Mental Health & Substance Use Billing
Behavioral Health Billing Services
Therapy, psychiatry, and substance use billing — including carve-outs, telehealth, and authorization management.
Behavioral health billing operates under a completely different set of rules than general medical billing. Managed behavioral health carve-outs, time-based psychotherapy codes, prior authorization limits, and telehealth compliance make this one of the most technically demanding specialties to bill correctly.
Common Challenges
Where Behavioral Health practices lose revenue
Behavioral health carve-outs
Many commercial plans route mental health benefits to a separate entity — Optum Behavioral Health, Evernorth, Magellan. Billing the wrong payer is the most common source of preventable denials in behavioral health.
Authorization limits and renewals
Most payers authorize a limited number of outpatient therapy sessions. When those sessions are exhausted without renewal, every subsequent claim is denied. Tracking and renewing before limits are hit is critical.
Telehealth billing compliance
Place of service codes, modifier requirements, and state licensure rules for telehealth vary by payer and change frequently. Billing telehealth incorrectly is one of the top denial causes in 2026.
What's Included
Everything your Behavioral Health practice needs.
We handle the full revenue cycle for behavioral health practices — from eligibility verification and coding through claims submission, AR follow-up, and denial recovery. One team. Full transparency.
Talk to Our TeamReady to fix your Behavioral Health billing?
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