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Practice software with billing and a client portal, in one workflow.

Cohessra is private practice software built as two products that run as one workflow. LedgerCare handles billing operations: invoices, payments, and subscription access. ClientConnect handles the client experience: scheduling, secure messaging, and file sharing. Start with the side that creates the most friction today. Both are built to work together.

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30 days

30-day free trial on every plan

Explore LedgerCare and ClientConnect before choosing monthly or annual billing.

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Which product fits where your practice is today?

Both products are part of the same all-in-one practice management platform. Start with billing control or client communication, either way, you’re building toward a complete cash-pay practice management workflow.

LedgerCare

  • You need predictable invoicing, payment tracking, and subscription access across your cash pay practice.
  • You want roles, users, and locations so billing access matches how the practice is actually structured.
  • You’re tightening billing operations before expanding the client-facing experience.
Explore LedgerCare

ClientConnect

  • You need clients to pay, schedule, message, and share files without going through email.
  • You want fewer follow-ups and a clear next step for every client after every session.
  • You’re moving sensitive communication out of inboxes and into a controlled portal.
Explore ClientConnect

The two products

LedgerCare

Private practice software for billing operations that runs without insurance. Invoices, payments, subscription access, and structured user roles built for cash pay therapists, counselors, and nutrition practitioners.

  • Users, roles, and location-based access
  • Invoices, subscriptions, and payment tracking
  • Cash pay billing collection, no insurance workflows (the claims tracker is on the Practice and Clinic plans)
View LedgerCare

ClientConnect

Counseling practice software for the client experience. Payments, appointment scheduling, secure messaging, and secure file sharing, all in one portal that connects directly to billing in LedgerCare.

  • Client payments tied to LedgerCare invoices
  • Scheduling, online booking, and appointment reminders
  • Secure messages and document sharing, off email
View ClientConnect

LedgerCare sets the structure. ClientConnect puts it in front of clients.

Cohessra is all-in-one practice management software where billing and the client experience share the same foundation.

  1. 1

    Set Up Your Practice Structure

    Configure users, roles, and locations in LedgerCare so access and visibility match how your cash-pay practice actually operates, from solo practitioner to multi-provider clinic.

  2. 2

    Run Billing Without Chasing

    Handle invoicing, payment collection, and subscription access inside private practice software built for cash pay therapists, no insurance workflows, no bolt-on tools, no manual reconciliation.

  3. 3

    Give Clients One Place to Act

    Surface open invoices, appointment bookings, secure messages, and shared documents through ClientConnect, an integrated billing and client portal that connects directly to what LedgerCare already knows about each client.

FAQs

Frequently asked.

Questions

Cohessra offers two integrated products: LedgerCare and ClientConnect. LedgerCare is medical billing and invoice management software for private practices, while ClientConnect is a HIPAA-ready client portal with secure messaging and appointment scheduling. Together they form an all-in-one practice management platform for cash-pay therapists, counselors, and dietitians.

Find the Right Starting Point for Your Cash Pay Private Practice

We’ll look at where your practice runs into friction today, billing operations, client communication, or both, and recommend which Cohessra product to start with and how both fit together into one workflow.