ABA / BH EHR Billing Comparison — CentralReach vs Ensora vs SimplePractice 2026
Choosing an ABA/BH EHR is one of the biggest RCM decisions a growing practice makes. Here’s the 2026 buyer comparison across the top platforms.
Feature Comparison
| Feature | CentralReach | Ensora (formerly Rethink+CR merger) | SimplePractice |
|---|---|---|---|
| ABA-specific 97153/97155 workflow | Yes (native) | Yes (native) | Limited |
| Multi-state scaling | Excellent | Excellent | Good under 20 clinicians |
| Native billing engine | Yes | Yes | Yes (basic) |
| MHPAEA parity appeal workflow | Manual | Manual | Manual |
| Cost (per clinician/mo) | $150-$300 | $150-$300 | $50-$100 |
The Common Gap — All Three EHRs Have It
None of these EHRs handle MHPAEA parity appeals automatically. All three surface denials but don’t build appeal letters or track NQTL analysis. You need a specialty BH RCM firm to bridge that gap — recovers 12-18% of BH commercial denials.
Case Study — Outsource Layer Over Any EHR
12-site BH provider on CentralReach + Revenant Care specialty RCM overlay. Denial rate 12.3% → 5.7%. MHPAEA parity $184K. $1.04M cash recovered in 90 days. Full case study.
Free 30-day EHR-agnostic audit · Pricing 4-8%
– KD, Revenant Care