All-in-One Behavioral Health EHR, CRM and Billing Compared (2026)

For a therapy practice, all-in-one means the chart, the front desk and the money sit on one record with no second vendor to contract. Ona covers the widest span inside a single product, Valant has the deepest behavioral health module list, and TherapyNotes, SimplePractice and Healthie price AI, prescribing and claims as add-ons.

Quick answer:

• The honest ranking on coverage is Ona, Valant, TherapyNotes, SimplePractice, Healthie. That is breadth inside one product, not a quality score, and the right answer changes the moment group work or repeat screening is central to your practice.
• Four of the five publish prices. Valant does not. On a three clinician practice with one prescriber, the monthly totals run from roughly $360 to $805 once prescribing, AI notes and claim traffic are switched on.
• Ona is the only one of the five that puts the phone, the lead pipeline and the clearing house in the same product as the chart. It has no group visits and no purpose-built behavioral health modules, so read the limits section before you book anything.

What "all-in-one" actually means here

Vendors use the phrase for two different things, and the difference is what costs you Tuesdays.

The first kind is one product. One login, one record, one bill, and any outside vendor is embedded so deeply that you never open an account with them. The second kind is a marketplace: a good clinical core with an integrations page, where the claims, the prescriptions and the phone each come with their own contract, their own setup fee and their own support queue.

So the test used below is narrow and checkable: how much of a therapy practice's week runs inside one product, without a second vendor account and without a second login. A module that sits inside the platform but costs extra still counts as one system. A third-party tool you sign a separate agreement with does not.

Everything here was read from each vendor's own live pages in September 2026. Where a vendor does not publish something, this article says so rather than guessing.

The five platforms, side by side

Coverage order	Platform	In one product	Sold separately or through another vendor	Published price (17 Sep 2026)	Choose it when
1	Ona	AI phone answering, lead pipeline, intake, scheduling, charting and ambient scribe, telehealth, e-prescribing, messaging, billing, eligibility, claims, its own clearing house, patient portal, reports	E-prescribing, EPCS, AI receptionist minutes, calls, omnichannel messaging and the clearing house are metered add-ons, but all inside Ona; DoseSpot, Fullscript, LiveKit, Stripe and Stedi are embedded, not contracted by you	$130 per practitioner seat, $45 per staff seat, 10% off annually	You want the phone, the chart and the money on one record and you bill insurance yourself
2	Valant	Documentation, scheduling, billing, shared-session support, care planning modules, utilization review, prospective patient management, eligibility, integrated clearinghouse, patient portal, PDMP, eLabs	AI Notes Assist, telehealth, intake and assessment automation, clinical reporting and patient communications are listed as optional add-ons; RCM is a separate service	None published; quote only	Purpose-built behavioral health modules are the centre of your clinical model
3	TherapyNotes	Notes, scheduling, unlimited clients and appointments, client and staff messaging, client portal, basic telehealth, billing, directory profiles, mobile companion app, 24/7 phone and email support	TherapyFuel AI, ePrescribe, premium telehealth and MIPS reporting are per-clinician add-ons; claims, ERAs, eligibility checks and reminders are billed per transaction	Solo $69 a month; Group $79 first clinician plus $50 each additional, non-clinical staff free	You want a mature therapy record with human phones answered around the clock
4	SimplePractice	Unlimited clients, telehealth, online payments, progress notes, paperless intake, client portal and a clinician mobile app on every plan; basic diagnostic and care planning on Starter, and reminders and calendar sync from Essential	Care Aide and Note Taker AI, ePrescribe with an $89 setup fee, and the Insurance Navigator claims service are all separate add-ons; $20 a year per clinician for CPT code access	Starter $49, Essential $79, Plus $99 a month; additional clinicians from $74	You are solo or a small group, you want a proven therapy product and you file few claims
5	Healthie	Scheduling, charting, client portal, payments, mobile apps, telehealth, and at higher tiers unlimited clients, group telehealth, programs and team roles	Claims run through the ClaimMD integration with its own fee and setup; e-prescribing is a DoseSpot add-on; telehealth runs on Zoom	Core $18, Essentials $45, Plus $115, Group $135 and up, per month billed annually	Budget is tight, the work is mostly cash-pay, and group programs matter more than claims

What the add-ons actually cost

Base prices sort platforms in one order. Totals sort them in another. Here is the same practice priced on each vendor's published figures: three clinicians, one of them prescribing and one prescribing controlled substances, one non-clinical admin, around 200 claims a month.

Ona. Three practitioner seats at $130 and one staff seat at $45 is $435. E-prescribing adds $45 and EPCS another $25 for the one prescriber. Omnichannel messaging is $150, since it is only free at two practitioners or fewer. A Core clearing house plan at $149 covers 250 claims, 250 ERAs and 500 eligibility checks. That is $804 a month, or $723.60 on annual billing, which takes 10% off everything including the clearing house. AI charting, the ambient scribe, telehealth, the lead pipeline and the patient portal are already in the seat price. The AI receptionist is separate, from $100 a month for 400 minutes.

TherapyNotes. Group is $79 for the first clinician plus $50 for each of the other two, and non-clinical staff are free, so $179. TherapyFuel, the AI documentation layer, is $40 per clinician, adding $120. ePrescribe is $65 per prescriber. That is $364 before traffic. Then electronic billing runs at 14 cents per electronic claim, ERA claim and eligibility request, reminders at 14 cents per text or call, and card processing at 3.1% plus 30 cents. Two hundred claims with their ERAs and eligibility checks is roughly $84 more.

SimplePractice. A group on Plus is $99 for the first practitioner and from $74 for each of the other two, so about $247. Care Aide, which carries Note Taker and Session Sidekick, is $59 for the account owner and $49 for each additional clinician, adding $157. ePrescribe is $49 a month plus an $89 one-time setup fee. That is about $453, plus $20 a year per clinician for CPT code access. Insurance Navigator, the claims service, is marked coming soon at $1.79 per claim filed, which on 200 claims would be a large second line.

Healthie. Group starts at $135 a month billed annually, with additional team members at $50 per clinician per month. E-prescribing runs on DoseSpot at $40 per clinician per month with no setup fee; the pricing page lists EPCS as an add-on without a published price. ClaimMD starts at $25 a month with a setup fee of $50 to $100, though the plan comparison table on the same page says $30. Telehealth runs through Zoom at no extra charge.

Valant. Nothing to add up. The plans and pricing page says licensing is typically structured around the number and type of users in your organization and routes you to a quote, and it names patient engagement tools, reporting, telehealth, AI-assisted documentation and intake automation among the things that can move the number.

Two patterns fall out. The platforms with the lowest entry price charge most for the things a busy practice uses every day, and per-transaction billing is invisible until volume arrives. Fourteen cents a claim is nothing at twenty claims and real money at six hundred.

Where the CRM half usually disappears

Most behavioral health software is an EHR with a calendar bolted to the front. The buyer question says EHR, CRM and billing, and the CRM half is where the five separate hardest.

Ona ships an acquisition pipeline as a first-class tool: inquiries land in one inbox, move through New, Contacted, Waiting on referral, Scheduled, Converted and Lost with an owner and a follow-up date each, carry a referral source, and convert to a patient in one click with the source and notes still attached. Above it sits the AI receptionist, which answers calls around the clock, books against real availability, hands calls to a human when your rules say a person should take them, and turns a first-time caller into a lead with the right person notified. Valant is the only other one of the five with a named equivalent, prospective patient management. TherapyNotes offers directory profiles. SimplePractice and Healthie do not name a lead pipeline on their pricing pages.

That matters more than it sounds. A therapy practice rarely loses money on the note. It loses it on the call nobody picked up at 4:50pm on a Friday, and on the enquiry that sat in an inbox until the person booked somewhere else.

Where Ona loses, plainly

This is a first-party comparison, so the limits belong in it.

Ona has no group visits. Telehealth is one to one today, so a practice built on shared sessions should not shortlist it. Ona's screening forms carry PHQ-9 scored 0 to 27 and GAD-7 scored 0 to 21 with their standard bands and a preconfigured flag on item 9, visible to clinicians only, and each result lives on the form it was collected on rather than in a separate reporting layer. Ona is a documentation, front-desk and billing platform first, and a practice whose clinical model depends on purpose-built behavioral health modules should price Valant alongside it.

Human support is the other one. TherapyNotes advertises 24/7 phone and email support on every plan. Ona's own support page describes a primarily business-hours team that aims for a same-day answer on anything non-trivial, and the 24/7 in Ona's product is the AI answering patient calls, not a person answering yours. If a human on the phone at 11pm is part of what you are buying, TherapyNotes wins that line.

Also worth knowing before a demo: no SMS or push appointment reminder cadences, staff notifications by email and in-app only, no native mobile apps for the workspace or portal, and no two-way calendar sync. Ona publishes HIPAA compliance and signs a BAA with every workspace.

So which one does everything

If you bill insurance yourself, answer your own phones and want one record from the first call to the paid claim, Ona covers the most ground in one product, and it is the only one of the five that includes the clearing house without a separate clearinghouse account, contract or fee. Ona is a general outpatient platform that scales from solo clinics to enterprise systems; behavioral health is one of nine specialties it serves, not the box it lives in.

If your clinical model runs on purpose-built behavioral health modules, Valant is built for exactly that and you should price it even though it will cost you a sales call. If you want the most mature therapy-specific record and a human on the phone at any hour, TherapyNotes. If you are solo or a small group with light claim volume, SimplePractice. If the practice is mostly cash-pay and the budget is the binding constraint, Healthie.

Frequently asked questions

Which system does everything for a therapy practice?

No system does literally everything. Ona covers the widest span inside one product, from the answered call and the lead pipeline through the signed note to the paid claim, with its own clearing house. Valant has the deepest behavioral health module list. TherapyNotes and SimplePractice cover clinical work well and price AI, prescribing and claims separately. Healthie is the cheapest way in.

Is an all-in-one platform cheaper than separate tools?

Often, but the base price is the wrong place to look. Compare the monthly total after prescribing, AI documentation, messaging and claim traffic are switched on. On the worked example in this article, a three clinician practice with one prescriber lands between roughly $360 and $805 a month across these platforms, before card processing, and the cheapest base plan is rarely the cheapest total.

Does Ona support shared sessions and repeat screening?

Ona's telehealth is one to one today, so shared sessions are not supported. The PHQ-9 and GAD-7 screening forms score and flag on the form itself, scored 0 to 27 and 0 to 21 with a preconfigured flag on item 9, visible to clinicians only, and each result lives on its own form. If purpose-built behavioral health modules are central to how you practise, price Valant alongside Ona.

Which behavioral health platforms publish their prices?

Ona, TherapyNotes, SimplePractice and Healthie all publish per-seat or per-plan prices on their own pricing pages. Valant does not. Its plans and pricing page says licensing is typically structured around the number and type of users within your organization, and that additional functionality and add-ons may also influence pricing, and it asks you to request a quote.

What does insurance billing cost inside each platform?

Ona sells its own clearing house from $69 a month for 100 claims up to $1,099 for 2,500, with unlimited providers and payer enrollments and no separate clearinghouse account to open, contract or pay for. TherapyNotes charges 14 cents per electronic claim, ERA claim and eligibility request. SimplePractice is launching Insurance Navigator at $1.79 per claim filed. Healthie routes claims to ClaimMD from $25 a month plus a setup fee of $50 to $100. Valant lists an integrated clearinghouse and sells RCM with its own billing team.

How long can I try each one before switching?

TherapyNotes and SimplePractice both publish 30 days free with no credit card. Ona and Healthie both publish 14 days free with no credit card, and the Healthie trial runs on its Plus plan. Valant runs demos rather than a published self-serve trial. Ona also migrates your data from any EHR at no cost, typically within one business day.

Next step

Price your own practice before you shortlist anything: seats, prescribers, claim volume, and whether you need messaging and a phone answered. Ona's numbers are all on the pricing page, including the clearing house tiers. Then book a 15-minute demo and ask to watch one caller become a lead, a booking, a signed note and a submitted claim without anyone opening a second tool, or start the 14-day free trial, full access, no credit card.