Clinician Tools
Billing, RCM & Insurance
32 tools in this category
The best mental health billing solutions include integrated EHR billing (SimplePractice, TherapyNotes), dedicated clearinghouses (Office Ally, Availity), and specialized RCM services (Plutus Health, Behavioral Health Billing). Key features: automated eligibility verification, claim scrubbing, denial management, and behavioral health code expertise.
Mental health billing has unique complexities: carve-outs, prior authorization requirements, therapy-specific CPT codes, and payer-specific rules. The right billing tools can reduce claim denials by 30-50% and accelerate reimbursement. We evaluate both self-service tools and full-service RCM providers.
Compare Billing & RCM
Side-by-side comparison of top 4 tools
AdvancedMD Medical Billing
Comprehensive medical billing with full RCM services option, AI-powered analytics, and Global Payments integration for seamless revenue cycle management.
Availity
Free multi-payer portal for eligibility verification and claims submission.
Behavioral Health Billing Services
Specialized outsourced billing for mental health and behavioral health practices.
Claim.MD
Affordable clearinghouse with transparent flat-rate pricing at $120/month unlimited claims, designed for small to mid-size practices.
Heard
Done-for-you bookkeeping and tax services for therapists in private practice starting at $129/month.
IvyPay
HIPAA-compliant payment processing built specifically for therapists with 2.75% flat rate and no monthly fees.
Mentaya
Free out-of-network claims submission for therapists with 5% client fee and 100% refund guarantee on failed claims.
Nirvana Health
AI-powered insurance eligibility verification with 94% accuracy and Cardless Verification™ for behavioral health practices.
Office Ally
Free clearinghouse and practice management for small healthcare practices.
Office Ally Service Center
Free clearinghouse for electronic claims submission trusted by 80,000+ providers, with optional low-cost PM and EHR add-ons.
PIMSY EHR & Billing
Mental health-specific EHR and billing for behavioral health practices.
Reimbursify
Out-of-network claims submission app for patients and practitioners with per-claim ($3.99) or subscription ($59-99/month) pricing.
SimplePractice Insurance Billing
All-in-one practice management with integrated insurance billing, AutoPay claims, and direct clearinghouse connections for mental health professionals.
Tebra Billing
Comprehensive practice management with integrated billing and optional managed RCM services, formed from Kareo and PatientPop merger.
TheraNest Billing
Mental health practice management with tiered billing options from self-service to managed RCM, now part of Ensora Health's behavioral health portfolio.
TherapyNotes Billing
Mental health-specific EHR with integrated billing, Apex clearinghouse connection, and ERA auto-posting designed by a therapist for therapists.
Thrizer
Out-of-network billing platform that auto-submits claims and fronts reimbursements so clients pay only their copay.
Waystar
Leading healthcare RCM platform combining Navicure, ZirMed, and Patientco, processing $3T+ in claims annually with AI-powered denial prevention.
Waystar Claims Management
Enterprise claims management module with AI-powered scrubbing, real-time status tracking, and automated denial workflows processing $3T+ annually.
AKASA
AI-powered RCM automation for health systems
Availity Essentials
Free clearinghouse connecting providers to 95%+ of US payers
Candid Health
AI-powered RCM automation with claims autocorrection
Cedar
AI-powered patient financial engagement platform processing $10B+ in payments with 22% collections lift and 89% patient satisfaction.
Change Healthcare (Optum)
Enterprise healthcare clearinghouse and revenue cycle management from Optum.
CollaborateMD
Cloud-based medical billing and practice management with real-time claims editing, ERA auto-posting, and built-in clearinghouse for independent practices.
DrChrono Billing
iPad-native medical billing and RCM with percentage-based pricing.
Hayat Health
Bundled RCM and credentialing services with tiered pricing (3-5% of collections) and a 97% collection guarantee.
PayDC
Cloud-based EHR and billing for chiropractic and small practices.
Precision Practice Management
Full-service outsourced billing and RCM for psychiatry practices.
Tebra Billing (formerly Kareo)
Modular practice management and billing for independent practices
TriZetto (Cognizant)
Enterprise healthcare clearinghouse and RCM from Cognizant.
Waystar Eligibility
AI-powered real-time eligibility verification processing 90M+ transactions monthly across commercial, Medicare, and Medicaid payers.
Showing all 32 tools
FAQ
About Billing, RCM & Insurance
Common therapy CPT codes: 90834 (45-min individual), 90837 (60-min individual), 90847 (family therapy), 90853 (group therapy), 90791 (diagnostic evaluation). Psychiatrists also use E/M codes (99213-99215) for med management and add-on codes like 90833 for psychotherapy with E/M.
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