Updox vs. TheraNest by Ensora Health

With over 470k users, 68k physicians, 150 million patients and 150+ EHR integrations, Updox empowers physicians, pharmacists and other healthcare providers and staff to be more efficient and effective. We provide HIPAA-compliant electronic fax, secure text & SMS, video chat, patient reminders, broadcast messaging and so much more.

TheraNest®️ is a cloud-based EHR and practice management platform built for mental and behavioral health. Developed by Ensora Health, it combines clinical documentation, insurance billing, scheduling, HIPAA-compliant telehealth, e-prescribing, and a client portal in one system for solo therapists, group practices, and mid-size behavioral health organizations. New in 2026 is Ensai℠, Ensora's AI. Ensai drafts progress notes from telehealth and in-person sessions, polishes notes clinicians write themselves, and compiles signed documentation into case summaries.