SimplePractice works well for solo therapists. For group practices with 3+ practitioners, the gaps in billing, scheduling, and AI automation become expensive. Here is the side-by-side comparison.
SimplePractice is the most popular EHR for behavioral health solo practitioners. It handles scheduling, documentation, and basic billing with a clean interface that therapists love. For a solo LCSW or PsyD, it is often the right choice.
But when a solo practice grows into a group practice with 3, 5, or 10+ practitioners, the limitations surface quickly: no AI automation, limited role-based permissions, basic claims management, and no multi-location support. This comparison covers the features that matter when you scale beyond solo.
Where SimplePractice works well
SimplePractice excels at the solo practitioner workflow. Online booking, session reminders, note templates, telehealth, and client portal are all well-designed. The interface is intuitive. Setup takes hours, not days. For a single-practitioner behavioral health practice that bills insurance directly and does not need AI assistance, it is a strong product at to per month.
Where group practices outgrow SimplePractice
Role-based permissions: SimplePractice has limited role differentiation. In a group practice, you need distinct permissions for practitioners (see their own patients), billers (access all claims), staff (scheduling only), and administrators (everything). Trustro has four default roles (Practitioner, Biller, Staff, Administrator) plus custom roles with granular permission controls.
Multi-practitioner scheduling: SimplePractice shows one practitioner's calendar at a time. In a group practice, the front desk needs to see all practitioners's availability simultaneously to book new patients with the right provider. Trustro's calendar supports multi-practitioner views with filtering by provider, location, and appointment type.
Claims management: SimplePractice handles basic claim submission but lacks pre-submission claim scrubbing, automated denial management, and ERA/EOB processing. In a group practice submitting 500+ claims per month, these gaps mean manual work and lost revenue. Trustro includes full revenue cycle management with an AI Billing Agent that scrubs claims, catches errors, and auto-appeals denials.
AI automation: SimplePractice has no AI features. No ambient scribing, no AI coding suggestions, no automated scheduling agent. For a solo practitioner, manual documentation is manageable. For a group with 5+ practitioners, the accumulated documentation time (2+ hours per practitioner per day) is a significant cost.
Multi-location: SimplePractice does not support multi-location practices. Each location requires a separate account. Trustro supports multiple service locations with unified scheduling, billing, and reporting across all sites.
Reporting: SimplePractice provides basic financial reports. Group practices need practitioner-level productivity reports, payer mix analysis, denial rate tracking, and revenue forecasting. Trustro's reporting covers all of these.
Feature comparison table
Scheduling: SimplePractice offers single-practitioner calendar with online booking. Trustro offers multi-practitioner calendar with AI Receptionist (SMS, voice, WhatsApp), waitlist automation, and no-show rebooking.
Documentation: SimplePractice provides template-based notes. Trustro provides template-based notes plus AI Scribe that drafts notes from session audio with 97% coding accuracy.
Billing: SimplePractice handles basic claim submission. Trustro handles full RCM: EDI submission, eligibility verification, ERA/EOB processing, payment posting, and AI-powered denial management.
AI agents: SimplePractice has none. Trustro includes three: AI Receptionist, AI Scribe, AI Billing Agent.
Multi-location: SimplePractice does not support it. Trustro supports unlimited locations with unified management.
Roles and permissions: SimplePractice has basic roles. Trustro has four default roles plus custom roles with granular permissions.
Telehealth: Both support telehealth. SimplePractice has built-in video. Trustro has built-in video with AI Scribe capturing the session.
Languages: SimplePractice is English-only. Trustro supports English, Spanish, and Arabic (RTL) across the patient portal and communications.
Pricing comparison at scale
SimplePractice (5 practitioners): /practitioner/month (Professional plan) = /month, ,540/year. Does not include AI features, multi-location, or advanced billing.
Trustro Clinic (5 practitioners): /practitioner/month (annual billing) = /month, ,140/year. Includes all three AI agents, full RCM, multi-location, and role-based permissions.
The price difference is ,600/year. The AI agents alone typically recover 10-20x that amount: ,400/year from filled cancellation slots (AI Receptionist), ,000/year from corrected undercoding (AI Scribe), and ,000/year from reduced denials (AI Billing Agent). Total estimated benefit: ,400/year for ,600 additional annual cost.
Migration from SimplePractice
SimplePractice supports data export of client demographics, appointment history, and billing records. Trustro's onboarding team handles the migration in 14 days: data import (Days 4-7), sandbox testing (Days 8-10), and staff training (Days 11-13). Your SimplePractice account stays active during the transition.
Frequently asked questions
Is Trustro good for solo behavioral health practitioners?
Yes. Trustro Solo at /month includes everything a solo practitioner needs plus three AI agents. However, if you do not bill insurance and do not need AI automation, SimplePractice at to /month may be sufficient for your needs.
Can I migrate my SimplePractice data to Trustro?
Yes. SimplePractice supports CSV export of client demographics, appointment history, and notes. Trustro's onboarding team handles the full migration in 14 days including data import, sandbox testing, and staff training.
Does Trustro work for behavioral health specifically?
Yes. Trustro includes behavioral health-specific templates for session notes (DAP, BIRP), treatment plan tracking across sessions, group therapy scheduling (90853), telehealth with AI Scribe, and prior authorization tracking.
What if some of my practitioners prefer SimplePractice?
The transition is typically smoother than expected. Trustro's interface is intuitive for anyone who has used a modern EMR. Role-specific training takes 1-2 hours for practitioners. The AI Scribe (which drafts their notes automatically) usually wins over skeptics within the first week.
The bottom line
SimplePractice is a good product for solo behavioral health practitioners. For group practices with 3+ practitioners, the gaps in AI automation, billing, multi-location support, and role-based permissions become expensive. The price difference between SimplePractice and Trustro is ,600/year for a 5-practitioner group. The AI agents recover 40x that amount.
See the comparison with your data. Book a demo at /demo and we will show you Trustro with behavioral health templates loaded alongside your current SimplePractice workflow.
Related reading
Read more: /blog/ehr-for-behavioral-health
Read more: /blog/real-cost-of-switching-emr
See how this works in the product: /compare/simplepractice