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Head-to-head · Psychiatry Electronic Medical Records Software

ICANotes vs Opus EHR

  • Updated Oct 2026
  • Both researched from official sources
  • 4 checks side by side
Higher score ICANotes #2 in Psychiatry Electronic Medical Records Software 8.7/10 Free plan · 30-day trial Free planFree trial✓ 1 of 6 features Visit ICANotes

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

Advertiser disclosure: iTechGuides is reader-supported. Vendors can pay for top positions in our rankings and for a place on other products' pages, and we may earn a commission when you click some links. Bought places stand at the number bought; this page and our disclosure say so. Paying vendors may get a fuller, more detailed review from our editors, and that review can change their score. How we rank.

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
Pros
  • 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
  • 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.
Cons
  • 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
  • There is no free plan.
  • The platform is cloud-based and available on the web.
  • Growth highlights advanced features without specifying them individually.
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 →
  1. ICANotesPsychiatry Electronic Medical Records Software 8.7Free plan · 30-day trial
  2. Opus EHRPsychiatry Electronic Medical Records Software 7.6Paid

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 →

More comparisons

Reviewed by iTechGuides Editors · Editorial team · Updated Oct 2026

Last updated · How we research and update