Seeing clients through Headway or Alma? See what you'd keep with your own practice
Cima

For therapists, nurse practitioners and growing practices

Your own practice.
Your own rates.
One simple EHR.

Scheduling, text reminders, notes, insurance claims and e-prescribing in one place, built by clinicians who run a practice. No percentage of your pay, ever.

Start your free trial

30 days free. No card to start. Month to month. Your data exports free, any time.

✓ HIPAA Business Associate Agreement with every account✓ Two-step sign-in for every user✓ Encrypted and hosted in the US✓ Every chart view logged

See it in action

Short videos of the real app, with made-up clients. Under a minute each.

From the visit to a signed noteThe note opens with the visit filled in; sign with your PIN and the claim is created.
Clients book on their phoneYour booking page shows your open hours. They request; you accept.
Accept, confirm, remindOne click books the visit, confirms it by text and email, and sends a new client their paperwork.
Paperwork before they walk inDetails, PHQ-9 and GAD-7, consents signed with a finger.
Claims checked, sent and paidWhat to fix and where, one-click sending, payments posted from the remittance.
Groups and programsOne summary, each client's own entry, attendance against each level of care.

Made for the way you practice

Start solo. Add clinicians. Open a program. Same system, same clients, same history.

Therapists and counselors

Progress notes in minutes, codes picked from session length, superbills, and clients who book and fill in their forms on their phone.

See the features →

Nurse practitioners

Psychiatric and family NPs: medication management and E/M visits, e-prescribing, PHQ-9 and GAD-7 with safety alerts, and claims checked before they go.

For NPs →

Group practices

Each clinician sees their own caseload, associates' notes go to their supervisor to co-sign, and the owner sees the whole practice and its numbers.

Pricing →

IOP and PHP programs

Levels of care, group notes with each client's own entry, attendance and hours, per diem billing, and continued-stay reviews before authorizations end.

Programs →

Scheduling

A full calendar, without the phone tag

  • Text and email reminders, a day or two ahead. Clients reply C to confirm.
  • Your own booking page: clients request a time from your open hours.
  • Sees your personal calendar's busy times, and shows your visits in Google, Outlook or Apple Calendar.
  • No-show and late-cancel fees in one click.
The calendar, week view, with the day's visits

Notes

Notes that are done when the session is

  • Therapy, intake, psychiatric evaluation, medication management, medical visit, treatment plan and discharge templates.
  • Type or dictate a few lines; AI drafts the note in your words for you to review and sign.
  • Sign with your PIN. Signed means locked; corrections are dated addenda.
  • Tells you what's missing before you sign, so the note holds up to an audit.
A psychotherapy progress note with its billing box

Billing

Claims checked before they go out

  • Signing the note creates the charge, with the right code, modifier and place of service.
  • Each claim is checked for what payers reject: NPIs, payer and member IDs, diagnoses, authorizations, filing limits.
  • Insurance checked automatically the night before each visit.
  • Payments, statements, superbills and AR aging. Give your biller their own login.
A claim showing exactly what to fix before sending

The client's side

Paperwork done before they walk in

  • Send intake forms and consents by text or email. Clients sign with a finger on their phone.
  • PHQ-9 and GAD-7 scored for you. A safety answer alerts the clinician right away.
  • Their updated address and insurance wait for your OK before changing the chart.
A client's chart: billing, statement and superbill

When you're ready to grow

Open an IOP or PHP on the same system

  • Group schedule and group notes: one summary, each client's own entry, one PIN to sign them all.
  • Attendance and hours against each level of care, and one per diem charge per qualifying day.
  • Authorizations tracked, and continued-stay reviews prompted before they run out.
  • From the people who run one: policies, forms and help getting licensed and credentialed.
Program attendance: each client's hours by day against their level of care

Headway, Alma and others

Getting started on a platform is easy. Staying on one costs you.

Credentialing networks get you paneled fast, but they set your rate and keep part of every session, or charge a monthly fee and pay you their rate. Your own contracts mean the full allowed amount, your own client list and your own name.

See the math for your caseload
25 insurance sessions a week at a $120 allowed rate
$36,000
a year, at the 25% share analysts estimate Headway keeps*
Cima Solo
$708
a year, claims included

*Sacra's estimate of 25–30%; Headway doesn't publish it. Your own contract rates differ by payer and state.

Simple pricing. No percentage, ever.

Every plan: unlimited clients, claims, reminders, online booking, client paperwork, AI note help and free export.

Each added clinician is $39/month. Billing and front-desk logins are free. Text messages included at normal volume.

Switch in an afternoon

1

Start your trial

Your practice gets its own private database and a Business Associate Agreement from day one.

2

Bring your clients

Export your client list from SimplePractice, TherapyNotes, Headway or a spreadsheet and import it in minutes.

3

Send paperwork and book

Text your clients their forms and booking link. Reminders start on their own.

Questions

Is it HIPAA compliant?

Yes. We sign a Business Associate Agreement with every practice at sign-up. Records are encrypted and hosted in the US on HIPAA-eligible cloud services, every user signs in with two steps, and every view of a chart is logged in a record that can't be changed. Texts never include what a visit is for.

Do I need my own insurance contracts?

To bill insurance under your name, yes. Credentialing usually takes 60–120 days per payer. Until then, many clinicians keep seeing some clients through a network while they move the rest. Ask us about help with credentialing.

Can I e-prescribe, including controlled substances?

E-prescribing comes with the Prescriber plan through a certified network, with two-factor sign-off for controlled substances. We're finishing the e-prescribing connection now; tell us at sign-up and we'll switch it on for you as soon as it's live.

Who owns my records?

You do. Download your whole practice, or one client's whole chart as a PDF, whenever you want, including after you cancel.

What happens when the trial ends?

Add a card to keep going. If you don't, nothing is deleted: your records stay readable and exportable, and you just can't add new ones.

Can my biller use it?

Yes, with a free billing login. They see insurance and claims, never your notes, and can download claims as standard 837P files.

Build the practice you meant to build.

Free for 30 days. Set up in an afternoon.

Start your free trial