Three ways a claim can leave the building
Most comparisons of these two start with features. This one starts with the claim, because the two vendors give an agency three distinct routes to getting paid, and the route decides most of the cost.
Noteable Standard turns approved notes into claims and exports them as a clean 837 file. Your own team, or your outside biller, submits it. The plan lists at $300 a month including the first five users, with further users priced in tiers through a calculator on the pricing page. Telehealth and e-faxing are $25 a month each on this plan.
Noteable Elite hands the claims to Noteable’s own revenue-cycle team, with a dedicated specialist and denial management. It is priced at 3.9% of monthly claims paid, not submitted, and you pay the greater of that fee or the Standard software fee.
CentralReach submits claims electronically from inside the platform, turning session-note data into billing entries. If you would rather not run billing at all, its BillMax service takes the whole process on. Neither the platform nor BillMax has a published price.
Beyond billing
Competitor cells come from each vendor's own website, checked October 14, 2026; sources are listed at the end of the page.
| MegAligna | Noteable | CentralReach | |
|---|---|---|---|
| Price on the website | Yes | yes, $300/month for 5 users, or 3.9% of collections | No |
| Who sends claims to payers 2 | Your biller, from an export | Your team (Standard) or Noteable (Elite) | The platform, or BillMax |
| Disciplines served | ABA, PT, OT, speech, behavioral health | ABA, community mental health, OT and speech | ABA and multidisciplinary therapy, plus PK-12 special education |
| Data capture through a dropped connection | Yes | yes, iOS and Android app, offline-ready | yes, CR Mobile syncs on reconnect |
| Contract | monthly, cancel any time | month-to-month, 30 days’ notice | Ask the vendor |
- 2 We do not transmit claims. Finished charges leave for your biller as an export, which puts us nearest to Noteable Standard, though Noteable produces an 837 file, and we do not.
The Elite percentage is easy to test against a quote. At $75,000 a month in paid claims, 3.9% is $2,925: the figure Noteable’s own calculator shows. Ask CentralReach for BillMax in the same terms, and ask an independent billing firm too, so the outsourced price has two reference points.
If you keep billing in-house
An agency with its own biller is really choosing between Noteable Standard’s 837 export and CentralReach’s direct submission. Ask both which claims network sits behind the claim, how rejections come back into the record, and what a full data export contains on the day you leave. Noteable does not mention a free trial on its pricing page and charges a setup fee whose amount is not listed, so ask for that number in writing as well.
MegAligna sits on the export side of that line: published per-seat pricing, clients never charged for, session capture that holds through a lost signal, and charges sent to your biller rather than to payers. For CentralReach’s ownership, see CentralReach vs Rethink.
Common questions
How much does Noteable cost?
Is Noteable only for ABA?
Does Noteable submit claims itself?
Can we run Noteable or CentralReach next to our current system?
Compare an export-only option
14 days, no card required. Use made-up patients while you evaluate: real patient information waits until a business associate agreement is in place.
Sources
- Noteable pricing, Standard $300/month incl. 5 users with 837 export; Elite 3.9% of monthly collections; month-to-month (checked October 14, 2026)
- Noteable home page, ABA, community mental health and multi-disciplinary providers; Virginia Beach, VA address (checked October 14, 2026)
- Noteable ABA page, iOS and Android app, offline capture, notes to claims, ERA reconciliation on Elite (checked October 14, 2026)
- CentralReach home page, 4,000 practices, product lineup, demo-only buying path (checked October 14, 2026)
- CentralReach PM + Clinical, electronic claim submission from session notes (checked October 14, 2026)
- CentralReach BillMax, managed billing, no price listed (checked October 14, 2026)
- CentralReach CR Mobile, iOS and Android, offline capture (checked October 14, 2026)