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Healthcare · head to head

TheraNest vs Zanda Health

TheraNest logo

TheraNest

Healthcare

Mental health EHR and practice management priced per therapist

From
$29/month
Rated
-
Full reviewWebsite
Zanda Health logo

Zanda Health

Healthcare

Practice management and clinical notes for allied health clinics, formerly Power Diary

From
$19/month
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.; Zanda Health the 2024 rename from Power Diary means most third party reviews, integration guides and community answers still sit under the old name, so buyers researching Zanda Health find a thin trail and may wrongly conclude it is a new and unproven product.
  • They diverge on capability: TheraNest covers Progress notes and treatment plans, Zanda Health covers Unlimited admin users.
  • Prices and features above were last checked on 31 August 2026.

Where they differ

Only the attributes on which TheraNest and Zanda Health actually diverge.

Attributes where TheraNest and Zanda Health differ
AttributeTheraNestZanda Health
Starting price$29/month$19/month

Identical on both: pricing model (Per user per month), free tier (No), platforms (Web, iOS, Android), 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
  • Telehealth
  • Group and family sessions
  • Payroll and staff reporting

Only in Zanda Health

  • Unlimited admin users
  • Australian funder billing
  • Clinical note templates
  • Two way SMS
  • Telehealth Pro
  • Practitioner rostering
  • BizzyAI Scribe

Both cover

  • Client portal

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

Zanda Health

  • A five physiotherapist clinic in Melbourne that bulk bills Medicare and wants claiming inside the diary rather than a separate portalnot TheraNest
  • A psychology group practice with more reception staff than clinicians, where per seat pricing elsewhere would double the billnot TheraNest
  • A UK osteopathy practice moving off paper diaries that needs online booking and card payment without an implementation projectnot TheraNest
  • A multi site podiatry business that needs room and equipment allocation alongside practitioner availabilitynot 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.

Zanda Health

  • The 2024 rename from Power Diary means most third party reviews, integration guides and community answers still sit under the old name, so buyers researching Zanda Health find a thin trail and may wrongly conclude it is a new and unproven product.
  • North American billing is not properly served: there is no claims clearinghouse and superbill handling is basic, so a United States practice will need a separate revenue cycle tool and will pay for two systems.
  • Pricing is quoted in United States dollars while the company, support hours and product depth are Australian, so buyers outside those two time zones get support with an overnight lag on urgent clinical scheduling problems.
  • SMS is billed per message beyond the plan allowance and a dedicated number is required in the United States and Canada, so a busy clinic sending reminders and follow ups accumulates a variable monthly cost that is not visible in the headline plan price.
  • Reporting is adequate for a single clinic but weak for a group: cross site financial consolidation and practitioner productivity comparison generally end up exported to a spreadsheet, which becomes a monthly manual job as soon as you pass a handful of locations.

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

Zanda Health

$19/month
  • Starter$19/month
    • One practitioner
    • One administrative user
    • 1,000 appointments per year
  • Growth$49/month
    • Base fee plus 19 USD per additional practitioner per month
    • Unlimited free administrative users
    • Unlimited appointments
  • Telehealth Pro add-on$9/month
    • Per practitioner
    • Unlimited video consultations
    • Recording and waiting room

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 Zanda Health if

  • You need unlimited admin users.
  • You work on Web, iOS, Android.
  • You also want australian funder billing.
Zanda Health review

Questions people ask

Is TheraNest or Zanda Health better?
Neither clearly leads. TheraNest starts at $29/month and Zanda Health at $19/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, TheraNest or Zanda Health?
TheraNest starts at $29/month and Zanda Health at $19/month.
Does TheraNest or Zanda Health run on more platforms?
Both run on Web, iOS, Android, so platform support will not decide this one for you.
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 Zanda Health is typically brought in for.
What can TheraNest do that Zanda Health cannot?
TheraNest covers Progress notes and treatment plans, Insurance claims, Telehealth, Group and family sessions. Zanda Health covers Unlimited admin users, Australian funder billing, Clinical note templates, Two way SMS. Both handle Client portal.

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.

Zanda Health: Is Zanda Health the same as Power Diary?

Yes. Power Diary rebranded to Zanda Health in 2024. Same company, same product line, same data.

TheraNest: Can I bill insurance on the cheapest plan?

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

Zanda Health: Do receptionists count as paid users?

No. On the Growth plan administrative users are unlimited and free. Only practitioners are charged.

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.

Zanda Health: Does it handle Medicare bulk billing?

Yes, Medicare Online, DVA and bulk billing claims are submitted from within the platform for Australian practices.

TheraNest: Does it support group practices?

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

Zanda Health: Is it suitable for a United States practice?

Only partly. Charting, scheduling and telehealth work, but there is no claims clearinghouse, so US insurance billing needs a separate system.

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