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Remitra vs TherapyNotes

Remitra vs TherapyNotes: billing that reaches your books.

TherapyNotes is a popular behavioral health EHR with solid insurance billing built in. Remitra handles the same claims, then carries every payment into your general ledger and bank, with the option of a team that does the billing for you.

Last checked October 15, 2026

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Side by side

How they compare.

The parts of the job that decide whether you know where your money is.

RemitraTherapyNotes
Pricing Quoted on a demo call. No per-user fees; setup and data move included. Three options: Software, Billing, or Billing + Books. Solo $69/month. Group $79/month plus $50 per extra clinician; non-clinical staff free. Electronic billing adds 14¢ per claim, per ERA, and per eligibility check.
Electronic claims Claims built from the signed note and sent electronically, checked against payer rules first. Integrated clearinghouse (2,000+ payers), claim scrubbing, primary and secondary claims, and a paper claim mailing service.
Posting insurance payments ERAs posted line by line, with the reason for anything unpaid. Assisted: TherapyNotes reads the ERA, and you review and accept each posting.
Insurance checks Eligibility checked before every appointment. Real-time eligibility with about 900 payers, at 14¢ per check.
Someone to do the billing Yes: the Billing and Billing + Books options, done by Remitra's own team. Referrals to partner billing companies that work inside TherapyNotes. Partners and pricing aren't published.
Bookkeeping Full general ledger, bank matching, income statement and balance sheet, month-end close. Export to QuickBooks Online, Xero, or CSV. Billing, revenue, and aging reports, with spreadsheet export. We found no general ledger, bank reconciliation, or QuickBooks integration.
Client payments Card and ACH through Stripe, statements, payment links, and payment plans. Cards and HSA cards through CardConnect (3.1% + 30¢), next-day deposits, AutoPay, and statements.
Psychiatry E-prescribing through Surescripts, EPCS-certified. Med checks and therapy add-on codes on one claim. ePrescribe at $65/month per prescriber (moving to DrFirst), optional EPCS, and psychiatry note templates with add-on codes.
Availability Private preview. Book a demo and we set you up. Sign up online with a free trial.

Competitor details checked on their public website and help center on October 15, 2026. Prices and features change, so check before you decide. Sources: pricing · billing · ERA posting · billing services · payments · card fees · ePrescribe. SimplePractice, TherapyNotes, and QuickBooks are trademarks of their respective owners. Remitra isn't affiliated with them.

Where TherapyNotes is the better fit

  • You want a mature, widely used behavioral health EHR you can sign up for today.
  • You're happy to do the billing in-house and keep the books separately.
  • Your staff already know TherapyNotes well and you don't want to retrain.

Remitra is in private preview. If you need to sign up online today and start billing this week, TherapyNotes is the faster path. If you want billing and the books in one system, or someone to do the billing for you, that's what Remitra is built for.

The real difference: what happens after the ERA

TherapyNotes is good at getting claims out the door. But its reports stop at billing: there's no general ledger, and nothing matches the lump insurance deposit in your bank to the sessions it paid for. That matching, plus write-offs and money still owed, ends up in a spreadsheet or in your accountant's lap at month-end.

Remitra writes every claim, insurance payment, write-off, and client payment into the general ledger as it happens, and matches bank deposits to sessions. If you'd rather not do billing at all, our own team does it inside the same system. See Remitra vs an EHR plus QuickBooks for why that gap matters.

Questions

Remitra vs TherapyNotes questions.

Can I move from TherapyNotes to Remitra?

Yes. Moving your data over is included in every Remitra option, and we handle the setup. Book a demo call and we'll walk through what moves and how long it takes.

Does TherapyNotes integrate with QuickBooks?

As of October 15, 2026, we couldn't find a QuickBooks integration in TherapyNotes' help center. It offers billing and revenue reports with spreadsheet export. Remitra keeps a full general ledger and can also export to QuickBooks Online, Xero, or CSV.

Does TherapyNotes post ERAs automatically?

TherapyNotes describes its ERA posting as assisted: it reads the ERA and suggests postings that you review and accept. In Remitra, ERAs are posted line by line with the reason for anything unpaid, and the payment flows into your books.

Is Remitra more expensive than TherapyNotes?

TherapyNotes charges per clinician plus per-claim, per-ERA, and per-eligibility fees. Remitra has no per-user fees and quotes on the demo call, so the comparison depends on your practice's size and whether you want us to do the billing.

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Book a 30-minute call. Tell us how billing works in TherapyNotes today, and we'll show you the same sessions followed all the way to your bank.

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