Best TenEleven Alternatives in 2026
14 psychiatry electronic medical records software our editors would look at instead of TenEleven, in our ranking order.
TenEleven: A specialized behavioral-health record for MAT programs with billing, dispensing and reporting workflows. Where it falls short: pricing is contract-based, with setup and maintenance costs tied to users and terms.
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Valant not yet scored
Best forEstablished practices needing full behavioral-health EHR
A full behavioral-health EHR combining clinical, billing, scheduling, and telehealth workflows.
- Telehealth visits
—not yet scoredVisit Valant -
Best forBudget-conscious psychiatry practices
Psychiatry-focused documentation and practice tools, with plans from $25 per user monthly.
- Telehealth visits
6.7/10★★★☆☆Visit ICANotes -
Foothold AWARDS not yet scored
Best forMid-market behavioral-health organizations
Configurable EHR and case management for multi-program behavioral-health organizations.
—not yet scoredTry Foothold AWARDS -
SmartCare not yet scored
Best forEnterprise behavioral-health networks
A cloud EHR spanning behavioral health care, revenue cycle, and multiple levels of service.
- Patient portal
- Telehealth visits
—not yet scoredVisit Streamline -
Welligent not yet scored
Best forLarge organizations needing mobile behavioral EHR
A broad behavioral health EHR with mobile offline access, telehealth and billing workflows.
- Patient portal
- Telehealth visits
—not yet scoredVisit Welligent -
Osmind not yet scored
Best forPsychiatry and interventional-psychiatry clinics
A psychiatry-focused EHR combining clinical, patient, telehealth and billing workflows.
- Mobile app
- E-prescribing
—not yet scoredVisit Osmind -
Best forBehavioral health practices seeking AI-assisted EHR
Opus EHR connects behavioral health charting, billing, telehealth, and AI-assisted notes.
- Claims and billing
- E-prescribing
- Telehealth visits
5.0/10★★☆☆☆Visit Opus EHR -
Cx360 not yet scored
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
—not yet scoredRequest a demo -
Behave Health not yet scored
Best forBehavioral-health providers needing core EHR workflows
A cloud behavioral-health EHR that brings clinical and administrative workflows together.
- E-prescribing
—not yet scoredVisit Behave Health -
Best forSolo or small practices seeking broad practice tools
PracticeQ bundles records, scheduling, billing and telehealth from $59.90 per month.
5.0/10★★☆☆☆Visit PracticeQ -
Passage Health not yet scored
Best forMobile-first programs tracking individualized care
A mobile-capable ABA platform for individualized programs and practice workflows.
—not yet scoredVisit Passage Health -
eCareHealth Revenue Cycle Management not yet scored
Best forPractices needing specialized revenue-cycle management
A cloud RCM module for practices that need end-to-end claims and collections workflows.
—not yet scoredVisit eCareHealth -
EchoVantage not yet scored
Best forOrganizations evaluating behavioral-health EHRs
A behavioral-health EHR for organizations to assess directly with Ensora Health.
—not yet scoredVisit EchoVantage -
Sunwave not yet scored
Best forMid-market and enterprise behavioral-health providers
A cloud behavioral-health platform for organizations needing clinical and operational workflows.
—not yet scoredVisit Sunwave
TenEleven Alternatives: Common Questions
What is the best alternative to TenEleven?
ICANotes: #2 in our Psychiatry Electronic Medical Records Software ranking, with an editor score of 6.7 out of 10. Psychiatry-focused documentation and practice tools, with plans from $25 per user monthly.
Is there a free alternative to TenEleven?
Yes. ICANotes has a free plan or a free tier.
TenEleven vs Each Alternative
| # | Tool | Free plan | Paid from | E-prescribing | Telehealth visits | Psychiatry templates | Claims and billing | Score |
|---|---|---|---|---|---|---|---|---|
| not scored | TenEleven | — | — | Yes | — | — | Yes | — |
| not scored | Valant | — | — | — | Yes | — | — | — |
| 2 | ICANotes | Yes | $25/user/mo | — | Yes | — | — | 6.7 |
| not scored | Foothold AWARDS | — | — | — | — | — | — | — |
| not scored | SmartCare | — | — | — | Yes | — | — | — |
| not scored | Welligent | No | — | — | Yes | — | — | — |
| not scored | Osmind | — | — | Yes | — | — | — | — |
| 7 | Opus EHR | No | — | Yes | Yes | — | Yes | 5.0 |
| not scored | Cx360 | No | — | — | Yes | — | — | — |
| not scored | Behave Health | — | — | Yes | — | — | — | — |
| 11 | PracticeQ | No | — | — | — | — | — | 5.0 |
| not scored | Passage Health | No | — | — | — | — | — | — |
| not scored | eCareHealth Revenue Cycle Management | No | — | — | — | — | — | — |
| not scored | EchoVantage | — | — | — | — | — | — | — |
| not scored | Sunwave | — | — | — | — | — | — | — |
Reviewed by iTechGuides Editors · Editorial team · Updated Sep 2026