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 voice signal 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: Note Taker drafts progress notes and Care Aide adds session prep and live telehealth recaps, but SimplePractice lists no voice signal analysis, alliance tracking, dropout score or AI receptionist. Pricing scales fast: a 3-practitioner practice on Plus + Note Taker runs $352/month before per-claim fees, against $177 at SignalEHR.
Pricing: Plans from $49 (Starter) to $99 (Plus)/month. Additional clinicians on Plus start at $74/month. Note Taker is $35/month per clinician; Care Aide, which includes it, is $59/month plus $49 per additional clinician. Electronic claims start at $0.39 each.
| Capability | SignalEHR | SimplePractice |
|---|---|---|
| Real-time voice signal analysis during sessions | Yes — per-speaker tracking, affect shifts shown during the session | No |
| AI clinical notes (SOAP/DAP/BIRP/etc.) | 7 formats plus your own template, included in the $59 base price | Note Taker add-on at +$35/month per clinician — drafts progress notes from telehealth and in-person sessions |
| 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 | Appointment reminders on Essential and Plus; no dropout score listed |
| Couples sessions, each partner tracked separately | Dual-channel voice tracking, each partner separately, EFT/Gottman-specific note engines | Note Taker works with couple appointments; no per-partner tracking listed |
| US insurance billing | Unlimited claims included; 3,400+ payers via Stedi, ERA auto-posting | Electronic claims on every plan, from $0.39 per claim; free monthly claims ended October 1, 2026 |
| 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 | $352/month ($99 base + 2×$74 + 3×$35 Note Taker) before per-claim fees — about twice the price |
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. Keep your 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 thing they will notice: 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 = $134/mo for a solo therapist before per-claim fees, and SimplePractice lists no voice signal analysis, dropout score, AI receptionist or Canadian billing. A 3-practitioner clinic on Plus with Note Taker for all three is $352/mo; the same clinic on SignalEHR is $177/mo, about half.
On the practice management essentials, yes. 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 list.
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. The client importer creates one chart per client from a SimplePractice, Jane or TherapyNotes export.