SignalEHR vs TherapyNotes: which EHR fits your therapy practice?

Yes. SignalEHR matches TherapyNotes on the practice management essentials (scheduling, charting, electronic claims, telehealth, patient portal) and adds the modern AI layer TherapyNotes doesn't ship: real-time voice signal analysis during sessions, 8 AI clinical note formats, dropout prediction, AI receptionist (Amelia), and Canadian insurance billing. For US clinics that are happy with TherapyNotes' billing depth but frustrated by its dated UI and lack of clinical AI, SignalEHR is the natural next step.

Both platforms handle US electronic claims well. TherapyNotes has been doing this for 10+ years and has mature workflows around ERA posting, denial chasing, and payer-specific quirks. SignalEHR uses Stedi for clearing-house connectivity (same underlying network most modern EHRs use), with unlimited claims included in the $59 base price. SignalEHR also prepares Canadian direct-billing claims for TELUS eClaims, which you submit in your own TELUS portal — something TherapyNotes does not support at any tier. For a US-only solo practice, billing capability is roughly equivalent; for a cross-border practice, SignalEHR combines US claims through Stedi and Canadian claims prepared for TELUS in one system.

The base seats now cost the same — $59/seat on both. What differs is what the seat contains: SignalEHR includes AI clinical notes (7 formats plus your own template, modality-aware), real-time voice signal analysis, dropout prediction, AI receptionist (Amelia), and Canadian billing, none of which TherapyNotes ships at any price. Add TherapyNotes' own AI note add-on and it becomes the more expensive of the two before you have bought a scribe ($35–99/mo) or a chat receptionist ($50–150/mo) anywhere else.

Two things, honestly. (1) Maturity — TherapyNotes has 15+ years of customer-support depth, established billing-staff training programs, and a stable feature set that doesn't change month to month. If your clinic prioritizes 'never breaks, never surprises us', TherapyNotes wins. (2) Price-per-seat for US-only solo practices — at $59/seat with no AI, it's the cheapest serious EHR on the market. SignalEHR is the right pick if you want clinical intelligence and Canadian billing in the same platform; TherapyNotes is the right pick if you want the minimum-viable EHR at the lowest US-only seat price.

Your client list, yes. SignalEHR recognizes a TherapyNotes export from its header row and creates one chart per client with name, email, phone, date of birth and notes, and reports back every column it could not map. Diagnoses and insurance are parsed out of the file but not yet written to the chart. Intake-form responses and appointment history don't come across. Past session notes have no PDF-attachment path today. Group practices generally run both systems for one billing cycle so the TherapyNotes record stays available.