Solo therapists wanting simple payment processing; Clinicians needing HIPAA-compliant card processing; Practices wanting to avoid monthly fees
Therapists seeking high client volume without marketing or billing hassles; Licensed counselors wanting flexible part-time or full-time telehealth work; Providers comfortable with daily text-based therapeutic communication
Best For
IvyPay
Solo therapists wanting simple payment processing; Clinicians needing HIPAA-compliant card processing; Practices wanting to avoid monthly fees
BetterHelp
Therapists seeking high client volume without marketing or billing hassles; Licensed counselors wanting flexible part-time or full-time telehealth work; Providers comfortable with daily text-based therapeutic communication
Pricing
Starting Price
2.75% per transaction
No upfront cost
Starting Price
IvyPay
2.75% per transaction
BetterHelp
No upfront cost
Pricing Model
usage-based
enterprise-custom
Pricing Model
IvyPay
usage-based
BetterHelp
enterprise-custom
Free Trial
No free trial
Free tier available
Free Trial
IvyPay
No free trial
BetterHelp
Free tier available
Pricing Details
HIPAA-compliant payment processing built for therapists. Simple flat-rate pricing compares favorably to Square (2.6% + 10¢) and Stripe (2.9% + 30¢) for typical therapy session costs. No long-term contracts required.
Free to join as a provider. No insurance billing - all self-pay subscription clients. BetterHelp handles all billing, client acquisition, and platform infrastructure. Pay is engagement-based, not traditional per-session.
Pricing Details
IvyPay
HIPAA-compliant payment processing built for therapists. Simple flat-rate pricing compares favorably to Square (2.6% + 10¢) and Stripe (2.9% + 30¢) for typical therapy session costs. No long-term contracts required.
BetterHelp
Free to join as a provider. No insurance billing - all self-pay subscription clients. BetterHelp handles all billing, client acquisition, and platform infrastructure. Pay is engagement-based, not traditional per-session.
Compliance & Security
HIPAA Compliant
Yes
Yes
HIPAA Compliant
IvyPay
Yes
BetterHelp
Yes
BAA Available
Yes
Yes
BAA Available
IvyPay
Yes
BetterHelp
Yes
SOC 2 Certified
Unknown
Unknown
SOC 2 Certified
IvyPay
Unknown
BetterHelp
Unknown
HITRUST Certified
Unknown
Unknown
HITRUST Certified
IvyPay
Unknown
BetterHelp
Unknown
Features
Mobile App
Yes
Yes
Mobile App
IvyPay
Yes
BetterHelp
Yes
Mental Health Specific
Yes
Yes
Mental Health Specific
IvyPay
Yes
BetterHelp
Yes
Integrations
Total Integrations
5 integrations
None listed
Total Integrations
IvyPay
5 integrations
BetterHelp
None listed
Clearinghouse
None
None
Clearinghouse
IvyPay
None
BetterHelp
None
Billing Features
Claims Submission
No
No
Claims Submission
IvyPay
No
BetterHelp
No
Eligibility Verification
No
No
Eligibility Verification
IvyPay
No
BetterHelp
No
ERA Processing
Yes
No
ERA Processing
IvyPay
Yes
BetterHelp
No
Support & Fit
Practice Sizes
Solo, Small (2-10)
Solo, Small (2-10)
Practice Sizes
IvyPay
Solo, Small (2-10)
BetterHelp
Solo, Small (2-10)
Customer Base
Unknown
Unknown
Customer Base
IvyPay
Unknown
BetterHelp
Unknown
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