Behavioral health EHR
Altrixs
One chart and one schedule for therapists, prescribers, program staff and the front desk. Write notes faster with an AI Scribe that checks its work, prescribe from the chart, and get claims paid.
e-prescribing & EPCS
claims & remittance
hosting & AI, under a BAAWho it's for
From a solo therapist to a multi-site organization with psychiatry, primary care and community programs. Everyone works from the same chart, with access set by role.
Therapy, assessments, treatment plans and measures for individual, family and group care.
Psychiatric evaluations, med management notes and e-prescribing in the same chart.
Patients have a primary care provider, medical visits, vitals and labs next to their behavioral health record.
PRP built to Maryland COMAR, IOP and PHP, residential, AOT and peer support programs.
Shared standards across locations, with each person seeing only the clients and data their role needs.
Self-guided setup, free front desk and billing users, and a plan sized for up to five providers.
Platform
Clinical care, AI documentation, scheduling, telehealth and billing share one record, so nothing is typed twice.
Clinical documentation
Write SOAP, DAP and BIRP progress notes, intakes, psychiatric evaluations, treatment plans, diagnoses and consents. Send PHQ-9, GAD-7 and other measures to clients by text or email, and see each new score next to the last one.
AI Scribe
With the client’s consent recorded first, AI Scribe drafts a structured note from the session in English or Spanish. Each sentence must cite the transcript. Anything it cannot support is held back for you to review. You edit and sign.
Scheduling, telehealth and client portal
Clients book online and get reminders by text only after they agree to receive them. Video visits start from the appointment. The client portal installs on any phone for documents, resources and payments.
Billing and revenue cycle
Check eligibility, catch errors with a claim scrubber that knows payer rules, and send claims and receive remittances (ERA) electronically. Track denials and prior authorizations, manage fee schedules, and collect client balances with autopay.
E-prescribing
Prescribe from the chart through DrFirst Rcopia, including controlled substances (EPCS) and PDMP checks.
Primary care
Primary care provider assignment, medical visits, vitals, lab orders and preventive care for patients in the same record.
Programs and groups
PRP (Maryland COMAR), IOP and PHP, residential, AOT court forms, peer support and group therapy notes with attendance.
Measurement-based care
Standard measures go out by secure link. Results file to the chart with severity and change since the last score.
HR and credentialing
Track licenses, supervision, co-signatures and training. A read-only timekeeping connector reconciles staff hours.
Community and outreach CRM
A module for referral sources, outreach events and inquiries. It keeps contact and scheduling details only. Clinical details stay in the chart.
Why Altrixs
Many EHRs add these features later, as separate tools. In Altrixs they are part of how the chart works.
AI scribes can invent details. Altrixs checks every drafted sentence against the session transcript and holds back what the transcript does not support. Medication changes are left to the prescriber.
If a session mentions suicide, self-harm or harm to others, the note cannot be signed until risk is documented, such as a C-SSRS result or safety plan, or the clinician records why no more assessment is needed.
Before a visit, Altrixs summarizes past notes and documents, including records brought over from your previous EHR. Every fact links to the page it came from.
No second system for medical care. Care-team access means each person sees what their role needs, and nothing more.
42 CFR Part 2 substance use records are shared only with the client’s consent, including to e-prescribing. Emergency break-the-glass access is logged.
Move sensitive details out of the progress note and into separate psychotherapy notes in one step.
Migration from any EHR platform, with support available. We typically bring over clients, diagnoses, appointment history and documents from your current EHR's exports, and your staff confirm matches before records are filed.
Security and privacy
Altrixs is designed to support HIPAA and 42 CFR Part 2 compliance. Each person gets the access their role needs, and access to records is logged.
Pricing
One monthly price per provider, by role. Prescriber seats include e-prescribing with EPCS. Every plan includes scheduling, notes, telehealth, the client portal, eligibility checks and electronic claims through Waystar. 30-day free trial, no card required.
Solo and small practices, up to 5 providers at one location.
from$99/ clinician / month
Billed monthly · $99 monthly minimum · up to 5 providers
Everything a small practice needs to see clients, document, prescribe, get paid by insurance and run telehealth.
Most popular
Group practices with a front desk, several clinicians and up to two sites.
from$139/ clinician / month
Billed monthly · $499 monthly minimum
Adds team scheduling, supervision, claim scrubbing, denials and prior authorizations, practice reports, HR and AI clinical insights.
Multi-site behavioral health and primary care clinics, and program providers (PRP, IOP, residential, AOT).
from$179/ clinician / month
Billed monthly · $1,500 monthly minimum
Adds unlimited locations, program tools, primary care charting, 42 CFR Part 2, QI and compliance, priority support and an uptime target.
CCBHCs, health systems and organizations with 75+ providers.
Custom
Volume seat pricing, annual contract
Everything in Clinic plus volume pricing, custom contract terms, integrations, a dedicated success manager and a written SLA. Quoted per organization.
You pay for each active staff account by what they do. Prescriber seats are for psychiatrists, nurse practitioners and physicians, and include e-prescribing with EPCS. Clinician seats are for therapists and counselors. Program staff seats are for PRP specialists, case managers, peer support, medical assistants and crisis staff. Front desk, billing, HR, office manager, director and admin accounts are always free. Someone with several roles is counted once, at their highest seat. Invited and deactivated accounts do not count.
Each paid seat includes a monthly allowance of electronic claims, pooled across the organization. Every claim includes its eligibility check, claim-status checks and remittance (ERA) posting. Claims above the allowance are $0.30 each, billed the following month.
Enter your staff by role. Support staff are always free.
Starter, paid monthly
| Prescriber seat × 1 at $249 | $249 |
| Clinician seats × 3 at $99 | $297 |
$546 / month
$6,552 per year
Includes 200 claims per month (eligibility, status and ERA included).
Pay only for what you use: AI Scribe per user, extra sites, and one-time setup.
AI Scribe
Ambient documentation: drafts the progress note from the in-person or telehealth session (or from dictation) for the clinician to review and sign. Client consent is captured first.
$149 per scribe user per month
Buy it only for the clinicians who use it. Includes 2,500 minutes of session audio per scribe user per month, pooled across your organization; dictation and pasted text do not use minutes.
Additional location
Another site with its own schedule, staff, service-facility NPI and reporting.
$99 per location per month
Included on Clinic and Enterprise.
Professional includes 2 locations. Clinic and Enterprise include unlimited locations.
Onboarding and training
One-time implementation fee by tier, plus a per-site fee for each location after the first.
Starter: no fee · Professional: $1,500 + $500/extra site · Clinic: $4,000 + $750/extra site
Data migration
One-time assisted migration from any EHR platform (one source system), with support available. Additional systems are quoted.
Starter: no fee · Professional: $1,500 · Clinic: $3,500
| Feature | Starterfrom $99/clinician/mo | Professionalfrom $139/clinician/mo | Clinicfrom $179/clinician/mo | EnterpriseCustom |
|---|---|---|---|---|
| Clinical care | ||||
Progress notes and templates SOAP, DAP, BIRP and custom note templates, smart phrases, co-signature and locking. | ||||
Treatment plans, diagnoses and safety plans ICD-10 diagnoses, goal bank, treatment plan reviews and Stanley-Brown safety plans. | ||||
Assessments and measurement-based care PHQ-9, GAD-7, C-SSRS, PCL-5 and more, scored automatically and graphed over time. | ||||
Telehealth video HIPAA-covered in-app video sessions launched from the appointment; no separate subscription. | ||||
Group sessions Group rosters, attendance, one group note with per-member entries, and per-member claims. | ||||
| Client experience | ||||
Scheduling and online booking Calendar, recurring appointments, waitlist and a public booking page. | ||||
Client portal and mobile app Clients complete intake and consents, message the care team and join sessions. | ||||
Appointment reminders (email and text) Automatic reminders with no per-message charge under normal use. | Fair use | Fair use | Fair use | |
Secure messaging Encrypted staff and client messaging with a unified staff inbox. | ||||
| Billing and revenue | ||||
Insurance eligibility checks 270/271 benefit checks before the visit, included with each claim. | ||||
Electronic claims, claim status and ERA posting 837P claims through Waystar, 276/277 claim status and automatic 835 remittance posting. A pooled allowance per paid seat is included; above it each claim is $0.30. | 50 claims / seat / mo | 150 claims / seat / mo | 200 claims / seat / mo | By contract |
Client payments and autopay Card on file, autopay and payment plans. Card processing fees are charged at cost by the processor. | ||||
Superbills and client statements Out-of-network superbills and itemized client statements. | ||||
Claim scrubber, denials and prior authorizations Catch claim errors before submission, work denials, and track authorizations and remaining units. | ||||
| Practice operations | ||||
Front desk and multi-clinician calendar Front-desk view across clinicians, caseload assignment and role-based dashboards. | Basic | |||
Supervision and co-signature workflows Supervisor review queues, supervision logs and hours tracking for associates. | ||||
Practice reports and report library Productivity, collections by provider, A/R aging, outcomes and the report library. | Basic reports only | |||
Staff credentialing and HR License and credential expirations, training records and staff directory. | ||||
Multiple locations Run several sites under one organization with location-level schedules, staff and reporting. | 2 included, more as add-on | Unlimited | Unlimited | |
| AI and prescribing | ||||
AI clinical insights Clinical Insights, the Service Eligibility Scanner, note-quality checks, risk watch and pre-visit briefs. Suggestions only; clinicians decide. | ||||
AI Scribe Drafts the progress note from the session for the clinician to review and sign. | Add-on$149/mo | Add-on$149/mo | Add-on$149/mo | Add-onVolume pricing |
E-prescribing with EPCS and PDMP DrFirst Rcopia inside the chart, including controlled substances and PDMP checks. Included in every prescriber seat. | Prescriber seats | Prescriber seats | Prescriber seats | Prescriber seats |
| Programs and compliance | ||||
Program tools: PRP, IOP, residential, AOT Psychiatric rehabilitation (PRP) enrollment and authorizations, IOP tracks, residential bed board and shift notes, AOT caseboard and court reports. | ||||
Primary care chart, labs and medical billing Medical chart, problem list, vitals, lab orders and results, and E/M coding alongside behavioral health. | ||||
42 CFR Part 2 tools Part 2 consents, redisclosure notices and segmented protected records for substance use treatment. | ||||
Quality, incidents and grievances QI indicators, incident reports, grievances and the compliance calendar for accreditation. | ||||
Population health and SDOH Risk stratification across the caseload, SDOH screening and resource directory. | ||||
| Security and support | ||||
HIPAA audit log, roles and BAA Every chart access logged, role-based permissions and a signed Business Associate Agreement. | ||||
Custom integrations and data exports HIE connections, FHIR access, scheduled data exports and custom interfaces. | ||||
Already on Altrixs? Sign in to manage your plan
FAQ
Altrixs is a behavioral health EHR (electronic health record). It brings together clinical notes, e-prescribing, scheduling, telehealth, a client portal, billing and practice operations. Clinics that also offer primary care chart medical visits in the same record.
Altrixs is an EHR. It also includes a Community and outreach CRM module for referral sources, events and inquiries. That module keeps contact details only. Clinical information stays in the chart.
Outpatient mental health and substance use clinics, psychiatry practices, group and solo practices, program providers (PRP, IOP, PHP, residential, AOT, peer support) and organizations that offer behavioral health and primary care together.
Altrixs is designed to support HIPAA compliance. It runs on AWS under a BAA, encrypts data in transit and at rest, uses two-factor sign-in for staff, logs staff out after 15 idle minutes and keeps an audit log for six years. Your own policies, training and use of the software also matter for compliance.
Substance use disorder records are marked and protected in the chart. They are shared only with the client’s written consent, including diagnoses sent to e-prescribing. Emergency break-the-glass access is allowed and logged.
AI Scribe records only after the client’s consent is noted. It drafts a note in the format you choose, and every sentence must cite the transcript. Unsupported sentences are held back for review, risk content must be addressed before signing, and medication changes are left to the prescriber. AI runs on Amazon Bedrock under our AWS BAA, and client data is not used to train AI models.
Yes. Every prescriber seat includes e-prescribing through DrFirst Rcopia, with controlled-substance prescribing (EPCS), PDMP checks and medication history, opened from the client’s chart.
Yes. Video visits are part of every plan and start from the appointment, so there is no separate telehealth subscription. Clients join from a secure link.
Yes. We help you migrate from any EHR platform — typically clients, diagnoses, appointment history and documents — and our team supports you through the move. Your staff confirm matches before records are filed. Starter also includes self-serve import of clients and appointments from CSV. See pricing for the one-time migration fee.
Most practices go live in 2–4 weeks, depending on your size, number of sites and data. Starter: Self-guided setup wizard, help center and a live group onboarding webinar. Professional: Guided implementation: fee schedule and payer setup, Waystar enrollment support, role setup and two live training sessions. Clinic: Implementation project with a named specialist, workflow design per site, role-based training, go-live support on site or remote.
Claims, remittances and eligibility run through the Waystar clearinghouse. E-prescribing runs through DrFirst Rcopia. A FHIR API shares patient and practitioner data. Enterprise plans can add custom integrations.
Plans: Starter (From $99 per clinician / month), Professional (From $139 per clinician / month), Clinic (From $179 per clinician / month), Enterprise (Custom quote). You pay per provider by role: prescriber, clinician or program staff. Prescriber seats include e-prescribing. Front desk, billing, HR and admin users are free. Every self-serve plan starts with a 30-day free trial.
Yes. Monthly plans can be cancelled any time from Plan & Subscription and stay active until the end of the paid period. Your records stay available read-only for at least 90 days so you can export them. Enterprise plans use an annual contract. Talk to us about terms.
Starter: Email and in-app support, next business day. Professional: Email, chat and phone support, business hours. Clinic: Priority phone and chat support with a named onboarding specialist. Enterprise: Dedicated customer success manager, 24/7 urgent line.
Request a demo and we will walk through your notes, programs and billing. Or start a free trial today. No card required. Most practices go live in 2–4 weeks.
