Features
Eight parts of a practice, sharing one record.
What does an AI-native EHR actually include?
An AI-native EHR is a full clinical record system — scheduling, charting, treatment planning, progress notes, telehealth, a client portal, outcome measures, billing, and prescribing — in which the AI reads and writes the same record every other part of the software uses. It is not a note generator with a chart bolted on. The distinction shows up the moment a note has to be checked against the diagnosis being billed.
That is the whole design brief for Congruent, and it is why the feature list below reads like an EHR rather than a set of AI tricks. Everything here is included on the $20 Solo plan except insurance claims, ERA posting, eligibility checks, supervisor co-signatures, roles, and the practice-wide compliance dashboard, which need the $29 Practice plan, with claims at $0.40 each — and e-prescribing, which is a per-prescriber add-on on either plan. Telehealth and the client portal are on both.
Eight features, one chart underneath.
Each of these is a full page, because each of them is a real part of the job rather than a bullet on a comparison table.
AI progress notes
A signed note before your next client sits down.
Record the session or dictate afterward, and Congruent drafts a clinically specific progress note in your format — SOAP, DAP, BIRP, or your own — using the language you actually use.
Learn moreTreatment plans
Measurable goals that survive utilization review.
Turn an intake into a treatment plan with measurable objectives, target dates, and interventions tied to the diagnosis — then keep it current as the work changes.
Learn moreGolden Thread Check
Find the audit problem before the auditor does.
Every note is checked against your diagnosis, treatment plan, and the documentation standards payers apply — before you sign it, while fixing it still takes ten seconds.
Learn moreScheduling & billing
The calendar, the claim, and the payment in one thread.
A calendar that knows your caseload, claims that build themselves from documented sessions, and ERAs that post automatically instead of sitting in a portal you forget to check.
Learn moreTelehealth
Video that becomes documentation.
HIPAA-eligible video built into the chart, included on every plan — and when you consent to it, the session becomes a note draft the moment you hang up.
Learn moreClient portal & intake
Paperwork finished before the first session.
Clients book, complete intake packets, sign consents, message you securely, and pay their balance — and everything they submit lands in the chart already structured.
Learn moreMeasurement-based care
Proof that the work is working.
PHQ-9, GAD-7, PCL-5, and other validated measures sent on a schedule, scored automatically, charted over time, and cited in your notes as evidence of medical necessity.
Learn moreE-prescribing
Prescribe from the chart the note was written in.
Electronic prescribing for the prescribers in your practice, controlled substances included, sent over the Surescripts network from the same record that holds the plan and last week's note. Billed per prescriber, so therapists never pay for it.
Learn more
One system, because the seams are where documentation fails.
You can assemble a working practice out of good separate tools — a scheduler, a note app, a video product, a billing service. Clinicians do it every day. The cost is not the subscriptions. The cost is that no single piece of software ever sees the whole record, so every consistency check that matters becomes your job.
The note and the plan
In most practices these live in different documents that nobody compares. The plan is written at intake and the notes drift away from it by spring. When one system holds both, a note that addresses a goal the plan never listed is a question the software can ask you at signing time.
The note and the claim
A claim is an assertion about a service that a note is supposed to substantiate. If the CPT code says 53 minutes and the note documents a 40-minute session, that mismatch is discoverable — but only by software that can see the appointment, the note, and the charge at once.
The measure and the goal
A GAD-7 score is just a number until something in the chart is expecting it. When the treatment plan sets a target and the instrument reports against it, progress documents itself and utilization review stops being an argument about impressions.
None of this requires you to work differently. It requires the software to stop pretending it does not already know things. The chart holds the diagnosis, the goals, the date of the last plan review, the scheduled length of the session, and the instrument scores. An EHR that has all of that and still asks you to carry it in your head is asking you to do its job. How the Golden Thread Check uses it.
Read one feature page, then try it.
Pick the part of your practice that costs you the most evenings and start there. Every AI feature is in the base price. The paid extras — $0.40 per insurance claim, and e-prescribing billed per prescriber — are on this page, not in an email later.
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