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AutoNotes vs Theranest: 2026 EHR Comparison

AutoNotes offers AI-powered, HIPAA-compliant documentation ideal for solo and small behavioral health practices, while Theranest provides a comprehensive EHR with scheduling, billing, and reporting suited for larger organizations.

AutoNotes vs TheraNest: Quick Answer

AutoNotes and TheraNest both help behavioral health clinicians spend less time on documentation, but they are built differently. AutoNotes started as documentation-first and now runs scheduling, telehealth, client charts, a client portal and self-pay billing on its higher tiers. TheraNest is a traditional practice management EHR with insurance billing at its core. Here is how they compare on documentation, workflow, compliance and price as of November 2026.

AutoNotes Plans and Pricing (November 2026)

Plan Monthly Billed annually Built for
Notes $19/mo per clinician $16/mo Fast notes without switching your EHR
Workspace $49/mo $41/mo Recording, telehealth, calendar sync, AI-assisted treatment planning
Practice $69/mo $58/mo Full client charts and portal, intake and discharge, supervision, self-pay billing, advanced reporting
Enterprise Implementation from $2,500 Groups and health systems: SSO/API, custom libraries and workflows, dedicated success manager

Every plan starts with a trial, no credit card required. Limited-time offers may apply; check the pricing page for current offers. See current details on the AutoNotes pricing page.

TheraNest Plans and Pricing

TheraNest (now from Ensora Health) lists three plans: Essentials $29, Advanced $59 and Premier $89 per therapist per month, with unlimited clients on every plan and lower rates billed yearly. Advanced adds telehealth and claims processing; Premier adds insurance billing automation with unlimited claims and eligibility checks. Ensai AI note features are part of the lineup.

Prices as listed on their site; check it for the latest. Source: https://ensorahealth.com/pricing/theranest-mental-health/ (checked Nov 4, 2026)

What Each AutoNotes Plan Includes

TheraNest features change often, so check their site for the current list. Here is where each AutoNotes capability ships:

Feature AutoNotes
Typed or dictated notes Unlimited on every plan
Session recording and upload Workspace and up (in person, Zoom, Google Meet, telehealth)
Note formats All core formats on every plan; custom templates and output formats
Treatment planning Basic plan generation on every plan; AI-assisted on Workspace; plans tied to charts and goals on Practice
Scheduling and calendar Google/Outlook calendar sync and appointment reminders on Workspace and up; see the pricing page for sync details by plan
Telehealth AutoNotes Telehealth, Zoom and more on Workspace and up
Client charts and portal Practice and up
Intake, consent and discharge forms Basic forms and screeners on Workspace; intake, consent and discharge on Practice
Billing Self-pay billing on Practice; advanced billing configurations on Enterprise
Roles, permissions, supervision Practice and up
Reporting Session dashboards on every plan; productivity reporting on Workspace; advanced reporting on Practice
SSO / API Enterprise
Compliance HIPAA and PHIPA compliant
Support Standard on every plan; priority on Workspace; live/phone on Practice; dedicated success manager on Enterprise

Who Each Is Best For

  • AutoNotes Notes ($19/mo): clinicians who want great notes fast and want to keep their current EHR.
  • AutoNotes Workspace: clinicians who want recording, telehealth, calendar sync and treatment planning in one place.
  • AutoNotes Practice: solo and group practices ready to run charts, intake, supervision and self-pay billing inside AutoNotes.
  • TheraNest: group practices that want insurance billing automation and unlimited claims at a per-therapist price.

Bottom Line

If documentation time is the problem, AutoNotes solves it on every plan starting at $19/mo. If you also want scheduling, telehealth, charts and a client portal, Workspace and Practice cover that without stitching tools together. TheraNest may still be the better fit if insurance billing automation is the main thing you need from your EHR.

Compare AutoNotes plans

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