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Built for next-generation therapists

The Clinical Intelligence Platform for Next-Generation Therapists

SignalEHR combines real-time voice signal analysis, AI clinical documentation, intelligent scheduling, no-show risk flags, and Amelia — an AI practice manager that handles billing, waitlists, daily briefings, and multi-channel client communication so you can focus on therapy.

$59/practitioner/month — all-inclusive. 100 hrs/month voice signal analysis, AI notes, Amelia calendar & billing, no-show risk flags, priority waitlist, unlimited insurance claims. 14-day free trial.

HIPAA and PIPEDA aligned
SOC 2-aligned infrastructure
Built for licensed therapists
SignalEHR live analytics dashboard

Realtime Observation

Speech slowing and pitch range narrowing over the last two minutes

Measured from the voice. What it means is your call.

All-Inclusive

100 hrs

Voice signal analysis included monthly

Interpretation Layer

Emotion, alliance, load, and clue tracking in one surface

Documentation Layer

One-click reports and copy-ready notes for EHR workflows

Our promise

SignalEHR is bootstrapped — no venture capital, no pharma money. AI handles the busywork and gives you back hours every week, but every clinical decision stays in your hands. That's what human-in-the-loop means — and it's why your data is never used to train AI models.

Core Clinical Capabilities

Architected for serious clinical practice

Real-Time Voice Signal Analysis

Voice AI Engine

Intake & Consent Workflows

Automated Onboarding

7 Clinical Note Formats

SOAP DAP BIRP GIRP+

AI Billing Agent

Claims, ERA & Eligibility

HIPAA Video Conferencing

LiveKit on GCP

Couples, Family & Group

Up to 10 Participants

Therapist Wellbeing

Burnout Prevention

7

Note Formats

3,400+

US Payers

1,000+

API Endpoints

<200ms

Emotion Latency

HIPAA

Compliant

24/7

Amelia AI

Amelia — Your Agentic Practice Manager

Meet Amelia

Your Agentic Practice Manager

Amelia doesn't just answer questions — she operates your practice. Powered by multi-model AI routing (Claude for complex reasoning, Gemini for speed), she handles scheduling, billing, client communication, and proactive intelligence autonomously across web, SMS, email, and voice.

✓ Morning practice briefings
✓ Claim drafting with a review queue
✓ No-show risk flags (six factors)
✓ 24/7 multi-channel scheduling
✓ Priority waitlist with auto-match
✓ Utilization monitoring & alerts
✓ Auto vacation coverage plans
✓ Smart overbooking recommendations

Practice Management + Amelia AI

Your SEARCH FOR A PRACTICE PLATFORM ENDS HERE

Jane-quality scheduling, Stripe payments, and a billing agent that drafts every claim and then waits for you to approve it.

Jane-quality scheduling

Day, week, and multi-practitioner calendar views with drag-and-drop, color-coded appointments, waitlist management, and automated follow-up scheduling.

US and Canadian insurance billing

In the US: CMS-1500/837P electronic claims via Stedi, real-time eligibility verification, and ERA auto-posting. In Canada: Amelia codes and validates the claim for TELUS eClaims (16+ insurers), and you submit it in your own TELUS portal.

Multi-clinic RBAC and team management

Role-based access for owners, admins, and practitioners across multiple locations. Manage staff, rooms, and clinic settings from one dashboard.

Practice website + booking widget

Build your own professional website with Wix or Squarespace, then embed your SignalEHR booking widget with one line of code. Clients book directly — appointments sync automatically. Your website, your ownership — keep it even if you leave SignalEHR.

Jane-quality scheduling

Day, week, and multi-practitioner calendar views with drag-and-drop, color-coded appointments, waitlist management, and automated follow-up scheduling.

US and Canadian insurance billing

In the US: CMS-1500/837P electronic claims via Stedi, real-time eligibility verification, and ERA auto-posting. In Canada: Amelia codes and validates the claim for TELUS eClaims (16+ insurers), and you submit it in your own TELUS portal.

Multi-clinic RBAC and team management

Role-based access for owners, admins, and practitioners across multiple locations. Manage staff, rooms, and clinic settings from one dashboard.

Practice website + booking widget

Build your own professional website with Wix or Squarespace, then embed your SignalEHR booking widget with one line of code. Clients book directly — appointments sync automatically. Your website, your ownership — keep it even if you leave SignalEHR.

Amelia AI billing agent

Amelia drafts the claim when a session closes, checks it against payer rules, and queues it for your review. She keeps a ledger of what each payer paid and denied, so a denial that keeps repeating becomes a flag on the next claim.

Integrated payments and invoicing

Stripe-powered client payments, auto-invoicing after sessions, payment plans for patient balances, and complete A/R aging reports.

Insurance card photo upload

Clients snap a photo of their insurance card during intake. AI OCR auto-extracts payer name, member ID, group number, and copay — populating the billing profile instantly.

Compliance built in

Good Faith Estimates (No Surprises Act), 42 CFR Part 2 consent tracking for SUD records, and PHQ-9, GAD-7, PCL-5, AUDIT and C-SSRS totals you record in the chart, banded by severity.

Amelia AI billing agent

Amelia drafts the claim when a session closes, checks it against payer rules, and queues it for your review. She keeps a ledger of what each payer paid and denied, so a denial that keeps repeating becomes a flag on the next claim.

Integrated payments and invoicing

Stripe-powered client payments, auto-invoicing after sessions, payment plans for patient balances, and complete A/R aging reports.

Insurance card photo upload

Clients snap a photo of their insurance card during intake. AI OCR auto-extracts payer name, member ID, group number, and copay — populating the billing profile instantly.

Compliance built in

Good Faith Estimates (No Surprises Act), 42 CFR Part 2 consent tracking for SUD records, and PHQ-9, GAD-7, PCL-5, AUDIT and C-SSRS totals you record in the chart, banded by severity.

Amelia AI Billing Agent

A billing agent that keeps score on every claim

Amelia records how every claim comes back: which codes each payer paid, which it denied, and the reason it gave. When the same denial repeats often enough, it becomes a rule that flags the next claim before you send it. A rule can warn and suggest. It cannot recode or rebill on its own. It starts with no history, so the flags arrive as your own claims come back.

  • Auto-builds claims from completed appointments with AI confidence scoring
  • Flags a claim before you send it if the payer has kept denying ones like it
  • Suggests a fix for a rejected claim from similar past denials
  • Shows each payer's acceptance rate per CPT code once you have claims on file
  • Every claim waits for your review unless you switch on auto-submit for the high-confidence ones

Intelligent Billing Pipeline

1

Session completes

Appointment marked done

2

Amelia builds claim

Auto-selects CPT, ICD-10, modifiers

3

AI optimization

Checks payer rules, flags issues

4

Confidence routing

Waits for your review. Auto-submit is opt-in

5

ERA processing

Auto-posts payments, flags denials

6

Outcome ledger

Records paid or denied, by payer and code

US Insurance

3,400+ payers via Stedi. CMS-1500, 837P, ERA/835, eligibility 270/271.

Canadian Claims

Coded and validated for TELUS eClaims (16+ insurers). You submit in your own TELUS portal.

Built-in Code Libraries

26 CPT codes46 ICD-10 codes11 modifiersDMHT/APCM codes5 outcome measures42 CFR Part 2

Advanced Scheduling

Every scheduling feature Jane charges extra for — with AI built in

Room management, availability tagging, patient self check-in, and automated waitlists. Each one works from your own booking history.

AI room and equipment management

AI assigns the optimal room for each session based on equipment needs, capacity, accessibility, and practitioner history. Automatic conflict detection prevents double-booking rooms and shared resources.

Availability tagging

Tag your shifts so only matching treatments show up for online booking. AI analyzes your session patterns and suggests tags automatically — EMDR Fridays, couples afternoons, group mornings.

Patient self check-in

Print a QR code for your waiting room — patients scan and check in from their phone. AI predicts wait times, detects incomplete intake forms, and alerts the practitioner on arrival.

AI-powered waitlist

When a slot opens, AI scores every waitlist entry on day, time, session type, practitioner preference, wait duration, and clinical urgency. Top matches get auto-offered the slot within minutes.

AI room optimizerEquipment conflict detectionQR code check-inAI wait time predictionAI waitlist scoringAuto-offer freed slotsTag-based bookingAI tag suggestions

Intelligence View

Live signal panel from a couples session

SignalEHR couples session dashboard with live analytics, AI insights, and emotion charts
Real-time mood, energy, anxiety, and depression tracking for both partners
Affect variability
Alliance trajectory
Regulation timeline
Intervention impact

Session Experience

Embedded telehealth and in-room workflow support

Therapist using SignalEHR embedded video conferencing
In-person therapy session supported by SignalEHR tools

Voice Intelligence Pipeline

Voice Input

Secure audio capture

STT

Streaming transcription

Diarization

Speaker separation

Voice Signal Analysis

Voice-affect extraction

Scoring

Voice and words scored together

Intelligence

Insights for the clinician

Live intelligence dashboard
One-click clinical report
Session memory update

Beyond Individual Sessions

Family Therapy & Group Therapy

Purpose-built clinical workflows for multi-person sessions. All the complexity handled under the hood — therapists just do therapy.

Family Therapy & Counseling

Complete family systems workflow

Therapy Models

Structural, Strategic, Bowenian, EFFT, Narrative, SFBT, CBT-Family

Safety Screening

Mandatory DV + child safety screens before first session

Smart CPT Codes

Auto-selects 90847 (with IP), 90846 (without), 90849 (multi-family)

Identified Patient Billing

One bill under the IP regardless of who attends

Consent Management

Per-member consent tracking, parent signs for minors

Child Voice Handling

Low-confidence flagging, short utterance detection in recordings

NuclearExtendedStepfamilyFosterBlendedCourt-Ordered

Group Therapy

Full lifecycle from screening to graduation

Screening Workflow

Pending → screened → approved → orientation → active member

Group Modalities

Closed, open enrollment, and slow-open (rolling admission)

Dropout Risk AI

Auto-calculated from attendance patterns, motivation scores

Per-Member Billing

One CPT 90853 claim per attending member, auto-generated

Unanimous Consent

Recording only if ALL members consent — one decline blocks all

Group Stage Tracking

Tuckman&apos;s model: forming → storming → norming → performing

ProcessSkills-BasedSupportPsychoeducationalCBTDBTGriefAddiction

Practice Analytics

Business Intelligence built from your clinical data

Every session, every appointment, every payment feeds into real-time dashboards. No manual data entry. No spreadsheets. Just open BI and your practice health is right there.

$47.8K

Monthly Revenue

+12.3% vs last month

78%

Utilization Rate

Target: 80%

94%

Collection Rate

12.3 days avg payment

6%

No-Show Rate

Tracked per practitioner

Sample figures, to show the layout. Yours come from your own practice.

Five Dashboard Views

Overview

KPI snapshot — revenue, sessions, utilization, no-shows, collection rate

Revenue

Breakdown by practitioner, session type, payer. Monthly/weekly/daily trends

Operations

Booking sources, session formats, cancellation rate, busiest hours

Clients

Retention, demographics, referral sources, top presenting concerns

Financial Health

AR aging, payer mix, claim denial rates, days to payment

What makes it different

Built from your own session data, not manual input

Updates automatically after every appointment

Claim outcomes tied to revenue metrics

Per-practitioner performance with utilization targets

Insurance claim lifecycle tracking with denial analysis

Safety Stratification Engine

Real-time risk monitoring across six clinical domains

SignalEHR continuously assesses safety indicators during live sessions using multi-source evidence triangulation. Risk levels are computed from transcript analysis, vocal biomarkers, and intake screener data — then surfaced as clinical decision support for the treating clinician.

  • Automatic escalation alerts with blocking safety gates
  • Evidence-anchored risk profiles with transcript quotes
  • Shock event detection for sudden probability changes
  • Couples dyadic overlay with contraindication flags
  • Clinician override with audit-logged rationale
Suicide / Self-Harm

6 risk levels

Harm to Others

Imminent gates

IPV / DV

Coercive control

Substance Use

Acuity tracking

Psychiatric Instability

State monitoring

Child / Dependent Safety

Mandated flags

Evidence Triangulation

Transcript

LLM extraction

Vocal Prosody

Acoustic markers

Intake Screener

Baseline flags

Clinical Decision Support Only

All risk outputs are decision-support estimates — not diagnostic determinations. The treating clinician retains full authority over clinical judgment and intervention decisions.

Security and Compliance

Uniform trust layer with governance-grade controls

  • Encryption in transit and at rest
  • Policy mapping across US and Canadian privacy frameworks
  • Secure consent and intake lifecycle workflows

HIPAA

US healthcare privacy

Compliant controls

PIPEDA

Canada federal privacy

Compliant controls

HIA

Alberta health information

Compliant controls

SOC 2

Security infrastructure foundation

System-aligned

PHIPA / PIPA / Law 25 / CMIA / SHIELD

Regional frameworks

Mapped policy controls

Beyond Practice Management

Features most practice software leaves out

SignalEHR goes further with predictive analytics, supervision tools, marketing automation, and AI transparency — built on your real-time clinical intelligence data.

01

Living Treatment Plans

Auto-generated from intake, self-updating after every session. Goals, interventions, and progress tracking tied to your modality with golden thread audit trail.

02

Dropout & No-Show Risk Scores

Eight factors, including alliance trajectory, emotion variability and attendance, add up to a risk score per client. The weights are fixed today, and each score is stored beside what actually happened so its accuracy can be checked.

03

Supervision & Co-Sign

AI-flagged sessions for supervisor review. Alliance dips, safety concerns, and high-load sessions auto-routed. Secure co-signing workflows.

04

Discharge Summaries

One-click discharge documentation pulling treatment plan progress, session history, and aftercare recommendations.

05

Webhooks & Zapier

Connect SignalEHR to 5,000+ apps. HMAC-signed webhooks fire on appointments, sessions, invoices, and clinical events. Auto-disable on failures.

06

Marketing & Lead Nurture

AI blog generation, lead capture forms, drip email campaigns, and waitlist nurturing. Built-in growth tools so you never need Mailchimp.

07

QuickBooks & Xero SyncComing soon

Invoice and payment sync to your accounting platform is in development — real profit tracking without manual data entry.

08

AI Explainability & Bias Transparency

Every AI score comes with feature attribution. Cultural context notes, bias risk documentation, and full audit trails for ethical compliance.

09

Practice Health Score

Utilization, retention, revenue trends, therapist wellbeing, and clinical outcomes — all in one predictive dashboard. Business intelligence from clinical data.

Transparent Pricing

One all-inclusive plan. No tiers. No surprises.

Everything a modern therapy practice needs — clinical intelligence, practice management, and billing — in one subscription. Admin and receptionist seats are always free.

Practice Founders Grant

Launching your first practice? Get year one free — a $708 grant per practitioner.

Pay only raw AI compute at cost (~$20–30/mo). Applications reviewed monthly.

Apply for the grant
All-Inclusive

Signal Intelligence

$59/practitioner/month

Everything you need to run an intelligent practice


Clinical Intelligence

  • 100 hrs/month real-time voice signal analysis
  • One-click AI clinical notes (SOAP, DAP, BIRP, GIRP, PIE, SIRP, PIRP)
  • Affect shift, variability, and alliance tracking
  • Crisis and risk signal detection
  • Couples and family dynamic tracking
  • Session-over-session signal trends
  • Therapist wellbeing and load monitoring

Practice Management

  • Amelia AI practice manager (web, SMS, email, voice)
  • Intelligent scheduling with drag-and-drop
  • Unlimited US + Canadian insurance claims
  • HIPAA-compliant video conferencing
  • Stripe payments and invoicing
  • Insurance card OCR auto-extract
  • Multi-clinic RBAC — admin + receptionist seats free
  • Priority waitlist with AI auto-matching
  • No-show risk flags (six-factor score)
  • Daily morning briefings with action items
  • Utilization monitoring and burnout alerts
  • Patient self check-in (QR code)

14-day free trial

Full features, no credit card required

Start free trial

Overage past 100 hrs: $1.50/hr · Monthly billing, cancel anytime

Voice Amelia

$59/month per clinic

300 minutes included per line, then $0.50/min

AI phone receptionist that never misses a call


  • 1 dedicated phone line included
  • Inbound call handling — scheduling, rescheduling, cancellations
  • Outbound appointment reminders and follow-ups
  • Intelligent call routing to available practitioners
  • Natural conversational voice for routine front-desk calls
  • After-hours coverage — never miss a new client
  • Integrates with SignalEHR calendar in real-time
  • Additional phone lines: $49.99/line

Replaces a $3,500/month receptionist

Add Voice Amelia

How SignalEHR compares

SignalEHR

$59

All-inclusive

SimplePractice

$49–$99

No AI, no voice signal analysis

Jane App

$54–$114

No AI, no US billing

TherapyNotes

$49–$59

No AI, no Canadian billing

Try SignalEHR Before You Sign Up

Experience live voice signal analysis, AI clinical notes, and Amelia scheduling — no account needed.

Open Playground

FAQ

Clear answers for clinical adoption

Is SignalEHR only a note generator?

No. SignalEHR is a clinical intelligence assistant that combines real-time interpretation with documentation automation.

How is pricing structured?

Signal Intelligence is $59 per practitioner per month — CA$59 in Canada, the same number in each market's own currency — all-inclusive. That covers 100 hours/month real-time voice signal analysis, one-click AI clinical notes, Amelia intelligent calendar/billing/client management (web and text), unlimited US and Canadian insurance claims, telehealth, and multi-clinic RBAC. Admin and receptionist seats are free — only practitioners are billed. Voice Amelia (AI phone receptionist) is $59/month per clinic — 300 voice minutes included per phone line, then $0.50/minute (1 phone line, additional lines $49.99, each with its own 300 minutes). Overage past 100 hrs is $1.50/hr. 14-day free trial with full features, no credit card required. Monthly billing, cancel anytime.

Does SignalEHR replace therapist judgment?

No. SignalEHR provides decision support and structured reflection tools while the clinician remains the authority.

Which clinical formats are supported?

SOAP, DAP, GIRP, BIRP, PIRP, SIRP, PIE, plus customizable note styles based on your language.

Is SignalEHR HIPAA and PIPEDA compliant?

Yes. SignalEHR uses AES-256 encryption, no live-session audio storage, and SOC 2-aligned infrastructure. All data is processed securely and compliant with both HIPAA (US) and PIPEDA (Canada) regulations.

Is session audio used to train AI models?

No. Live session audio is held in memory while it is transcribed and then discarded. Audio you upload or record deliberately, for group and family sessions and for offline recordings, is stored encrypted so it can be diarized, kept for up to 30 days, and then deleted automatically. None of it is used for training. What SignalEHR keeps is your encrypted transcript and clinical note, which is your record. Every AI vendor we use (Deepgram, OpenAI, Anthropic) is contractually barred from training on your content under the BAA. Nothing in SignalEHR is trained on your clients' sessions either.

What therapeutic modalities does SignalEHR support?

SignalEHR supports 16 modalities including CBT, ACT, DBT, EMDR, IFS, Motivational Interviewing, Schema Therapy, Narrative Therapy, EFT, Gottman, and more. Notes are tailored to your selected modality.

Can SignalEHR be used for couples therapy?

Yes. In a couples session each partner's voice is tracked separately, and SignalEHR labels the interaction cycle it hears: pursue-withdraw, criticize-defend, mutual escalation, or a repair window. Notes come out in couples-specific formats. One limit worth knowing: we do not show a single couple distress score, because ours cannot yet tell a couple in trouble from a couple in serious danger.

What is the TheraPreneur Android app?

TheraPreneur is an AI therapist app for entrepreneurs with real-time voice therapy, multi-dimensional emotion tracking (valence, arousal, load, variability, and regulation), evidence-based CBT/ACT/DBT techniques, and persistent memory. It features low-latency voice interaction, Vitality Vault safety check-ins, and is HIPAA/PIPEDA compliant.

How does Amelia AI billing work?

Amelia drafts the insurance claim when an appointment completes, proposes CPT and ICD-10 codes, checks the claim against payer rules, and scores her own confidence in it. By default every claim waits for your review, and you can switch on auto-submit for the high-confidence ones. Each paid or denied claim goes into a ledger by payer and code. If one payer keeps denying the same code for the same reason, that pattern becomes a rule, and the rule flags your next claim to that payer. A rule only warns and suggests. Recoding and rebilling stay with you. On day one the ledger is empty, so the flags show up as your own claims come back.

Does SignalEHR support insurance billing for both US and Canada?

Yes. US billing uses Stedi for electronic 837P claims to 3,400+ payers, with real-time eligibility verification and ERA auto-posting. In Canada, TELUS does not offer outside software a way to submit for you, so Amelia codes and validates the claim for TELUS eClaims (16+ insurers) and you submit it in your own TELUS portal, then record the result. Insurance receipts are generated for insurers not on TELUS.

Is SignalEHR a replacement for Jane App?

SignalEHR goes beyond Jane by combining clinical intelligence (real-time voice signal analysis, crisis detection, AI documentation) with practice management (scheduling, billing, payments) in one subscription.

Does SignalEHR have the same advanced scheduling as Jane Thrive?

SignalEHR includes every advanced scheduling feature Jane charges CAD $99/month for — rooms, equipment, availability tagging, patient self check-in, and automated waitlists — plus AI enhancements Jane does not offer. AI auto-assigns rooms, suggests tags from your patterns, predicts wait times, and scores waitlist matches with 6-factor intelligent matching.

Final Call To Action

Spend more time being the therapist, not the typist

SignalEHR combines live clinical intelligence, AI-drafted billing you review, intelligent scheduling, and privacy-first architecture in one advanced therapy platform.

Live Demo Clinics

Try Our Demo Clinics

Two fully-functional demo practices running on SignalEHR: real booking pages, real availability, real Amelia. Click in and book a session end to end.

NL

Northern Lights Therapy Collective

Edmonton, AB · Canada

A multi-practitioner collective running entirely on SignalEHR — online booking, Voice Amelia reception, and Canadian insurance billing.

4 booking typesMulti-practitionerVoice AmeliaInsurance billing
SW

Serenity Wellness Center

Los Angeles, CA · USA

A boutique US practice — see how a smaller clinic uses SignalEHR for scheduling, US insurance billing, and clinical notes.

3 booking typesBoutique practiceOnline bookingClinical notes

SignalEHR Therapist Directory

Find the right therapist for you. Browse by specialization, insurance, location, and availability. Verified profiles with online booking.

Find a Therapist