Comparison

PIMSY vs Ivy Pay

Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.

Head to head
About

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.

Highlights
  • Integrated Practice Management and EMR
  • Client Chart Access
  • Calendar and Note Editing
  • Medication and Lab Viewing
  • HIPAA Compliance Enhancement
  • Data Security
Features
Read full description

(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.

About

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.

Highlights
  • 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
Features
Read full description

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

PIMSY3 screens
Ivy Pay4 screens

Verdict

The call

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

CostPrice · In-app purchases · Ads · Monetization

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

ReceptionRating · Positive reviews · Number of ratings

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.

UpkeepUpdate frequency

PIMSY ships an update every 2 months, Ivy Pay every 3 weeks. Both last shipped on November 2, 2026.

Scorecard5 real differences · 5 level
PIMSY versus Ivy Pay: the parameters behind the verdict, then further details
ParameterPIMSYIvy Pay
PriceFreeFree
Rating5.0 (1 ratings) — better4.5 (702 ratings)
Positive reviews0.0% of reviews91.9% of reviews — better
Number of ratings1702 — better
Update frequencyEvery 2 monthsEvery 3 weeks — better
AdsNoNo
In-app purchasesNoNo
MonetizationFreeFree
DevicesiPhone, iPad, iPod — betteriPhone, iPad
Requires iOS13.0 — better18.0
Further details — not scored
Size15 MB35 MB
Age rating17+4+
DeveloperSmokey Mountain Information SystemsI V Y Labs, Inc.

Customer experience

PIMSY

All ratings1 ratings
Positive100.0%
Neutral0.0%
Negative0.0%
Written reviews3 reviews
Positive0.0%
Neutral33.3%
Negative66.7%

Ivy Pay

All ratings692 ratings
Positive87.0%
Neutral2.9%
Negative10.1%
Written reviews210 reviews
Positive91.9%
Neutral1.9%
Negative6.2%

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

None

PIMSY

No in-app purchases

None

Ivy Pay

No in-app purchases

Questions

Is PIMSY free?
PIMSY is free to download, with no in-app purchases.
Is Ivy Pay free?
Ivy Pay is free to download, with no in-app purchases.
Which has better reviews, PIMSY or Ivy Pay?
PIMSY is rated higher. PIMSY averages 5.0 out of 5 from 1 ratings, while Ivy Pay averages 4.5 from 702 ratings.
Do PIMSY or Ivy Pay have ads?
Neither PIMSY nor Ivy Pay shows ads.
Which is updated more often, PIMSY or Ivy Pay?
PIMSY ships an update every 2 months, and Ivy Pay every 3 weeks. Most recently, PIMSY was updated on November 2, 2026 and Ivy Pay on November 2, 2026.

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