Your BH agency runs on SimplePractice plus 4 other tools. We replace all of them.
If you're paying SimplePractice for charting, Trizetto or Office Ally for claims, a separate fax service, a separate eRx, and a separate telehealth tool — you're stitching together what AgenciesForge ships as one platform. With AI that learns from every claim and denial along the way.
Built for BH, DD/IDD, and home-health agencies — not solo therapists.
The numbers at 30 clinicians
Compare your current stack at 30 employees:
| Line item | SimplePractice stack | AgenciesForge |
|---|---|---|
| Charting / EHR (Practice tier) | $99/mo | included |
| Clearinghouse (Trizetto / Office Ally) | $250-400/mo | included |
| ePrescribing (DrFirst etc.) | $50-100/mo | included |
| Fax | $40-80/mo | included |
| Telehealth (doxy / Zoom Health) | $35/mo | included |
| AI scribe (Suki / Sunwave) | $90-150/mo | included + learns from your ops |
| Outcomes platform (Owl / OQ Analyst) | $50-100/mo | included |
| Per-clinician charging | × 30 clinicians | flat — no per-seat fees, ever |
| Monthly cost | $1,500-2,500/mo | $499-1,099/mo |
| Per-year savings | ~$12K-18K/year |
That's the bottom-line difference. The part that's harder to put on a spreadsheet is the AI investment.
What SimplePractice's AI does
A static AI scribe. You dictate. It transcribes. The end.
What AgenciesForge's AI does
Twenty auto-learning loops that compound every claim, denial, signed note, ERA payment, EVV visit, prior auth, and outcome score:
| Loop | What happens |
|---|---|
| Auto-MCO discovery | New patient's free-text insurance → resolved to Stedi payer code automatically. |
| Auto-credential decoder | Add clinician's license type + state → AI fills state board, verification URL, renewal cycle. |
| Auto-cert-step doc detection | Generated doc auto-classifies which of 53 certification steps it satisfies. |
| Auto-payer-quirk learning | Cron walks denied claims; AI extracts structured rules ("Caresource denies H0036 without HQ modifier"). |
| Auto-fee-schedule learning | Every ERA teaches rolling per-(payer, code) median. Flags claims paid <80% for appeal. |
| Auto-timely-filing learning | Every late-filing denial teaches the agency's tightest deadline. Pre-submit audit warns <14 days. |
| Auto-appeal-template learning | Winning appeal letters persist as templates per (payer, denial kind). Next appeal starts from your win. |
| Auto-prior-auth template | Approved PAs persist as templates. Next request leads with payer-accepted language. |
| Auto-service-code audit | Note sign-time check that procedure code matches noted duration. Suggests swap if mismatched. |
| Auto-clinician-style | Each clinician's signature phrases harvested. Future AI drafts sound like them. |
| Auto-EBP effectiveness | Outcome deltas attributed to recently-mentioned EBPs. Surfaces which interventions actually move scores. |
| Auto-outcome cadence | Per-instrument optimal re-administration interval based on when scores actually move. |
| Auto-safety-plan library | Patient-language phrases from approved plans become autocomplete chips. |
| Auto-clinician-territory | Patient's ZIP → suggested clinician based on neighborhood history. |
| Auto-referral-conversion | Tracks patient → first-paid-claim per referral source. Know which sources convert. |
| Auto-no-show-risk | Heat map by (clinician, day, time). Scheduler warns on high-risk slots. |
| Auto-doc-style learning | Approved policy doc → style fingerprint. Future generations match your voice. |
| Auto-EVV-task library | DSP-typed tasksPerformed becomes autocomplete vocabulary. |
| Auto-MUI-pattern | Surveillance for 3+ MUIs in 90 days per category/patient/staff. |
| Intake-PDF extraction | Bedrock Sonnet vision OCRs intake PDFs into structured chart fields. Operator accepts per section. |
Then on top of that:
- Predictive denial scoring at note-sign — predicts denial probability + concrete fixes before the claim even drafts.
- Federated cross-agency learning (opt-in) — benefit from every other AgenciesForge agency's learned patterns.
- Chart RAG semantic search — "what worked best for Pat's anxiety over 2 years" retrieves the relevant 5 notes via Bedrock Titan v2 embeddings.
- Multi-signal anomaly detection — patient disengagement, clinician quality drift, MUI placement crisis — all cross-correlated daily.
SimplePractice does none of this.
Feature-by-feature
| Capability | SimplePractice + stack | AgenciesForge |
|---|---|---|
| Charting / SOAP notes | ✓ | ✓ |
| Voice dictation (HIPAA via Bedrock) | partial | ✓ |
| AI note drafting | ✓ (static) | ✓ (learns clinician's style) |
| Clearinghouse (837P / 270 / 277 / 835) | separate vendor + fee | built in (Stedi) |
| ePrescribing (DEA EPCS 1311.105) | separate vendor | built in (WENO + EZ Integration) |
| Fax (HIPAA, AI-routed) | separate vendor | built in (iFax) |
| Telehealth (BAA-eligible) | separate (Zoom Health etc.) | built in (Daily.co BAA) |
| Outcomes (PHQ-9, GAD-7, PCL-5, etc.) | separate platform | ✓ |
| EVV (Sandata, HHAeXchange) | not supported | ✓ multi-vendor |
| MUI / incident reporting (DD/IDD) | not supported | ✓ state-specific deadlines |
| OASIS-E + Form 485 + PDGM (HHC) | not supported | ✓ |
| State certification roadmap (50 states) | not supported | ✓ 70+ docs auto-generated |
| Federated cross-agency learning | not possible | ✓ opt-in |
| Predictive denial scoring | not available | ✓ at note-sign |
| Chart RAG semantic search | not available | ✓ |
| Per-clinician pricing | yes (growth penalty) | never |
| HIPAA + BAA on every subprocessor | partial | ✓ full chain |
| SOC 2 Type 1 | claimed | in flight |
What SimplePractice does better (honest list)
- Brand recognition with new clinicians. Around since 2012; we're new. If "who's heard of this?" is your top concern, they win.
- Native mobile app. Real iOS / Android. We're shipping React Native in Q1 (DSP + clinician surfaces first).
- Solo private-practice fit. If you're one therapist, SimplePractice is appropriate-sized. We're built for agencies — depth that's overkill for a single therapist.
- Capterra reviews. They have ~3,000. We're new on the listings. Wait 6 months.
If those are dealbreakers, stay with SimplePractice. Most BH agencies discover the hard limits within 18 months (per-seat fees scaling, integration tax compounding, no DD/IDD or HHC support, no clinical-context AI). Come back then.
How a switch works
- Demo — 30 minutes. We show your real agency on a sandbox.
- Sandbox — your team logs in. Try it for 2 weeks. We import your patient roster from SimplePractice export.
- Pilot — one clinician moves first. Verify the workflow. Other staff watch over their shoulder.
- Migrate — claim history + active patient charts in. SimplePractice data export is well-documented; we have a migration script.
- Cutover — full agency moves to AgenciesForge. SimplePractice cancels at end of cycle. Average migration: 2-3 weeks of part-time work.
Total elapsed time: 30 days. Same time you wait for one of SimplePractice's "new features" to roll out.
FAQ
Will my Capterra/G2 review history transfer?
No — those stay on SimplePractice's listings. You'll review us fresh, or not. Your call.
Can I keep my existing patient portal token magic-links?
No — every patient needs to re-authenticate once. We provide bulk email tools to walk them through it.
Is your clearinghouse really included or is it an add-on?
Stedi clearinghouse is built into every tier from Launch ($249) up. Eligibility checks, claim submission, ERA processing — all native. No separate Stedi account, no separate bill.
What about HIPAA / BAA?
Single BAA covers AgenciesForge + every subprocessor (AWS Bedrock, Firebase, Stedi, WENO, Daily.co, iFax, GCP Translation). Procurement's "vendor risk register" goes from 8 vendors to 1.
Do you support multi-cert agencies (BH + DD + HHC)?
Yes — single platform handles all three service categories simultaneously. SimplePractice doesn't support DD/IDD or HHC at all.
Next step
Pricing claims sourced from SimplePractice public pricing as of 2026-Q2; vendor pricing sources available on request.