Comparisons
Praxnote vs. the stack you're already paying for.
A modern group practice usually runs SimplePractice or TherapyNotes for the EHR, Blueprint or Mentalyc for the AI scribe, a spreadsheet for supervision, and Doxy for telehealth. Praxnote replaces the stack. It is also the only option that can be deployed inside infrastructure you own.
The real comparison
The competition isn't one product. It's three.
When practices weigh Praxnote against a single competitor, the comparison undersells what's actually happening. The real comparison is against an assembled stack — and the integration overhead between its parts.
Your current stack
EHR + AI scribe + supervision workarounds + telehealth
- SimplePractice or TherapyNotes for charts, scheduling, billing
- Blueprint, Upheal, or Mentalyc for AI notes
- Spreadsheet or Slack thread for supervision queue
- Doxy or non-integrated Zoom for telehealth
- Three or four vendors to BAA, audit, and renew
With Praxnote
One workspace. AI built in. Cloud or your own cloud.
- Charts, scheduling, billing, client portal
- Editable AI skills — fourteen ship as global defaults
- Supervision queue, keyboard-first, audit-logged
- Telehealth pluggable; default provider ships in the deployment
- One vendor, one BAA, one audit log, one choice of where the data lives
Capability comparison
Where each side actually wins.
A short-list comparison, with the things Praxnote does not yet do flagged honestly. The top row is the one no other vendor in this space matches.
| Capability | The assembled stack | Praxnote |
|---|---|---|
| Deployment on your own cloud account Healthcare data sovereignty without losing managed software. | — No vendor offers this | ✓ Praxnote Dedicated |
| AI-drafted session notes | ✓ via Mentalyc / Blueprint / Upheal | ✓ Built in |
| Editable AI skills (the prompt is yours) | — AI scribes hide the prompt | ✓ Plain-text, version-tracked |
| Anthropic-direct AI (no proxies, no training) | — Most scribes use proxies | ✓ Direct enterprise terms |
| Treatment plans in five formats | ✓ EHR only — not integrated with the scribe | ✓ Integrated with notes and skills |
| Keyboard-first supervision queue | — EHR has a queue; not built for triage volume | ✓ Built for thirty-note Fridays |
| Cash-pay billing, Stripe, superbills | ✓ via EHR | ✓ Built in, per-therapist CPT rates |
| Insurance claims, ERA, eligibility, denials | ✓ via EHR | — Roadmap, not shipping |
| e-Prescribing / EPCS | ✓ EHR add-on | — Not applicable to most clients |
| GDPR-style right-to-erasure workflow (PIPEDA-aligned) | — US-built, weak Canadian coverage | ✓ Shipped |
| One vendor, one bill, one audit log | — Three vendors, three bills, three trust postures | ✓ Single platform |
Honest non-goals: Praxnote does not currently handle in-network insurance billing (claims, ERAs, denials) or e-prescribing. If your practice depends on either, the EHR side of the stack still wins. Most cash-pay and out-of-network behavioral health practices don't need either.
The cost math
Three subscriptions, or one.
Indicative monthly cost for a ten-clinician group practice. Stack costs are the publicly-listed prices for SimplePractice Plus and Blueprint as of mid-2026; your real numbers may differ slightly.
| Line item | Assembled stack | Praxnote |
|---|---|---|
| EHR (SimplePractice Plus or TherapyNotes) | $99 / clinician / mo | |
| AI scribe (Blueprint or Mentalyc) | $59 / clinician / mo | |
| Supervision tooling (DIY in spreadsheets) | Free, but ~3hr/week supervisor time | |
| Praxnote Group | $69 / active clinician / mo | |
| Annual savings on a 10-clinician practice | ~$10,800 / year |
Plus the unbilled cost of integration overhead: vendor management, three BAAs to maintain, three audit logs to reconcile, and the inevitable "which system is the source of truth" question.
The closing argument
None of the stack runs in your cloud.
SimplePractice, TherapyNotes, Blueprint, Mentalyc, Upheal — all SaaS-only. If your security review, insurance posture, or jurisdiction requires that PHI stay in infrastructure you own, the stack doesn't have an answer. Praxnote Dedicated does.
Side-by-side on your real workflow
Bring the stack you're considering. We'll compare on your terms.
Most comparison demos focus on three workflows: drafting a session note, clearing a supervision queue, sending an invoice. We'll do all three, side-by-side, in 30 minutes.