Psychiatry and behavioral health run on symptom trajectories, medication histories, prior authorizations and long therapeutic relationships. Penna is designed around exactly that — with the documentation, measurement and billing work pulled off your desk instead of piled onto it.
Founding practices get hands-on onboarding and migration support included.
Most systems were built for fifteen-minute primary care visits and retrofitted for behavioral health. The result is a chart that can't show you whether a patient is getting better, a billing flow that ignores how psych codes actually pay, and a note-writing burden that follows clinicians home.
PHQ-9, GAD-7, and the rest are collected on a cadence you set, scored automatically and charted over time — so response, remission and deterioration are visible in the chart rather than buried in a PDF from four months ago.
An assistant that tightens, expands, proofreads and restructures your note into clean SOAP form. You write the clinical substance; it does the shaping. Nothing reaches the chart without a clinician reviewing and signing it.
Real-time benefits checks, electronic claim submission, claim status, payment posting and a prior-auth queue that surfaces what's expiring — in the same system as the chart, not a separate portal your biller logs into.
Penna was built in the last eighteen months on a stack chosen for real-time data, strict tenant isolation and auditability. A few of the decisions that matter to you.
Every surface is a live subscription to the record — not a page you refresh. When intake forms come back, a fax lands, or a benefits check clears, it appears in the chart and on the day sheet immediately, for everyone who should see it.
The assistant works on the note the clinician has open — it never writes to the chart on its own, and every call is recorded in the audit log as a disclosure. Patient data is not used to train models, and no AI output becomes part of the record until a clinician reviews and signs it.
Benefits checks, professional claims and status inquiries run over modern payer APIs rather than overnight batch file drops — which is why a benefits check answers in seconds inside the chart, and why a claim's status is a field rather than a phone call.
Telehealth runs over encrypted media between the participants and our video infrastructure, which is covered by a business associate agreement. Sessions aren't recorded.
Which practice you belong to is resolved on the server from your signed-in identity — never from anything the browser sends, so it can't be tampered with by a modified client. A continuous-integration check flags backend functions that skip our authorization helpers.
No version numbers, no upgrade projects, no "that's fixed in the next release." Changes are tested on a separate pilot environment and promoted to production through a reviewed release gate.
Included on every plan. No modules to unlock, no per-feature upcharge.
Structured psychiatric and therapy notes with per-clinician templates, plus an AI assistant that tightens and reformats your draft. You sign.
PHQ-9, GAD-7 and custom instruments on a screening cadence you define, auto-scored and trended in the chart.
Prescribe from the chart with medication history; scripts mirror back into the medication list. Controlled substances (EPCS) need DEA identity proofing per prescriber and are on the roadmap.
Invoice patients for copays, balances and cash-pay sessions, and collect by card through an authenticated checkout that settles to your own merchant account.
Per-clinician calendars, recurring appointments, patient self-scheduling, and a day sheet that shows what's missing before the visit.
Real-time eligibility, professional claim submission, claim status and payment posting — with a psychiatric code set and fee schedule preloaded.
A work queue bucketed by what needs attention, what's pending the payer, and what expires soon — so nothing lapses mid-treatment.
Secure messaging, intake and consent forms, appointments, measures and statements. Patients complete forms before they arrive.
One-click video from the appointment. No separate app, no separate subscription, no separate vendor for your patients to install.
Send and receive from inside the app. Inbound faxes are malware-scanned and triaged to the right chart — because referrals and records requests still arrive this way.
Build intake packets, consents and custom instruments without waiting on us. Assign to patients; responses land as structured chart data.
Practice, clinician and outcome reporting, internal quality-measure dashboards, and custom reports you define yourself.
A practice base, a price per additional clinician, and e-prescribing charged separately for the clinicians who actually prescribe. They stack — they aren't plans to choose between. Insurance transactions come with a monthly maximum per clinician, and both the maximum and the rate past it are published below. No implementation fee, no annual contract.
Practice base + a seat for each additional clinician + e-prescribing for each prescriber
Your practice and your first clinician seat. Every clinical feature, no tiers.
Each additional therapist, counselor or clinician on your team.
Charged separately, and only for clinicians who prescribe. Therapists and counsellors never pay it.
Everything clinical is unlimited. Insurance transactions are the one thing that isn't: each eligibility check and claim costs real money at the payer end, so instead of burying a markup in your subscription we set a monthly maximum and publish the rate past it. Maximums are per clinician seat and pool across the whole practice — a light month for one clinician covers a heavy month for another. A cash-pay practice never touches them.
| Every month | Monthly maximum | Past the maximum |
|---|---|---|
| Patients, appointments, notes, portal accountsCharting, scheduling, telehealth, forms, messaging, reporting | No limit | — |
| Insurance eligibility checksReal-time benefits verification | 15 | $0.40 each |
| Claim submissionsElectronic professional claims (837P) | 25 | $0.75 each |
| Claim status inquiriesAutomatic follow-up on unpaid claims | 5 | $0.40 each |
| Fax pagesSent and received, on your dedicated number | 1,000 per practice | $0.06 / page |
| E-prescriptionsFor each seat with the e-prescribing add-on | No limit | — |
A solo cash-pay therapist pays $299/month, full stop. A 4-clinician insurance practice with 2 prescribers runs $794 in subscription plus roughly $290 of payer transactions at typical volume — about $270 per clinician, all in.
Penna operates as your business associate and signs a BAA with every practice. Here is specifically what that means in the product — stated plainly, without the usual hand-waving.
PHI is encrypted in transit and at rest. The application front end serves no patient data at all — your browser talks to the record store directly over an authenticated channel.
Creates, changes, signatures and disclosures are written to an audit log that no application code path can modify or delete. Access-event coverage and long-term retention export are being expanded ahead of general availability.
New documents and inbound faxes are malware-scanned before they can be opened from a chart — anything flagged or unscanned is blocked — with file-type and size limits enforced server-side.
Managed daily backups of the production database, with a documented and tested restore procedure.
Clinical, billing and administrative roles see different surfaces, and those permissions are checked on the server rather than merely hidden in the interface.
Your AI drafts run inside our own AWS environment, under the same HIPAA business associate agreement as the rest of the platform. Prompts and completions are not stored or used to train models, and the model vendor’s staff have no access to the infrastructure it runs on. Every AI-assisted draft is reviewed and signed by a clinician before it becomes part of the record.
We go live September 1, 2026, and we're onboarding a limited number of founding practices before then. Tell us a little about your practice and we'll get back to you with a walkthrough, a migration plan and your place in the queue.
Founding practices get onboarding, chart migration and configuration included, and locked pricing for the first year.
The assistant operates on the note the clinician has open — it doesn't roam the chart, and it can't write to the record on its own. Every call is logged in the audit trail as a disclosure. We contract with our AI provider on a no-training, no-retention basis. Nothing an AI produces enters the record without a clinician reviewing and signing it: the clinician remains the author of every note, and every clinical decision stays theirs.
We do migrations hands-on for founding practices rather than pointing you at an importer and wishing you luck. What comes across as structured data versus archived documents depends entirely on what your current system will export. Tell us what you're on now and we'll scope it honestly — including anything that won't migrate cleanly — before you commit to anything.
You do — Penna gives your biller the tools rather than taking a percentage of your collections. Eligibility, claim submission, claim status and payment posting all live in the app, with a psychiatric code set and fee schedule preloaded. You'll need to complete payer enrollment for each payer you bill and provide your practice's billing identity, both of which we walk you through during onboarding.
Overage is billed at the published per-transaction rate and we notify you before you get there. Allowances pool across all your clinician seats, so a heavy biller is offset by a lighter one. Nothing stops working and no claim is ever blocked because of a billing threshold.
Controlled-substance prescribing (EPCS) requires DEA identity proofing and two-factor signing for each prescriber, and it's on the roadmap with our prescribing partner rather than available today. Since that matters enormously in psychiatry, we'd rather tell you real timing during onboarding than promise a date we don't control.
No. Month to month, no implementation fee, and you can add or remove clinician seats any month. If you leave, we produce a complete structured export of your practice's data as part of offboarding — it's your record, and that's written into the BAA.
Yes. If you don't bill insurance you never touch the transaction allowances, so a solo cash-pay practice is a flat $299 a month — charting, scheduling, telehealth, portal, forms, outcome measures and patient invoicing, with card payments collected through an authenticated checkout that deposits directly to your own merchant account. We never hold your money and card details never touch the chart. Add e-prescribing only if you prescribe.