Blueprint Health vs ICANotes
Blueprint Health scores 7.2/10 vs 6.5/10. Best for: Therapists who want a genuinely free EHR with the option to add AI note-writing at $0.
Blueprint Health scores higher overall at 7.2/10 vs 6.5/10. Buy Blueprint Health if you want the lowest-cost entry point in the category with a free EHR and optional AI add-ons. Skip if you need e-prescribing, a native mobile app, or want a platform with a longer track record.
Blueprint Health 
ICANotes Rank
#19 of 41
Rank
#37 of 41
Features
15/18
Features
16/18
Starting at
$0/mo
Starting at
$35/mo
User reviews
4.2/5 (45)
User reviews
3.8/5 (130)
What they cost
| Blueprint Health | ICANotes | |
|---|---|---|
| Starting at | Free /mo | $35 /mo |
| Free trial | Free tier available | 0 days |
| Number of plans | 3 | 5 |
What the pricing really means
At first glance, Blueprint Health looks cheaper at $0/month vs $35/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 Blueprint Health wins
- Core EHR is completely free with no client limits, no session limits, and no trial expiration, which is unmatched in the category
- Pay-per-session AI pricing means you only pay $0.99-$1.49 when you actually use the AI scribe, not a flat monthly fee
- Built-in telehealth included free on all plans, while competitors like TherapyNotes charge $15/mo extra
- Over 70,000 therapists already use the platform, and the 600+ evidence-based intervention library adds real clinical value
- 5 free Pro session credits on signup let you test the AI features before spending anything
Where ICANotes wins
- Point-and-click note builder genuinely reduces documentation to 2-3 minutes per session, which users consistently confirm in reviews
- Over 100 built-in clinical assessments with automatic scoring and trend tracking tied directly to treatment plans
- E-prescribing with EPCS and lab integration on the Prescribing plan, so psychiatrists can handle everything in one system
- Part-time pricing starts at $35/mo for clinicians with lighter caseloads, which is rare in behavioral health EHRs
Where Blueprint Health falls short
- Newer platform with limited review history on G2 and Capterra, so long-term reliability is harder to assess
- No e-prescribing, so psychiatrists and prescribers will still need another system
- No native mobile app yet, so documentation between sessions means opening a browser
- Insurance claims and payment processing have per-transaction fees that could add up for high-volume practices
Where ICANotes falls short
- Interface looks like it was built in the 1990s and has not had a visual refresh, which multiple Capterra reviewers call out
- No native mobile app, so mobile access requires Microsoft Remote Desktop or a browser, which is clunky
- Telehealth is a $10/mo per user add-on, not included, and the $99 activation fee on prescribing plans adds up
- Appointment scheduler is reported as slow by multiple reviewers, with lag when booking or rearranging sessions
Who is each product built for?
Blueprint Health
Target: 1-20 clinicians
Buy Blueprint Health if you want the lowest-cost entry point in the category with a free EHR and optional AI add-ons. Skip if you need e-prescribing, a native mobile app, or want a platform with a longer track record.
ICANotes
Target: 1-30 clinicians
Buy ICANotes if speed of documentation is your top priority and you will trade a modern interface for 3-minute progress notes. Skip if you care about design, need a mobile app, or want telehealth included.
Feature comparison
| Feature | Blueprint Health | ICANotes |
|---|---|---|
| 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
Blueprint Health scores 7.2/10 vs ICANotes's 6.5/10 in our ranking. Blueprint Health is the better pick for 1-20 clinicians. ICANotes is better if you need behavioral health clinicians who dread documentation and want to cut note-writing time from 30 minutes to under 5 minutes per session.
Blueprint Health starts at $0/month. ICANotes starts at $35/month. Watch for add-on costs — the base price often does not include all features. Pricing last verified 2026-04-01.
Blueprint Health: Free tier available. ICANotes: No free trial. Always test with your actual workflow before committing to an annual plan.
Blueprint Health covers 15 of 18 features we track. ICANotes covers 16 of 18. ICANotes has broader feature coverage, but more features does not always mean better — pick the tool that covers what your business actually needs.
No, Blueprint Health does not have a mobile app. ICANotes 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 Blueprint Health if...
Therapists who want a genuinely free EHR with the option to add AI note-writing at $0.99 per session only when they need it.
Pick ICANotes if...
Behavioral health clinicians who dread documentation and want to cut note-writing time from 30 minutes to under 5 minutes per session.