Alma vs Opus EHR
Both score 7.0/10. Compare features and pricing below.
Both score 7.0/10. Buy Alma if you're a solo therapist who wants insurance credentialing done for you and a steady stream of referred clients. Skip if you run a group practice, want to pick your own insurance panels, or need a mobile app.
Alma 
Opus EHR Rank
#23 of 41
Rank
#27 of 41
Features
14/18
Features
16/18
Starting at
$125/mo
Starting at
$79/mo
User reviews
4.1/5 (92)
User reviews
4/5 (50)
What they cost
| Alma | Opus EHR | |
|---|---|---|
| Starting at | $125 /mo | $79 /mo |
| Free trial | No | Free tier available |
| Number of plans | 2 | 2 |
What the pricing really means
At first glance, Opus EHR looks cheaper at $79/month vs $125/month. But sticker price is only part of the story. Look at what is included on the base plan, how many users you get, and whether you need add-ons to get the features you actually need. The $99/month plan that requires $200 in add-ons is actually more expensive than the $250/month plan that includes everything.
Where Alma wins
- Flat $125/mo includes insurance credentialing that normally takes months and costs thousands
- Built-in referral network sends clients directly to your profile
- AI Note Assist for session recording and transcription
- Handles both insurance and out-of-pocket billing in one place
Where Opus EHR wins
- Purpose-built for addiction treatment and SUD with workflows that match how residential and outpatient centers actually operate
- E-prescribing with full DEA compliance and lab integration for substance abuse monitoring built into every paid plan
- Combines EHR, CRM, and revenue cycle management in one platform, so facilities do not need to stitch together three separate tools
- Capterra rating of 4.8 across 50 reviews with 100% positive sentiment, which is unusually high for behavioral health EHRs
- Free Starter plan lets you test scheduling and basic billing before committing to the $79/user paid tier
Where Alma falls short
- Must credential with Aetna, Cigna, or Optum — no flexibility to pick other panels
- No group practice support (individual memberships only)
- No mobile app, web-based only
- 3.6 Capterra rating with only 26 reviews is concerning
Where Opus EHR falls short
- Small review count (50 total across platforms) means less community knowledge compared to established players like SimplePractice
- Multiple reviewers report slow issue resolution, with bugs sometimes taking weeks to fix after being reported
- Pricing requires contacting sales for anything beyond the base plan, and enterprise costs are not published
- Built for facilities and organizations, so solo therapists or small talk-therapy practices will find it overkill
Who is each product built for?
Alma
Target: 1 provider
Buy Alma if you're a solo therapist who wants insurance credentialing done for you and a steady stream of referred clients. Skip if you run a group practice, want to pick your own insurance panels, or need a mobile app.
Opus EHR
Target: 5-100+ staff
Buy Opus EHR if you run an addiction treatment center or behavioral health facility that needs SUD-specific workflows with built-in e-prescribing and lab integration. Skip if you are a solo therapist or small practice that does not need facility-level features.
Feature comparison
| Feature | Alma | Opus EHR |
|---|---|---|
| Compliance & Security | ||
| HIPAA compliant | ||
| Telehealth / video sessions | ||
| Secure messaging | ||
| Scheduling & Clients | ||
| Online scheduling | ||
| Client portal | ||
| Intake forms / assessments | ||
| Automated reminders | ||
| Clinical | ||
| Progress notes / documentation | ||
| Treatment plans | ||
| E-prescribing | ||
| Outcome measures / assessments | ||
| Billing & Payments | ||
| Insurance billing / claims | ||
| Payment processing | ||
| Superbill generation | ||
| Automated billing | ||
| Platform | ||
| Group practice support | ||
| Mobile app | ||
| Integrations / API | ||
Common questions
Both score 7.0/10. Alma fits 1 provider, while Opus EHR fits 5-100+ staff. Pick based on your team size and the features you need most.
Alma starts at $125/month. Opus EHR starts at $79/month. Watch for add-on costs — the base price often does not include all features. Pricing last verified 2026-04-01.
Alma: No free trial. Opus EHR: Free tier available. Always test with your actual workflow before committing to an annual plan.
Alma covers 14 of 18 features we track. Opus EHR covers 16 of 18. Opus EHR has broader feature coverage, but more features does not always mean better — pick the tool that covers what your business actually needs.
No, Alma does not have a mobile app. Opus EHR does not have one either.
Yes. The main effort is migrating your data (customer lists, job history, invoices). Plan for 1-2 weeks of overlap where you run both. Most healthcare practice management tools can import CSV data. Ask both vendors about migration support before you sign.
The bottom line
Pick Alma if...
Solo therapists in private practice who want insurance credentialing done for them and a built-in referral network to fill their caseload
Pick Opus EHR if...
Behavioral health and addiction treatment facilities that need EHR, CRM, and billing in one system built specifically for substance use disorder workflows.