TherapyAppointment vs Bomi: EHR, AI, and Billing Costs

If you are looking for a TherapyAppointment alternative, identify what you want to change: clinical software, documentation costs, staff access, or the work of getting paid. TherapyAppointment 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.

TherapyAppointment: The total is $59 standard subscription plus $15 integrated telehealth. Lower introductory tiers are excluded. Electronic claims, eligibility, and card processing are additional.

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 TherapyAppointment

TherapyAppointment is useful to evaluate when you want free administrative accounts and usage-based AI notes. Its low-volume introductory subscription should be separated from the standard rate for an established caseload.

At 40 or more booked sessions in a month, the published standard subscription is $59. Integrated telehealth adds $15 per provider. Administrative accounts and secure messaging are included. The lower introductory tiers do not represent this 87-session month.

AI Notes are $0.59 per chart note with unlimited free edits. A generated chart note and a recorded session are different billing units; the model assumes one paid note for each completed session.

TherapyAppointment pricing and plan details

TherapyAppointment 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 TherapyAppointment software and AI configuration totals $125.33, 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?

• TherapyAppointment: You want included administrative access and prefer to pay for generated AI chart notes as you use them.

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

Test the claim progress logs and problem-claim notifications with the person who will act on them. Check whether your existing telehealth setup changes which optional video integration you would purchase.

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 TherapyAppointment to Bomi

When moving from TherapyAppointment, inventory appointment history and exported notes as well as the financial ledger. Plan who will handle claims for visits booked before the new system starts taking appointments.

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?

Ask Bomi to confirm the supported billing and import route for your current EHR before planning a handoff. Do not assume a billing-only integration or full import is available merely because this comparison discusses the software.

Review Bomi’s pricing and service options

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Frequently Asked Questions

Is Bomi always cheaper?

No. The selected TherapyAppointment configuration costs $125.33 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 TherapyAppointment 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.