Mental health practice management

Billing + EHR

The EHR built for out-of-network therapists

All of our billing tools, plus notes, patient portals, and reminders. $25 a month with an annual plan.

Start 30-day free trial

Billing Essentials

Already have an EHR? Try us just for billing

Just the billing side of FiftyMinutes, without notes or the patient portal. No subscription fee.

Start billing for free

FiftyMinutes calendar with color-coded payment statuses

Introducing1%

ACH bank transfers

All private pay income comes from charging patients, so credit card fees add up. Other EHRs don't offer bank transfers at all – we built our HIPAA-compliant EHR around it.

Our ACH payments are a fraction of typical card processing but we've included credit cards for good measure:

ACH bank transfers: 1% fee
Credit Cards: 3.1% + 30¢

HIPAA-Compliant and Secure

Signed BAA
AES-256 encryption
No data selling or patient tracking

Why therapists choose FiftyMinutes

The best thing about FiftyMinutes is that it saves me hundreds of dollars each month with a payment method that charges a 1% fee for most transactions. I love that I can bill patients directly through the platform.
It’s a tremendously helpful tool. It makes my work as a therapist much easier and more effective and it's easy to move around the platform to complete basic tasks in a flash.
I feel confident my work stays confidential. I’m assured that the data I enter is fully encrypted and the company will never track or sell it.

Guy Albert, PhD

Licensed Psychologist

Certified Jungian Analyst

guyalbert.com

FiftyMinutes is carefully designed for the private practitioner like myself, who works with private pay individuals and groups. After using a major EHR for over a decade, I was looking for one tailored to my needs, which I found with FiftyMinutes.
I feel productive using the app, it has a pleasing design with handy visual cues of what I’ve accomplished and what I still need to complete. I find myself not procrastinating doing my notes. Sharing the same note among members of a group and then personalizing each one makes my documentation a breeze.
As a small, therapist-run company, their customer service feels personal, a breath of fresh air in today's digitized world.

Ildiko Gabor, LMFT, CGP

Licensed Marriage and Family Therapist

Certified Group Psychotherapist

ildikogabor.com

How much could you save?

We’re the only mental health EHR with 1% ACH bank transfers — a fraction of the 3%+ credit-card fees that quietly eat into private-pay income.

Slide to estimate your annual savings with FiftyMinutes.

Your annual income$50,000

Your current EHR monthly cost$50

Your current EHR and billing fees

standard 3% card charges

$2,100

FiftyMinutes pricing

1% bank transfers + $25/mo (paid yearly)

$800

Your potential annual savings

$1,300

A partner in your practice's success

Therapist-Built

Every feature came from the insights of real day-to-day clinical therapy work.

Our Mission

Our goal is to help those that help others. We've created a secure EHR that's actually enjoyable to use and saves therapists time and money.

Independently-Owned

No outside investors. We answer to therapists, not a board. Every product decision starts with what helps your practice.

Giving Back

We believe in supporting the larger mental health community. Every year, we pledge to donate 1% of our earnings to non-profit clinics or community mental health initiatives.

Extended Free Trials

Graduate students, supervised trainees, and recent graduates get a 180-day free trial, so future clinicians can focus on their training, not their software.

We never sell your data — or track your patients.

Not now, or ever.

See it in action

A clean, re-imagined EHR interface.

Home page

We built everything you need

Therapist-designed, for therapists.

Unique
features

Only mental health EHR with 1% ACH bank transfers
Real-time, color-coded payment status on your calendar
Progress and private process notes in one window
Couples & group notes — per patient or shared
One click marks sessions complete and generates bills — two clicks to batch-charge all bills
1% of revenue donated to mental-health nonprofits

Billing & Payments

Stripe Payment Options

ACH billing at a low 1% fee or credit card processing at 3.1% plus 30 cents per transaction.

Batch Billing

Send bills for a day, week, or month of recurring sessions with minimal clicks.

Real-Time Payment Status

Color-coded calendar shows sent, processing, or deposited — at a glance.

Earnings Analysis

Track real-time earnings across a day, week, month, or year as payments process.

Off-Platform Payments

Mark sessions paid by cash, Venmo, Zelle, or check — tracked alongside everything else.

Clinical Documentation

Automated Superbills

Generate professional superbills patients can submit for insurance reimbursement.

Progress Notes

Custom templates plus one-click “copy previous note” — finish documentation faster.

Therapist Process Notes

Record clinical reflections separately, kept private from the chart.

Document Uploads

Upload patient PDFs. Download notes and superbills anytime.

Practice Management

Dynamic Calendar

Day, week, and month views with color-coded payment status, recurring appointments, and time blocks.

Couples & Group Therapy

Assign patients to a couple or group, schedule shared appointments, and write individual progress notes for each — or copy one note to everyone at once.

ICD-10 Search

Quickly find and assign F-codes, automatically applying them to superbills.

Works on Any Device

Full functionality on phone, tablet, laptop, or desktop.

Licensure & Supervision

Enter multiple licenses for different states, indicate supervisee status if needed.

Patient Experience

Patient Portal

Patients can independently access superbills, recent activity, Good Faith Estimates, or e-sign forms. Choose which features you’d like to enable.

Patient E-Signatures

Upload any form once, send to any patient — signatures collected digitally, stored in the chart automatically.

Good Faith Estimates

Customize per patient, accessible from the patient portal.

Automated Reminders

Patients get email reminders for upcoming appointments.

A forward-thinking workflow

Add patients, then:

Create recurring appointments

With a single click:

Mark appointments as complete

(records superbill info & auto-generates bills)

With two clicks:

Use batch billing to charge multiple bills at once

At a glance:

Track color-coded payment statuses in the calendar

Once access is granted:

Patients can view & download superbills independently from their portal

Plans

Compare what’s included in each plan.

Feature comparison between Billing Essentials and Billing + EHR
Feature	Billing Essentials	Billing + EHR
	Billing & scheduling	Billing Essentials featuresand more
Subscription	No subscription fee	As low as $25/mo
HIPAA-compliant / BAA
ACH / bank transfers
Credit card billing
Batch billing
Color-coded payment statuses
Calendar(for recurring patient appointments)
Patient profiles
ICD 10 code search
Earnings analytics
Downloadable superbills
Automated superbills(via patient portal)
Patient portal
Send & e-sign consent forms
Good Faith Estimates
Document upload
Clinical notes
Process notes
Automated appointment reminders
Non-clinical timeblocks in calendar