Feature-by-Feature Breakdown
myKokoro EHR vs. the Competition
We only show the features where it matters — where myKokoro is included and competitors either don't offer it, charge extra, or lock it behind a higher tier.
IncludedPartialNot availableComing soon
| Feature | myKokoro $69/mo solo or group | Simple Practice $49–$99/mo | Therapy Notes $69/mo solo | Thera Nest $29–$89/mo | ICA Notes $75/mo | Valant ~$150+/mo | Therapy iQ $29/user + add-ons | Charm Health Free–$200/mo |
|---|---|---|---|---|---|---|---|---|
| Pricing | ||||||||
| Base price (solo) | $69/mo | $49/mo (Starter) $79 (Essential) $99 (Plus) | $69/mo | $29/mo (Essentials) $59 (Advanced) $89 (Premier) | $75/mo | ~$150+/mo (quote) | $29/user/mo + add-ons | Free–$200/provider/mo |
| Base price (group) | $69/mo | $99/mo (Plus required) | $79/mo + $50/clinician | $29–89 per therapist | Per-clinician pricing | Quote-based | $29/user/mo + add-ons | $200/provider/mo |
| Additional clinician | $39/mo | $39–74/mo (Plus only) | $50/mo | $29–89/mo per therapist | Full per-clinician pricing | Per-provider (quote) | $29/mo per active user | $200/provider/mo |
| Pre-licensure, counselor assistant, or admin staff | $19/mo | $39/mo (same as clinician) | Free (non-clinical) | $19–29/mo | $25/mo (1st free) | Included | $29/mo per active user | Not published |
| Free trial | 30 days | 30 days | 30 days | 21 days | 30 days | ✗ | 30 days | Free plan available |
| Contract required | No | No | No | No | 3-month minimum | Annual typical | No | No |
| Pre-Licensure & Clinical Supervision | ||||||||
| Document supervision for pre-licensure, counselor assistant, peer support, CRS | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | Pre-licensed + interns only | ✗ |
| Supervision session notes + hour logging | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | ✓ | ✗ |
| Supervisee "My Hours" view | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ |
| Supervision addendums on supervisee notes | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | ✓ | ✗ |
| Co-signature workflow | ✓ | Essential+ | ✓ | ✓ | ✓ | ✓ | ✓ | Partial |
| Staff evaluations | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ |
| Mental Health & Substance Use Disorder | ||||||||
| Dual MH + SUD service tracks (labeled and filterable) | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ |
| Individual + group notes labeled and filterable by service track (MH, SUD, or both) | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ |
| Triage & Care Planning Tool — SUD level-of-care placement | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ |
| Clinical Content & Documentation | ||||||||
| Pre-built session plan templates (434+ across CBT, DBT, ACT, etc.) | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ |
| Pre-built worksheet library (265+ across CBT, DBT, SUD, etc.) | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ |
| Assign worksheets to clients (complete in portal) | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ |
| Dictation — voice-to-text for notes (AI note drafting currently beta testing) | ✓ Included | $35/mo (in AI add-on) | $40/mo (in AI add-on) | $35/mo (Premier only) | $49/mo (in AI add-on) | Varies | ✓ Included | ✓ Included |
| Note-to-goal linking (Golden Thread) | ✓ | ✗ | ✗ | ✗ | ✗ | Partial | ✗ | ✗ |
| Minor/adolescent client labeling throughout system | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | ✓ | ✗ |
| Screening tools with score trending (supports CARF / JCAHO) | ✓ | ✓ | ✓ | ✗ | ✓ | ✓ | ✓ | Forms only |
| Automatic attendance tracking (shareable with outside agencies) | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
| Chart Auditing & Compliance | ||||||||
| Automated chart audit at note sign-off (15 checks) | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ |
| Automated claim validation before submission (10 checks) | ✓ | ✗ | ✗ | ✗ | ✗ | Partial | ✗ | ✗ |
| Overlapping session fraud prevention (hard stop) | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ |
| AI clinical content review (note quality, copy-paste detection) | Coming Soon | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ |
| Treatment Planning & Recovery | ||||||||
| Treatment plan builder with pre-built goals, objectives, and interventions | ✓ | Wiley (Essential+) | Wiley (included) | $25/mo add-on | ✗ | Wiley (included) | ✓ | ✓ (templates) |
| Treatment plan review reminders (clinician sets the interval) | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | ✓ | ✓ |
| Clients sign treatment plans in portal | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | ✓ | Via text link |
| Relapse prevention plan builder (viewable in portal) | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ |
| Safety & Crisis | ||||||||
| Safety plan builder (viewable in client portal) | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ |
| Crisis plans (viewable in client portal) | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ |
| Duty to warn documentation | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ |
| Mandated reporter documentation | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ |
| Incident reports + client grievances | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ |
| Client risk flags (on face sheet) | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ |
| Supervisor Command Center | ||||||||
| Supervisor oversight dashboard (caseloads, compliance) | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | ✓ | ✗ |
| 90-day compliance metrics per clinician | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ |
| Golden Thread (assessment → diagnosis → plan → notes) | ✓ | ✗ | ✗ | ✗ | ✗ | Partial | ✗ | ✗ |
| Client Portal | ||||||||
| Multi-person portal (client, guardian, parent — configurable access) | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | ✓ | ✗ |
| Partner portal (for billers, payers, agencies) | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | ✓ (Agency iQ) | ✗ |
| View safety, crisis, and relapse prevention plans | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ |
| Complete assigned worksheets | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ |
| Complete assigned screening tools | ✓ | ✗ | ✗ | ✗ | ✗ | ✓ | ✓ | Forms only |
| Sign treatment plans in portal | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | ✓ | Via text link |
| View and pay bills through portal | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
| Self-scheduling (if clinician allows) | ✓ | ✓ | ✓ | Advanced+ | ✗ | ✓ | $12/user/mo | ✓ |
| Secure messaging with clinician | ✓ | Essential ($79) | ✓ | Advanced ($59) | ✓ | ✓ | ✓ | ✓ |
| Manage contacts (emergency, care team) | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | ✓ | ✗ |
| PWA — installable as app (no app store) | ✓ | Native app | Native app | ✗ | ✗ | Native app | ✓ (web app) | Native app |
| Group Sessions | ||||||||
| Group roster (clients + clinicians) | ✓ | Plus ($99) | ✓ | ✓ | ✓ | ✓ | ✓ | ✗ |
| Group notes — write all group notes in one place | ✓ | Plus ($99) | ✓ | ✓ | ✓ | ✓ | ✓ | ✗ |
| Group telehealth link (sent to all members) | ✓ | Plus ($99) | ✓ | Premier / $12 | ✗ | ✓ | $19/user/mo | ✗ |
| Per-attendee billing | ✓ | Plus ($99) | ✓ | Partial | Partial | Partial | ✓ | ✗ |
| Billing & Claims | ||||||||
| Encounters + copay invoices auto-created when session marked attended | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
| Real-time insurance eligibility verification (via Stedi) | ✓ | $0.15–0.25/check | $0.14/check | Advanced+ | Partial | ✓ | ✓ (Insurance iQ) | Add-on |
| Claim submission via Stedi (no myKokoro markup) | ✓ | $0.25–0.50/claim | $0.14/claim | Partial | Partial | ✓ | ✓ (flat add-on) | $0.25/claim |
| UB-04 institutional claims | ✓ | ✗ | ✗ | ✗ | ✗ | Partial | $ Insurance iQ add-on | ✗ |
| Per-attendee group billing | ✓ | Plus ($99) | ✓ | Partial | Partial | Partial | ✓ | ✗ |
| Insurance authorization tracking (auto-deduct units per CPT) | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ |
| Sliding scale calculator (configurable tiers) | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ |
| Agency billing (contracts, services, invoicing) | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | ✓ (Agency iQ) | ✗ |
| Good Faith Estimates (No Surprises Act) | ✓ | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ |
| Contractor payment tracking | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | ✓ | ✗ |
| Staff Management & Compliance | ||||||||
| CEU tracking + certificate uploads | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ |
| Required training assignments + completion tracking | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ |
| License expiration tracking with alerts | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ |
| License-state mismatch alerts | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ |
| Credentialing / recredentialing tracker | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ |
| Staff hours and time logging | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ |
| Telehealth | ||||||||
| Bring your own telehealth — use any provider (Doxy.me, Zoom, Google Meet, etc.) | ✓ | Built-in only | Built-in only | ✗ | ✗ | ✗ | Built-in only | Built-in only |
| Forms, Documents & Communication | ||||||||
| Custom form builder | ✓ | Essential ($79) | ✗ | Advanced ($59) | ✗ | ✓ | ✓ | ✓ |
| E-signatures to external parties — built in, no DocuSign or PandaDoc needed | ✓ | Essential+ | ✗ | ✗ | ✗ | ✗ | ✓ | ✓ |
| Write and send letters on practice letterhead | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ |
| Encrypted secure email (password-protected, expiring links) | ✓ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ | ✗ |
| Public waitlist form (no login, Spanish option) | ✓ | Essential ($79) | ✓ | Advanced ($59) | ✗ | ✗ | ✓ | ✗ |
| Staff-to-staff internal messaging | ✓ | Plus ($99) | ✗ | ✗ | ✗ | ✗ | ✓ | ✓ |
| Coming Soon — Add-On Features | ||||||||
| AI note drafting | Currently beta testing | $35/mo | $40/mo | $35/mo (Premier) | $49/mo | Varies | $50/user/mo | $125/provider/mo |
| e-Prescribing | Coming Soon | $49/mo + $89 setup | $65/mo | $45/mo + $135 setup | $213/mo plan | ✓ | $49/user/mo | $15/mo + EPCS $250/yr |
Also included — the basics every practice needs
Appointment reminders for clients and clinicians (push notifications + email) · Google Calendar two-way sync · Appointment scheduling (day + week views) · Recurring appointments · Staff availability windows · Searchable client roster · Full demographics · Diagnosis management (ICD-10) · Episode management (admit → discharge → reopen) · Note editor with auto-save · Note locking + signing · Addendums with audit trail · Superbills · Client invoices · Online payments via Stripe Connect · MFA · Configurable inactivity timeouts · Audit logging · Client CSV import · Full client record export (PDF/zip) · Reports
Pricing verified from official vendor websites and reputable third-party sources, July 2026. Valant pricing is quote-based; estimates from reviews. Therapy iQ base price is $29/active user/mo but billing, telehealth, scheduling, and AI are separate paid add-ons. CharmHealth is a general medical EHR, not behavioral-health-specific. Features marked ✗ were not found in current vendor documentation. myKokoro charges no markup on claims or eligibility — practices connect their own Stedi account and pay the clearinghouse's published rates directly.