Cleaner claims. Faster collections.
Full-service revenue cycle management built around how behavioral health practices actually run. We submit, follow up, appeal denials, handle patient billing, and report transparently — so you can stop chasing payments and focus on clients. Collections-based pricing means we only get paid when you do.
Most practices lose 10–20% before they ever see it.
Claims sit in “submitted” for weeks because nobody calls the payer to push them through.
Denials pile up unopened — and most never get appealed before the timely filing window closes.
Behavioral health codes get downcoded or silently rejected by payers who don’t recognize them properly.
You can’t get a straight answer on what’s actually been collected versus written off.
Modifiers, units, and add-on codes get missed every session — small leaks that compound over the year.
Generic billers don’t know the BH carve-outs (Carelon, Magellan, Beacon) and route claims to the wrong place.
We get paid when you get paid.
Collections-based billing means our incentives are aligned with yours. If your money doesn’t show up, neither does ours. No setup fees, no monthly retainer, no per-claim charges — just a clean percentage of what we actually collect for you. The exact rate depends on payer mix and volume; most practices land at 6%.
Daily Claim Submission
Every claim scrubbed, coded correctly, and submitted within 24 hours. We track confirmation numbers and follow up when payers go quiet.
Denial Appeals
Every denial gets reviewed and appealed within 7 days. We don’t write off claims because nobody had time — that’s your money.
Patient Billing
Statements sent on schedule, payment plans set up, balances chased. Your front desk doesn’t become a collections agency.
Monthly Reporting
Transparent monthly reports showing what was billed, collected, and outstanding by payer. No black box, no “trust us.”
From submitted to deposited.
Free revenue audit
We review your current billing setup, payer mix, recent denials, and outstanding A/R. You get a clear picture of where revenue is leaking before we ever talk pricing or contracts.
Onboarding & data migration
We pull your historical data, sync with your EHR (Practice Fusion, SimplePractice, TheraNest, others), and build your billing workflow. No disruption to client care during the switch.
Daily claim submission
Claims go out within 24 hours of session, scrubbed for codes, modifiers, and units. We track each claim through the clearinghouse and follow up when anything stalls.
Denial management
Every denial gets reviewed, root-caused, and appealed within 7 days. We don’t let claims age into write-offs. When a payer pattern shows up, we fix the upstream cause too.
Patient billing & collections
Statements go out on schedule. Payment plans set up for balances over a threshold. Past-due accounts worked tactfully so patients don’t feel ambushed but balances still get paid.
Monthly reporting
Clean dashboards showing what was billed, collected, and outstanding by payer. We surface trends — rising denials from a specific payer, slow-paying CPT codes, AR aging by bucket — before they become problems.
Every payer that matters in behavioral health.
We bill commercial, Medicaid, and Medicare panels for behavioral health practices nationwide — every state, every regional carrier, every Medicaid MCO. Below is a sample. If your payer mix includes a panel that isn’t listed, ask. We’ve probably already worked it.
Don’t see your payer? Just ask. We’ve billed nearly every behavioral health panel in the country.
Comparing your options, honestly.
Things people ask us before signing on.
How does collections-based pricing actually work?+
We charge a percentage (typically 6%) of what we actually collect for you each month. No setup fees, no minimums, no per-claim charges. If we don’t collect, we don’t get paid — which is the point. Our incentives are aligned with yours: maximum collections, minimum write-offs.
What if a claim never gets paid?+
You don’t pay us for it. We work claims through every reasonable appeal pathway, but if a claim ultimately can’t be collected (carrier truly denied, patient genuinely uncollectible, timely filing missed before our involvement), we don’t bill you a percentage of zero. The collections-based model only works when it’s honestly collections-based.
Do you handle denial appeals or just submission?+
Both, and appeals are honestly where we earn our keep. Most billers will submit clean claims; far fewer will fight a denial all the way through Level 2 appeals or external review. We do, because that’s where 10–20% of revenue lives in most behavioral health practices.
What EHRs do you work with?+
Practice Fusion, SimplePractice, TheraNest, TherapyNotes, Kipu, Sigmund, and several others — the systems most behavioral health practices actually use. We’ll integrate with whatever you have rather than asking you to switch. If you’re considering a switch separately, we’ll give you an honest opinion on which EHR fits your workflow.
Do I have to switch EHRs to work with you?+
No. We meet you where you are. If your current EHR has limitations that are genuinely hurting your billing, we’ll tell you, but switching EHRs is never a condition of working with us. Most clients stay on their existing system indefinitely.
How do you handle patient billing?+
Statements go out on schedule (usually monthly) once insurance has finished processing. We set up payment plans for balances above a threshold you choose. Past-due accounts get worked tactfully — firm enough to collect, careful enough to preserve the therapeutic relationship. You stay in the loop on anything that might affect a client.
Do you handle credentialing too?+
Yes — credentialing is a separate flat-fee service ($195/panel) that pairs naturally with billing because the underlying provider data is the same. Many clients use us for both. Credentialing is also available as a standalone service if you have billing handled elsewhere.
Stop leaving revenue on the table.
Most practices we audit are losing 10–20% of what they should be collecting — to denials, missed claims, and underbilling. The audit is free. Let’s find out what your number is.
Book your free revenue audit