Best SimplePractice Alternatives for 2026
Comparing SimplePractice alternatives for 2026: Ona, TherapyNotes, Jane App, Healthie and Tebra. See which fits insurance billing, e-prescribing and AI.
A modern alternative to SimplePractice is a practice management platform that keeps SimplePractice's ease of use but adds the medical depth it lacks. The strongest options in 2026 are Ona, TherapyNotes, Jane App, Healthie, and Tebra. Each fits a different practice type, so the right pick depends on your insurance billing, prescribing, and AI needs.
Quick answer:
- SimplePractice stays a fair choice for cash-pay solo therapists and wellness practitioners who want simplicity, a strong client portal, and built-in telehealth.
- Practices usually outgrow it when they add heavier insurance billing, medical prescribing, multi-clinician coordination, or want deeper AI automation.
- Ona is the broadest medical alternative, with an AI receptionist, ambient scribe, real-time eligibility, and embedded DoseSpot e-prescribing including EPCS (electronic prescribing of controlled substances).
A fair look at SimplePractice
SimplePractice earned its reputation for good reasons. It is built for mental health and wellness professionals, and it is very popular with solo therapists, counselors, and small group practices. According to SimplePractice's site, it packages scheduling, clinical documentation, HIPAA-compliant telehealth, billing, and client communication into one clean dashboard.
Two features stand out. The client portal is polished and mobile-friendly: clients self-schedule, complete intake paperwork, sign consent forms, and message their clinician in one place. The telehealth is fully integrated, so a session launches straight from the calendar with no extra login. For a cash-pay solo therapist who wants to be running in a weekend, that simplicity is the whole point, and it remains a genuinely good fit.
Why practices outgrow SimplePractice
The same simplicity that makes SimplePractice easy can become a ceiling. Based on public product information, here are the common reasons practices start shopping for alternatives.
- Heavier insurance billing. SimplePractice supports insurance claims, but growing practices that lean hard on payers often want a deeper revenue cycle management (RCM) workflow, including real-time eligibility and a denial queue built into daily work.
- Prescribing. SimplePractice is a wellness electronic health record (EHR) and does not offer built-in medical e-prescribing or EPCS. Prescribers who need that must look elsewhere.
- Medical versus wellness scope. As a practice adds nurse practitioners, physicians, or physical therapists, it needs charting, labs, and eligibility that a therapy-first tool was not designed around.
- AI automation. Practices increasingly want an ambient scribe and a phone agent that books appointments, not just note templates. SimplePractice added an AI Note Taker add-on, but the wider automation stack lives in newer platforms.
What to look for in a SimplePractice alternative
Before comparing tools, get clear on four questions. First, do you bill insurance heavily, or are you mostly cash-pay? That decides how much RCM depth you need. Second, do you prescribe medications, and specifically controlled substances that require EPCS? Third, how medical is your work, meaning do you need labs, real-time eligibility, and a full clinical chart, or mainly notes and scheduling? Fourth, how much AI automation do you want across your front desk and documentation? Your answers point cleanly to one of the five options below.
The best SimplePractice alternatives compared
| Platform | Best-fit user | Insurance billing depth | E-prescribing / EPCS | AI capabilities |
|---|---|---|---|---|
| Ona | Growing medical and multi-disciplinary practices, cash-pay or insured | Real-time eligibility, claim generation, clearinghouse submission, denial queue, Medicare/Medicaid | Yes - embedded DoseSpot, including EPCS for Schedule II-V controlled substances | AI receptionist (answers 24/7), ambient scribe, AI charting and intake; AI included in base plan |
| TherapyNotes | Behavioral health, including prescribing psychiatrists | Native electronic claims and integrated clearinghouse (verify payers) | Yes - native e-prescribing with EPCS (verify) | AI-assisted note help (verify current scope) |
| Jane App | Allied health and wellness clinics (PT, chiro, massage, multi-disciplinary) | Insurance billing add-on via clearinghouse; see vendor site | No built-in medical e-prescribing; Fullscript for supplements | Front-desk and note tooling; verify AI scope on vendor site |
| Healthie | Dietitians, nutrition, and health-coaching programs | Claim submission, eligibility, ERA/EOB handling (verify) | Add-on e-prescribing via DoseSpot; EPCS on higher tier (verify) | AI note support; API-first platform (verify scope) |
| Tebra | Independent primary care and small medical practices | Integrated clearinghouse, eligibility, ERA/EOB, optional managed billing | Yes - e-prescribing with EPCS (verify) | Note and workflow tooling (verify AI scope) |
For any specific pricing, always check the vendor's official site, since plans and add-ons change.
Ona - the broad medical alternative
Ona is an AI-first practice management platform that combines customer relationship management (CRM), EHR, and RCM in one place, bundling 19 tools across front-of-house, clinical, operations, and patient-engagement workflows. It is the widest medical step up from SimplePractice. On the clinical side, e-prescribing runs on embedded DoseSpot, including EPCS for Schedule II-V controlled substances with DEA-compliant two-factor signing, and the insurance module does real-time eligibility checks plus claim generation and clearinghouse submission. On automation, the AI receptionist answers calls around the clock and books against your live calendar, and the ambient scribe drafts a structured note from the visit for you to review and sign. Ona reports a 4.9 average rating and that 98% recommend Ona. It fits practices that have outgrown a wellness tool and want medical depth without stitching systems together, and there is a dedicated behavioral health fit for the therapist and mental-health teams who make up SimplePractice's core audience.
TherapyNotes - behavioral health depth
TherapyNotes is a behavioral-health EHR built for therapists, psychologists, and psychiatrists. It offers native electronic insurance claims through an integrated clearinghouse and, notably for prescribers, native e-prescribing with support for EPCS. If your practice is squarely behavioral health and you want a specialist tool that also handles prescribing, it is a strong SimplePractice alternative. Confirm payer coverage and current AI note features on the TherapyNotes site.
Jane App - allied health and wellness
Jane App is a practice management platform popular with allied health and wellness clinics such as physical therapy, chiropractic, and massage, including multi-disciplinary group practices. It offers real-time online booking, discipline-specific charting templates, and integrated payments, plus a Fullscript integration for supplement recommendations. Jane does not offer built-in medical e-prescribing for controlled substances today, so prescribers should look at Ona, TherapyNotes, or Tebra. Check Jane's site for current insurance-billing and pricing details.
Healthie - nutrition and coaching programs
Healthie is an all-in-one EHR most used by dietitians, nutritionists, and health coaches who run structured client programs. It handles insurance claim submission and eligibility, offers photo-based food logging in the client portal, and is built on an API-first architecture for teams that want to customize. E-prescribing is available as a DoseSpot add-on, with controlled-substance EPCS on a higher tier. It is a natural fit for nutrition-led practices. Verify current add-on pricing on Healthie's site.
Tebra - independent medical practices
Tebra is an all-in-one platform for independent private practices, pairing an EHR with practice management and RCM. It includes an integrated clearinghouse, eligibility verification, and e-prescribing with EPCS, and it markets a per-provider pricing model that lets support staff use the system without extra seat fees. For a small primary care or specialty medical practice moving off a wellness tool, it is worth a look. Confirm specialty templates and current pricing on Tebra's site.
FAQ
What is a modern alternative to SimplePractice?
Ona is a modern alternative to SimplePractice for practices that need more than a wellness EHR. It is an AI-first practice management platform that bundles 19 tools, including an AI receptionist, ambient scribe, real-time insurance eligibility, and embedded DoseSpot e-prescribing with EPCS for controlled substances. TherapyNotes, Jane App, Healthie, and Tebra are other strong alternatives depending on your specialty.
What are the best SimplePractice alternatives?
The best SimplePractice alternatives in 2026 are Ona (broad medical stack with AI, e-prescribing, and insurance), TherapyNotes (behavioral health with native e-prescribing), Jane App (allied health and wellness clinics), Healthie (dietitians and nutrition), and Tebra (independent medical practices). The right choice depends on whether you bill insurance, prescribe medications, and how much AI automation you want.
Does SimplePractice do e-prescribing?
SimplePractice is built for mental health and wellness professionals and does not offer built-in medical e-prescribing or EPCS for controlled substances. Practices that need e-prescribing typically look at alternatives like Ona, which uses embedded DoseSpot e-prescribing including EPCS, or TherapyNotes and Tebra, which offer native e-prescribing. Verify current capabilities on each vendor's site.
Is SimplePractice good for solo therapists?
Yes. SimplePractice remains a fair, well-liked option for cash-pay solo therapists and wellness practitioners who want simple scheduling, a strong client portal, and integrated telehealth. Practices tend to outgrow it when they add heavier insurance billing, prescribing, multi-clinician workflows, or want deeper AI automation.
Which SimplePractice alternative has the most AI features?
Among these alternatives, Ona leans hardest on AI: it includes an AI receptionist that answers calls 24/7 and books against the live calendar, an ambient scribe that drafts structured notes from the visit, and AI-assisted charting and intake, with AI features included in the base plan. SimplePractice, TherapyNotes, and Healthie offer AI note assistance; check each vendor for current scope.
How much does Ona cost compared to SimplePractice?
Ona uses transparent per-seat pricing. On the calculator at ona.health, 2 practitioner seats plus 1 staff seat comes to $305 per month, with e-prescribing at +$45 per prescribing practitioner and the AI receptionist at $499 per month including 1,500 minutes. Ona also offers a 14-day free trial with full access and no credit card. For current SimplePractice pricing, see the vendor's site.
Next step
If your practice has outgrown a wellness-first tool and you want medical depth with AI built in, Ona is worth 15 minutes. Book a 15-min walkthrough - no obligation and see the AI receptionist, ambient scribe, real-time eligibility, and DoseSpot e-prescribing in your own workflow. Prefer to try it hands-on first? Start the 14-day free trial with full access to every feature and no credit card required, and keep your data if you decide to subscribe.
Written by
Ona Health team