PIMSY vs Ivy Pay
Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.
PIMSY
This practice management and EMR software is designed for mental and behavioral health professionals. It integrates client charts, calendars, and notes, enhancing efficiency and compliance. Access client information, edit schedules, and view key data on the go.
- Integrated Practice Management and EMR
- Client Chart Access
- Calendar and Note Editing
- Medication and Lab Viewing
- HIPAA Compliance Enhancement
- Data Security
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(Note: this app will only work for active customers / clients of PIMSY EHR. Contact us to become a client). PIMSY is a Practice Management System + EMR software, integrated into one enterprise-level program. PIMSY was created for mental + behavioral health practices and their niche specialties (Eating Disorder, Substance Abuse / Usage, Foster Care + Child Placement Services, IOP, Inpatient, Rehabilitation, ABA / ASD Therapies, Group Homes, etc). PIMSY saves time, pays for itself, and enhances HIPAA compliance + data security. With the new PIMSY app, you can edit the calendar + your notes - and see medications, labs, diagnosis, and other areas of the client chart.
Ivy Pay
This app offers HIPAA-secure credit card processing specifically designed for therapists. It allows clients to securely store payment information, enabling easy and instant payments for services. The platform aims to simplify billing and ensure compliance for mental health professionals.
- HIPAA-secure credit card processing
- Client card on file storage
- Tap-to-pay functionality
- Instant direct deposits
- Swipe-free payment processing
- HSA/FSA card acceptance
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Ivy Pay: finally, credit card processing made just for therapists. No more swiping or readers Designed to be HIPAA-secure Ivy Pay makes it easy for clients to put a card on file, so you get paid. EASY CHARGE Take payment with a tap of a button — you can charge the client’s debit, credit, HSA or FSA card on file. SWIPE-FREE Less hassle than cash, checks and dealing with swiping or readers. INSTANT PAY Direct deposits sent right away and arrive in your account as soon as the next day. HIPAA-SECURE DESIGN Guaranteed with a signed Business Associate Agreement to ensure your compliance. THERAPIST-TRUSTED Therapists across the country trust Ivy Pay. Here’s what they are saying: “Ivy Pay is perfect for the solo practitioner, who, like me, manages all payments and billing. My clients love being able to put their cards on file.” -Kate Northcott, LMFT of San Francisco, CA WE’RE HERE TO HELP At Ivy, what matters to us is removing barriers to outcomes for clients by unburdening therapists just like you. That’s why we built Ivy Pay exclusively for therapists to use, co-designing it with hundreds of therapists. Want help with your Ivy Pay app? Would a callback help? We can hop on the phone to help out, so just drop us a line at support@talktoivy.com
Screenshots
Verdict
The clearest difference is review sentiment: Ivy Pay at 92% against PIMSY's 0%. Ivy Pay also leads on ratings volume (702 vs 1) and update cadence (every 3 weeks vs every 2 months). PIMSY's advantage is rating (5.0 vs 4.5) and iOS requirement (13.0 vs 18.0). On price, ads, in-app purchases and monetization model there is nothing between them.
Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS
Both are free to download. Neither carries in-app purchases, so what you see is what you pay.
PIMSY holds the better App Store score, 5.0 against 4.5. That said, the two scores are not equally well evidenced: Ivy Pay has 702 ratings behind it against 1, so its average is the more settled of the two. Written reviews complicate that: 0% of PIMSY's written reviews are positive against 92% of Ivy Pay's, so the app with the better star average is not the one people write more warmly about.
PIMSY ships an update every 2 months, Ivy Pay every 3 weeks. Both last shipped on November 2, 2026.
| Parameter | PIMSY | Ivy Pay |
|---|---|---|
| Price | Free | Free |
| Rating | 5.0 (1 ratings) — better | 4.5 (702 ratings) |
| Positive reviews | 0.0% of reviews | 91.9% of reviews — better |
| Number of ratings | 1 | 702 — better |
| Update frequency | Every 2 months | Every 3 weeks — better |
| Ads | No | No |
| In-app purchases | No | No |
| Monetization | Free | Free |
| Devices | iPhone, iPad, iPod — better | iPhone, iPad |
| Requires iOS | 13.0 — better | 18.0 |
| Further details — not scored | ||
| Size | 15 MB | 35 MB |
| Age rating | 17+ | 4+ |
| Developer | Smokey Mountain Information Systems | I V Y Labs, Inc. |
Customer experience
PIMSY
Ivy Pay
Bugs and requests
PIMSY
Not enough reviews yet to summarise bugs or requests.
Ivy Pay
Reported bugs
2 issues- Login/authentication issues
- Unreliable text message notifications
Requested features
4 requests- Ability to edit client/transaction details
- Integration with practice management software
- More customization options for client experience
- Faster deposit times
In-app purchases
PIMSY
No in-app purchases
Ivy Pay
No in-app purchases









