Hire your first few clinicians and the weak spots in a solo setup start showing up almost immediately. Your calendar is now a shared resource. Notes need co-signatures, and a single billing error can hit income for several providers at once instead of just landing on your desk. Group practice management software in 2026 needs to be able to handle those handoffs. Below, six EHR platforms are compared on clinician onboarding and scheduling, paying close attention to supervision and insurance billing as a team grows.
| Platform | Best fit | Onboarding and access | Supervision and scheduling | Billing | Vendor-published cost and decision check |
| TheraNest | Growing mental health teams | Unlimited staff accounts; granular permissions | Note alerts and electronic co-signatures; recurring-group and multi-staff calendars with location filters; secure internal messaging | Claims, invoices, payment reconciliation and ERAs | Plans start at $29 monthly per therapist; check claims, reminder, telehealth and optional-service allowances |
| Valant EHR | Psychiatry and higher-acuity programs | Therapist and prescriber workflows; itemized licenses and implementation | Group notes, authorization alerts and group attendance workflows | Charge capture and pre-submission claim checks | Custom quote; confirm selected modules, support and implementation plan |
| SimplePractice | Small therapy groups | Plus includes unlimited biller, scheduler and supervisor accounts; added clinicians are priced by headcount | Appointment requests, digital intake, portal and messaging | Claims tracking and remittance recording | $49 monthly entry plan; Plus $99 before additional clinicians; check clinician tiers and claims charges |
| TherapyNotes | Insurance-oriented behavioral-health groups | Client-data import; phone and email support; unlimited non-clinical accounts | Structured templates, supervisory permissions and Basic Telehealth | Claims tracking and payment processing | Group: $79 monthly for the first clinician; $50 for each additional clinician; check usage fees and optional modules |
| Jane | Multidisciplinary clinics | Custom charting and permission controls | Permission-based co-signing; practitioner calendars, rooms and locations | Intake, payments and regional insurance options | Plan-based; check optional products, transaction charges and regional payer workflows |
| Sessions Health | Cost-conscious therapy groups | Administrator accounts at no extra subscription charge; role-based permissions | Supervision tools, online booking and calendar syncing | Batch and secondary claims; automatic ERA posting | Professional: $39 monthly for the first practitioner; $29 for each additional practitioner; check telehealth and insurance usage charges |
How to compare group practice management software
A group system has to connect clinicians with supervisors while giving administrative staff the right level of access to client and payer records. Booking appointments? That part is easy. Before comparing subscriptions, sketch out the team you expect to have: interns and supervisors sitting alongside billers and front-desk staff. Price that team, then fold transaction charges and implementation costs into the clinician licenses in your quote. The right platform for your group is the one that still fits those roles and those costs at your next hiring stage.
Put the hard parts to the test: shared calendars with location filters, supervisor co-signing, batch billing with claims reconciliation, and practice-level reports. Run clinician onboarding as its own workflow: create one supervised account and one independent-clinician account, apply permissions, assign the supervisor, connect calendars and locations, and confirm each person’s access to notes, scheduling, and billing. When you ask about migration of historical client records, have the new clinician locate an imported or reassigned client and complete the first note through approval. Then hand someone an anonymized denied claim to work end to end. Work through the comparison this way and you will spot workflow gaps a feature list never shows.
TheraNest
TheraNest, from Ensora Health, is group practice management software built specifically for mental health. Its core promise is unlimited staff accounts with granular permissions, paired with supervisory note alerts. Interns, billing staff, and front-desk staff can all be added without separate staff-account charges, though the subscription itself is still calculated per therapist. Before accepting a quote, get clear on how each clinician role gets counted.
A clinician finishes a note that requires supervision, and the reviewer receives an alert to review and co-sign it. Practice Chat keeps internal messaging inside the application, and staff actions are recorded in an activity log covering 120 days. Calendars handle recurring groups and multi-staff appointments, with location filters. On the billing side, claims link up with invoices and payment reconciliation, including electronic remittance advice (ERAs). One thing to check: plan allowances for reminders and telehealth.
Valant EHR
Valant brings together behavioral-health documentation and psychiatric prescribing and measurement-based care. If your expansion plans include intensive outpatient (IOP) or partial hospitalization (PHP) programs, it deserves a look. Group attendance in those settings has to tie into authorization tracking and utilization review. Claim Assist checks for incomplete or inconsistent information before payer submission.
Pricing, though, requires a sales conversation. Valant doesn’t publish a universal price list. Request separate costs for therapist and prescriber licenses, plus implementation and support, with selected modules itemized.
SimplePractice
SimplePractice connects appointment requests with digital intake and a client portal. Test that journey when standardizing how clients join a small group. With the Plus plan, biller, scheduler, and supervisor accounts are unlimited and carry no separate charge; additional clinicians are priced by headcount.
Plan boundaries matter here. Group telehealth comes with Plus but requires an add-on with Essential. Model your claim volume before adding prescribing or paid documentation tools to the subscription.
TherapyNotes
TherapyNotes leans on structured behavioral-health notes and insurance workflows, supported by role permissions and supervisory administration. The Group plan includes unlimited non-clinical staff accounts, and published onboarding support covers client-data import plus phone and email assistance.
For onboarding, ask the demonstrator to show how imported client records are assigned and how supervisory permissions are set before a clinician begins documenting. Basic Telehealth is included, but premium video and prescribing cost extra. Claims and eligibility requests incur usage fees, as do ERAs and text or voice reminders.
Jane
Jane fits clinics combining counseling with allied-health services, especially when you need room management alongside multi-location calendars. Custom charting and permission-based co-signing support mixed clinical teams. One caution: test local payer requirements against your mental health documentation.
Jane reports more than 245,000 practitioners worldwide across health and wellness disciplines. That indicates adoption, not suitability for your practice. Group telehealth is also an optional add-on, so include it when budgeting for couples or family sessions.
Sessions Health
Sessions Health’s Professional plan combines unlimited clients with administrator accounts at no extra subscription charge. Role-based permissions and supervision tools support team oversight, and reporting tracks missing notes, claims, and outstanding balances.
For insurance work, test batch and secondary claims together with automatic ERA posting. The free tier is too limited for an established group. Telehealth and eligibility checks cost extra, as do claim submissions and optional documentation tools. Budget using expected practitioner numbers rather than administrator headcount.
Quick answers for practice leaders
Which software is best for a mental health clinic moving beyond solo practice?
The best fit matches your team roles and payer mix, not a headline ranking. TheraNest’s supervision alerts merit testing when interns need note approvals. Group practice management software for mental health clinics should also give administrative staff appropriate access without exposing unnecessary clinical information.
Which EHRs support shared scheduling and billing for therapy groups?
All six platforms provide scheduling and billing functions. Compare how they handle multi-provider calendars and centralized billing access using an anonymized claim. Choosing therapist practice management software for group practices also means checking whether supervisors and billers can work without broad clinical access.
Is there a free EMR system?
Yes. Sessions Health’s published free plan permits one practitioner and up to three clients. That makes it suitable for testing, not for running an established group.
Which three EHR systems are top choices for therapy groups?
A workflow-based shortlist includes TheraNest for supervision and co-signature alerts. These aren’t universal rankings.
Does a growing counseling practice need healthcare ERP software?
Usually, your immediate need is an EHR that connects clinical records with billing. ERP software addresses broader organizational functions such as procurement and financial administration.
Choose for the next stage
Demo two or three systems with real staff roles and anonymized workflows. Configure a new clinician account, then have the clinician and supervisor complete note approval while scheduling and billing staff handle intake and claim payment. Compare total cost at your next hiring stage, and choose the system your team can operate without rebuilding those processes.
