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  • Detailed ReviewDetailed Review
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ICANotes Review 2025: Pros & Cons, Cost, & Who It’s Right For

Matt Church, M.S., Editor at ChoosingTherapy.com, Headshot

Author: Matthew Church, M.S.

Matt Church, M.S., Editor at ChoosingTherapy.com, Headshot

Matthew Church M.S.

Matt has 7+ years of mental health experience. As Mental Health Technology Editor, he’s spent the past two years testing online therapy platforms, EHRs, practice management tools, and more to help providers and clients make informed choices

See My Bio Editorial Policy
Headshot of Melissa Boudin, PsyD

Medical Reviewer: Melissa Boudin, PsyD Licensed medical reviewer

Published: March 14, 2025

ChoosingTherapy.com may earn commissions from the companies reviewed when you click links on this page. Learn more about our editorial standards, review process, and advertising policy.

  • Detailed ReviewDetailed Review
    • Client ManagementClient Management
    • Client Forms & IntakeClient Forms & Intake
    • Calendar & SchedulingCalendar & Scheduling
    • Treatment Planning & NotesTreatment Planning & Notes
    • TelehealthTelehealth
    • Insurance BillingInsurance Billing
  • Cost & Pricing PlansCost & Pricing Plans
  • User ReviewsUser Reviews
  • Alternatives & CompetitorsAlternatives & Competitors
    • SimplePracticeSimplePractice
    • TherapyNotesTherapyNotes
  • History & NewsHistory & News
  • FAQSFAQS

ICANotes is a behavioral health software and electronic health records (EHR) system that scored 4.5 out of 5 stars during our independent review. ICANotes provides solutions for managing clients, clinical documentation, scheduling, and more. Pricing for ICANotes is based on the number of practitioners and ranges from $35 to $215+ monthly.

ICANotes At a Glance

ICANotes Logo
Rating:
Overall rating of 4.5 out of 5 possible.
(4.5 out of 5)

Cost: $35–$215+ monthly
Insurance Billing: Yes
Built-In Telehealth: Yes

Get started now!

Visit ICANotes

Pros & Cons of ICANotes

Pros Icon Pros
  • Unique design and layout
  • Strong customization options
  • Great documentation options
  • 30-day free trial
Cons Icon Cons
  • Might be intimidating for some
  • Unorthodox design takes time to learn

Preview ICANotes

Image of ICANotes main dashboard
Image of ICANotes calendar
Image of ICANotes chart room
Image of ICANotes sample client chart
Image of ICANotes completing a sample treatment plan
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ICANotes is a powerful EHR designed specifically for behavioral and mental health professionals. It offers a unique system for structured, template-driven documentation, making it an excellent choice for clinicians who prioritize efficiency and compliance in their note-taking. The platform is known for its highly structured workflows, robust customization, and intuitive digital charting system, which organizes client records in a visual, easy-to-navigate way.

I enjoyed using ICANotes’ automated clinical documentation, which allows providers to generate detailed, insurance-compliant notes with almost no typing at all. Pricing ranges from $35 to $215+ per month, with additional costs for features like telehealth, e-prescribing, and a client portal. While the legacy system, ICANotes Classic, is still available, the fully upgraded ICANotes+ platform is now the standard moving forward.

The platform includes integrated scheduling, billing, telehealth, and all the other features we’ve come to expect out of the best mental health EHRs. However, while ICANotes has an excellent documentation system, its unique interface and highly structured design may require some adjustment for new users. If you’re looking for something with a more simplified and intuitive feel, My Best Practice is a strong alternative.

Detailed Review of ICANotes

ICANotes is a comprehensive EHR built specifically for behavioral and mental health professionals. It covers everything from client management and scheduling to telehealth, billing, and tracking lab results, plus an interesting take on structured documentation. The platform is highly customizable, allowing practices to tailor workflows and treatment plans to their needs. With flexible pricing based on provider type and a freshly modernized ICANotes+ interface, it’s a powerful option for those who prioritize documentation efficiency and detailed note-taking.

After recently revisiting and testing ICANotes again, I reconsidered its star rating and ultimately kept it the same—4.5 out of 5—due to its powerful documentation features, flexible workflows, and continued improvements. It remains a strong choice for those who prioritize efficiency and detailed note-taking.

ICANotes earned 4.5 out of 5 stars
Overall rating of 4.5 out of 5 possible.
View Details
Detailed Scoring Breakdown
Rated 5 out of 5 possible for
Client Management Features (5 out of 5)
Rated 4.5 out of 5 possible for
Client Forms & Intake Management (4.5 out of 5)
Rated 5 out of 5 possible for
Scheduling & Calendar (5 out of 5)
Rated 5 out of 5 possible for
Treatment Planning & Notetaking (5 out of 5)
Rated 4 out of 5 possible for
Telehealth Features (4 out of 5)
Rated 5 out of 5 possible for
Insurance Billing (5 out of 5)
Rated 4 out of 5 possible for
Client Payment Methods (4 out of 5)
Rated 3 out of 5 possible for
Practice Management & Reports (3 out of 5)
Rated 5 out of 5 possible for
Customer Service & Training (5 out of 5)
Rated 5 out of 5 possible for
Premium Features or Add-Ons (5 out of 5)
Rated 4 out of 5 possible for
Fit & Finish (4 out of 5)
Rated 3 out of 5 possible for
Relative Cost (3 out of 5)
Rated 5 out of 5 possible for
Reliability & Longevity (5 out of 5)

Review our scoring criteria for EHRs, EMRs, and PMS for therapists.
Review our complete editorial policies here.

Client Management

ICANotes takes a unique and highly visual approach to client management, using a digital chart room that mirrors the look and feel of a traditional file system. This design makes navigating client records intuitive and efficient, particularly for practices transitioning from paper-based systems. The platform allows for easy filtering, sorting, and archiving of client charts, helping providers quickly access the information they need.

Image of ICANotes chart room
Image of ICANotes sample client chart
Image of ICANotes lab results client page
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Adding new clients is straightforward—basic details can be entered manually, or an invitation can be sent for clients to complete their intake forms directly. The search functionality is flexible, allowing for multiple search parameters and partial matches to locate records quickly. Batch imports are also available, with ICANotes staff handling data entry for large client lists, typically processing requests within 5-10 days.

With its combination of structured organization and customizable filters, ICANotes provides a powerful client management system. While its design may feel unconventional at first, it ultimately enhances workflow efficiency, earning ICANotes 5 out of 5 stars in our Client Management category.

Client Forms & Intake

ICANotes makes it easy to assign intake packets to clients through the client portal, streamlining the onboarding process. Standard intake forms, consent documents, and clinical measures can be sent electronically for clients to complete before their first session or at any time. The platform includes a fairly strong selection of pre-built clinical assessments, covering everything from the PHQ-9 to more specialized tools for different populations.

Image of sending intake forms in ICANotes
Image of creating a new form template in ICANotes
Image of selecting forms for an intake packet in ICANotes
Image of completing client portal forms in ICANotes
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While ICANotes allows you to customize and add new forms, its capabilities are more limited than some competitors. You can create new templates, but customization options are restricted to a basic text box and a selection of pre-made elements. Unlike TheraNest’s Dynamic Forms builder, ICANotes does not allow for full form editing or the creation of entirely custom interactive fields. This means that while it covers most standard documentation needs, practices with highly specific workflow requirements may find the form-building tools somewhat restrictive.

Overall, the intake and documentation process in ICANotes is functional, efficient, and well-integrated into the client management system. While not as flexible as some competitors, the breadth of included clinical measures and ease of assigning forms make it a solid choice for most behavioral health practices. Because of this, we awarded ICANotes 4.5 out of 5 stars in the “Client Forms & Intake” category.

Calendar & Scheduling

ICANotes offers a flexible and nicely-organized scheduling system that can be accessed from multiple locations within the platform. The calendar allows practitioners to filter by session type, office location, provider, and confirmation status, making it easy to manage appointments. A notable feature is the Quick Calendar, which provides a simplified daily agenda of upcoming appointments for quick reference.

Image of ICANotes calendar
Image of ICANotes quick calendar
Image of ICANotes adding a session to calendar
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Practices can sync their ICANotes calendar with Google Calendar, set availability or time off, and easily reschedule appointments using drag-and-drop functionality. Clients can also request appointments and communicate with their provider directly through the client portal, which now includes scheduling features as part of the standard package—rather than the previous extra charge for “Premium” portal access.

It’s worth noting that users on the “Notes Only” plan do not have access to scheduling features. For those on a full plan, email reminders are free, while text reminders cost $0.05 per message. Overall, ICANotes balances customization with usability quite well, offering a powerful yet easily navigable scheduling system that keeps practices running smoothly. For that reason, we’ve given ICANotes 5 out of 5 stars in this category.

Treatment Planning & Notes

ICANotes takes a unique approach to treatment planning and clinical documentation, using a highly structured flowchart-like system that minimizes manual text entry. Instead of typing out long notes, practitioners select from pre-generated options to quickly build documentation, from progress notes to full evaluations. This makes note-taking fast, standardized, and efficient, while still allowing for deep customization when needed.

Image of ICANotes completing a sample treatment plan
Image of completing a progress note in ICANotes
Image of ICANotes progress note with instructions and diagnosis
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The platform includes an extensive library of templates covering safety assessments, mental health status exams, and over 50 different clinical assessments, such as the PHQ-9, GAD, SASSI, and MoCA.

While ICANotes’ approach is different from most EHRs and may take some getting used to, it strikes a strong balance between out-of-the-box usability and customization. Once practitioners adapt to the system, documentation becomes significantly more streamlined. Because of its efficiency and flexibility, ICANotes earned 5 out of 5 stars in the “Treatment Planning & Notes” category.

Telehealth

ICANotes offers a stable, no-frills telehealth platform that covers all the essential features, including screen sharing and secure text chat. While it may not have advanced tools like virtual whiteboards or breakout rooms, it integrates seamlessly into the workflow, making it easy for clinicians to conduct remote sessions without extra hassle. Telehealth costs an extra fee of $10 monthly per practitioner.

Scheduling telehealth appointments is simple, with invitations automatically sent via email when an appointment is created. Clients can join directly from their email link, and practitioners can also initiate impromptu sessions from within a client chart. The platform includes automatic background filters, though they are somewhat limited in quality.

For mental health practices looking for a reliable telehealth solution within their EHR, ICANotes delivers a solid option. While it lacks the polish of standalone telehealth services, its integration with scheduling and client records makes it a convenient tool for remote care.

Insurance Billing

ICANotes offers a highly flexible insurance billing system, allowing practices to either integrate with their existing clearinghouse or use ICANotes’ own claims processing service. This flexibility ensures that providers aren’t locked into a single billing solution, making it easier to manage claims based on their unique needs.

For those using ICANotes’ built-in claims processing, pricing is tiered based on monthly claim volume:

  • Up to 100 claims/ERAs/eligibility checks – $33/month
  • Up to 150 claims/ERAs/eligibility checks – $48/month
  • Up to 185 claims/ERAs/eligibility checks – $57/month
  • Up to 350 claims/ERAs/eligibility checks – $95/month
  • Overage: $0.33 per claim/ERA/eligibility check beyond the selected tier
  • Enrollment fee: $10 per payer for group NPI enrollment, $6 per payer per provider for individual NPI enrollment

Since ICANotes now offers an in-house claims processing option, it provides a more seamless experience for practices that want to manage insurance billing within the platform. However, those who prefer to use a third-party clearinghouse still have that option.

Client Payment Methods, Collection, & Processing

ICANotes supports multiple payment methods, allowing practices to process credit, debit, FSA, and HSA cards, as well as log cash and check payments. While the system provides all the necessary tools for tracking payments and generating superbills, setting up credit card processing requires contacting support—there’s no self-service setup option.

ICANotes partners with CMS and BillFlash for payment processing, but pricing isn’t publicly listed. Providers must create an account to receive a cost estimate. Once set up, the system enables smooth transaction tracking and integrates payments directly with client records.

For bookkeeping, ICANotes makes it easy to generate superbills and payment reports, ensuring practices can manage client payments efficiently. While the lack of transparent pricing is a drawback, the overall payment processing system is functional and reliable.

Practice Management & Reports

ICANotes provides essential tools for practice management, offering customizable user roles, access controls, and administrative tracking. The system allows providers to audit charts, track logins and logouts, and monitor patient document downloads, which can be useful for compliance and security.

While the reporting dashboard covers key insights, such as unsigned notes and client trends, its capabilities are somewhat limited compared to certain competitors. Reports must be generated one client at a time, making bulk reporting a time-consuming process. This approach may work for smaller practices but can become inefficient for high-volume clinics.

Despite these limitations, ICANotes’ practice management features are functional and provide the necessary tools for organizing and overseeing client care, leading to our 3-star rating in this category. However, if advanced analytics and robust reporting are a priority, other platforms may offer a more streamlined experience.

Customer Service & Training

ICANotes provides responsive and knowledgeable customer support, making it easy for users to get assistance when needed. During my testing, a representative reached out shortly after signing up for the trial, offering direct support and answering all questions thoroughly.

The platform also includes a robust training library with written guides, video tutorials, free webinars, and live demos to help users get up to speed. While the interface has a learning curve, these resources make it easier to navigate the system efficiently.

With quick response times and extensive training materials, ICANotes excels in customer support, earning 5 out of 5 stars in this category.

Cost & Pricing Plans

ICANotes follows a tiered pricing model based on practitioner type and service level. Plans start at $75 monthly for full-time, non-prescribing clinicians, while prescribing practitioners pay higher rates for access to e-prescribing features. A 30-day free trial is available that includes access to all features with no credit card required.

  • Part-Time Non-Prescribing Clinicians: $46 monthly
  • Full-Time Non-Prescribing Clinicians: $75 monthly
  • Part-Time Prescribing Clinicians: $105 monthly
  • Full-Time Prescribing Clinicians: $155 monthly
  • Notes only: $55 monthly

Each additional clinician is billed at the same rate, with non-clinical staff members costing $25 monthly for each additional user with the first one free.

Add-Ons & Additional Fees

ICANotes offers several optional features at an extra cost:

  • Telehealth: $10/month per practitioner
  • Insurance Billing: Starts at $33 monthly for up to 100 claims
  • Text Reminders: $0.05 per text
  • Credit Card Processing: Varies

User Reviews

While ICANotes has been around for years, user reviews are relatively sparse compared to more widely adopted EHRs. The majority of available feedback is positive, with users frequently praising the platform’s strong clinical documentation tools and decades-long tenure. However, most reviews are more than a year old, with very few recent insights from users on the newer ICANotes+ platform. We will continue to monitor and update this section as more user feedback becomes available.

Capterra | 4.0 out of 5 Stars | 101 reviews

  • Positive reviews highlight ICANote’s reliability in the industry, having been in business since 1999. Many users felt that ICANotes works consistently well for a very fair price.
  • Negative reviews mostly highlighted isolated issues with customer service or technical difficulties.
Read More

Alternatives & Competitors

While ICANotes offers strong clinical documentation and highly customizable tools, it’s not the perfect fit for every practice. Some users may prefer an EHR with a more modern interface, stronger automation, or a lower price point. Below, we compare ICANotes with SimplePractice and TherapyNotes, two of the most popular alternatives.

For more options, visit our full list of the best mental health EHRs.

SimplePractice

SimplePractice Logo
Rating:
Overall rating of 4 out of 5 possible.
(4 out of 5)

Cost: $49 – $99 monthly
Telehealth: Yes
Insurance Billing: Yes

ICANotes and SimplePractice both offer strong EHR solutions, but they take very different approaches. SimplePractice is designed for ease of use, featuring a more modern, highly intuitive interface, built-in marketing tools like a website builder, and automated workflows. ICANotes, on the other hand, prioritizes deep customization and powerful clinical documentation tools, making it an excellent choice for providers who want more control over note-taking and reporting.

Their pricing structures also differ—SimplePractice uses tiered pricing ($49 – $99 monthly), with additional fees for group practices, while ICANotes charges per clinician, starting at $75 monthly for a full-time provider. The right choice depends on whether you prioritize simplicity and automation or customization and detailed documentation.

For a deeper breakdown, check out our full SimplePractice review.

Pros & Cons

Click here to expand and minimize this container.
Pros Icon Pros
  • Beautiful, modern interface
  • Helpful automation features
  • Intuitive calendar
  • Professional website builder
Cons Icon Cons
  • Relatively expensive, compared to competitors
  • May not be customizable enough for large practices
7 Day Free Trial & 50% Off for 4 Months

Visit SimplePractice

See full Review

TherapyNotes

therapynotes logo
Rating:
Overall rating of 4 out of 5 possible.
(4 out of 5)

Cost: $49 monthly
Insurance Billing: Yes
Telehealth: Yes

ICANotes and TherapyNotes take somewhat different approaches to practice management. TherapyNotes is simpler, with a fixed pricing model ($59 – $69+ monthly) that makes costs predictable for most practices. ICANotes, on the other hand, charges per clinician, starting at $75 monthly, with stronger customization for documentation and workflow flexibility.

TherapyNotes excels in ease of use and structured workflows, making it a great choice for providers who want a straightforward system with built-in telehealth and e-prescribing. ICANotes, by contrast, offers deeper customization, particularly for clinical documentation and treatment planning, making it ideal for clinicians who want more control over their notes and workflows.

For a full breakdown, check out our TherapyNotes review.

Pros & Cons

Click here to expand and minimize this container.
Pros Icon Pros
  • One-month free trial; no credit card required
  • ree trial; no credit card required Telehealth platform is included for free
  • Telehealth platform is included for free
  • Supports e-prescriptions
Cons Icon Cons
  • No mobile app available
  • Cannot add client information in batches
  • Limited reporting capability
  • Customization in some areas is lacking
Get started now!

Visit TherapyNotes

See full Review

Why You Can Trust My Review

“This is the second time I’ve personally reviewed ICANotes, taking a deep dive into its features, pricing, and overall usability. I’ve spent significant time testing its workflow, from intake and documentation to billing and telehealth, to see how it holds up against competitors. Since my last review, ICANotes has made notable updates, including improved claims processing and a more streamlined ICANotes+ experience, reinforcing its strengths in clinical documentation.

My hands-on testing, combined with my extensive knowledge of mental health EHRs, allows me to provide a well-rounded perspective on where ICANotes excels and where it falls short. While its notetaking system remains one of the most unique and efficient on the market, its interface still requires a bit of a learning curve. I’ll continue to keep an eye on ICANotes and report back with any changes to what it has to offer.”

Matt Church, M.S., Editor at ChoosingTherapy.com, Headshot Matthew Church, M.S.

History & News

ICANotes Logo
  • Year Founded: 1999
  • Founders: Don Morgenstern, Ira Richard Morgenstern
  • Headquarters: Annapolis, MD

ICANotes was founded in 1999 and has consistently maintained and upgraded its EHR as time has passed. Recently, ICANotes has started migrating all of its features to a new platform called ICANotes+.

As of this writing, ICANotes has 84 employees noted on their LinkedIn profile and is headquartered in Annapolis, MD. According to a representative from ICANotes, the company values the time-saving design of its EHR and has a reputation for excellent customer service

Show more

Frequently Asked Questions

How Do I Cancel My ICANotes Subscription?

Click here to open the answer container. Click here to close the answer container.

To cancel your ICANotes subscription, simply reach out to ICANotes Support and request a cancellation. Subscriptions cannot be canceled manually by users.

Does ICANotes Offer Refunds?

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No. ICANotes does not offer refunds but does offer a comprehensive free trial.

Please visit the ICANotes Terms of Service and Privacy Policy for more information.

What is ICANotes+?

Click here to open the answer container. Click here to close the answer container.

ICANotes+ is the latest version of the EHR software by ICANotes. It is replacing the previous system and is a much-welcomed design upgrade. Electronic prescriptions still remain on the legacy platform, but this feature is being added to ICANotes+, according to a representative.

Sources Update History

ChoosingTherapy.com strives to provide our readers with mental health content that is accurate and actionable. We have high standards for what can be cited within our articles. Acceptable sources include government agencies, universities and colleges, scholarly journals, industry and professional associations, and other high-integrity sources of mental health journalism. Learn more by reviewing our full editorial policy.

  • ICANotes (n.d.) Pricing. Retrieved from: https://www.icanotes.com/pricing/

  • ICANotes (n.d.) About Us. Retrieved from: https://www.icanotes.com/about-us/

  • Church, M. (2025). The Best Mental Health EHR of 2025. Retrieved from: https://www.choosingtherapy.com/best-mental-health-ehr/

Show more Click here to open the article sources container.

We regularly update the articles on ChoosingTherapy.com to ensure we continue to reflect scientific consensus on the topics we cover, to incorporate new research into our articles, and to better answer our audience’s questions. When our content undergoes a significant revision, we summarize the changes that were made and the date on which they occurred. We also record the authors and medical reviewers who contributed to previous versions of the article. Read more about our editorial policies here.

Update: March 14, 2025
Author: Matthew Church, M.S. (No change)
Medical Reviewer: Melissa Boudin, PsyD. (No change)
Primary Changes: Used and tested ICANotes+ again, assessing all features and updating ratings where appropriate. Updated pricing information from a range of $46.30 to $155.30+ monthly to $35–$215+ monthly. Revised and rewrote the article for clarity, readability, and factual accuracy. Added new images of our experience using ICANotes.
May 24, 2024
Author: Matthew Church, MS (No change)
Medical Reviewer: Melissa Boudin, PsyD (No change)
Primary Changes: Added review summary block, new format for star rating breakdown, and all related page features.
October 18, 2023
Author: Matthew Church, MS (No change)
Medical Reviewer: Melissa Boudin, PsyD (No change)
Primary Changes: Added key takeaways, fact-checked pricing and features, revised for clarity.
Original Publish Date: January 24, 2023
Author: Matthew Church, MS
Medical Reviewer: Melissa Boudin, PsyD
Show more Click here to open the article update history container.

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