A Sessions Health Alternative That Takes Insurance Billing Off Your Plate

In case you’re looking for a Sessions Health alternative, there’s a good chance insurance billing is the reason. Sessions Health is easy to use and costs little, and therapists love it. But when you bill insurance, every money task lands on you or your staff.

That adds up in three ways. A denied claim nobody follows up on is money you earned and never get. Hours spent on hold with insurers are hours nobody pays you for. And when reports can’t show what came in versus what you billed, you can’t tell which problem is costing you most. Reviews this year back this up, since the complaint users raise most is that the revenue reports are too limited.

So this guide looks at Sessions Health alternatives through one question. Who does your billing, and how clearly can you see your money?

One thing you should know before we start. We’re the team behind OmniMD, one of the options in this guide. That’s why we only used facts you can check yourself, and we’ll tell you plainly when a different option fits you better.

First, let’s look at what Sessions Health does well with billing, and where it leaves the work to you.

Where Sessions Health leaves the billing work to you

Sessions Health gives you good billing tools for the price. It’s rated 4.9 out of 5 on Capterra, and its base plan costs $39 a month for the first therapist and $29 for each one you add.

With that, you can check a client’s insurance, send claims one at a time or in a batch, and let insurance payments post themselves to the right claims. Each claim costs $0.25 to send, dropping to $0.19 once you send 1,000 or more a month, and each insurance check costs $0.15, according to its pricing page.

However, these are tools you run yourself. Sessions Health’s pricing page lists software and add-ons, but no service where a billing team works your claims for you. Its help center even walks you through setting up codes, rates and insurance settings on your own. In practice, that leaves you with three jobs.

• Chasing denied claims: When an insurer says no, you or your staff find out why, fix it and send it again.
• Following up on unpaid bills: Someone has to notice which claims are late and call or resubmit.
• Figuring out your income: Software Finder’s October review summary says users complain most about limited reports, especially on revenue. One G2 reviewer in February wrote that they want more reporting on sessions billed.

For a solo therapist with a handful of insurance clients, that’s fine. For a busy practice, it can mean hours every week that nobody gets paid for, and insurers are making that work harder this year.

Why doing your own billing is getting harder

Insurers are denying more claims and explaining less. A 2026 survey of healthcare finance leaders by HFMA and the consulting firm Guidehouse found these trends.

• 88% rank insurer problems, like denials and slow approvals, among their top three worries.
• 73% saw more vague denial reasons or underpayments, which is when an insurer pays less than it should.
• 20% now have denial rates above 5%, up from 12% the year before.
• About two out of three hand some or all of their billing to an outside team.

That survey mostly covers hospitals and medical groups, not small therapy practices. Still, the same insurers pay your claims. So when a denial comes back with a fuzzy reason, someone in your practice has to figure it out, and that someone is usually you.

This is why the most useful way to compare Sessions Health alternatives is by one simple thing, who does the billing work.

Who does the billing with each Sessions Health alternative

Most Sessions Health alternatives fall into one of three kinds, and each kind answers the billing question differently.

Kind of software	Examples	Who does the billing	Price	Made for
Therapy-first EHR	Sessions Health, CounSol	You, with claim tools	$39 to $70/mo	Solo therapists, small groups
Behavioral health suite	EHRYourWay, Kipu	Your billing staff, with program tools	Custom quote	Treatment centers
All-in-one platform	Tebra, OmniMD	Your staff, or a vendor billing team	Custom quote	Therapy plus medical care

In short, the first kind keeps the billing on your desk, the second gives a bigger staff better tools, and the third can take billing off your hands. We’ll start with the kind closest to what you have now.

Therapy-first EHRs like CounSol keep billing on your desk

A therapy-first EHR is the Sessions Health alternative for someone who likes doing their own billing but wants a different app to do it in. CounSol is the option Capterra shows right next to Sessions Health, and users rate it 4.7 out of 5 from 830 reviews.

CounSol charges one flat monthly price. Its top plan, which covers insurance billing plus video and chat sessions, is listed at $69.95 a month. That’s more than Sessions Health, which comes to $49 a month for one therapist with video.

Who it’s good for: A solo therapist or small group that’s happy sending its own claims and just wants a different layout or support team.

Where it falls short: You’re still the billing department. You still chase denials and track late payments yourself, so switching to this kind of software doesn’t solve the billing problem. The next kind gives you stronger billing tools, but it’s built for a very different practice.

Behavioral health suites like EHRYourWay and Kipu give big teams stronger tools

A behavioral health suite is the Sessions Health alternative for treatment centers, where clients come in for several hours a day or live on site for a while. Billing at these places is more complex, so the software comes with heavier billing tools for a full billing staff.

EHRYourWay serves mental health clinics, psychiatric hospitals, addiction programs and live-in treatment centers. Software Advice says it includes a hospital-grade price list for billing, often called a chargemaster. GetApp says it fits teams with 15 or more users and charges per user with an $800 minimum. It’s rated 4.9 out of 5 on Capterra.

Kipu is made for larger addiction, substance use and eating disorder treatment centers. Capterra lists it as patient records, a referral and admissions tool, and billing tools, all in one. Prices come by quote.

Who it’s good for: Treatment centers with day programs or live-in care and a billing team already on staff.

Where it falls short: These tools mostly give your billing staff better equipment, so ask each vendor whether a billing service is part of the deal. They’re also sized for big centers, so a group of five therapists would pay a big-center minimum for features it won’t use. If what you want is fewer billing hours, the third kind is the one to look at.

All-in-one platforms like Tebra and OmniMD can take billing off your plate

An all-in-one platform is the Sessions Health alternative for practices that want someone else to do the billing. Your records, calendar and billing live in one system, and some of these vendors also give you a team that does the billing work.

Tebra was formed when Kareo, a medical billing software company, joined up with PatientPop, a patient marketing tool. It sells records, billing and patient outreach as separate pieces, priced per provider. Its pricing policy also lists managed billing, where a billing team does the work for you, as a separately priced service.

OmniMD is our platform. We use AI and a human billing team together, so the AI catches problems early and people handle the parts that need judgment. For a therapy practice, that works out like this.

• AI checks each claim before it goes out: It looks for missing details, wrong codes and things a specific insurer usually rejects, so fewer claims bounce back.
• AI learns each insurer’s habits: It tracks what each insurer pays and denies over time, then shapes new claims to match.
• AI finds the cause of repeat denials: When the same denial keeps coming back, it traces it to the source, such as a coding habit, an eligibility gap or a missing note.
• AI watches for underpayments and deadlines: It flags claims paid below the expected amount and warns you before a claim gets too old to file.
• People make the final call: Our billers send claims, post payments, appeal denials and follow up on unpaid bills, using what the AI flagged.
• You can see your money clearly: Dashboards show revenue, unpaid claims and denials by insurer and by clinician, and the AI predicts what’s coming in.
• The numbers we publish: On our mental health platform, we report that bills get paid in 29 days on average and 97% of claims go through on the first try.

Who it’s good for: Practices that bill a lot of insurance and want fewer denials and fewer billing hours, especially if they’re short on office staff.

Where it falls short: Prices come by quote, so you can’t compare them online in seconds. Setup takes 2 to 6 weeks, and 24/7 support is part of the Enterprise plan. Now that you’ve seen all three kinds, the next step is matching one to your practice.

Which Sessions Health alternative fits your practice

The right Sessions Health alternative depends on how much insurance you bill and who’s around to handle it. Find the row that sounds most like you.

Your practice	Best fit	Why
Mostly private pay, little insurance	Stay on Sessions Health	Billing is light, price is low
You enjoy billing and want a new app	Therapy-first EHR	Same job, different tool
Treatment center with its own billing staff	Behavioral health suite	Tools sized for big teams
Lots of insurance, small office team	All-in-one platform with billing team	Billing leaves your desk
Losing track of denials and unpaid claims	All-in-one platform with billing team	Someone follows up for you
Can’t tell what you earned last month	All-in-one platform with billing team	Clear revenue dashboards

Three of the six rows point the same way. Each one describes a practice where insurance billing has turned into unpaid work, and that’s exactly where our verdict lands.

Our verdict on the best Sessions Health alternative

If insurance billing is eating into your week, the best Sessions Health alternative for you is an all-in-one platform that pairs billing software with a team that does the billing work. Of every option in this guide, OmniMD fits that need best.

Each type of platform handles billing differently. A therapy-first EHR gives you the same billing chores inside a new app. A behavioral health suite gives a large billing staff better tools, so it only pays off if you already have that staff and a treatment-center budget. An all-in-one platform with its own billing team takes the work off your plate entirely.

That leaves two all-in-one options, and what separates them is how much each one tells you up front. OmniMD spells out both halves of the job. Its AI checks your claims before they go out, learns how each insurer tends to pay and flags underpayments, and its billers take care of appeals and follow-ups. OmniMD also publishes its results, with payments arriving in 29 days and 97% of claims accepted on the first try. Tebra started as billing software and offers managed billing as a separate service, so it’s a fair choice as well. If you’re weighing the two, ask Tebra for the same numbers OmniMD shares, including how its AI reviews claims and how many claims get paid on the first submission.

Having both software and billers matters more each year as insurers give vague denial reasons and pay less than they owe. Software can spot the problem, and a person still has to fix it. OmniMD handles both steps, which is why we’d point a busy insurance-billing practice in its direction.

Your practice may still call for a different choice. If most of your clients pay cash, Sessions Health remains the better value for you. If you run a treatment center with its own billing staff, a behavioral health suite will serve you better than any all-in-one platform, ours included. And if you do decide to switch, the move goes smoothly when you plan your billing handoff first.

How to switch from Sessions Health without losing money

Switching from Sessions Health is simple on the way out. You can cancel anytime with no contract, and you can still see and download your records. The part to plan carefully is your money, so no payment slips through the cracks.

1. Finish open claims in Sessions Health: Let claims you already sent get paid there, so payments post to the right place.
2. List every unpaid claim and balance: Hand that list to whoever will do your billing in the new system.
3. Set up insurance on the new system early: Insurers often need paperwork before claims and payment notices can go to a new system, so start this right away.
4. Decide who does the billing: If a vendor’s billing team will take over, agree on the start date and what they’ll handle.
5. Check your first month: Compare what you billed with what came in, and fix any gaps fast.

If OmniMD is on your list, our free billing audit is available if you’d like a second look at your claims before deciding. The questions below are the ones therapists ask us most.

FAQs

Does Sessions Health offer a billing service? 

Its pricing page lists software and add-ons only, with no team that does billing for you. You can do the billing yourself or add an outside biller, since the Professional plan includes free biller accounts.

Which clearinghouse does Sessions Health use? 

Sessions Health sends electronic claims through Claim.MD, according to its help center. A clearinghouse is the middle step that checks claims and passes them to insurers.

Can I keep my own billing staff on an all-in-one platform? 

Yes. With OmniMD, you can use the billing software with your own staff and add our billing team only if you want it.

What does Sessions Health charge for card payments? 

Card payments run through Stripe, which charges 2.9% plus $0.30 per payment. Sessions Health doesn’t add its own fee on top.

Is Sessions Health HIPAA compliant? 

Yes. It uses strong encryption, two-step login and access controls that track who opened what. So privacy alone isn’t a reason to switch.

Want to see how this would work in your practice? 

You can book a demo, and we’ll walk through one of your normal visits from check-in to a paid claim.