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Healthcare · head to head

TheraNest vs Updox

TheraNest logo

TheraNest

Healthcare

Mental health EHR and practice management priced per therapist

From
$29/month
Rated
-
Full reviewWebsite
Updox logo

Updox

Healthcare

Healthcare communications platform for eFax, telehealth and patient reminders

From
On request
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: 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.; Updox no specific dollar amounts listed on pricing page
  • Prices and features above were last checked on 31 August 2026.

Where they differ

Only the attributes on which TheraNest and Updox actually diverge.

Attributes where TheraNest and Updox differ
AttributeTheraNestUpdox
Starting price$29/monthOn request
Pricing modelPer user per monthquote
PlatformsWeb, iOS, AndroidWeb

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 TheraNest

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

Only in Updox

Nothing recorded that TheraNest does not also cover.

What people use each for

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

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 Updox
  • A group practice of six to twenty clinicians that wants per clinician productivity and payroll reporting without buying a separate practice management layernot Updox
  • A practice moving off paper or a general purpose calendar that needs a client portal for intake forms and consent signaturesnot Updox
  • 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 Updox

Updox

  • Healthcare communication and patient engagementnot TheraNest
  • Medical practice fax, telehealth, and SMS messagingnot TheraNest
  • Charge capture and medical billing workflowsnot TheraNest
  • Multi-location healthcare systemsnot TheraNest

Where each one falls short

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

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.

Updox

  • No specific dollar amounts listed on pricing page
  • Actual costs require contacting sales team or scheduling a demo
  • Standard and Enterprise tier limits shown but no pricing transparency

Pricing, plan by plan

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

Updox

On request

No published plan breakdown. See the Updox review.

Which should you pick?

Choose TheraNest if

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

Choose Updox if

Nothing in the data separates Updox from TheraNest on the points above - pick on price and on how each one feels to use.

Updox review

Questions people ask

Is TheraNest or Updox better?
Neither clearly leads. TheraNest starts at $29/month and Updox at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, TheraNest or Updox?
TheraNest starts at $29/month and Updox at On request.
Does TheraNest or Updox run on more platforms?
TheraNest runs on Web, iOS, Android. Updox runs on Web.
What is TheraNest best used for?
TheraNest is most often used for 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 sufficient, a group practice of six to twenty clinicians that wants per clinician productivity and payroll reporting without buying a separate practice management layer, a practice moving off paper or a general purpose calendar that needs a client portal for intake forms and consent signatures, a behavioural health organisation that bills a steady volume of insurance claims each month and can size the advanced allowance against its actual claim count. Of those, 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 sufficient and a group practice of six to twenty clinicians that wants per clinician productivity and payroll reporting without buying a separate practice management layer are not what Updox is typically brought in for.
What can TheraNest do that Updox cannot?
TheraNest covers Progress notes and treatment plans, Insurance claims, Client portal, Telehealth.

Answered from the vendors’ own pages

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.

Updox: How much does Updox cost?

Updox pricing is not published on the pricing page. The vendor offers customizable packages and directs inquiries to schedule a demo or contact the sales team for personalized pricing based on practice size and tool requirements.

Source
TheraNest: Can I bill insurance on the cheapest plan?

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

Updox: What is Updox's pricing model?

Updox uses a usage-based pricing model with customizable packages. Costs are tailored based on the tools selected (fax pages, telehealth sessions, patient reminders, text messages, broadcast messages) and can scale with practice benchmark data.

Source
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.

Updox: What limits are included in Updox's Standard tier?

Updox Standard tier includes up to 1,000 fax pages, 75 telehealth sessions, reminders for 500 appointments, 500 text messages, and 500 broadcast messages monthly, with higher limits available in Enterprise tier.

Source
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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