For practices that want one accountable platform.

All-in-one, done right — one accountable platform.

Both platforms run your practice end to end. Wilma differentiates on the build: it’s all-in-one assembled by people who actually ran ABA practices, so the whole thing is thought through and one vendor is accountable for it. Native in-house AI, a built-in phone, and pricing you can budget come on top.

What Passage Health is good at

Modern positioning, a clean product, and credible coverage across very different sizes of organisation. They have also built a substantial library of genuinely useful clinical education, which is more than most vendors in this market bother to do.

Passage Health positions itself as an all-in-one clinical and practice platform for organizations from startups to national providers. That is their figure, not ours — we have not audited it, and we are not going to pretend the gap in scale does not exist.

What this comparison actually turns on

You can price Wilma before you speak to anyone. You cannot price Passage Health.

Passage Health quotes custom, so budgeting means booking a demo, sitting a discovery call and waiting on a proposal. Wilma publishes $30 per user per month for the full platform, with the add-ons priced on the same page — you can build your three-year model this afternoon. The second difference is who is behind it: Wilma is built by people who ran ABA practices, and that shows up in the parts of the product nobody demos, like what happens when an RBT calls out on a Tuesday. Both platforms cover the practice end to end. The question is whether you want to find out what it costs before or after you have invested a sales cycle.

Ask to watch these, in both products

Not slides. The actual workflow, on data that looks like yours. Anything that cannot be shown live is a claim, and you should treat it as one — including ours.

• The complete price for your seat count — ask both, and note which one can answer today.
• A denial being worked end to end.
• Who owns the AI in your documentation, and whether it is built in-house or delivered by a partner.
• The coverage workflow when a technician is unavailable tomorrow.

Why people search for this

Four reasons practices go looking for a Passage Health alternative.

Passage Health is a capable platform and we lose deals to them. These are the four things we hear most from practices who evaluated both.

You can’t get a number before a sales call.

Passage Health quotes custom, so budgeting means booking a demo, sitting a discovery call, and waiting on a proposal — usually twice, because the first number moves. Wilma publishes $30/user/month for Core and $20/user/month for AI. You can build the model in a spreadsheet this afternoon and know what year two costs before you ever talk to anyone.

The AI in your documentation belongs to somebody else.

Passage Health delivers AI clinical notes through a partner integration. That is a real capability, but it puts a second vendor, a second roadmap, and a second contract in the middle of your clinical documentation. Wilma’s note drafting is built in-house on the same record as the data, which means one support line when something is wrong and one roadmap when you need it changed.

The phone is still a separate bill and a separate system.

Every ABA practice runs on the phone — intake calls, cancellations, the parent who rings at 7am. Passage Health has no native telephony, so that is another vendor and another place client context goes to die. Wilma includes a business line with IVR routing, recording and transcription that forwards to the phones your team already carries, threaded into the client record.

You are being asked to grow into a platform, not out of one.

Practices switch when the thing they bought for 12 staff starts creaking at 40 — multi-entity billing, per-location NPIs and tax IDs, role-based access that survives an audit. Wilma runs multi-location and multi-state on one data model, so scaling is a settings change rather than a replatform.

Cost, side by side

What each platform costs to run.

Our numbers are published and checkable. Passage Health quotes custom, so the right column says ask rather than a figure we would be guessing at.

A 20-person practice on Wilma Core plus AI is $1,000/month, every month, with no per-client component. Annual prepay saves about 17%.

Why operators compare them

Four reasons practices choose Wilma® over Passage Health.

All-in-one, done right — built by operators.

Passage Health runs a practice end to end, and so does Wilma. The difference is the build: Wilma is all-in-one assembled by people who actually ran ABA practices, so every workflow fits together and one vendor is accountable for the whole thing. That cohesion is the part operators call "impressive."

AI built in, not bolted on.

Passage Health delivers AI clinical notes through a third-party integration (Frontera AI). Wilma’s agentic AI is native across the whole platform — she drafts notes from your data, scrubs claims, prepares authorizations, and drafts parent updates, all under one model: AI drafts, your team approves. One vendor, one roadmap, one accountable system.

Transparent, published pricing.

Wilma publishes a flat $30/user/month for Core, plus a $20/user AI add-on — you can budget before you ever talk to sales. Passage Health is custom-quote only, so you can’t compare cost without a sales call and a proposal.

A phone system that’s actually built in.

Wilma includes native business telephony — IVR routing, call recording, and two-way SMS, every call threaded into the right client record. Passage Health has no native phone; that’s still a separate vendor on top.

Agentic, across the full lifecycle.

Wilma doesn’t just record what happened — she prepares what’s next, within your rules and pending your approval: from first client call to graduation, from new hire to exit, from intake to P&L. That agentic layer is the core of Wilma, not a feature add-on.

Side by side

Wilma® vs Passage Health, feature by feature.

Comparison based on publicly available information as of June 2026. Passage Health and Frontera AI are trademarks of their respective owners.

What you get on Wilma

Four things that change with one accountable platform.

One vendor owns the whole platform.

When the AI, the phone, the billing, and the data collection are all Wilma, there’s no integration seam to break and no finger-pointing between vendors. One roadmap, one support line, one accountable platform.

You can price it without a sales call.

Flat per-user pricing means you can model your cost in a spreadsheet today. No custom-quote black box, no per-client fees that balloon as you grow.

Calls become client context.

A parent calls; Wilma routes it with context, captures intake, and threads it into the client record. The phone isn’t a separate tool you reconcile — it’s part of the same record as the clinical and billing data.

The platform prepares the work.

Overnight note review, morning briefings, coverage options when an RBT calls out, authorization prep before the cycle closes — Wilma assembles it, within your rules, for your team to approve.

Switching

Moving from Passage Health to Wilma®.

The honest version, including the part most vendors leave out: what you should not try to migrate.

• 1Client records and demographicsExported from Passage Health and loaded into Wilma before go-live, including insurance captured at intake, guardians, and contact history.
• 2Authorizations and remaining unitsActive authorizations transfer with their remaining unit balances so nothing has to be re-keyed and no session gets billed against a stale auth.
• 3Historical clinical data and documentationPrograms, targets, collected data and signed notes come across as your clinical record of the past — readable and reportable from day one.
• 4Open accounts receivable stays putAlmost every practice runs out open AR in the prior system while new claims start clean in Wilma. Trying to migrate a half-worked AR ledger is how switches go wrong; running two ledgers for six weeks is how they go right.
• 5Staff, credentials and supervisionUsers, roles, and credential expiry dates load with the record, so supervision tracking and expiry alerts start working the week you go live rather than a quarter later.
• 6Go-liveSmall practices are typically live in under a week. Mid-size and multi-state practices run 1–2 weeks, with migration included rather than quoted as a professional-services line.

The other side of it

When you should not choose Wilma®.

Four cases where we are the wrong answer. You will find out in the demo anyway, so you may as well find out now.

• You are a solo practitioner. Wilma has a 10-licence minimum, so Core starts at $300/month. If you are genuinely one person with no RBTs, a lighter tool will serve you better until you start hiring — and we would rather say so now than sell you a platform you grow into in three years.
• You need native video visits inside the platform. Wilma integrates with Zoom, Teams and Meet rather than shipping its own video, so a practice that specifically wants telehealth built into the record should weigh that difference.
• You need in-software VB-MAPP or ABLLS assessment administration. Wilma stores assessment results on the client record but does not administer those protocols in-app today.
• You want interobserver agreement or treatment-integrity scoring built in. Both are on our roadmap and neither ships today; if IOA is a hard requirement this quarter, weigh that honestly.

Pricing and reviews

Comparing Passage Health pricing and reviews? Start with the buying questions.

Bottom-funnel buyers usually need three answers: what it costs, what real operators say after implementation, and whether the platform owns the workflow or depends on add-ons.

Pricing clarity

Wilma publishes flat pricing: Core is $30/user/month with a 10-licence minimum, so an account starts at $300/month, plus optional AI and Phone add-ons. Use that as the baseline when a Passage Health pricing page or quote requires a sales process.

Review signals

When reading Passage Health reviews, separate ease-of-use praise from operational outcomes: clean claims, authorization control, onboarding speed, support responsiveness, and whether teams still need extra tools.

Native vs integrated

The strongest reviews usually come when scheduling, notes, billing, data, EVV, phone, and AI share one record. Every separate vendor adds another support path and another place work can drift.

Passage Health-specific comparison angle

Passage Health is a serious end-to-end option. Wilma's strongest intercept is where buyers search for Passage Health pricing, Passage Health reviews, AI notes, and native-vs-partner AI: Wilma publishes pricing, owns the AI layer in-house, includes native phone/IVR, and keeps claim scrubbing, notes, and authorizations on one accountable platform.

FAQ

Questions operators ask before they switch.

Is Wilma a good Passage Health alternative?

How is Wilma’s AI different from Passage Health’s?

How does pricing compare?

Does Wilma include a phone system? Does Passage Health?

Can I migrate from Passage Health to Wilma?

Does Wilma handle billing and revenue cycle like Passage Health?

What does Wilma do that Passage Health doesn’t?

Is Wilma HIPAA compliant?

See native AI, a built-in phone, and clear pricing — live.

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Keep reading

Related guides on running an ABA practice — the same operation, from a different angle.

• Theralytics alternativeHow the two compare on billing, scheduling and day-to-day clinical work.
• Aloha ABA alternativeWhat changes when practice management and billing share one database.
• Rethink Behavioral Health alternativeContent library versus operating system — which problem you are solving.
• Motivity alternativeData-collection depth versus running the whole practice in one system.
• All-in-one ABA softwareOne system for intake, scheduling, data, notes, billing and payroll tracking.
• ABA software for BCBAsCaseload, programs, data review and supervision from the BCBA’s side of the desk.