When running a mental health practice whether solo or group managing insurance claims, billing, coding, denials, credentialing, and payer requirements can become a heavy administrative burden. Thatโs why many clinicians partner with specialized mental health billing companies a subset of behavioral health billing companies to streamline operations, improve cash flow, and focus on patient care. Below are seven reputable companies (mostly U.S.-based) that provide such services.
1. Nexus IO
Website: thenexusio.com (Nexus IO)
Key Features: Nexus IO offers comprehensive mental health billing services including benefit verification, accurate CPT/ICD-10 coding, claim submission, denial management, and revenue cycle management (RCM) tailored for therapy, psychiatry, and behavioral health practices. (Nexus IO) They serve clients across all 50 U.S. states and support telehealth, making them suitable for both virtual and in-person practices. (Nexus IO)
Pros: High specialization in behavioral/mental health billing; broad U.S. coverage; expertise in telehealth; helps practices reduce claim denials and improve reimbursements.
Cons: As with many U.S.-based providers, may be less accessible for international practices; your practice will likely have to adapt to U.S. payer rules and possibly US-centric compliance procedures.
2. TheraThink
Website: therathink.com (TheraThink.com)
Key Features: TheraThink offers full insurance billing services for mental health providers daily claim filing & submission, eligibility and benefits verification (often within two business days), EOB & payment accounting, denial and appeals support, and appointment management including reminders. (TheraThink.com) They also provide credentialing services and support for Medicare, Medicaid, EAP, and private insurance billing. (TheraThink.com) Their model is flexible: charging a percentage of paid claims, no long-term contracts, and often offering a free trial period. (TheraThink.com)
Pros: Transparent and flexible pricing (percentage-based, not per claim), no long-term contract commitment, quick turnaround for benefit verification good for small or solo practices; HIPAA-compliant workflow.
Cons: Because itโs more oriented toward smaller practices/solo therapists, might lack scale or some enterprise-level tools that bigger firms provide; depending on volume, percentage-based fees could add up.
3. Resilience Billing
Website: resiliencebilling.com (Billing Services for Mental Health)
Key Features: Resilience Billing specializes exclusively in psychotherapy and psychiatric practices. They offer comprehensive solutions: claims filing, electronic remittance (ERA), explanation of benefits (EOB) handling, metrics reporting, practice consultation, and support for both solo and group practices. (Billing Services for Mental Health) They are equipped to handle large patient volumes and complex payer mix important for growing practices. (Billing Services for Mental Health)
Pros: Dedicated focus on mental health providers, tailored solutions to practice size (solo or group), good support infrastructure for increasing billing complexity and patient volume.
Cons: As a more specialized and smaller firm (compared to large general medical billing outfits), may have limited geographic/payer reach depending on location itโs best for U.S.-based practices.
4. Psyquel (also known for integrated EHR/Billing)
Website: psyquel.com (psyquel.com)
Key Features: Psyquel offers an end-to-end platform combining EHR/EMR, scheduling, patient notes, telehealth, and full billing services including insurance claims management, patient billing, and revenue tracking. (psyquel.com) Many mental health providers value Psyquelโs ease of use and integrated workflow: you get practice management + billing + documentation in one system. (psyquel.com)
Pros: All-in-one solution (billing + practice management + EHR), simplifies administrative burden significantly; good for practices wanting a unified system rather than separate billing vendors + software; HIPAA compliant with automated claim submission.
Cons: Because it bundles many services, may be less customizable than standalone billing firms; if you only want billing (not EHR or scheduling), some features may go unused, making cost-benefit less clear.
5. MedStates (specialized mental health billing focus)
Website: medstates.com/mental-health-billing-services (medstates.com)
Key Features: MedStates markets itself as a mental health billing company focused on psychiatrists, psychologists, therapists, and behavioral health practices. Their U.S.-based team claims expertise in psychiatric and behavioral health billing including telehealth modifiers, claims submission for Medicaid, Medicare, and commercial payers. (medstates.com) Their services aim to minimize denials and improve cash flow, especially for smaller practices or solo providers. (medstates.com)
Pros: Dedicated mental health billing specialists; focus on therapy/counseling rather than general medical billing; helpful for small or solo practices; U.S.-based experts with knowledge of payer requirements and compliance.
Cons: For practices outside the U.S. or dealing with international payers, may not be suitable; possibly limited in scale or advanced analytics compared to larger RCM companies.
6. Invensis (outsourced mental health billing solutions)
Website: invensis.net/services/mental-health-billing (Invensis)
Key Features: Invensis offers outsourced mental health and behavioral health billing services, with decades of experience. They cater to a wide variety of mental health settings from inpatient psychiatric hospitals, outpatient clinics, to psychotherapy/counseling services. Their services include coding, claims processing, revenue cycle management, compliance, and support for multiple specialties beyond just mental health. (Invensis) They report high performance metrics like a 98% clean claim rate and 95% net collection rate for their clients. (Invensis)
Pros: Broad experience across many types of practices; high reported clean-claim and collection rates; helps reduce administrative burden greatly; good option for medium to large-sized practices or multi-specialty clinics that include mental health.
Cons: May be less specialized exclusively for just mental health (since they handle multiple specialties), which might reduce niche expertise compared to dedicated mental-health billing firms; possible cost premiums due to broader service scope.
7. Zee Medical Billing (behavioral/mental health billing with EHR integration)
Website: zeemedicalbilling.com/specialities/behavioral-health-billing-services (Zee Medical Billing)
Key Features: Zee Medical Billing offers behavioral health billing services across all 50 states, with transparent communication and real-time reporting. Their services include seamless integration with popular EHRs, and they claim to help practices increase revenue by up to 35%, reducing claim denials and ensuring compliance. (Zee Medical Billing) Their team consists of certified professionals who specialize exclusively in mental and behavioral health billing, staying current on industry rules and regulations. (Zee Medical Billing)
Pros: Nationwide coverage; good for practices using EHRs; promise of revenue increase and denial reduction; HIPAA-compliant processes; suitable for practices wanting a full-service billing partner.
Cons: As with many U.S.-centric billing companies, international or non-U.S. practices might face compatibility or regulatory issues; success depends heavily on the client providing accurate documentation and cooperation.
How to Choose the Right Mental / Behavioral Health Billing Company
- Practice size & type: Solo therapist? Group clinic? Multi-specialty center? Smaller practices may benefit most from flexible, percentage-based companies (e.g. TheraThink, MedStates), while larger ones may prefer full-service, broad-scope partners (e.g. Invensis, Zee).
- Billing needs: Do you need just claims submission, or full-blown RCM + credentialing + EHR integration + denial management? Choose accordingly.
- EHR / Software integration: If you use a digital EHR, choose a partner supporting integrations (e.g. Psyquel, Zee, Invensis).
- Specialization: Dedicated mental health billing companies understand therapy-specific CPT codes, telehealth modifiers, behavioral-health payer rules often leading to fewer denials.
- Transparency and compliance: Ensure the company is HIPAA compliant, provides clear reporting, and uses certified coders.
Why the Term โBehavioral Health Billing Companiesโ Matters
When searching for a billing partner, you may find both โmental health billing companiesโ and โbehavioral health billing companies.โ The difference is mostly semantics behavioral health is a broader term and can include substance abuse treatment, counseling, psychiatry, therapy, addiction services, etc. Using both phrases helps you cast a wider net when evaluating services. Many of the companies listed above explicitly describe themselves as โbehavioral health billing companies,โ indicating their ability to work with a broader range of behavioral health services beyond mental health therapy.
Final Thoughts
Outsourcing billing to a specialized company can relieve the administrative burden on mental health providers, improve cash flow, reduce denials, and help practices grow. The seven mental health billing companies above are among the most recognized in the USA each with unique strengths depending on your practice size, needs, and goals. Carefully evaluate your requirements (EHR integration, billing volume, payer mix, budget) before selecting a partner.
FAQs
How much do mental health billing companies typically charge?
Most mental health billing companies charge a percentage of collected revenue (usually 5%โ12%), while others offer flat-fee, subscription-based, or a hybrid pricing model. Pricing depends on practice size, volume, and services needed.
Do these mental health billing companies help with credentialing as well?
Many mental health billing companies also offer credentialing services, including payer enrollment, CAQH updates, NPI assistance, and re-credentialing. This helps providers join insurance networks faster and avoid reimbursement delays.
Can outsourced billing really reduce claim denials?
Absolutely. Specialized billing teams understand mental health CPT codes, documentation requirements, and insurance policies. This expertise significantly reduces errors and improves approval rates.
Is outsourcing billing secure and HIPAA-compliant?
Reputable mental health billing companies use encrypted systems, secure communication tools, trained staff, and strict HIPAA compliance protocols to protect patient data and ensure safe handling of PHI.
What should I look for when choosing a mental health billing companies?
While choosing mental health billing companies, Consider:
- Their experience in mental/behavioral health billing
- EHR compatibility
- Pricing transparency
- Denial management processes
- Communication style
- Credentialing support
- Reporting and analytics
Selecting a provider aligned with your practice size and workflow is key.
