Behavioral Health · Credentialing & Payer Enrollment
Credentialing for Behavioral Health Providers
Enrollment across the specific MBHOs and payers behavioral health providers actually bill — Optum, Magellan, Beacon, and more.
Credentialing a behavioral health provider means enrollment with the actual entities that manage mental health and substance use benefits — Optum Behavioral Health, Magellan, Beacon Health Options (Carelon), and others — which is a different panel than a medical carrier's general credentialing process. We manage that enrollment specifically, alongside standard CAQH, PECOS, and state Medicaid credentialing, so a new behavioral health provider isn't billable with the medical carrier but stuck waiting on the actual carve-out entity.
What Matters Here
Why behavioral health needs this differently
MBHO enrollment is a separate process from medical-carrier credentialing
Even once CAQH and the medical payer are squared away, the behavioral-health-specific carve-out entity often has its own separate application and timeline.
Telehealth licensure requirements vary by state
Behavioral health providers seeing patients across state lines need licensure and enrollment coordinated per state, not assumed to transfer automatically.
Group practice enrollment for therapists and counselors has its own rules
Enrolling licensed clinicians under a group NPI involves payer-specific requirements many credentialing processes overlook.
What's Included
Credentialing & Payer Enrollment, built for behavioral health.
A dedicated implementation team and full transparency through your client portal — the same standard as everything else we run, tailored to how behavioral health practices actually operate.
Talk to Our TeamMore for Behavioral Health
Call Center Support for Behavioral Health Practices
Phone support built for the discretion and crisis-awareness behavioral health calls require — not a generic call center script.
Full-Cycle RCM for Behavioral Health Practices
End-to-end revenue cycle management built around MBHO carve-outs, session limits, and parity-related denial patterns.
Back-Office Support for Behavioral Health Practices
Claims processing, denial management, and administrative support built around the volume and sensitivity of behavioral health operations.
Credentialing & Payer Enrollment for Other Specialties
Primary Care
Enrollment across every commercial payer, Medicare, and Medicaid — sized for a solo provider or a growing panel.
Cardiology
Payer enrollment and hospital privileging support for cardiologists reading and operating across multiple sites.
Multi-Specialty Groups
Enrollment managed across every specialty and payer relationship in your practice, from one dashboard.
Labs & Diagnostics
CLIA-aware enrollment and payer credentialing for independent labs and diagnostic networks.
Ready to get started?
A free revenue cycle assessment — you'll get a written breakdown of where the gaps are, whether or not you move forward with us.
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