient revenue cycle management
  • Real-time insurance eligibility checks and superbills for easy client payments
  • HIPAA-compliant integration with telehealth, notes, and scheduling reduces administrative time

Cons

  • Per-claim fees (e.g., $0.15-$1.25 after first 20-50 free monthly) can accumulate for high-volume practices
  • Advanced reporting and customization require higher-tier plans
  • Occasional glitches in claims processing reported by some users

Best For

Solo or small-group psychotherapy practices needing an all-in-one HIPAA-secure solution for billing, telehealth, and practice management.

Pricing

Starts at $29/user/month (Starter, limited billing); Essential $69/month (full billing); Pro $99/month; Plus $149/month; claims fees after initial free ones ($0.15-$1.25/claim); annual discounts available.

Visit SimplePracticesimplepractice.com
2
TherapyNotes logo

TherapyNotes

specialized

EHR and practice management software with robust billing features including electronic claims, ERA posting, and denial management for therapists.

Overall Rating9.2/10
Features
9.5/10
Ease of Use
9.0/10
Value
8.7/10
Standout Feature

One-click automated insurance claims submission with built-in scrubbing and direct ERA posting, eliminating the need for separate billing software

TherapyNotes is a cloud-based practice management software tailored for mental health professionals, providing integrated tools for electronic health records, scheduling, billing, and telehealth. It excels in psychotherapy billing by automating insurance claims submission (CMS-1500 forms), eligibility checks, ERA payment posting, and superbills generation. The platform ensures HIPAA compliance with robust security features and supports progress notes, treatment planning, and client portals for streamlined workflows.

Pros

  • Comprehensive, integrated billing tools including automated claims and denial management optimized for psychotherapy codes
  • Intuitive interface with customizable templates for notes and superbills
  • Responsive customer support and reliable HIPAA-compliant security

Cons

  • Per-clinician pricing can become costly for larger practices
  • Limited third-party integrations compared to some competitors
  • No fully functional native mobile app for on-the-go billing

Best For

Small to medium-sized psychotherapy practices seeking an all-in-one solution with strong built-in billing capabilities.

Pricing

$49 per clinician per month (includes EHR, scheduling, and billing); 21-day free trial, no setup fees for most plans.

Visit TherapyNotestherapynotes.com
3
TheraNest logo

TheraNest

specialized

Practice management tool specializing in mental health billing, invoicing, insurance tracking, and reporting for psychotherapy practices.

Overall Rating8.7/10
Features
8.6/10
Ease of Use
9.1/10
Value
9.0/10
Standout Feature

Electronic claims submission and scrubbing to over 700 insurance payers with built-in error checking.

TheraNest is a cloud-based practice management software designed for mental health professionals, with robust psychotherapy billing features including electronic claims submission, superbill generation, and payment processing. It integrates billing seamlessly with EHR, scheduling, notes, and a client portal to streamline administrative workflows for therapists. The platform supports unlimited clients and staff across all plans, making it scalable for growing practices.

Pros

  • Affordable pricing with no per-client or per-claim fees
  • Intuitive interface that's quick to learn
  • Strong billing automation including electronic claims to 700+ insurers

Cons

  • Limited advanced reporting and analytics
  • Customer support response times can vary
  • Fewer third-party integrations than top competitors

Best For

Solo practitioners and small to medium psychotherapy practices seeking an affordable, all-in-one billing and management solution.

Pricing

Starts at $39/month for Essentials (1 user), $49/month Professional, $59/month Premium; annual billing offers discounts, unlimited clients/staff.

Visit TheraNesttheranest.com
4
Practice Better logo

Practice Better

specialized

Client management software with integrated billing, insurance claims, online payments, and superbills designed for wellness and therapy professionals.

Overall Rating8.2/10
Features
8.4/10
Ease of Use
9.1/10
Value
7.9/10
Standout Feature

Automated end-to-end billing workflow integrated directly with client portals and telehealth sessions

Practice Better is an all-in-one practice management platform designed for health professionals, including psychotherapists, offering robust billing features like insurance claims submission, superbill generation, and integrated payment processing via Stripe. It streamlines psychotherapy billing workflows by automating eligibility checks, ERA posting, and client invoicing through a secure client portal. The software also integrates billing with scheduling, telehealth, and EHR tools, making it suitable for mental health practices handling both insured and cash-pay clients.

Pros

  • Seamless insurance claims submission to major carriers with eligibility verification
  • User-friendly client portal for self-service payments and superbills
  • Integrated with EHR, scheduling, and telehealth for efficient workflows

Cons

  • Billing features are strong but lack advanced customization for complex multi-provider setups
  • Per-client fees can increase costs for larger practices
  • Limited direct integrations with some niche clearinghouses or billing-specific tools

Best For

Solo or small psychotherapy practices seeking an intuitive all-in-one platform with reliable billing and client management.

Pricing

Starts at $25/month (Essentials plan) up to $125/month (Unlimited plan), billed annually; additional per-client or transaction fees may apply.

Visit Practice Betterpracticebetter.io
5
CounSol logo

CounSol

specialized

Counseling-specific platform providing streamlined billing, electronic claims, patient statements, and HIPAA-secure payment processing.

Overall Rating8.6/10
Features
8.4/10
Ease of Use
9.1/10
Value
8.2/10
Standout Feature

Automated superbills and eligibility checks tailored to psychotherapy CPT codes and modifiers

CounSol is a comprehensive practice management software tailored for mental health professionals, offering robust billing tools including electronic claims submission to over 2,000 payers, automated superbills, and insurance eligibility verification. It integrates billing seamlessly with scheduling, secure video conferencing, progress notes, and client portals to streamline psychotherapy workflows. Designed specifically for solo practitioners and small practices, it handles therapy-specific nuances like session-based billing and copay management efficiently.

Pros

  • Intuitive, therapist-focused interface with minimal learning curve
  • Reliable electronic claims processing and fast reimbursements
  • Strong integration of billing with notes, scheduling, and telehealth

Cons

  • Limited advanced reporting and analytics compared to enterprise tools
  • Per-provider pricing can add up for larger groups
  • No native mobile app for full billing management on the go

Best For

Solo therapists or small psychotherapy practices seeking an all-in-one, user-friendly solution for billing and practice management.

Pricing

Starts at $49.95/month per provider (Everyday plan) up to $89.95/month (Pro plan); annual discounts available, no setup fees.

Visit CounSolcounsol.com
6
My Clients Plus logo

My Clients Plus

specialized

Therapy practice management with advanced billing tools for insurance verification, claims submission, and revenue cycle management.

Overall Rating8.1/10
Features
8.0/10
Ease of Use
8.3/10
Value
8.7/10
Standout Feature

Billing Wizard for automated CMS-1500 claim scrubbing and submission to major clearinghouses like Change Healthcare.

My Clients Plus is a cloud-based practice management and EHR software tailored for mental health professionals, with robust tools for scheduling, progress notes, client portals, and billing. It specializes in psychotherapy billing by supporting electronic claims submission to over 600 insurers via major clearinghouses, generating superbills, and handling ERA payments. The platform emphasizes HIPAA compliance and ease for solo to small group practices, including customizable therapy note templates and secure messaging.

Pros

  • Affordable pricing with strong value for small practices
  • Reliable insurance billing with wide payer support and clearinghouse integration
  • Responsive customer support via phone, email, and chat

Cons

  • User interface appears dated compared to modern competitors
  • Limited advanced reporting and analytics features
  • Telehealth requires third-party integration rather than native video

Best For

Solo therapists or small psychotherapy practices needing straightforward, cost-effective billing and practice management.

Pricing

Starts at $34.95/month for solo basic plan; premium tiers up to $69.95/month for groups, with add-ons for extra users.

Visit My Clients Plusmyclientsplus.com
7
Kareo logo

Kareo

enterprise

Billing and practice management software supporting behavioral health with clearinghouse integration, claims scrubbing, and payment posting.

Overall Rating8.2/10
Features
8.7/10
Ease of Use
7.6/10
Value
7.9/10
Standout Feature

Billing Intelligence analytics engine that predicts cash flow and identifies denial trends proactively

Kareo is a cloud-based medical billing and practice management platform designed for independent practices, including psychotherapy providers, offering end-to-end revenue cycle management. It automates claims submission, tracks payments, handles denials, and integrates with EHR for streamlined psychotherapy billing using codes like 90834 and 90837. The software emphasizes efficiency with tools for superbills, ERA auto-posting, and patient payment portals.

Pros

  • Comprehensive RCM automation reduces billing errors and speeds up reimbursements
  • Strong integration with EHR and major payers for psychotherapy-specific workflows
  • Analytics dashboard provides actionable insights into revenue performance

Cons

  • Steep learning curve for new users without dedicated training
  • Pricing can escalate quickly with add-ons and per-claim fees
  • Customer support response times vary, especially for smaller practices

Best For

Small to mid-sized psychotherapy practices seeking robust, integrated billing without in-house expertise.

Pricing

Starts at $135 per provider/month for core billing, plus setup fees (~$500-$1,500) and optional modules; performance-based tiers available.

Visit Kareokareo.com
8
WriteUpp logo

WriteUpp

specialized

Modern notes and billing software for therapists featuring automated superbills, invoicing, and insurance billing workflows.

Overall Rating7.6/10
Features
7.2/10
Ease of Use
8.5/10
Value
8.0/10
Standout Feature

Highly customizable superbill generator that includes session details, diagnoses, and modifiers for easy client reimbursement

WriteUpp is a practice management software designed specifically for psychotherapists, providing tools for clinical notes, scheduling, telehealth sessions, and streamlined billing. It focuses on generating customizable superbills and invoices for out-of-network clients, with integrated payment processing through Stripe for efficient collections. While HIPAA-compliant and user-friendly, it lacks direct electronic claims submission to insurance carriers, making it best suited for private-pay or cash-based practices.

Pros

  • Intuitive interface with therapist-specific note templates (SOAP, DAP, etc.)
  • Affordable pricing with no long-term contracts
  • Strong superbill and invoicing tools for out-of-network billing

Cons

  • No electronic claims submission or clearinghouse integration
  • Limited advanced reporting and analytics
  • Basic telehealth features compared to competitors

Best For

Solo or small psychotherapy practices focused on private-pay or out-of-network clients who prioritize simplicity over full insurance billing.

Pricing

Starts at $49/month for solo practitioners (unlimited clients), with group plans from $99/month; 14-day free trial available.

Visit WriteUppwriteupp.com
9
Jane logo

Jane

specialized

Appointment scheduling and billing app for health professionals including telehealth billing, payments, and basic insurance claims.

Overall Rating8.4/10
Features
8.2/10
Ease of Use
9.1/10
Value
7.8/10
Standout Feature

Real-time insurance eligibility verification integrated directly into the scheduling and billing workflow

Jane (jane.app) is an all-in-one practice management platform tailored for health and wellness practitioners, including psychotherapists, offering scheduling, charting, telehealth, secure messaging, and billing tools. For psychotherapy billing, it supports insurance claims submission to major US and Canadian payers, superbills, patient payments via Stripe, and ERA reconciliation. It streamlines administrative tasks while ensuring HIPAA compliance and customizable workflows.

Pros

  • Intuitive interface with seamless integration across scheduling, charting, and billing
  • Supports both US and Canadian insurance billing with eligibility checks and ERA posting
  • Robust telehealth and patient portal features enhance billing efficiency

Cons

  • Pricing is per-provider and can add up for solo practitioners focused only on billing
  • Advanced billing customizations require higher-tier plans
  • Less specialized depth in complex multi-insurance scenarios compared to dedicated billing software

Best For

Psychotherapists and mental health practices seeking an integrated all-in-one platform where billing is part of broader practice management needs.

Pricing

Starts at $74 CAD/provider/month (Essentials), up to $164 CAD (Enterprise); 10% discount for annual billing, no per-client fees.

Visit Janejane.app
10
TherapyAppointment logo

TherapyAppointment

specialized

Online practice management system with billing capabilities for scheduling, invoicing, and payment collection tailored to therapists.

Overall Rating7.6/10
Features
8.1/10
Ease of Use
7.4/10
Value
7.2/10
Standout Feature

Automated insurance eligibility verification and superbill generation directly within the scheduling workflow

TherapyAppointment is an all-in-one practice management software tailored for therapists and mental health professionals, providing tools for appointment scheduling, client communication, and billing. It excels in psychotherapy billing by supporting superbill generation, insurance eligibility verification, CMS-1500 claim forms, and integrated payment processing via Stripe. HIPAA-compliant and featuring a client portal, it helps streamline administrative tasks for solo practitioners and small practices.

Pros

  • Integrated scheduling and billing reduce administrative time
  • HIPAA-compliant with secure telehealth and client portal
  • Supports key psychotherapy billing needs like superbills and eligibility checks

Cons

  • Limited advanced analytics and reporting compared to enterprise tools
  • Customer support is email-based with slower response times
  • Some features like batch claims require higher-tier plans

Best For

Solo therapists or small psychotherapy practices seeking affordable, straightforward billing and scheduling without complex enterprise features.

Pricing

Starts at $49.95 per provider/month (billed annually), with tiers up to $89.95 for advanced features; free trial available.

Visit TherapyAppointmenttherapyappointment.com

Conclusion

The reviewed psychotherapy billing software offers diverse solutions, with the top three—SimplePractice, TherapyNotes, and TheraNest—standing out as leaders, each equipped to handle key needs like insurance integration and HIPAA compliance. SimplePractice emerges as the top choice, but TherapyNotes and TheraNest also excel, catering to different workflows and priorities for therapy practices.

SimplePractice logo
Our Top Pick
SimplePractice

Begin refining your practice's billing efficiency today by exploring the top-ranked tool, SimplePractice, and discover how its all-in-one features can enhance your daily operations and patient care.