Best Collaborative Care (CoCM) software for small clinics (2026): beyond the assessment: beyond the assessment
Last updated · vendor facts checked October 29, 2026
Quick answer
Rating scales like the PHQ-9 and GAD-7 stay useful, but they are a snapshot: they miss what patients say in their own words, and the score can arrive weeks after the moment that mattered. Most CoCM software is a registry plus a scoring form. Asendar goes beyond the assessment: patients have honest conversations with AI between visits, and the care manager and psychiatric consultant understand them through what they actually say and how it changes over time. The required scores, minutes and billing codes are still there, as the paperwork Asendar handles for you. Asendar publishes its price ($199 a month or $2,000 a year per clinic) and a 15-day free trial; NeuroFlow, Mirah and ThoroughCare do not publish prices; Concert Health is a staffed service.
What Asendar is: New tools for therapists. Asendar is a new category of therapy tool, a new way of seeing the problem. It does not replace your notes, your assessments or your EHR; it adds real insight from real conversations. Collaborative Care is one way clinics use it.
How we evaluated
| Criterion | Why it matters |
|---|---|
| How does it understand the patient? | Questionnaire scores stay useful, but they are a snapshot and miss what patients say in their own words. Ask whether the software understands patients only through forms, or through what they actually tell you between visits. |
| Registry and caseload | CMS expects every CoCM patient to be tracked in a registry. The registry is where the care manager decides who needs attention. |
| Care-manager minute tracking | Every CoCM code depends on behavioral health care manager minutes in the calendar month. |
| Code suggestion (99492, 99493, 99494, G2214) | The thresholds (36, 31, 16 minutes and the 30-minute add-on) are easy to get wrong by hand. |
| PHQ-9 and GAD-7 measurement | Required for CoCM billing and the registry, but a limited snapshot. Look for software that assigns and scores them for you, so they stay paperwork, not the product. |
| Psychiatric caseload review | The psychiatric consultant reviews the caseload regularly and advises the treating practitioner. |
| EHR integration | Whether records and notes move between the software and the chart without retyping, and how the connection is made. |
| Published pricing | Whether a small clinic can see the cost before a sales call. |
| Free trial | Whether you can try it with your own team first. |
| Setup time | How fast a small team can start. |
| Best fit by clinic size | Solo and small clinics, FQHCs and RHCs, and large health systems need different things. |
We read each vendor's own public pages on October 29, 2026 and recorded only what they state. We did not test competitor products. Asendar publishes this page, so read it with that in mind; every claim below links to its source so you can check it.
At a glance
| Asendar™ | NeuroFlow | Mirah | ThoroughCare | Concert Health | |
|---|---|---|---|---|---|
| Type | Software | Software, with services | Software, with clinical implementation support; staffing through partners | Software, with clinical advisory services | Staffed service (a behavioral health medical group) |
| Who it is for | Small and mid-size clinics running CoCM, including solo practices | The site lists health plans and payers, health systems, ACOs and IDNs, federal government, and behavioral health providers | Healthcare providers and staffing partners running CoCM; the site notes it serves child and adolescent populations | The site lists ACOs, care coordination providers, health plans, home health agencies, pharmacies and physician groups | Partners "ranging from multi-site practices to some of the nation's largest health systems"; primary care, women's health and pediatric settings |
| How it understands the patient | Through honest conversations with AI between visits, surfaced to the care manager and psychiatric consultant: the brain button answers any question about a patient, and a Mental Readiness Score rolls up the data. Scores still run in the background for billing and the registry | Through remote digital assessments and the registry (scales not named on the page) | Through measurement: a library of "over 500 clinically validated measures" | Through measurement-based assessment tracking; its blog names PHQ-9, GAD-7 and DAST-10 | Through its own clinicians, using "evidence-based tools, such as the PHQ or GAD" |
| Registry and caseload | Yes: caseload list, Today list of who is due, At risk list of patients short of their minutes | Yes: a "caseload management tool" for care managers, with longitudinal panel tracking and severity filters | Yes: a care manager dashboard to prioritize patients and monitor caseloads | Yes: "One registry where the care manager works the caseload" | Yes, run by Concert's own team |
| Care-manager time tracking | Yes: log care-manager contacts and minutes from any screen | Yes: "Straightforward time-tracking and documentation" | Yes: "Automatic Time Tracking" and billing minute targets | Yes: time logged in the registry | Not published as a feature |
| Billing code suggestion | Yes: shows which code each patient-month supports so far (99492, 99493, 99494, G2214) | Not published | Billing reports "with the exact codes for each patient" (codes not listed on the product page) | Yes: "Automatic CPT code selection across G2214, 99492, 99493, and 99494" | Explains 99492, 99493, 99494 and G2214, and offers revenue cycle support; your practice bills |
| Measurement (PHQ-9, GAD-7) | PHQ-9, GAD-7 and PCL-5, auto-assigned monthly and scored for you (supporting paperwork, not the core) | Remote digital assessments (scales not named on the page) | A library of "over 500 clinically validated measures" | Measurement-based assessment tracking; its blog names PHQ-9, GAD-7 and DAST-10 | "evidence-based tools, such as the PHQ or GAD" |
| Psychiatric caseload review | Yes: psychiatric consultant review requests from the caseload | The page describes support for "systematic psychiatric caseload review" | Not published on the product pages | Yes: the psychiatric consultant's review is captured in the record | Yes: psychiatric consultants "meet weekly with collaborative care clinicians" |
| EHR integration | Patient-enabled: when a patient connects Apple Health, Asendar can bring in their records from Epic and other EHRs that share with Apple Health. No direct clinic-side EHR interface yet; a PCP summary copies into your EHR as text, and data moves by CSV export | "Interoperable with your EHR" (no EHR named) | Not published | Named: athenahealth, AdvancedMD, Azalea Health, DrChrono, Elation, Epic, gGastro, MEDENT, PointClickCare and Veradigm | Documents "directly in your EMR" (no EHR named) |
| Published pricing | $199 a month or $2,000 a year per clinic, whole care team | Not published | Not published | Not published | Not published |
| Free trial | 15 days, no card needed | Not published | Not published | Not published (it offers a free analysis, which is not a trial) | Not published |
| Setup | Self-serve sign-up; no sales call needed | Not published | Implementation includes training, measurement protocol design and billing setup (no timeframe published) | Not published | Not published |
Asendar™
Software. Collaborative Care software for small clinics built beyond the assessment: patients have honest conversations with AI between visits, and the care team understands them through what they say, with the brain button to ask anything about a patient and a Mental Readiness Score that rolls up the data. Underneath, the paperwork is handled: a caseload registry, care-manager minute tracking against the CoCM thresholds, auto-assigned monthly PHQ-9 and GAD-7, and a monthly billing packet.
- How it understands the patient: Through honest conversations with AI between visits, surfaced to the care manager and psychiatric consultant: the brain button answers any question about a patient, and a Mental Readiness Score rolls up the data. Scores still run in the background for billing and the registry.
- Who it is for: Small and mid-size clinics running CoCM, including solo practices.
- Billing codes: Yes: shows which code each patient-month supports so far (99492, 99493, 99494, G2214).
- EHR: Patient-enabled: when a patient connects Apple Health, Asendar can bring in their records from Epic and other EHRs that share with Apple Health. No direct clinic-side EHR interface yet; a PCP summary copies into your EHR as text, and data moves by CSV export.
- Pricing: $199 a month or $2,000 a year per clinic, whole care team. Trial: 15 days, no card needed.
- Best fit: Solo and small clinics that want published pricing and to start the same day.
Honest limits.
- A newer vendor. Asendar has a shorter track record than the longer-established names on this page.
- No direct clinic-side EHR interface yet. Patients can connect Apple Health to bring in records from Epic and other EHRs. The PCP summary copies into Epic or another EHR as text, and data moves by CSV export. If you need an integration that writes into your EHR, ask us where it stands, or look at vendors that name your EHR.
- Software, not staff. Asendar does not supply care managers or psychiatric consultants. You need your own, or a staffing partner.
- Built for small and mid-size clinics. Large health systems with enterprise procurement and reporting needs may be better served elsewhere.
Source: Asendar pricing, Collaborative Care in Asendar, Collaborative Care user guide.
NeuroFlow
Software, with services. A cloud-based patient registry "designed specifically for the Psychiatric Collaborative Care Model (CoCM)", offered with "the technology and services to scale CoCM".
- How it understands the patient: remote digital assessments and the registry, as described on its pages.
- Who it is for: The site lists health plans and payers, health systems, ACOs and IDNs, federal government, and behavioral health providers.
- Billing codes: Not published.
- EHR: "Interoperable with your EHR" (no EHR named).
- Pricing: Not published. Trial: Not published.
- Best fit: Health systems, payers and larger provider groups that want a registry with services.
Source: NeuroFlow CoCM registry, NeuroFlow for health systems, NeuroFlow for behavioral health providers, checked October 29, 2026.
Mirah
Software, with clinical implementation support; staffing through partners. A Collaborative Care software registry "paired with our clinical team's expertise", with staffing support available through partners.
- How it understands the patient: measurement, with a library of "over 500 clinically validated measures".
- Who it is for: Healthcare providers and staffing partners running CoCM; the site notes it serves child and adolescent populations.
- Billing codes: Billing reports "with the exact codes for each patient" (codes not listed on the product page).
- EHR: Not published.
- Pricing: Not published. Trial: Not published.
- Best fit: Organizations that want measurement depth, implementation help, or care managers and psychiatrists through partners.
Source: Mirah Collaborative Care, Mirah for providers, About CoCM at Mirah, checked October 29, 2026.
ThoroughCare
Software, with clinical advisory services. Collaborative Care Model software that aims to move CoCM "away from a spreadsheet-and-stopwatch program towards an operating system", within a wider care management platform.
- How it understands the patient: measurement-based assessment tracking.
- Who it is for: The site lists ACOs, care coordination providers, health plans, home health agencies, pharmacies and physician groups.
- Billing codes: Yes: "Automatic CPT code selection across G2214, 99492, 99493, and 99494".
- EHR: Named: athenahealth, AdvancedMD, Azalea Health, DrChrono, Elation, Epic, gGastro, MEDENT, PointClickCare and Veradigm.
- Pricing: Not published. Trial: Not published (it offers a free analysis, which is not a trial).
- Best fit: Groups that run several care management programs and want named EHR integrations.
Source: ThoroughCare Collaborative Care Model, ThoroughCare EHR integration, ThoroughCare blog: CoCM, checked October 29, 2026.
Concert Health
Staffed service (a behavioral health medical group). A behavioral health medical group that provides Collaborative Care clinicians and psychiatric consultants to primary care, as a turnkey service rather than software you run yourself.
- How it understands the patient: its own clinicians, using "evidence-based tools, such as the PHQ or GAD".
- Who it is for: Partners "ranging from multi-site practices to some of the nation's largest health systems"; primary care, women's health and pediatric settings.
- Billing codes: Explains 99492, 99493, 99494 and G2214, and offers revenue cycle support; your practice bills.
- EHR: Documents "directly in your EMR" (no EHR named).
- Pricing: Not published. Trial: Not published.
- Best fit: Practices that do not have, or do not want to hire, a care manager and psychiatric consultant.
Source: Concert Health Collaborative Care, Concert Health for medical groups, checked October 29, 2026.
Which is right for you
Solo practice or small clinic
You likely have one care manager (or one part-time) and a contracted psychiatric consultant. Look for published pricing, a trial you can start today, minute tracking that shows the code the month supports, and a billing export. Asendar is built for this case, and adds what a scoring form cannot: understanding patients through honest conversations with AI between visits. If you have no care manager or consultant at all, a staffed service such as Concert Health covers the people, not just the software.
FQHC or rural health clinic
Check how the tool handles your Medicare claims and your state's Medicaid rules (see the billing checklist), and whether you need integration with a specific EHR. ThoroughCare names a long list of EHRs; ask any vendor to show your EHR working.
Large health system
Enterprise reporting, procurement and deep EHR integration usually lead. NeuroFlow and Mirah describe health-system and payer work on their sites, and Concert Health works with large systems as a staffed service.
Sources and how to correct this page
Every vendor fact on this page comes from the vendor's own public website, checked on October 29, 2026. Where a vendor does not publish something, the table says “Not published”, which does not mean the product lacks it. Ask the vendor. Vendors change their products and pages, so confirm before you buy. If anything here is out of date, tell us and we will correct it.
- NeuroFlow CoCM registry
- NeuroFlow for health systems
- NeuroFlow for behavioral health providers
- Mirah Collaborative Care
- Mirah for providers
- About CoCM at Mirah
- ThoroughCare Collaborative Care Model
- ThoroughCare EHR integration
- ThoroughCare blog: CoCM
- Concert Health Collaborative Care
- Concert Health for medical groups
Common questions
What is CoCM software?
Software that runs the Psychiatric Collaborative Care Model: a registry of enrolled patients, care-manager minute tracking for billing, rating scales such as the PHQ-9 and GAD-7, and support for the psychiatric consultant's caseload review. Most CoCM software stops at the registry and the scoring form. Asendar adds honest conversations with AI between visits, so the care team understands what patients actually say.
Why go beyond the assessment?
Rating scales stay useful, but they are a limited snapshot and miss what patients say in their own words. CoCM billing still needs the scores, so Asendar assigns them for you, but the care team understands the patient through honest conversations with AI between visits.
Can I run Collaborative Care on a spreadsheet?
Yes, many clinics start that way. A spreadsheet works for a small caseload but makes minute totals, code thresholds and follow-up reminders manual. See spreadsheet vs registry software and the free registry template.
Which CoCM software publishes its price?
Of the vendors on this page, only Asendar publishes a price on its website: $199 a month or $2,000 a year per clinic. NeuroFlow, Mirah, ThoroughCare and Concert Health ask you to contact them (checked October 29, 2026).
Is there CoCM software with a free trial?
Asendar offers a 15-day free trial with no card needed. None of the other vendors on this page publishes a free trial.
Does CoCM software replace the care manager or psychiatrist?
No. Software supports the team; the care manager and psychiatric consultant are people. If you need the people too, a staffed service such as Concert Health provides them, and Mirah offers staffing through partners.
Which codes should CoCM software track?
CPT 99492 (first month, 70 minutes), 99493 (later months, 60 minutes), 99494 (each added 30 minutes) and HCPCS G2214 (first 30 minutes, Medicare). See the billing checklist.
Is this comparison independent?
No. Asendar publishes it. We kept competitor facts to what each vendor states publicly, linked every source, and listed Asendar's own limits.
Published by Asendar™ (Ignite Synergy™). Education only, not medical, legal or billing advice. Payers set their own rules: verify with your payer and your Medicare Administrative Contractor before you bill.
Run Collaborative Care in Asendar™
Understand patients through honest conversations with AI between visits, not just a questionnaire. The registry, care-manager minutes, monthly PHQ-9 and GAD-7 and the billing packet are handled for you. $199 a month or $2,000 a year per clinic, with a 15-day free trial, no card needed.
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