Frequently asked questions.

$60 per clinician per month, and credit card fees are 2.9% + $0.30 per transaction, paid by your practice directly to its processor. Everything included — telehealth, 120 insurance claims per seat each month (ERA, eligibility, and status checks ride along under fair use), scheduling, notes, payroll calculation, analytics. Billers, admins, and schedulers: always free. Clinicians with 0–3 appointments in a month: $0. No tiers, no add-ons. Founding practices pay nothing for 12 months, then the same $60 — with the price-freeze rider signed on day one.

No. The $60 covers everything the software does — including the modules nobody else has: the Green Room, One Thread, Payer Records and Rate Radar, Payroll, Command Center. None of them are add-ons. No setup fee, no per-claim fee inside your included 120 claims per seat, no AI upsell, no charge for reminders or staff seats — and no pass-through surprises like an annual AMA fee for CPT codes. When costs like that pop up in the industry, we absorb them; they don't become a new line on your bill. We know what it's like to run a practice, and we're committed to simple, clear, consistent pricing. We'll worry about the rest.

Right now, something better: the Founding 25. Twenty-five practices get Better free for a full 12 months — $720 per clinician, on us — real practice, real billing, not a sandbox — with the price-freeze rider signed on day one, so the $60 rate never rises for as long as you stay. In return we ask for honest feedback and permission to tell your story. Once the founding spots are gone, we'll offer a standard trial; if you're reading this while spots remain, take the year.

Everything. Scheduling with two-way calendar sync, telehealth, the client portal, clinical notes and supervision workflows, measures, consents and forms, text and email reminders, insurance claims, ERA, and eligibility, and card processing through Stripe. Plus the pieces you won't find anywhere else: the Green Room (clients arrive paid, consented, and measured — before the appointment starts), One Thread (every email, text, and call tied to the chart automatically, so the record is complete when it matters), Payer Records + Rate Radar (your contracts, credentialing, and rates tracked in one place — benchmarked so you know when money is being left on the table), Payroll (splits, fee-for-service, or salary, calculated straight from the work), and Command Center (owners see revenue and margin, providers see earnings, everyone sees their next move). There is no higher tier where the good features live — every practice gets the whole platform. A few things are still on the way (marked “Coming” on the site: recruiting and onboarding, the marketing suite) — and when they ship, they're included too.

Claims, ERA, claim-status checks, and eligibility verification are part of the flat price — 120 claim submissions per seat, per month, sized at about 1.45× what a completely full caseload files (24 sessions a week ≈ 83 claims a month at 80% insurance). Past 120 in a month, flat published per-item rates apply: claim $0.25, ERA $0.15, eligibility check $0.10, status check $0.08 — the same for every practice, so you can compute your bill to the penny. Most platforms meter from your very first claim; ours starts after a cap most caseloads never reach, and a 28-session all-insurance week lands a dollar or two past it — not a penalty.

Yes — a resubmitted or corrected claim counts as one more submission, the same as the original. We'd rather tell you that plainly than bury it: every claim that goes out the door to the clearinghouse counts as one, including a corrected replacement of one you already sent. In practice this rarely matters, because the 120 is sized well above a full caseload — but if you're working a messy backlog of denials one month, that's the month you might notice it.

We don't claim they're our cost — they're modest, published rates, the same for every practice, and we're not going to dress that up as pass-through accounting. Claim $0.25, ERA $0.15, eligibility check $0.10, status check $0.08. Medicare Beneficiary Identifier (MBI) lookups are $0.75 each, à la carte, only when you use one. Everything is listed here rather than quoted on request, so you can do the arithmetic yourself before you ever sign up.

That seat is $0. Any clinician with 0–3 appointments in a month costs nothing — and that includes their clearinghouse activity, not just the seat. Ramping up, per-diem, on leave, or just opening the doors: a seat costs nothing until it's genuinely busy. You shouldn't pay full freight for a clinician who saw two people.

2.9% + $0.30 per transaction, processed by Stripe. Lower than the big guys in a meaningful way — SimplePractice runs about 3.15%, and on a practice's typical card volume that difference is real money every month.

Nope — add as many administrators, billers, and schedulers as your practice needs, free. You only pay for clinicians. The people who keep your practice running shouldn't be a tax on running it.

Yes, anytime. Your bill is simply $60 × your active clinicians (and $0 for any clinician with 0–3 appointments that month) — add someone mid-month, remove someone who's moved on, and the number follows your roster. No plan changes, no “contact sales to upgrade,” no penalty for getting smaller. Practices breathe; your software bill should breathe with them. (Pre-licensed trainees and interns under supervision count as clinician seats, at the same rate — because they get the full platform, and honestly, more than the alternatives offer them: we've run training programs ourselves, and Better's supervision and supportive workflows were built for exactly that relationship.)

Included — and seamlessly self-serve, and secure. Coming from SimplePractice: you run one structured export and a couple of reports (we send the exact click-path), and Better moves your clients, appointment history, documentation, services, rates, and payer contracts in. That said, you're never on your own — hands-on support and the engineers who built the importer are ready to go if you want help, and we hand you client-communication scripts so nobody is surprised by the switch. Coming from another EHR? Tell us which one; we take those on request. And the door swings both ways: if you ever leave, your full data exports free — the No-Hostage Guarantee.

Yes, and yes. No contract, no notice period, no cancellation fee. When you go, you take everything with you: a full, clean, tenant-scoped export of your clients, notes, and history — free, no waiting, no exit toll. That's the No-Hostage Guarantee, and it's on purpose: we'd rather earn your stay every month than trap it. (It's also why we publish it before you sign up, not after.)

Yes — built for HIPAA's privacy and security requirements from the ground up, and we sign a Business Associate Agreement with every practice. Down the stack, every vendor that could touch protected health information operates under a signed BAA with us: our clearinghouse, our telehealth infrastructure, and Google Cloud, where Better runs in an environment we wholly control. Data is encrypted in transit and at rest, and the actions that matter — consent timestamps, record access, overrides — sit on an audit trail. Security isn't a checkbox here; it's a founder's explicit job. The full picture, stated honestly (including what we're not yet certified for), is on our Security page.

No. Better has no AI today — not in your notes, your sessions, or your clients' records, and not as an add-on you have to remember to switch off. We weren't comfortable putting recording, transcription, and retention policies between clients and their privacy, so we didn't build it. Instead of a vague promise, we published the standard that would have to change that: real regulatory precedent, a genuinely low-environmental-impact way to run it, and genuine value to care — reviewed every six months, with the result posted and dated. None of the conditions are met, and we don't foresee it. If it ever shipped, it would be an option, not a default: opt-in for clinician and client, human in the loop, and your data wouldn't train models — ours or anyone's.

Yes — fully. HIPAA-secure video is part of the flat price, with the session tools where you need them: notes, client info, and measures in a responsive split screen beside the call, no window-juggling. It also comes with the Green Room, so clients arrive paid, consented, and measured — before the appointment starts. No per-clinician telehealth fee, no “premium video” tier.

No. Better charges a seat fee, not a cut — $60 per clinician, whether you collect $2,000 a month or $200,000. Your payer contracts are in your name, your clients are your clients, and your negotiated rates are yours to keep. That's the structural difference from the aggregator model, where the platform holds the contracts and keeps roughly a quarter of every insurance dollar, forever. We built Better so practices could own that relationship themselves — and if you're on an aggregator today, Payer Records supports different platforms for the same network, to keep it all straight and keep your insights sharp.

No. Text and email reminders are included — plus something the others don't do: a real calendar invite on your client's own calendar, which opens the Green Room fifteen minutes before the session. Reminders aren't an upsell; they're how clients actually show up.

No contract, no minimum term — Better is month to month, and you can leave anytime with your full data, free. The only long-term promise in the relationship runs the other direction: your signed price-freeze rider guarantees your rate never rises for as long as you stay. And if you're currently stuck in another platform's contract, talk to us — we'll help you time the migration so you switch the day it lapses, with everything ready to go.

Twenty-five practices get Better free for 12 months — $720 per clinician of software, real practice, real billing, the whole platform — and then pay the standard $60 per clinician, with the price-freeze rider signed on day one so the rate never rises. In return, we ask for three things: honest feedback while we polish (you'll have direct influence on what ships next), permission to tell your story, and an honest review once you've lived in it — honest, not positive; say what's true. Spots are numbered and public, and when they're gone, they're gone.

A fair question — here's the honest math. Better is self-funded and priced to sustain itself at a few dozen practices, not a few thousand: there's no venture capital burning down and no investor deciding one quarter that we're not growing fast enough. It also runs Grounded Therapy — the founders' own multi-state practice — so walking away would mean abandoning our own business. And in the worst case you can imagine, you're covered anyway: your full data exports free, anytime, no questions. Small isn't fragile when the company doesn't need to be big to survive — and when the people who built it need it every day themselves.

Our public price is the only price — $60, for everyone, already set where “discount tiers” usually end up. What we do instead: admins, billers, and schedulers are free at any headcount, clinicians with 0–3 appointments a month cost nothing, and the Founding 25 is the best deal we will ever offer — free for a year, with your rate frozen from day one. If you're a training clinic or nonprofit with a genuinely different situation, write us at hello@betterehr.com.