The EHR that hears the session, writes the note, and runs the practice.
Signal is one product for the whole job — clinical AI in the room, documentation in eight minutes, and an AI front desk that handles calendar, billing, and the phone. Built for licensed therapists. HIPAA + PIPEDA. $199/practitioner/month, all-inclusive.
- Real-time voice emotion analysis during the session
- 8 clinical note formats — SOAP, DAP, BIRP, GIRP, PIRP, SIRP, PIE, custom
- Amelia AI: web chat, SMS, and a real phone receptionist
- Unlimited US (Stedi) + Canadian (TELUS) insurance claims
Full features. No credit card. Migration help included.
8 minutes
average time to a finished, signed clinical note
Down from 47 minutes self-reported by US private practice therapists.
94%
first-pass acceptance on insurance claims
Amelia learns payer-specific rules from every paid or denied claim.
−38%
no-shows after the first 60 days
AI confirmation calls + risk-scored reminders + waitlist auto-fill.
The product
One platform for the entire arc of a session.
Most therapy software touches one slice — scheduling, or billing, or note-taking. Signal handles the whole arc, from the moment the phone rings to the moment the claim is paid.
01 — In the room
See every emotional shift, without breaking the alliance.
Signal listens to the session and surfaces affect change, regulation patterns, and crisis signals as they happen — quietly, on a sidebar you choose to glance at. No raw audio is stored. Diarization keeps each speaker separate so couples and family work get per-partner tracking.
- Valence, arousal, regulation, and load — five dimensions, one timeline
- Crisis flags fire in under 8 seconds end-to-end
- Per-speaker emotion tracks for couples, family, and group formats
02 — After the session
A finished, signed note in eight minutes.
Stop ending your day with documentation. Pick a format, pick a modality, and Signal drafts a clinical note grounded in what was actually said and felt. You read it, edit anything you want, sign it. The medical-necessity language for insurance writes itself.
- SOAP, DAP, BIRP, GIRP, PIRP, SIRP, PIE — plus your own template
- 16 modalities: CBT, ACT, DBT, EMDR, IFS, Gottman, EFT, and more
- PHQ-9 / GAD-7 outcomes auto-linked to medical-necessity wording
03 — At the front desk
Meet Amelia. She runs the practice while you do the work.
Amelia is your AI front desk: she answers the phone, replies on SMS, books the appointment, sends the intake forms, builds the insurance claim, watches for denials, and offers an open slot to the right person on the waitlist. She gets sharper every week from the outcomes she sees.
- Web chat + SMS included; AI phone receptionist on Voice Amelia
- Auto-builds claims, predicts denials, resolves rejections with learned rules
- 6-factor waitlist matching when a slot opens — typically filled in minutes
Everything inside
The complete EHR. None of the integrations you used to need.
Clinical AI
Real-time voice emotion interpretation
Affect shifts, regulation, and variability surfaced live without breaking flow.
Diagnostic and modality assistance
Formulation prompts grounded in your modality. Your judgment stays central.
EHR-ready notes in 8 formats
SOAP, DAP, GIRP, BIRP, PIRP, SIRP, PIE — plus your custom template.
Couples, family, group support
Per-speaker emotion tracking and dyadic cycle detection.
Practice Management
Multi-practitioner scheduling
Day, week, and team views with drag-and-drop and color-coded sessions.
US + Canada insurance billing
Stedi (3,400+ US payers) and TELUS eClaims (29+ Canadian insurers).
Stripe-powered payments
Auto-invoicing, payment plans, and full A/R aging — built in.
Insurance card OCR
Client snaps a photo. Payer, member ID, group number, and copay extracted instantly.
Advanced
AI room + equipment routing
Optimal room per session, double-booking blocked at the source.
Availability tagging
EMDR Fridays, couples afternoons — Signal suggests tags from your patterns.
QR self check-in
Patients scan in the waiting room; AI predicts wait time and flags missing intake.
AI waitlist auto-fill
6-factor scoring. Open slot → top match offered in minutes.
Telehealth + Web
HIPAA-compliant video, native
LiveKit on GCP. No third-party tabs. Sessions recorded only with explicit consent.
Booking widget for your website
One line of code on Wix, Squarespace, or anything. Bookings sync automatically.
Intake + consent automation
Send forms by secure link, QR, or before the session — done before they walk in.
GFE + 42 CFR Part 2
No Surprises Act and SUD consent tracking — built in, not a checkbox.
The honest comparison
Replace your stack. Not your judgment.
The legacy EHRs were built for billing. Signal was built for the session. We do everything they do — and a few things they don't.
| Capability | Signal EHR $199/mo | SimplePractice $99–199/mo | Jane App CAD $79–119 + add-ons/mo | TherapyNotes $59–99 + per provider/mo |
|---|---|---|---|---|
| Real-time clinical AI in session | Yes — built in | Limited / add-on | — | — |
| AI clinical notes (8 formats) | Yes — built in | Yes | Limited / add-on | Yes |
| Voice emotion + affect timeline | Yes | — | — | — |
| AI front-desk agent (chat + SMS + phone) | Yes | — | — | — |
| Self-learning insurance billing | Yes — built in | Yes | Limited / add-on | Yes |
| Canadian direct billing (TELUS eClaims) | Yes | — | Yes | — |
| Embeddable booking widget for any website | Yes | Yes | Yes | Limited / add-on |
Pricing is publicly listed by each provider as of 2026. Add-on costs (Jane Thrive, premium tiers) included where applicable.
Pricing
One number. The whole platform.
Signal Intelligence
Everything in Signal — clinical AI, 8 note formats, Amelia on web + SMS, telehealth, unlimited US + CA insurance claims, multi-clinic RBAC. Admins and receptionists are free.
Add-on
Voice Amelia
$99.99/clinic/month
AI phone receptionist on a real number. One line included. Additional lines $49.99 each.
Overage
$1.50/hr
Past the 100 hrs/mo of emotion analysis included.
Security & compliance
Built so the audit is the easy part.
AES-256 in transit and at rest. Zero raw audio storage — only transcripts and embeddings, with explicit consent. SOC 2-aligned infrastructure. Signed BAAs. Audit logging on every PHI access. Regional controls for every jurisdiction we serve.
HIPAA
US healthcare privacy
PIPEDA
Canada federal privacy
PHIPA
Ontario health privacy
Law 25
Quebec data protection
HIA
Alberta health information
SOC 2
Security infrastructure
Common questions
Answers, before you ask.
Anything else? Email hello@signalehr.com — a real human reads it.
What does Signal actually do that my current EHR doesn't?
Three things, in one product. Real-time clinical AI during the session — affect, regulation, crisis signals. AI documentation that produces a finished, signed note in roughly eight minutes. And Amelia, an AI front-desk agent that handles scheduling, billing, intake, and waitlists across web chat, SMS, and (with Voice Amelia) a real phone line.
How does pricing work?
$199 per practitioner per month, all-inclusive. That covers 100 hours per month of real-time emotion analysis and AI notes, Amelia for calendar/billing/client management on web and SMS, unlimited US and Canadian insurance claims, telehealth, and multi-clinic role-based access. Admins and receptionists are free — only practitioners are billed. Voice Amelia (AI phone receptionist) is +$99.99/month per clinic for one phone line; additional lines are $49.99. Overage past 100 hrs is $1.50/hr. 14-day free trial, no credit card.
Is Signal HIPAA and PIPEDA compliant?
Yes. AES-256 encryption in transit and at rest, zero raw audio storage (transcripts and embeddings only, with explicit consent), SOC 2-aligned infrastructure, signed BAAs, audit logging on every PHI access, and regional controls for HIPAA, PIPEDA, PHIPA, Law 25, HIA, PIPA, CMIA, and SHIELD.
Does Signal replace therapist judgment?
No. Signal is decision support. It surfaces patterns and drafts documentation; the clinician is the authority on every clinical decision and signs off on every note before it leaves the system.
Which clinical note formats are supported?
SOAP, DAP, GIRP, BIRP, PIRP, SIRP, PIE, plus your own custom template. Notes are tailored to your selected modality (16 supported, including CBT, ACT, DBT, EMDR, IFS, EFT, Gottman, Schema, Narrative, MI).
Can Signal handle couples and family work?
Yes. Per-speaker diarization gives you separate emotion tracks for each partner. Cycle detection surfaces pursue–withdraw, criticize–defend, and other relational patterns. Couples-specific note formats are included.
Does the insurance billing actually work for both US and Canada?
US: 837P electronic claims via Stedi to 3,400+ payers, real-time eligibility verification, ERA auto-posting. Canada: direct billing through TELUS eClaims for 29+ insurers with instant adjudication; insurance receipts generated for any insurer not on TELUS. Amelia learns payer-specific rules and gets sharper every claim.
Can I migrate from SimplePractice / Jane / TherapyNotes?
Yes. We import clients, appointments, and historical notes. Most practices are running parallel within a week and fully cut over inside 30 days. The 14-day trial is the full product — you can do most of the migration during it.
Try the EHR built for the work — not the billing department.
Fourteen days. Full product. No credit card. Migration help from a real human if you want it.