Behavioral & Mental Health Billing Services
Purpose-Built for Therapists, Psychiatrists, ABA Providers & SUD Treatment Centers
Most billing companies treat behavioral health like any other specialty. It isn’t. BehavioralProz is a specialized behavioral health billing company. We know the MBHO carve-outs, the time-based CPT rules, the parity law levers, and the prior auth patterns that generic billers miss, every single day. The result: fewer denials, faster payments, and billing you can trust without supervising it.
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Clean Claim Rate
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Who We Serve
Why Behavioral Health Billing Breaks Down
Generalist billing companies fail behavioral health practices for one reason: they apply standard medical billing logic to a specialty that operates under entirely different rules.
MBHO Carve-Outs
Time-Based CPT Documentation
Prior Authorization Complexity
ABA & SUD: A Different Code Universe
Our Behavioral Health Billing Services
Credentialing & Enrollment
Prior Authorization Management
Medical Billing & Coding
Claims Scrubbing & Submission
Denial Management
AR Recovery
Patient Billing
Telehealth Billing
Reporting & Analytics
See What's Possible for Your Practice
Specialist vs. Generalist: The Real Difference
| ✕ Generalist Billing Company | ✓ BehavioralProz |
|---|---|
| ✕ General CPT knowledge | ✓ Deep BH code expertise: 90791–90853, ABA codes, SUD codes |
| ✕ Standard payer credentialing | ✓ MBHO carve-out credentialing (Optum, Carelon, Magellan) |
| ✕ Generic denial appeals | ✓ Parity law-aware appeals, MHPAEA documented |
| ✕ Same workflow for every specialty | ✓ Purpose-built workflows for each BH practice type |
| ✕ Limited telehealth knowledge | ✓ Real-time telehealth parity tracking by state and payer |
| ✕ Reactive AR management | ✓ Proactive underpayment detection and recovery |
| ✕ Call center account management | ✓ Dedicated account manager who knows your practice |
What You Get With BehavioralProz
Behavioral health-only focus
We don't bill cardiology or orthopedics. Every day is behavioral health.
Parity law expertise
We know MHPAEA. We use it in appeals. Most billing companies don't.
MBHO carve-out fluency
We credential and bill through Optum, Carelon, and Magellan every day.
ABA & SUD specialists
We staff billers with dedicated ABA and SUD coding experience.
Dedicated account manager
One person who knows your practice. Not a ticket queue
BAA & HIPAA compliant
Business Associate Agreement included. 42 CFR Part 2 compliant for SUD clients.
Trusted by Leading Providers
Dr. Sarah Mitchell
Psychiatrist, Private Practice
James Rodriguez
Clinical Director, Therapy Center
Emily Chen
Owner, ABA Therapy Group
FAQ's
1. What makes behavioral health billing different from general medical billing?
+Behavioral health uses MBHO carve-outs, time-based psychotherapy codes, ABA-specific H/T codes, SUD HCPCS codes, and federal parity law requirements that don't exist in general medical billing. A generalist biller applying standard workflows to behavioral health produces higher denial rates, slower payments, and compliance risk.
2. Do you handle MBHO credentialing?
+Yes, this is one of our core competencies. We credential providers with Optum Behavioral Health, Carelon Behavioral Health (formerly Beacon), and Magellan, separately from the parent health plan. Missing MBHO credentialing is one of the most common and most costly billing gaps we find in new client audits.
3. Can you recover our old denied or unpaid claims?
+Yes. We conduct an AR recovery assessment to identify claims within timely filing limits, prioritize by payer and dollar amount, and work them with specialty-specific appeal strategies. Old prior-auth denial patterns are also reviewed for potential parity violations.
4. Do you bill for ABA therapy?
+Yes. We bill the full ABA code set: 97151–97158, H2019, and T1017. Our team includes billers with dedicated ABA experience covering Medicaid prior authorization, supervision ratio documentation, behavior treatment plan requirements, and school-based service billing.
5. How do you handle SUD treatment center billing?
+We bill H-codes (H0001–H0050), MAT codes (G2067–G2080), ASAM Level of Care designations, and manage concurrent utilization review. We operate in compliance with 42 CFR Part 2 for SUD records. We also identify and appeal parity violations, common in SUD care and frequently worth thousands per case.
6. What does onboarding look like?
+Most practices are fully onboarded in 2–3 weeks. We start with a billing assessment, close credentialing gaps, establish clean-claim workflows, and transition billing without interrupting your revenue cycle. You're assigned a dedicated account manager from day one.
7. What does it cost?
+We work on a percentage-of-collections model; our performance is tied directly to yours. Fees are customized by specialty, volume, and payer mix. No hidden setup fees for credentialing or denial management. Contact us for a custom quote.
Ready to Stop Leaving Revenue on the Table?
Behavioral health billing is too specialized, and too important to your practice, to hand off to a generalist. BehavioralProz is the only RCM partner built exclusively for behavioral health: the codes, the carve-outs, the compliance, and the clinical context your practice deserves.
You focus on healing. We protect the revenue that sustains it.