# Signal EHR — AI Clinical Intelligence Platform for Therapists
# https://signalehr.com
# Last updated: 2026-04-03

## What is Signal?
Signal is the AI-first EHR (Electronic Health Records) and clinical intelligence platform built for licensed therapists. It combines real-time voice emotion analysis, AI clinical documentation, and Amelia — an autonomous AI practice manager — in one integrated platform.

## Who is it for?
Licensed therapists, psychologists, counselors, and clinical social workers in the United States and Canada. Supports solo practitioners and multi-clinic group practices.

## Pricing
- Signal Intelligence: $199/practitioner/month (all-inclusive)
  - 100 hours/month real-time emotion analysis
  - AI clinical notes (SOAP, DAP, BIRP, GIRP, PIRP, SIRP, PIE)
  - Amelia AI practice manager (scheduling, billing, client management)
  - Unlimited US and Canadian insurance claims
  - HIPAA-compliant telehealth via LiveKit
  - Multi-clinic RBAC with unlimited admin/receptionist seats (free)
  - Overage: $1.50/hour past 100 hours
- Amelia Voice (AI phone receptionist): $99.99/month per clinic
  - Additional phone lines: $49.99/month each
- Free trial: 14 days, full features, no credit card required
- Monthly billing, cancel anytime

## Core Features

### Clinical Intelligence
- Real-time voice emotion analysis with <200ms latency
- 7 clinical note formats automatically generated
- 16 therapeutic modality support (CBT, ACT, DBT, EMDR, IFS, EFT, Gottman, etc.)
- Couples therapy with dyadic analysis and relational cycle detection
- Crisis and risk detection across 6 clinical domains
- Living treatment plans that auto-update after every session
- Therapist wellbeing and burnout tracking

### Amelia AI Practice Manager
- Multi-model AI routing (Claude Sonnet for complex reasoning, Gemini Flash for speed)
- Intelligent scheduling with multi-practitioner calendar views
- Self-learning billing agent (improves with every claim outcome)
- AI no-show prediction with 6-factor probability model
- Priority waitlist (P1-P4) with auto-matching on cancellations
- Daily morning briefings with prioritized action items
- Utilization monitoring with fill rate alerts
- Smart overbooking recommendations for high no-show practitioners
- Multi-channel communication: web chat, SMS, email, voice in unified threads
- Vacation/sick day coverage orchestration with consent-based client reassignment
- Dropout risk prediction and proactive outreach

### Insurance Billing
- US: Electronic 837P claims to 3,400+ payers via Stedi
- US: Real-time eligibility verification (270/271)
- US: ERA auto-posting (835)
- Canada: TELUS eClaims direct billing to 29+ insurers
- AI claim scrubbing with denial prediction
- Good Faith Estimates (No Surprises Act compliance)
- 42 CFR Part 2 consent tracking for substance use disorder records

### Practice Management
- Stripe-powered payments with auto-invoicing and payment plans
- AI room and equipment management with conflict detection
- Availability tagging with AI auto-suggestions
- QR code patient self check-in with AI wait prediction
- Insurance card OCR (photo upload auto-populates billing)
- Practice website builder (included free)
- Marketing automation: AI blog generation, lead capture, drip campaigns
- Webhooks and Zapier integration (5,000+ apps)

## Compliance
- HIPAA (US healthcare privacy)
- PIPEDA (Canada federal privacy)
- HIA (Alberta health information)
- SOC 2-aligned infrastructure
- AES-256 encryption at rest and in transit
- Zero raw audio storage policy

## Technical
- 695+ API endpoints
- Next.js 15 frontend, FastAPI backend
- PostgreSQL + Firestore dual-write architecture
- Deployed on Google Cloud Run

## Comparison with Competitors
Signal vs SimplePractice: Signal adds AI emotion analysis, Amelia AI agent, no-show prediction, and self-learning billing. SimplePractice has no clinical AI.
Signal vs Jane App: Signal includes all Jane Thrive scheduling features plus AI enhancements. Jane has no emotion analysis or AI billing.
Signal vs TherapyNotes: Signal adds real-time intelligence and Amelia practice automation. TherapyNotes is documentation-focused without AI.
Signal vs Mentalyc: Both offer AI notes, but Signal adds real-time emotion analysis, practice management, billing, and Amelia agent. Mentalyc is notes-only.

## Links
- Website: https://signalehr.com
- Compare: https://signalehr.com/compare
- Blog: https://signalehr.com/blog
- Find a Therapist Directory: https://signalehr.com/directory
- Privacy Policy: https://signalehr.com/privacy
- Terms: https://signalehr.com/terms
- Start Free Trial: https://signalehr.com/login

## Contact
- Support: support@therapreneur.app
- Privacy: privacy@therapreneur.app