Disclosures
- How we make money: Some links may earn us a referral fee at no cost to you. Fees never affect scores, rankings, or what we cover, and we accept no paid placement.
- How this was researched: Everything on this page comes from public vendor documentation, regulators, and third-party sources, each linked below with the date we checked it. We did not test these products hands-on.
- Not advice: General business software information, not medical, legal, billing, or compliance advice. Confirm current prices, state rules, and BAA terms directly with the vendor before you buy.
Quick answer
TheraNest scores 74 and OptiMantra 73 on our comparison [1]. For one prescriber, TheraNest Advanced plus its eRx + PDMP add-on is $104/mo plus $135 one-time [2]; OptiMantra base plus its EPCS license is $137/mo [3]. TheraNest includes PDMP in the add-on [4]; OptiMantra's PDMP check is manual by default with an optional Bamboo Health integration [5][6]. OptiMantra publishes two-way texting and fax add-ons [3]; TheraNest publishes reminders only [2].
Read scores as documentation scores. A low score often means a vendor does not publish the information, not that the feature is poor. Scores come from the Practice Stack rubric: six criteria worth 90 points, rescaled to 100.
Side by side
| Item | OptiMantra | TheraNest (Ensora Health) |
|---|---|---|
| Base price | $99/mo first practitioner, $49 each additional [3] | Essentials $29, Advanced $59, Premier $89 per therapist/mo [2] |
| EPCS | $38/mo eRx license with EPCS [3] | $45 per therapist/mo plus $135 one-time per practice (eRx, EPCS, PDMP) [2] |
| PDMP | Manual by default; optional Bamboo Health integration, Bamboo fees may apply [5][6] | Included in the add-on; state coverage not published [4] |
| Telehealth | Listed in base plan [3] | Included on Advanced and Premier; $12/mo on Essentials [2] |
| Texting | Two-way $75/mo; group $100/mo; reminders in base [3] | Reminders: 50/mo on Advanced then $0.10 each; unlimited on Premier [2] |
| eFax | $25/mo fax number [3] | Not found in public docs |
| Card payments | Integrated payments listed; rate not published [3] | 2.99% + $0.30 per transaction [2] |
| Claims | $0.25 per claim add-on [3] | 50 per practice/mo on Advanced then $0.23; unlimited on Premier under Fair Usage [2] |
| Export out | PDF, Excel, CSV; first export free, later $500 [7] | Not published |
| Contract | No long-term commitment, 30-day notice [3] | Monthly or annual [8] |
Rubric sub-scores
| EHR | Total cost of ownership (25) | Prescribing workflow (25) | Billing and claims (15) | Interoperability (10) | Data portability (10) | Telehealth (5) | Points | Score |
|---|---|---|---|---|---|---|---|---|
| OptiMantra | 4 | 4 | 4 | 2 | 3 | 4 | 66/90 | 73 |
| TheraNest (Ensora Health) | 5 | 4 | 4 | 1 | 2 | 4 | 67/90 | 74 |
Where they sit
On the comparison page, TheraNest (Ensora Health) leads at 74, CharmHealth and OptiMantra tie at 73, PracticeQ (IntakeQ) has 72, Osmind 68, AdvancedMD and ICANotes 66 each, Valant, SimplePractice, TherapyNotes, Practice Fusion, and DrChrono 60 each, and Tebra 57 [1].
How we researched this page
Every cell comes from the linked public source. We did not test either product hands-on. "Not found in public docs" means we did not find it on the check date; ask the vendor.
Sources
- ClinicalAIWeekly: Psychiatric EHR comparison (scores and rubric sub-scores). Checked 2026-10-23.
- Ensora Health: TheraNest pricing and add-ons. Checked 2026-10-23.
- OptiMantra: Pricing. Checked 2026-10-23.
- TheraNest: ePrescription (EPCS and optional PDMP tool). Checked 2026-10-23.
- OptiMantra Help: Use e-prescribing (eRx). Checked 2026-10-22.
- OptiMantra Help: e-prescribing (eRx) FAQs. Checked 2026-10-22.
- OptiMantra Help: Export data out of OptiMantra. Checked 2026-10-21.
- Ensora Health: TheraNest vs SimplePractice (vendor-written; used only for TheraNest's own plans, prices, and migration terms). Checked 2026-10-23.