BestNotes
PaidBehavioral health EHR with AI-assisted documentation and unlimited support included
What is BestNotes?
BestNotes is an EHR and EMR specifically designed for mental health, behavioral health, and addiction treatment practices. Unlike general-purpose medical EHRs (like Epic or Cerner) that treat behavioral health as an afterthought, BestNotes is purpose-built for the unique needs of mental health providers: treatment planning workflows, ASAM level-of-care assessments for substance use disorder treatment, CO-Triage assessments, group therapy documentation, and outcome measurements. The platform's pricing model is unusual in healthcare SaaS: it starts at $59 per user per month for the first 10 users, charges $25 per user per month for users 11 to 100 while the first 10 stay at $59 each, and drops to $13 per user per month from user 101 onward. Unlimited support (phone, email, chat, tickets, training) is included at all tiers with no additional fees. For mid-size behavioral health practices (11-100 users), the volume pricing creates significant savings compared to per-seat EHR pricing from major vendors. BestNotes also integrates natively with ASAM Continuum and CO-Triage, specialized tools for ASAM assessment and clinical triage in substance use disorder treatment, which BestNotes now quotes separately rather than listing at a public price. In 2026 BestNotes added AI-assisted clinical documentation that generates SOAP notes from session summaries, reducing the documentation burden that drives clinician burnout. For behavioral health practices specifically, BestNotes is one of the most cost-effective and well-featured EHR options on the market.
BestNotes demo video
Watch BestNotes's official demo to see BestNotes in action before reading our full review.
Official video by BestNotes via YouTube, embedded for reference. ToolChase does not host or claim this video.
⚡ Quick Verdict
Behavioral health and addiction treatment practices from small clinics to large organizations
Primary care, dental, or non-mental-health medical practices
$13 to $59 per user/month, volume-based (cheaper at higher user counts), plus a $100 setup fee
No, free demo available
Volume pricing drops to $13/user/mo at 101+ users, with unlimited support included
Specialized for behavioral health, not a general medical EHR
Bottom line: BestNotes scores 4.2/5, A specialized behavioral health EHR that's genuinely affordable for mid-size practices.
Pricing
Small practice (1-10 users), $59 per user per month: Full EHR functionality, treatment planning, clinical documentation, billing integration, unlimited support included.
Mid-size (11-100 users), $25 per user per month for each user beyond the first 10, while the first 10 remain at $59 each.
Large (101+ users), $13 per user per month: Same feature set, maximum volume discount.
Specialized add-ons: ASAM Continuum and CO-Triage integrations, AI Clinical Notes, AI Chart Audit, RCM billing, CRM, telehealth, ePrescribing, eMAR and cloud faxing are all quoted separately. A $100 setup fee applies. Month-to-month contracts, unlimited data, and unlimited training and support are included.
Key Features
- Behavioral health-specific clinical documentation
- ASAM level-of-care assessment workflows
- Continuum and CO-Triage integration for SUD treatment
- Treatment planning and progress tracking
- Group therapy documentation support
- Billing integration with HCFA, CMS-1500, and 837p claims
- AI clinical notes and AI chart audit, priced as add-ons
- Unlimited phone, email, chat, and training support included
Pros & Cons
Pros
- Volume pricing drops to $13/user/mo at 101+ users
- Unlimited support included with no extra fees
- Native ASAM integration for substance use disorder treatment
- Month-to-month contracts with only a $100 setup fee
Cons
- Specialized for behavioral health, not a general medical EHR
- Interface feels dated compared to modern SaaS EHRs
- Limited telehealth features compared to dedicated telehealth platforms
FAQ
How much does BestNotes cost?
BestNotes starts at $59 per user per month for the first 10 users, charges $25 per user per month for users 11 to 100, and drops to $13 per user per month from user 101 onward. All tiers include unlimited support (phone, email, chat, training) at no extra cost. Month-to-month contracts are standard, with a $100 setup fee.
Is BestNotes a fit for general medical practices?
No. BestNotes is specialized for behavioral health, mental health, and addiction treatment practices. For primary care, dental, or other medical specialties, you'll need a general EHR like Epic, Cerner, Athenahealth, or a specialty-specific platform. BestNotes' value is in its behavioral health-specific workflows.
Does BestNotes include billing?
Yes. BestNotes integrates billing natively with support for HCFA, CMS-1500, and 837p electronic claims. It's not a full practice management system like Kareo or AdvancedMD, but it handles claim generation and submission for most mental health billing workflows. For complex practice management, you may want a dedicated PMS integrated via API.
What are ASAM levels and why do they matter?
ASAM (American Society of Addiction Medicine) levels of care define the appropriate intensity of substance use disorder treatment, from outpatient (Level 1) to medically managed inpatient (Level 4). Accurate ASAM level assessment is required for insurance reimbursement and treatment planning. BestNotes' native Continuum and CO-Triage integrations automate these assessments.
BestNotes vs SimplePractice vs TherapyNotes?
SimplePractice is the most popular EHR for solo therapists, easy to use but expensive per seat. TherapyNotes is similar with a focus on mid-size practices. BestNotes is more specialized for SUD treatment and behavioral health organizations with the best volume pricing for larger teams. For solo practitioners, SimplePractice is usually simpler. For growing practices, BestNotes becomes cheaper at scale.
Does BestNotes have AI features?
Yes, added in 2026. BestNotes now includes AI-assisted SOAP note generation from session summaries, helping clinicians produce documentation faster and reducing the administrative burden that contributes to burnout. The AI is trained on behavioral health documentation patterns and supports customization to match clinician preferences.
📋 Good to know
Request a demo at bestnotes.com, work with an implementation specialist to migrate existing notes (if any), and train clinicians. Typical setup 2-4 weeks.
HIPAA compliant. SOC 2 audited. Data stays within US infrastructure. Business Associate Agreements available for all customers.
Pricing tiers are automatic by user count, scale discounts kick in as you add seats. Month-to-month contracts offer flexibility.
Moderate. Clinical documentation workflows take 1-2 weeks to learn; AI-assisted notes reduce the learning curve.
