Start with the Penna Core — complete charting, scheduling, telehealth and a patient portal. Then snap on e-prescribing and insurance billing as your practice grows. Pay only for what you use. Never for what you don't.
Most systems force every kind of practice through the same generic chart. The result: records that can't show whether a patient is getting better, billing flows that ignore how your codes actually pay, and a note-writing burden that follows clinicians home. Penna shapes the same modular core around how you practice.
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.
The same core — charting, scheduling, telehealth, portal and billing — shaped around your specialty's templates, code sets and workflows.
Psychiatry, therapy and counseling — structured psychiatric notes, measurement-based care with PHQ-9 and GAD-7, a psychiatric code set and fee schedule, and prior-auth tracking built into the chart.
Primary care visit flows — problem lists, vitals and histories, preventive-care tracking and same-day scheduling, with e-prescribing and eligibility checks in the same chart your MAs and billers work from.
Evaluations, plans of care, visit-by-visit progress notes and authorization tracking — the documentation a PT clinic actually needs. This care model is still being built, and none of it ships yet.
The Core covers the clinical day end to end. Add-on modules extend it — and only the practices that need them pay for them.
Structured psychiatric and therapy notes with an AI assistant that tightens, expands and reformats your draft into clean SOAP form. You review, you sign — always.
In the CorePHQ-9, GAD-7 and custom instruments on a cadence you set — auto-scored, trended in the chart, so progress and deterioration are visible at a glance.
In the CorePer-clinician calendars, recurring visits, patient self-scheduling and one-click encrypted video from the appointment. No separate app for your patients.
In the CoreSecure messaging, intake packets, consents, outcome measures and statements. Patients complete forms before they arrive; responses land as structured chart data.
In the CoreReal-time eligibility, electronic claims, claim status, payment posting and a prior-auth queue — with your specialty's code set preloaded. Cash-pay? Ignore it entirely.
Included · pay-per-use past allowancePrescribe from the chart with medication history; scripts mirror back into the medication list. Only prescribers pay for it — therapists never do. EPCS on the roadmap.
Add-on · $99/prescriber/moCore at $349/month including your first clinician. Each additional clinician is $99. E-prescribing is $99 per prescriber — and only prescribers pay it. That's the whole model.
The Core includes up to 10 staff and biller logins; each additional 5 is $100 per month. Insurance billing is included with monthly transaction allowances per seat — past them, rates are published below. Cash-pay practices never touch them. No setup fees. No annual contract.
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 | — |
| Staff & biller loginsNon-clinician logins across the practice | 10 | $100 / mo per 5 more |
| 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 | — |
Penna operates as your business associate and signs a BAA with every practice. Here's what that means in the product — plainly.
PHI is encrypted end to end; the app front end serves no patient data at all.
Creates, changes, signatures and disclosures — recorded where no code path can modify or delete them.
Clinical, billing and admin roles see different surfaces — checked on the server, not hidden in the UI.
Documents and inbound faxes are scanned before anything can be opened from a chart.
Managed daily backups to versioned offsite storage, with a documented restore procedure.
AI drafts run in our own HIPAA-covered AWS environment. Prompts and completions are never stored or used to train models.
Everything clinical: charting with AI note assistance, measurement-based care, scheduling, telehealth, patient portal, secure messaging, forms builder, fax and reporting — with unlimited patients and up to 10 staff and biller logins (each additional 5 logins is $100 a month). It's a complete clinical system on its own; the add-ons extend it.
Two ship today: mental and behavioral health, and general practice / primary care. It's one platform underneath — the specialty shapes your note templates, code sets and workflows, so a psychiatrist and a primary care physician each get a chart that fits how they work. A physical therapy model is still in development; that page says exactly what exists today and what does not.
Yes, any month. Add a clinician seat when you hire, add e-prescribing when a prescriber joins, drop either when circumstances change. There's no contract and no repricing conversation.
$349 a month, full stop. You never touch the insurance transaction allowances and you don't need e-prescribing, so the Core is your whole invoice.
No — Penna gives your biller the tools rather than taking a cut of collections. Eligibility, claims, status and posting all live in the app, with your specialty's code set and fee schedule preloaded.
We can migrate you — what comes across as structured data versus archived documents depends on what your current system exports. We scope it honestly, including what it costs, before you commit.
The assistant works only on the note the clinician has open, never writes to the record on its own, and every call is logged as a disclosure. We contract with our AI provider on a no-training, no-retention basis, and nothing enters the chart without a clinician's signature.
EPCS requires DEA identity proofing and two-factor signing per prescriber, and it's on the roadmap with our prescribing partner rather than available today. We'd rather tell you real timing during onboarding than promise a date we don't control.
Tell us about your practice and we'll come back within one business day with a walkthrough and answers to anything on this page.