TheraNest vs Bomi: EHR, AI, and Billing Costs
By Bomi Team • October 14, 2026
If you are looking for a TheraNest alternative, identify what you want to change: clinical software, documentation costs, staff access, or the work of getting paid. TheraNest 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.
Sections
- How we compare costs at 20 sessions a week
- What to know about TheraNest
- What to know about Bomi
- What happens when you use AI for every session?
- Compare billing responsibility, not just billing features
- Who is each option for?
- Switching from TheraNest to Bomi
- Do you need to change EHRs to change billing support?
- Related comparisons
- Frequently Asked Questions
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.
EHR / selected plan | Software monthly, before AI | With AI on 87 sessions | Annual license fee |
|---|---|---|---|
TheraNest — Advanced | $59.00 | $94.00 | $19.50 |
Bomi — EHR + required Bomi Billing | $29.00 + required 4% billing | $116.00 + required 4% billing | $0.00 |
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.
TheraNest: Advanced supplies the modeled telehealth and messaging features. The $19.50 annual CPT license fee is separate; usage above included allowances is 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 TheraNest
TheraNest is worth comparing when the choice turns on insurance features and plan allowances. Its Essentials, Advanced, and Premier tiers have materially different inclusion rules, so the lowest subscription is not a stand-in for every practice.
Essentials is $29, Advanced $59, and Premier $89 per therapist monthly. Advanced includes telehealth and secure messaging and lists monthly practice-level allowances for claims, eligibility checks, and text or phone reminders. Premier advertises unlimited versions subject to its usage policy.
Ensai notes enhancement included in a plan is distinct from the paid Session Assistant scribe. This comparison uses the $35 per-provider Session Assistant add-on, not a claim that all AI costs extra.
TheraNest pricing and plan details
TheraNest 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 feature and usage details
What happens when you use AI for every session?
For 87 monthly sessions, the selected TheraNest software and AI configuration totals $94.00, 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?
TheraNest: You want to compare plan allowances with your insurance volume and may benefit from the difference between Advanced and Premier.
Bomi: You want managed billing together with your EHR and are comfortable with a collections-based service fee.
Model the practice-wide allowance with your actual clinician count. A shared allowance can work differently for a solo practice and a group, even when the per-clinician subscription looks predictable.
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 TheraNest to Bomi
Before switching from TheraNest, review exports for clinical documents, attachments, and billing history. Set responsibility for claims already submitted and verify that the new biller can distinguish an unpaid claim from a historical balance.
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 TheraNest. 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
Related comparisons
TheraNest vs TherapyAppointment
Frequently Asked Questions
Is Bomi always cheaper?
No. The selected TheraNest configuration costs $94.00 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 TheraNest 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.
Want Bomi to handle insurance?
Bomi helps therapy practices with credentialing, benefit checks, claims, denials, balances, and revenue management.
Book a call
About Bomi
Founded by George Ruan, Dax Earl, and Andrey Goder, Bomi helps independent therapists and group practices with insurance billing, credentialing, and payer follow-up. Bomi grew out of Dax’s experience helping his mother with her therapy practice, with a clear purpose: reduce the administrative burden of insurance while keeping practice owners in control.
Meet our founders