Sessions Health vs Bomi: EHR, AI, and Billing Costs

If you are looking for a Sessions Health alternative, identify what you want to change: clinical software, documentation costs, staff access, or the work of getting paid. Sessions Health and Bomi should be compared on those separate questions.

Disclosure: Bomi publishes this comparison. We link vendor sources and show the required Bomi billing fee. We do not claim either product is best for every therapist or that a subscription table proves note quality.

How we compare costs at 20 sessions a week

Our scenario is one clinician, individual telehealth, secure client messaging, and one scheduler or biller user. We model 20 completed sessions weekly: 20 × 52 ÷ 12 = 86.67 monthly on average, rounded to 87 for transaction examples. Time off, cancellations, and your actual usage can change the bill.

Prices were checked October 14, 2026. We use standard US monthly rates after promotions, with optional AI for one note per session. Annual license fees are listed separately. These are selected configurations, not a complete feature-equivalence audit or the cheapest possible plan for every clinician.

Software totals exclude claim and eligibility transactions, card processing, taxes, paid reminders, other third-party charges, and human billing services. Jane’s optional insurance tools are also excluded. Bomi’s required billing fee is additional in every Bomi total; it cannot be omitted from a complete purchasing estimate.

Sessions Health: The total is $39 Professional plus $10 telehealth. Claims start at $0.25 each and eligibility reports are $0.15 each; those transaction fees are excluded.

Bomi: The $29 subscription is not available without required billing at 4% of net collections. The first-three-month EHR waiver is excluded; third-party charges remain separate.

What to know about Sessions Health

Sessions Health is a useful shortlist option when you want a base subscription with separately priced telehealth and AI. Its published pricing makes those additions visible, which helps a solo practice build an estimate around actual use.

Professional is $39 for the first practitioner, and integrated telehealth is $10 more. Administrative users are included. The free plan supports up to three active clients, so it is a different scenario from the ongoing practice modeled here.

AI Assist is a flat monthly add-on. The pricing page distinguishes supported workflows from features labeled coming soon; check in-person recording and any other required input before buying.

Sessions Health pricing and plan details

Sessions Health feature and usage details

What to know about Bomi

Bomi is a different purchasing decision: its native EHR comes with managed billing. It is designed for practices that want to evaluate the clinical software and the people responsible for insurance follow-up together.

The ongoing EHR subscription is $29 per clinician per month. Bomi Billing is required at 4% of net collections. Individual telehealth, secure messaging, and scheduler or biller access are included. Optional AI notes from recorded telehealth sessions cost $1 per session.

Bomi AI notes are pay-as-you-go for recorded telehealth sessions. They are not a flat unlimited subscription and should not be presented as less expensive for every caseload.

Bomi pricing and plan details

Bomi feature and usage details

What happens when you use AI for every session?

For 87 monthly sessions, the selected Sessions Health software and AI configuration totals $84.00, while Bomi totals $116 plus required billing. These amounts exclude the annual fees and third-party charges listed above. A practice using AI for only some visits should calculate a second estimate with its expected note count.

Compare billing responsibility, not just billing features

A claim-submission tool, an automated warning, and a human resolving a denial are different services. Ask who checks benefits, monitors unpaid claims, contacts payers, reconciles payments, and handles credentialing maintenance. Request a clear division of responsibilities and a way to inspect unresolved work.

Bomi is not VC-backed, and our billing team is in-house. We encourage the same questions about staffing and accountability for any billing provider. We do not infer outsourcing from another company’s size, funding, or software pricing.

At an illustrative $10,000 in monthly net collections, Bomi Billing costs $400. With the $29 EHR and AI for 87 sessions, the subtotal is $516 before applicable third-party fees. Compare that with your current software, AI, biller, and credentialing costs. If you bill yourself, distinguish cash expenses from any value you assign to your own administrative time.

Who is each option for?

• Sessions Health: You want to manage a practice with optional add-ons and retain direct control of billing or choose your own biller.

• Bomi: You want managed billing together with your EHR and are comfortable with a collections-based service fee.

Try your own note format and intake forms, then review the next estimated invoice. Check the difference between documenting a visit, filing a claim, and taking responsibility for following up on it.

Ask Bomi to demonstrate both the clinical workflow and the billing handoff. Review how the practice sees claims, balances, and credentialing status, and ask what still requires clinician action.

Switching from Sessions Health to Bomi

For a move from Sessions Health, check exports for your custom forms and documentation as well as demographics. Confirm how attachments and unresolved client or insurance balances will be available after the move.

Before canceling, ask the destination for an import checklist and a sample reconciliation. Verify client count, signed notes, attachments, active treatment plans, future appointments, payer details, and open balances. Keep a written cutover date and an owner for old claims. Do not assume payer enrollments, payment credentials, or every document format move automatically.

Run a complete workflow with a synthetic client: intake, scheduling, documentation, billing, payment review, and export. Record missing fields and manual steps. A successful demo is more useful than a long feature checklist, especially when you depend on custom forms or staff permissions.

Do you need to change EHRs to change billing support?

Bomi also supports billing for practices staying on Sessions Health. Ask for estimates for staying and switching; if your clinical workflow works well, changing billing support may address the problem without a migration.

Review Bomi’s pricing and service options

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Frequently Asked Questions

Is Bomi always cheaper?

No. The selected Sessions Health configuration costs $84.00 monthly with AI for 87 sessions, before listed annual and transaction fees. Bomi costs $116 for its EHR and all-session AI, plus required billing at 4% of net collections and applicable third-party fees. Compare the entire service you intend to purchase.

Can I switch from Sessions Health to Bomi?

Request a written import assessment covering notes, attachments, appointments, and billing history. Bomi advertises assisted SimplePractice import; migration scope from other systems must be confirmed. Keep responsibility for old claims separate from the clinical-record transfer.