# PIMSY vs Ivy Pay

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.

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.

## The numbers

| Metric | PIMSY | Ivy Pay |
| --- | --- | --- |
| Price | Free | Free |
| Rating | **[5.0 (1 ratings)](https://appshunter.io/ios/app/pimsy/id1142922182/reviews)** | [4.5 (702 ratings)](https://appshunter.io/ios/app/ivy-pay-therapist-app/id1354328584/reviews) |
| Number of ratings | 1 | **702** |
| Positive reviews | 0.0% of reviews | **91.9% of reviews** |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 2 months | **Every 3 weeks** |
| Monetization | Free | Free |
| Size | 15 MB | 35 MB |
| Requires iOS | **13.0** | 18.0 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPad |
| Age rating | 17+ | 4+ |
| Developer | [Smokey Mountain Information Systems](https://appshunter.io/developer/1142922181) | [I V Y Labs, Inc.](https://appshunter.io/developer/1354328583) |

## What reviewers say

### PIMSY

[App page](https://appshunter.io/ios/app/pimsy/id1142922182)

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:** macOS Compatibility

**In-app purchases:** none


### Ivy Pay

[App page](https://appshunter.io/ios/app/ivy-pay-therapist-app/id1354328584)

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:** macOS Compatibility, Vision Pro support

**In-app purchases:** none

**What reviewers like**

- 🚀 Easy to use
- 🔒 HIPAA compliant
- 💰 Reasonable fees
- 👍 Convenient for clients
- 📊 Helpful reporting features

**What reviewers complain about**

- 🐛 Issues with refunds and transaction disputes
- 🕰️ Delayed deposits
- 🔍 Limited desktop/web interface
- 📱 Inconvenient for group practices
- 💬 Intrusive client notifications

**Reported bugs**

- Login/authentication issues
- Unreliable text message notifications

**Requested features**

- Ability to edit client/transaction details
- Integration with practice management software
- More customization options for client experience
- Faster deposit times


## Frequently asked 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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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*