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Healthcare · head to head

Healthie vs TheraNest

Healthie logo

Healthie

Healthcare

EHR, scheduling and client engagement for nutrition, wellness and virtual-first care

From
$19/month
Rated
-
Full reviewWebsite
TheraNest logo

TheraNest

Healthcare

Mental health EHR and practice management priced per therapist

From
$29/month
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: Healthie the Core plan is capped at ten active clients, which no working practice stays under, so the real entry price for anyone with a caseload is the 49 dollar Essentials tier or higher.; TheraNest the Essentials plan includes no insurance claims at all, so any practice that bills a payer is effectively on the 59 USD tier or above and the advertised 29 USD entry price does not apply to it.
  • They diverge on capability: Healthie covers Active client based tiers, TheraNest covers Progress notes and treatment plans.
  • Prices and features above were last checked on 31 August 2026.

Where they differ

Only the attributes on which Healthie and TheraNest actually diverge.

Attributes where Healthie and TheraNest differ
AttributeHealthieTheraNest
Starting price$19/month$29/month
Pricing modelPer month by active client countPer user per month
PlatformsWeb, iOS, Android, APIWeb, iOS, Android

Identical on both: free tier (No), user rating (Not yet rated), category (Healthcare).

What each one covers

Drawn from each product's published feature list. An absence here means we hold no record of it - not that the product lacks it.

Only in Healthie

  • Active client based tiers
  • Charting and templates
  • Food and symptom journalling
  • Programmes and courses
  • Public API
  • ePrescribing

Only in TheraNest

  • Progress notes and treatment plans
  • Client portal
  • Group and family sessions
  • Payroll and staff reporting

Both cover

  • Telehealth
  • Insurance claims

What people use each for

The jobs each tool is most often brought in to do.

Healthie

  • A registered dietitian in private practice who needs charting, scheduling, superbills and a client food journal in one subscriptionnot TheraNest
  • A virtual care startup using the API as a compliant clinical backend rather than building charting and scheduling from scratchnot TheraNest
  • A wellness group practice selling packaged twelve week programmes with group video sessions and course contentnot TheraNest
  • A health coaching business that bills clients directly and needs card payment, intake forms and messaging without insurance complexitynot TheraNest

TheraNest

  • A solo therapist who needs a HIPAA aligned note and scheduling system and does not bill insurance, where the 29 USD entry tier is genuinely sufficientnot Healthie
  • A group practice of six to twenty clinicians that wants per clinician productivity and payroll reporting without buying a separate practice management layernot Healthie
  • A practice moving off paper or a general purpose calendar that needs a client portal for intake forms and consent signaturesnot Healthie
  • A behavioural health organisation that bills a steady volume of insurance claims each month and can size the Advanced allowance against its actual claim countnot Healthie

Where each one falls short

Documented limitations, not opinions. Every one is a constraint you would hit in normal use.

Healthie

  • The Core plan is capped at ten active clients, which no working practice stays under, so the real entry price for anyone with a caseload is the 49 dollar Essentials tier or higher.
  • Insurance billing is not native: claim submission runs through a separately priced ClaimMD integration starting around 30 dollars a month, so a practice that bills payers is buying and reconciling two systems.
  • Costs stack quickly beyond the headline plan, with ePrescribing at 40 dollars per clinician per month, inbound fax at 10 dollars, additional Group clinicians at 50 dollars each and card processing at 2.9 per cent plus 30 cents.
  • Client counting is based on active clients, and the definition of active is set by the vendor rather than by you, so seasonal or intermittent caseloads can push a practice into a higher tier for clients it is barely seeing.
  • It is built around ambulatory wellness and virtual care, so specialties needing lab ordering, imaging, in house dispensing or complex care coordination will find the clinical model too thin and will not find those modules to buy.

TheraNest

  • The Essentials plan includes no insurance claims at all, so any practice that bills a payer is effectively on the 59 USD tier or above and the advertised 29 USD entry price does not apply to it.
  • Telehealth is only in the Premier plan, so a practice that wants video sessions pays 89 USD per therapist per month even if it needs nothing else from that tier.
  • An annual AMA CPT licence fee is billed separately each December on top of subscription cost, which surprises practices that budgeted only the monthly figure.
  • Additional administrative users are chargeable, so a practice with front desk and billing staff who never see clients still pays 19 to 29 USD per head for people who generate no revenue.
  • The product sits inside a consolidated portfolio that has already renamed the parent company from Therapy Brands to Ensora Health, and product investment in a portfolio is directed by the owner rather than by this product line, so roadmap commitments are worth less than they would be from a single product vendor.

Pricing, plan by plan

Healthie

$19/month
  • Core$19/month
    • Up to ten active clients
    • Scheduling and payments
    • Charting and telehealth
  • Essentials$49/month
    • Up to 250 active clients
    • Custom forms
    • CMS 1500 generation
  • Plus$129/month
    • Unlimited active clients
    • Group telehealth
    • Online programmes
  • Group$149/month
    • Unlimited active clients
    • Shared calendar and team management
    • Roles and permissions

TheraNest

$29/month
  • Essentials$29/month
    • Per therapist
    • Scheduling and client portal
    • HIPAA aligned notes and documentation
  • Advanced$59/month
    • Per therapist
    • 30 insurance claims per month included
    • Custom forms
  • Premier$89/month
    • Per therapist
    • Unlimited insurance claims
    • Billing automation

Which should you pick?

Choose Healthie if

  • You need active client based tiers.
  • You work on Web, iOS, Android, API.
  • You also want charting and templates.
Healthie review

Choose TheraNest if

  • You need progress notes and treatment plans.
  • You work on Web, iOS, Android.
  • You also want client portal.
TheraNest review

Questions people ask

Is Healthie or TheraNest better?
Neither clearly leads. Healthie starts at $19/month and TheraNest at $29/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Healthie or TheraNest?
Healthie starts at $19/month and TheraNest at $29/month.
Does Healthie or TheraNest run on more platforms?
Healthie runs on Web, iOS, Android, API. TheraNest runs on Web, iOS, Android.
What is Healthie best used for?
Healthie is most often used for a registered dietitian in private practice who needs charting, scheduling, superbills and a client food journal in one subscription, a virtual care startup using the api as a compliant clinical backend rather than building charting and scheduling from scratch, a wellness group practice selling packaged twelve week programmes with group video sessions and course content, a health coaching business that bills clients directly and needs card payment, intake forms and messaging without insurance complexity. Of those, a registered dietitian in private practice who needs charting, scheduling, superbills and a client food journal in one subscription and a virtual care startup using the api as a compliant clinical backend rather than building charting and scheduling from scratch are not what TheraNest is typically brought in for.
What can Healthie do that TheraNest cannot?
Healthie covers Active client based tiers, Charting and templates, Food and symptom journalling, Programmes and courses. TheraNest covers Progress notes and treatment plans, Client portal, Group and family sessions, Payroll and staff reporting. Both handle Telehealth, Insurance claims.

Answered from the vendors’ own pages

Healthie: Is the API available without an enterprise contract?

Yes. API access is available on standard published plans, which is why digital health startups use it as a clinical backend.

TheraNest: Is TheraNest still sold under that name?

Yes. The company rebranded from Therapy Brands to Ensora Health and the product is now marketed as TheraNest by Ensora Health, but you still buy TheraNest.

Healthie: Can Healthie submit insurance claims?

Only through the separately priced ClaimMD integration. Native CMS 1500 generation is included, but submission is an add-on.

TheraNest: Can I bill insurance on the cheapest plan?

No. Essentials includes no claims. Advanced includes 30 claims a month and Premier is unlimited.

Healthie: What does an active client mean for billing?

It is a client with recent activity in the platform, not everyone in your database. Tiers are set by that count, not by seats.

TheraNest: Are there hidden costs?

Two. Additional admin users are charged per head, and an AMA CPT licence fee is billed annually in December per therapist.

Healthie: Is it HIPAA compliant?

Yes, and a business associate agreement is available. The client-facing mobile app and portal are covered.

TheraNest: Does it support group practices?

Yes, with per clinician reporting and payroll figures, though every clinician and every admin is a paid seat.

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