Head-to-head · Psychiatry Electronic Medical Records Software
ICANotes vs Opus EHR
ICANotes leads on 1 check, Opus EHR on 0, and 3 are even. Who comes out ahead on the 4 yes/no, price and count checks where we have data for both products. The editor score weighs everything else too.
Our verdict
- Highest scoreICANotes · 8.7/10
- Free planonly ICANotes
- Free trialonly ICANotes
- Most featuresOpus EHR · 3 of 6
ICANotes scores higher on our rubric for psychiatry electronic medical records software: 8.7 against 7.6 out of 10; our editors rank them #2 and #7.
ICANotes offers free plan; Opus EHR doesn't.
ICANotes is the better fit for budget-conscious psychiatry practices. Opus EHR is the better fit for behavioral health practices seeking AI-assisted EHR.
- ICANotes fits best
Budget-conscious psychiatry practices
- Opus EHR fits best
Behavioral health practices seeking AI-assisted EHR
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Side by side
| Feature | ICANotes 8.7/10 Visit ↗ | Opus EHR 7.6/10 Visit ↗ |
|---|---|---|
| At a glance | ||
| Editor score | 8.7 | 7.6 |
| Ranking | #2 in Psychiatry Electronic Medical Records Software | #7 in Psychiatry Electronic Medical Records Software |
| Best for | Budget-conscious psychiatry practices | Behavioral health practices seeking AI-assisted EHR |
| Pricing model | Free plan + paid | Paid |
| Starting price | $25/user/mo | — |
| Free plan | ✓ (best) | — |
| Free trial | 30 days | — |
| Deployment | Cloud | Cloud |
| Platforms | Web | Web |
| Support | Email, Live chat, Phone, Tickets, Docs · 24/7 | Phone, Email, Live chat, Docs · 24/7 |
| Compliance | HIPAA | HIPAA |
| Integrations | 4 integrations | 3 integrations |
| Built for | Solo, Small business, Mid-market, Enterprise | Small business, Mid-market, Enterprise |
| Features ICANotes 1/6 · Opus EHR 3/6 | ||
| E-prescribing | Not checked yet | ✓ (best) |
| Telehealth visits | ✓ | ✓ |
| Psychiatry templates | Not checked yet | Not checked yet |
| Claims and billing | Not checked yet | ✓ (best) |
| Patient portal | Not checked yet | Not checked yet |
| Mobile app | Not checked yet | Not checked yet |
| Our review | ||
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| Cons |
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| Our verdict | ICANotes combines behavioral health electronic records with practice-management features for therapists, psychiatrists, social workers and group practices. Its clinical tools include documentation templates, treatment planning and rating… Read the review → |
Opus EHR brings clinical records, practice management, CRM, and revenue cycle workflows together for addiction treatment and behavioral health organizations, including mental health and psychiatry practices. Its scope extends from… Read the review → |
Strengths and trade-offs
ICANotes — where it wins
- Behavioral health templates, treatment plans and clinical rating scales
- Scheduling, portal, telehealth, claims and online payment tools
- Prescribing plans include medication management and lab integration
Where it doesn't
- Prescribing clinician plans cost more than non-prescribing options
- Notes-only plans exclude scheduling, portal and billing tools
- No mobile apps are listed among its platform options
Opus EHR — where it wins
- Combines charting, scheduling, billing workflows, and patient lead tracking.
- AI scribe drafts progress notes for in-person and telehealth sessions.
- Includes e-prescribing, lab ordering, outcomes measurement, and more than 140 reports.
Where it doesn't
- There is no free plan.
- The platform is cloud-based and available on the web.
- Growth highlights advanced features without specifying them individually.
- ICANotes8.7/10 · Free plan · 30-day trial
Psychiatry-focused documentation and practice tools, with plans from $25 per user monthly.
Visit ICANotesFull verdict → - Opus EHR7.6/10 · Paid
Opus EHR connects behavioral health charting, billing, telehealth, and AI-assisted notes.
Visit Opus EHRFull verdict →
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All psychiatry electronic medical records software comparisons → · Full ranking →
Reviewed by iTechGuides Editors · Editorial team · Updated Oct 2026
Last updated · How we research and update







