Alma vs TheraSoft Online
Alma scores 7.0/10 vs 6.8/10. Best for: Solo therapists in private practice who want insurance credentialing done for them and a built-in referral network to fill their caseload.
Alma scores higher overall at 7.0/10 vs 6.8/10. 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 
TheraSoft Online Rank
#23 of 41
Rank
#34 of 41
Features
14/18
Features
17/18
Starting at
$125/mo
Starting at
$69/mo
User reviews
4.1/5 (92)
User reviews
— (309)
What they cost
| Alma | TheraSoft Online | |
|---|---|---|
| Starting at | $125 /mo | $69 /mo |
| Free trial | No | Free tier available |
| Number of plans | 2 | 3 |
What the pricing really means
At first glance, TheraSoft Online looks cheaper at $69/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 TheraSoft Online wins
- Insurance billing is genuinely thorough. Electronic claims, ERA/EOB processing, and eligibility checks all live in one place instead of three separate tools
- The ePrescribe tier includes EPCS for controlled substances, which most therapy-focused competitors do not offer at all
- Customer support gets personal. Multiple reviewers mention reps who walk them through setup one-on-one, not just a knowledge base link
- Free version available for therapists just starting out, so you can try it without commitment
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 TheraSoft Online falls short
- The interface feels corporate and dated. Navigation is not intuitive and takes real time to learn
- Frequent glitches reported by users, especially around billing and calendar sync, which is exactly where you cannot afford bugs
- No mobile app. If you want to check your schedule or respond to a client message from your phone, you are using a browser
- Pricing jumps sharply from $99 to $199 for ePrescribing, which is steep for a solo therapist
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.
TheraSoft Online
Target: 1-15 therapists
Buy TheraSoft if you need full insurance billing with electronic claims and ePrescribing in one behavioral health platform. Skip it if you value a modern, glitch-free interface or need to manage your practice from your phone.
Feature comparison
| Feature | Alma | TheraSoft Online |
|---|---|---|
| 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
Alma scores 7.0/10 vs TheraSoft Online's 6.8/10 in our ranking. Alma is the better pick for 1 provider. TheraSoft Online is better if you need behavioral health therapists in solo or small group practice who need insurance billing and clinical documentation in one system.
Alma starts at $125/month. TheraSoft Online starts at $69/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. TheraSoft Online: Yes, 30-day free trial. Always test with your actual workflow before committing to an annual plan.
Alma covers 14 of 18 features we track. TheraSoft Online covers 17 of 18. TheraSoft Online 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. TheraSoft Online does have one.
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 TheraSoft Online if...
Behavioral health therapists in solo or small group practice who need insurance billing and clinical documentation in one system