2026 comparison
SimplePractice is All-in-one practice management EHR for behavioral health (the US market leader). SignalEHR is the AI-first clinical intelligence + practice management platform — $59/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 $59/practitioner/month all-inclusive.
Trade-off: Newer to market than incumbents; native mobile apps still in development.
Best for: Established US practices that want a mature, full-featured EHR with insurance billing, a Therapy Finder directory, and 24/7 support.
Trade-off: Their AI note feature only transcribes — there's no voice signal analysis, alliance tracking, dropout prediction, or AI receptionist. Pricing scales fast: a 3-practitioner practice on Plus + Note Taker AI runs $382/month for what SignalEHR delivers (plus clinical intelligence) at $177.
Pricing: Plans from $39 (Starter) to $99 (Plus) per practitioner/month. Note Taker AI is an extra $35/month. Each additional clinician on Plus is $74/month.
| Capability | SignalEHR | SimplePractice |
|---|---|---|
| Real-time voice signal analysis during sessions | Yes — sub-200ms latency, per-speaker tracking, mapped to clinical indices | No |
| AI clinical notes (SOAP/DAP/BIRP/etc.) | 7 formats plus your own template, included in the $59 base price | Note Taker AI add-on at +$35/month — transcription only |
| AI receptionist (chat + phone) | Amelia — web chat + SMS + voice ($59/mo + usage for phone add-on) | No |
| Dropout / no-show prediction | 8-factor risk score, recalculated from each client's latest sessions, with outreach suggestions | Basic appointment reminders only |
| Couples sessions, each partner tracked separately | Dual-channel emotion, per-partner indices, EFT/Gottman-specific note engines | Generic couples session type — no per-partner tracking |
| US insurance billing | Unlimited claims included; 3,400+ payers via Stedi, ERA auto-posting | Unlimited claims included on Plus plan |
| Canadian insurance billing | Direct-billing claims prepared for TELUS eClaims (16+ insurers). You submit in your TELUS portal | US only |
| Therapist directory (lead source) | Public directory of 39,000+ therapists, an individual profile page each, plus a book-direct widget | Therapy Finder directory |
| Native HIPAA telehealth video | Yes — video, screen share, waiting room, no plugin | Yes |
| Pricing for a 3-practitioner clinic + AI notes | $177/month all-in | $382/month ($99 base + 2×$74 + $35 AI notes) — more than twice the price, and no clinical intelligence |
Your client list, yes. The importer recognizes a SimplePractice export from its header row and creates one chart per client, carrying across name, email, phone, date of birth and notes, and listing back any column it could not map. Diagnoses, insurance and addresses are parsed but not yet written to the chart. Allergy lists, intake forms and appointment history don't come across. Neither do past session notes: there is no PDF-attachment path for them today. Most clinics keep their SimplePractice subscription running for one billing cycle so the older records stay reachable.
A little. Your booking link changes: SignalEHR cannot redirect a SimplePractice URL, so you send clients the new one or repoint the button on your own site. After that they book, get appointment reminders and complete intake the same way they always did. The two things they will notice: telehealth sessions feel snappier (SignalEHR's native video has lower latency than SimplePractice's), and they get Amelia — a chat receptionist that can answer questions and rebook 24/7 instead of waiting for office hours.
SignalEHR is $59 per practitioner per month — all-inclusive, with AI clinical notes, AI receptionist (web/SMS — voice is +$59/mo per clinic (300 voice minutes per line included, $0.50/min after)), unlimited US + Canadian insurance billing, telehealth, and the therapist directory included. SimplePractice Plus is $99/mo + $35/mo for Note Taker AI = $134/mo for a solo therapist, but that's transcription only with no voice signal analysis, no dropout prediction, no AI receptionist, no Canadian billing. A 3-practitioner clinic on SimplePractice Plus + Note Taker AI is $382/mo; the same clinic on SignalEHR is $177/mo — less than half — and gets the full clinical-intelligence layer.
Yes — and then some. SignalEHR matches SimplePractice on practice management essentials (scheduling, billing, insurance, telehealth, client portal, therapist directory, mobile-friendly web app). On top of that, SignalEHR adds clinical intelligence (real-time voice signal analysis, AI clinical notes in 7 formats plus your own template, a dropout risk score, couples sessions with each partner tracked separately, multi-modality intervention detection) and an AI receptionist (Amelia for chat/SMS/voice) that SimplePractice does not offer at any tier.
Two things, honestly. (1) SignalEHR's native mobile apps for iOS and Android are in development — for now the web app works on phones but isn't a true native app the way SimplePractice's is. (2) SignalEHR is newer to market than SimplePractice — fewer years of customer-support ticket history. We mitigate this with same-day chat support and a public-roadmap policy.
Full features, no commitment. Most clinics finish migrating from SimplePractice inside one billing cycle, and SignalEHR's migration tools handle client roster, intake forms, and insurance data automatically.