TherapyNotes is a reliable EHR for therapists who want solid documentation and billing. Tend asks a different question: what if the EHR wrote the notes and handled the admin for you?
TherapyNotes
from $69/mo
Tend
EHR free, AI $149/mo
TherapyNotes is known for its structured note templates — especially for mental health. SOAP, DAP, treatment plans, intake assessments. The templates are thorough and well-designed.
But you're still the one filling them out. After every session, you open the template and type. With Tend, the AI listens to the session, writes the note in your preferred format, suggests ICD-10 and CPT codes, and presents it for your review. You sign off instead of writing from scratch.
TherapyNotes Solo is $69/mo. Add TherapyFuel AI for note drafting and you're at $109/mo — and their AI is limited to expanding your typed summary into a longer note. It doesn't listen to sessions. It doesn't answer phones. It doesn't handle intake.
Tend compresses 2 hours of evening charting into a 10-minute review queue. The AI listens to the session, writes the note, and suggests codes. For $40/mo more than TherapyNotes + AI, you get an entire AI team — not just a text expander.
TherapyNotes doesn't handle phone calls. Most solo therapists let calls go to voicemail, then return them between sessions. Some calls never get returned. New patients who can't reach you book somewhere else.
Tend's AI receptionist picks up every call, 24/7. It can screen new patients, book appointments, handle reschedules, and collect intake information — all by conversation. The chart is updated before you see the patient.
After years on TherapyNotes, your patient records, treatment plans, and billing history are all there. The thought of moving all that data is what keeps most clinicians from exploring alternatives.
Tend migrates your data for you, free. Records, notes, documents — imported from TherapyNotes or any other system. Try Tend alongside your current EHR. Switch when you're ready, not before.
TherapyNotes has strong insurance billing with electronic claims and ERA posting, a mature patient portal, e-prescribing, and deep mental health–specific note templates built over many years. If you bill insurance heavily and need claim lifecycle management today, TherapyNotes handles that well.
Tend generates superbills but doesn't submit insurance claims. If claim submission is critical for your practice, TherapyNotes has the edge there today. We're focused on the 80% of your admin day that isn't billing: calls, notes, intake, and follow-ups. And unlike TherapyNotes, we have an API, a modern interface, and AI that actually listens to your sessions.
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For solo clinicians, small groups, and independent practices.