Best Opus EHR Alternatives in 2026
The top Opus EHR alternatives are Valant, ICANotes and Foothold AWARDS: 14 psychiatry electronic medical records software our editors would look at instead of Opus EHR, in our ranking order.
Opus EHR: Opus EHR connects behavioral health charting, billing, telehealth, and AI-assisted notes. Where it falls short: there is no free plan..
Switching from Opus EHR? For most psychiatry electronic medical records software buyers the best Opus EHR alternative is Valant, built for established practices needing full behavioral-health EHR. On a budget, ICANotes starts at $25/user/mo. ICANotes has a free plan, which Opus EHR does not.
Why People Look for an Opus EHR Alternative
- There is no free plan
- The platform is cloud-based and available on the web
- Growth highlights advanced features without specifying them individually
- No free plan — 1 of the alternatives below has it
Quick Picks by What You Need
- Best overallValant8.9
Established practices needing full behavioral-health EHR
Visit Valant - Lowest priceICANotes8.7
Paid plans from $25/user/mo
Visit ICANotes - Best free optionICANotes8.7
Has a free plan (Opus EHR has none)
Visit ICANotes
All 14 Opus EHR Alternatives, Ranked
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.
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Best forEstablished practices needing full behavioral-health EHR
- Better than Opus EHR:
- Editor score 8.9 vs 7.6
A full behavioral-health EHR combining clinical, billing, scheduling, and telehealth workflows.
- Telehealth visits
8.9/10★★★★☆Visit Valant -
Best forBudget-conscious psychiatry practices
- Better than Opus EHR:
- Free plan
- Editor score 8.7 vs 7.6
Psychiatry-focused documentation and practice tools, with plans from $25 per user monthly.
- Telehealth visits
8.7/10★★★★☆Visit ICANotes -
Best forMid-market behavioral-health organizations
- Better than Opus EHR:
- Editor score 8.3 vs 7.6
Configurable EHR and case management for multi-program behavioral-health organizations.
8.3/10★★★★☆Try Foothold AWARDS -
Best forEnterprise behavioral-health networks
- Better than Opus EHR:
- Editor score 7.9 vs 7.6
A cloud EHR spanning behavioral health care, revenue cycle, and multiple levels of service.
- Patient portal
- Telehealth visits
7.9/10★★★★☆Visit Streamline -
Best forLarge organizations needing mobile behavioral EHR
- Better than Opus EHR:
- Editor score 7.8 vs 7.6
A broad behavioral health EHR with mobile offline access, telehealth and billing workflows.
- Patient portal
- Telehealth visits
7.8/10★★★★☆Visit Welligent -
Best forPsychiatry and interventional-psychiatry clinics
- Better than Opus EHR:
- Editor score 7.7 vs 7.6
A psychiatry-focused EHR combining clinical, patient, telehealth and billing workflows.
- Mobile app
- E-prescribing
7.7/10★★★★☆Visit Osmind -
Best forBehavioral health teams prioritizing AI and mobile workflows
A broad behavioral health EHR with AI documentation and mobile workflows, sold through demos.
- Mobile app
- Telehealth visits
7.5/10★★★★☆Request a demo -
Best forBehavioral-health providers needing core EHR workflows
A cloud behavioral-health EHR that brings clinical and administrative workflows together.
- E-prescribing
7.4/10★★★★☆Visit Behave Health -
Best forMAT and regulated behavioral-health programs
A specialized behavioral-health record for MAT programs with billing, dispensing and reporting workflows.
- Claims and billing
- Patient portal
- E-prescribing
7.3/10★★★★☆Visit TenEleven -
Best forSolo or small practices seeking broad practice tools
PracticeQ bundles records, scheduling, billing and telehealth from $59.90 per month.
7.2/10★★★★☆Visit PracticeQ -
Best forMobile-first programs tracking individualized care
A mobile-capable ABA platform for individualized programs and practice workflows.
7.1/10★★★★☆Visit Passage Health -
Best forPractices needing specialized revenue-cycle management
A cloud RCM module for practices that need end-to-end claims and collections workflows.
6.8/10★★★☆☆Visit eCareHealth -
Best forOrganizations evaluating behavioral-health EHRs
A behavioral-health EHR for organizations to assess directly with Ensora Health.
6.1/10★★★☆☆Visit EchoVantage -
Best forMid-market and enterprise behavioral-health providers
A cloud behavioral-health platform for organizations needing clinical and operational workflows.
6.0/10★★★☆☆Visit Sunwave
Opus EHR Alternatives: Common Questions
What is the best alternative to Opus EHR?
Valant: #1 in our Psychiatry Electronic Medical Records Software ranking, with an editor score of 8.9 out of 10. A full behavioral-health EHR combining clinical, billing, scheduling, and telehealth workflows.
Is there a free alternative to Opus EHR?
Yes. ICANotes has a free plan or a free tier.
What is the cheapest paid alternative to Opus EHR?
Of the alternatives here that publish a price, ICANotes starts lowest, at $25/user/mo.
Why do people look for Opus EHR alternatives?
There is no free plan; The platform is cloud-based and available on the web; Growth highlights advanced features without specifying them individually.
How do I switch from Opus EHR?
Export your data from Opus EHR (most tools have an export in their settings). Sign up for the alternative; start on its free plan or trial if it has one. Import your export and set up the integrations your team relies on. Run both side by side for a short while, then cancel Opus EHR.
How to Switch from Opus EHR
- Export your data from Opus EHR (most tools have an export in their settings).
- Sign up for the alternative; start on its free plan or trial if it has one.
- Import your export and set up the integrations your team relies on.
- Run both side by side for a short while, then cancel Opus EHR.
Opus EHR vs Each Alternative
| # | Tool | Paid from | Score |
|---|---|---|---|
| 7 | Opus EHR | 7.6 | |
| 1 | Valant | 8.9 | |
| 2 | ICANotes | $25/user/mo | 8.7 |
| 3 | Foothold AWARDS | 8.3 | |
| 4 | SmartCare | 7.9 | |
| 5 | Welligent | 7.8 | |
| 6 | Osmind | 7.7 | |
| 7 | Cx360 | 7.5 | |
| 8 | Behave Health | 7.4 | |
| 9 | TenEleven | 7.3 | |
| 10 | PracticeQ | $59.90/mo | 7.2 |
| 11 | Passage Health | 7.1 | |
| 12 | eCareHealth Revenue Cycle Management | 6.8 | |
| 13 | EchoVantage | 6.1 | |
| 14 | Sunwave | 6.0 |
Head-to-Head
- Opus EHR vs Valant
- Opus EHR vs ICANotes
- Opus EHR vs Foothold AWARDS
- Opus EHR vs SmartCare
- Opus EHR vs Welligent
- Opus EHR vs Osmind
Reviewed by iTechGuides Editors · Editorial team · Updated Oct 2026
Last updated · How we research and update