Care for your patients. We'll handle the paperwork behind it.
Mental health billing is full of time-based codes, session limits, and carve-out payers. We manage authorizations and claims so clinicians can stay focused on the session, not the payer.
- Auth-related denials
- -42%
- First-pass acceptance
- 95%
- Avg. days in A/R
- 30
Where behavioral health revenue slips.
Authorization limits
Session caps and expiring auths cause surprise denials mid-treatment.
Carve-out payers
Behavioral benefits managed by separate vendors with separate rules.
Time-based coding
Psychotherapy add-ons and crisis codes require precise time documentation.
Auth tracking
Visit counts and expiry dates monitored with advance renewals.
Carve-out expertise
Claims routed to the right behavioral vendor every time.
Telehealth billing
Correct POS and modifiers for virtual sessions across payers.
Group & IOP billing
Group therapy, IOP, and PHP billed with proper per-diem rules.
Parity advocacy
Appeals that cite mental health parity when payers overreach.
Discreet patient billing
Privacy-first statements and sliding-scale support.
What our behavioral health billing service includes
Mental and behavioral health claims depend on time-based codes, authorizations and payer rules that general medical billers often miss. Every account gets a dedicated point of contact, with certified CPC and CCS coders reviewing claims.
Psychotherapy and evaluation coding
We code to the CPT codes your clinicians actually use and check each one against the documented session time:
- 90791 for psychiatric diagnostic evaluations, such as intake assessments
- 90832, 90834 and 90837 for individual psychotherapy, selected by documented face-to-face time
- 90846 and 90847 for family psychotherapy without or with the patient present
- 90853 for group psychotherapy
- Add-on codes for interactive complexity, crisis services and psychotherapy with E/M, where they apply
If the time in the notes doesn’t support the code billed, we flag it before the claim goes out, not after a denial or a payer audit.
Telehealth place of service and modifiers
Telehealth rules differ by payer and keep changing. We apply the place of service code each payer requires, such as POS 02 or POS 10 for sessions in the patient’s home, along with the right modifiers, such as 95 for synchronous audio-video sessions or FQ and 93 for audio-only sessions where the payer allows them. We track each payer’s rules separately, so virtual sessions aren’t denied for format errors.
Authorizations and session tracking
Many plans require prior authorization for therapy, testing, intensive outpatient (IOP) or partial hospitalization (PHP), and they approve a set number of visits within a date range. We track visits used against each authorization and request renewals before the authorization runs out, so care isn’t interrupted and sessions aren’t billed without coverage.
Medicaid, MCO and carve-out payers
Behavioral health benefits are often “carved out” to a separate behavioral health organization, even when the patient’s medical plan is a commercial insurer or a Medicaid managed care organization (MCO). We identify the payer that actually manages each patient’s behavioral benefits, follow that payer’s enrollment and claim rules, and route claims there the first time.
Payer credentialing for therapists and psychologists
Licensed clinical social workers (LCSWs), licensed professional counselors (LPCs), licensed marriage and family therapists (LMFTs), psychologists and psychiatric prescribers each have their own enrollment requirements, and some payers don’t enroll every license type. Our credentialing team handles CAQH profiles, payer applications and revalidations, and follows up until each clinician can bill under their own credentials.
Common behavioral health denial reasons, and how we prevent them
Expired or exhausted authorizations. Prevention: we track visit counts and expiration dates, and request renewals before they run out.
Time and code mismatch. For example, a 60-minute code billed when the notes support a shorter session. Prevention: we check documented time against the CPT code before submission.
Wrong telehealth POS or modifier. Prevention: we keep payer-specific telehealth rules on file and apply them to every virtual session.
Claim sent to the wrong payer. This often happens when a carve-out vendor manages the behavioral benefit. Prevention: we verify which organization manages each patient’s mental health benefits before the first visit.
Clinician not credentialed or linked to the group. Prevention: we confirm each provider’s enrollment status with each payer before they see patients.
Medical necessity or parity issues. Prevention: we submit clear documentation, and when a payer limits mental health care more strictly than comparable medical care, our denial management team files appeals that cite mental health parity rules.
How onboarding works
- 1
Free billing audit.
We review your claims, denials, authorizations and aging A/R. Request a free billing audit.
- 2
Custom quote.
Pricing is based on your specialty, claim volume and scope. Request pricing.
- 3
Setup.
We connect to your EHR or practice management system and clearinghouse, list every active authorization, and confirm the payers that manage each patient’s benefits.
- 4
Credentialing review.
We check enrollment for every clinician and fix any gaps.
- 5
Go-live and cleanup.
We take over daily claims and payment posting, and our A/R recovery team works older unpaid claims.
- 6
Monthly reporting.
You get regular reports on collections, denials and A/R from your dedicated point of contact.
Who we serve
We work with behavioral health providers across the United States. That includes solo therapists and counselors, group practices, psychologists, psychiatric practices, and programs that offer IOP or PHP, whether they see patients in person, via telehealth or both. You can choose full revenue cycle management, day-to-day medical billing, or start with a one-time billing audit.
For a deeper look at codes and payer rules, read our Mental Health Billing Guide. For pricing, see How Much Does Medical Billing Cost in 2026?
Find out where your practice is losing revenue
Our free billing audit shows you which denials, authorization gaps and unpaid claims are costing you money, with no obligation.
Frequently asked questions
Yes. We manage behavioral health authorizations and claims for practices across the United States, including time-based psychotherapy codes, crisis codes, carve-out payers and telehealth sessions, so clinicians can focus on patients instead of payers. Your account has a dedicated point of contact who knows your workflows.
We track visit counts and authorization expiry dates and request renewals in advance, so session caps and expiring authorizations do not cause surprise denials mid-treatment. Our behavioral health page reports a 42% reduction in authorization-related denials, along with 95% first-pass acceptance and an average of 30 days in A/R.
Yes. We apply the correct place of service codes and modifiers for virtual sessions across payers. We also bill group therapy, intensive outpatient (IOP) and partial hospitalization (PHP) services with the proper per-diem rules, and we keep patient statements discreet and privacy-first.
Carve-out payers are separate vendors that manage behavioral health benefits with their own rules. We route claims to the right behavioral vendor, and when payers overreach we file appeals that cite mental health parity. Our behavioral health work reports 95% first-pass acceptance.