ICANotes vs Zanda
Zanda scores 7.5/10 vs 6.5/10. Best for: Allied health clinics that need flexible scheduling, customizable clinical notes, and multi-location support without paying per-seat enterprise prices.
Zanda scores higher overall at 7.5/10 vs 6.5/10. Buy Zanda if you run an allied health clinic and want affordable, flexible practice management that handles multiple disciplines and locations. Skip if you need US insurance billing or a mature API for custom integrations.
ICANotes 
Zanda Rank
#37 of 41
Rank
#15 of 41
Features
16/18
Features
13/18
Starting at
$35/mo
Starting at
$19/mo
User reviews
3.8/5 (130)
User reviews
4.7/5 (473)
What they cost
| ICANotes | Zanda | |
|---|---|---|
| Starting at | $35 /mo | $19 /mo |
| Free trial | 0 days | 14 days |
| Number of plans | 5 | 2 |
What the pricing really means
At first glance, Zanda looks cheaper at $19/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 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 Zanda wins
- Starts at $19/mo for solo practitioners, which is the cheapest entry point in allied health practice management
- 12-month money-back guarantee means you can commit for a year and still bail if it does not work out
- Customizable clinical note templates let physios, psychologists, and OTs each build their own workflows without workarounds
- Multi-location and room management included on the Growth plan, so expanding clinics do not need to upgrade to a separate tier
- BizzyAI scribe transcribes sessions and generates notes at $1/hour, cheaper than most AI documentation add-ons
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
Where Zanda falls short
- Starter plan caps you at 1,000 appointments, which a busy solo practitioner can hit in under a year
- SMS reminders cost extra at ~9 cents per message plus a $4.99/mo dedicated number fee, and those charges add up fast
- API is still in beta with early access only, so custom integrations are not production-ready yet
- Australian origin means insurance billing and clearinghouse integrations for US payers are limited compared to US-built competitors
Who is each product built for?
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.
Zanda
Target: 1-20 clinicians
Buy Zanda if you run an allied health clinic and want affordable, flexible practice management that handles multiple disciplines and locations. Skip if you need US insurance billing or a mature API for custom integrations.
Feature comparison
| Feature | ICANotes | Zanda |
|---|---|---|
| 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
Zanda scores 7.5/10 vs ICANotes's 6.5/10 in our ranking. Zanda 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.
ICANotes starts at $35/month. Zanda starts at $19/month. Watch for add-on costs — the base price often does not include all features. Pricing last verified 2026-04-01.
ICANotes: No free trial. Zanda: Yes, 14-day free trial. Always test with your actual workflow before committing to an annual plan.
ICANotes covers 16 of 18 features we track. Zanda covers 13 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, ICANotes does not have a mobile app. Zanda 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 ICANotes if...
Behavioral health clinicians who dread documentation and want to cut note-writing time from 30 minutes to under 5 minutes per session.
Pick Zanda if...
Allied health clinics that need flexible scheduling, customizable clinical notes, and multi-location support without paying per-seat enterprise prices.