2026 comparison
Upheal is AI notes for therapists, with optional EHR plans covering scheduling, billing, insurance claims and a client portal. 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: Therapists who want AI notes beside their existing EHR, or a low-cost EHR paid per session.
Trade-off: Upheal lists no real-time voice signal analysis, dropout score, AI receptionist or Canadian claims, and insurance claims are charged per submission.
Pricing: Free plan; AI Notes $39/month; EHR $1/session; EHR Pro $99/month. On EHR plans, insurance claims are $0.30 per submission. AI Assistant Pro is +$39/month and is included in EHR Pro.
| Capability | SignalEHR | Upheal |
|---|---|---|
| Real-time voice signal analysis | Yes — per-speaker, affect shifts shown during the session | After the session: advanced analytics and a session map. No real-time voice signal analysis listed |
| AI clinical notes | 7 formats (SOAP, DAP, BIRP, GIRP, PIRP, SIRP, PIE) plus your own template | SOAP, DAP and intake free; GIRP, BIRP, EMDR, PIRP, SIRP, PIE and more on paid plans |
| Scheduling + calendar | Full multi-practitioner calendar, AI time-blocking, recurring sessions | On EHR plans: client portal scheduling and 2-way Google Calendar sync |
| Insurance billing (US + Canada) | Unlimited claims, Stedi + TELUS eClaims, ERA auto-posting | On EHR plans, $0.30 per claim and $0.15 per eligibility check; no Canadian claims listed |
| AI receptionist (chat + phone) | Amelia handles chat, SMS, and phone | No |
| Couples sessions, each partner tracked separately | Dual-channel, each partner tracked separately, EFT + Gottman engines | Couples and families on paid plans, with speaker-labeled transcripts; no per-partner tracking listed |
| Telehealth video | Native HIPAA-compliant video with screen share + waiting room | Built-in HIPAA-compliant telehealth, with automated notes on paid plans |
| Treatment plans + living goals | Auto-updating treatment plans after every session | Treatment Plans with Golden Thread, on paid plans |
| Total monthly cost for a solo therapist | $59 all-inclusive | $99 for EHR Pro, or $1/session on the pay-as-you-go EHR, or $39 for AI Notes beside a separate EHR |
Yes. Both offer AI clinical notes, telehealth and, on Upheal's EHR plans, scheduling and insurance billing. SignalEHR adds real-time voice signal analysis, an AI receptionist, a dropout score and Canadian claim preparation. For therapists stacking Upheal AI Notes on a separate EHR, SignalEHR replaces both.
They differ in when it runs. Upheal lists advanced analytics and a session map after the session, and lets you check your notes during calls. SignalEHR runs voice signal analysis during the session and shows affect shifts per speaker while it is still running.
Technically yes — SignalEHR's notes module works standalone — but SignalEHR's clinical intelligence (dropout prediction, daily briefings, treatment-plan auto-update) only works well when the calendar, client history, and notes are in one system. We have a 14-day full-features trial; we recommend running SignalEHR end-to-end during the trial to see if consolidation pays off for you.
Upheal has a simpler, more focused product surface — if all you want is AI notes and you have no interest in changing EHRs, Upheal's onboarding is faster (no clinic profile, no calendar, no billing setup). Upheal has been shipping AI-for-therapy a little longer and has more public case studies. For therapists who are 100% sure they don't want to consolidate, Upheal is the right pick.
Compared with a stack, yes: Upheal AI Notes at $39/mo + SimplePractice Plus at $99/mo = $138/mo for a solo therapist, against $59/mo. Upheal's own EHR is $99/mo on EHR Pro, or $1/session, so a light caseload on the pay-as-you-go plan can cost less than SignalEHR. That plan lists no AI receptionist or dropout score.
Full features, no commitment. The client importer creates one chart per client from a SimplePractice, Jane or TherapyNotes export.