Mental health & substance use billing at scale
Enterprise Behavioral Health Billing Services
Carve-out routing, authorization tracking, and telehealth compliance for behavioral health networks and multi-site treatment providers.
Behavioral health billing gets more complex, not less, at scale — more MBHO carve-outs to route correctly, more authorization limits to track across more patients, more telehealth compliance rules across more states. We bring the systems to manage that complexity across an entire network of providers and locations.
Common Challenges
Where behavioral health networks lose revenue
Carve-out routing errors multiply across a provider network
When a network bills the wrong MBHO entity, it's not one denied claim — it's a systemic pattern across every provider seeing that payer's members, until someone catches it network-wide.
Authorization limit tracking at volume requires automation
Manually tracking session limits across hundreds of patients and multiple payers doesn't scale. Networks need systematic tracking that flags renewals before limits are hit, across the entire patient panel.
Multi-state telehealth compliance is a moving target
Networks operating across state lines face different telehealth licensure and billing rules in each state, and those rules change frequently — compliance has to be actively managed, not assumed.
What's Included
Behavioral Health.
Done right, at scale.
Specialty-specific coding expertise backed by a dedicated implementation team and full transparency through your client portal.
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Free revenue cycle assessment — we'll show you exactly where the gaps are and what it would take to fix them.
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