2026 comparison
Jane App is Multi-discipline practice management platform popular with Canadian allied-health practices. SignalEHR is the AI-first clinical intelligence + practice management platform — $199/practitioner/month, all-inclusive, dual-country (US + Canada), with Amelia AI receptionist and real-time emotion analysis built in.
Best for: Therapists who want one platform that handles AI clinical notes, dropout prediction, AI receptionist, full practice management, and dual-country insurance billing — at $199/practitioner/month all-inclusive.
Trade-off: Newer to market than incumbents; native mobile apps still in development.
Best for: Canadian multi-discipline practices (physio, chiro, RMT, naturopathy, mental health) needing solid scheduling, charting, and direct billing through TELUS.
Trade-off: Jane has no practitioner mobile app (browser only), no clinical intelligence beyond optional AI transcription, no AI receptionist, no therapist directory, and limited analytics. Its AI Scribe is a paid add-on without emotion analysis or dropout prediction. US clinics get less value than Canadian ones because of Jane's CAD-first pricing and TELUS-centric billing.
Pricing: Practice plan CAD $99/practitioner/month, Thrive plan CAD $119/practitioner/month. AI Scribe is a paid add-on. Insurance billing (TELUS) is an add-on on lower tiers.
| Capability | Signal | Jane App |
|---|---|---|
| Real-time voice emotion analysis | Yes — per-speaker, mapped to clinical indices | No |
| AI clinical notes | 8 formats included; therapist-modality aware | AI Scribe paid add-on, transcription/format only |
| AI receptionist (chat + voice) | Amelia — included for chat/SMS; +$99.99/mo per clinic for phone | No — Jane offers free SMS reminders only |
| Dropout / no-show prediction | 8-factor self-learning model | No |
| Therapist directory | 17,000+ profile directory with SEO pages | No |
| Canadian insurance direct billing | TELUS eClaims, 29+ insurers | TELUS direct billing (Practice/Thrive plans) |
| US insurance billing | Stedi (3,400+ payers), CMS-1500, ERA/835 auto-posting | Not designed for US insurance |
| Practitioner mobile app | Mobile-optimized web (native apps in development) | Browser only — no native app |
| Couples therapy with dyadic analysis | Dual-channel emotion, EFT/Gottman-specific | Generic couples appointment — no dyadic analysis |
| Open API + webhooks | 800+ API endpoints, Zapier, webhooks | Limited API for partners only |
Yes. Signal has a Jane App CSV importer that brings over client demographics, intake forms, appointment history, and insurance information. The migration typically completes in a few hours. Some clinics run both platforms in parallel for one month so they can verify nothing was missed before cancelling Jane.
Yes — Signal includes unlimited Canadian insurance direct billing via TELUS eClaims for 29+ insurers (Sun Life, Manulife, Canada Life, Blue Cross, Green Shield, Desjardins, etc.), included in the $199/practitioner/month price. Signal also adds US insurance billing via Stedi for clinics with cross-border clients — something Jane is not designed to do.
Per-practitioner the headline numbers are similar — Signal is $199 USD/mo vs Jane's $99 CAD/mo for Practice or $119 CAD/mo for Thrive. But Jane's AI Scribe and additional features are paid add-ons; Signal's price is all-inclusive with AI emotion analysis, 8 clinical note formats, Amelia AI receptionist for chat/SMS, dropout prediction, therapist directory, and full US + Canadian billing. For Canadian mental-health practices that would use Jane's AI Scribe + Practice plan + TELUS direct billing add-on, Signal works out to roughly the same monthly cost with significantly more clinical capability.
Two things. (1) Jane is built for multi-discipline allied-health practices (physio, chiro, RMT) — Signal is mental-health-only, so if your clinic shares space across disciplines, Jane's room-and-resource scheduling for non-therapy modalities is more mature. (2) Jane has more years of operational maturity in Canadian-only practices — long-standing CRA payroll integrations and provincial billing nuances. We're closing both gaps but if you're a multi-discipline clinic today, Jane is the right tool for the non-mental-health work.
Yes — Signal is built dual-country from day one. Pricing displays in CAD or USD based on your clinic's country setting. TELUS eClaims direct billing is included. PIPEDA-aligned alongside HIPAA. The /amelia-onboarding form auto-switches insurer chips, address labels (Province/Postal Code), and timezones based on whether you pick Canada or the United States.
Full features, no commitment. Most clinics finish migrating from Jane App inside one billing cycle, and Signal's migration tools handle client roster, intake forms, and insurance data automatically.