SimplePractice gives you the claim filing tools. Mental Health Billing supplies the people who use them. We work in your existing account on eligibility, coding review, claims, Payment Reports, denials and A/R, so your clinicians do not have to.
Behavioral health code checks on every claim
Claims and denials tracked until they close
A view of where your claims stand
BAA signed before account access
SimplePractice handles scheduling, notes, client records and electronic claim filing. It scrubs claims for common errors and posts payments from ERAs once a payer enrollment is accepted. It cannot call a payer, work out why a denial keeps coming back or decide which unpaid claim to chase first.
Mental Health Billing is an independent behavioral health billing company. Once your practice authorizes access, we work inside your own account, and your clinicians keep their calendars, notes and client portal as they are.
We cover the insurance side of the revenue cycle, from the first coverage check to the last reconciliation, and your EHR stays where it is.
Get a free billing review →We watch the parts of the Billing hub where revenue gets stuck and clear them before they turn into aging claims.
The landing page lists outstanding items, such as appointments ready to file, missing information and unpaid appointments.
Pre-submission checks show whether an insurance appointment has what a claim needs, so we know what to fix first.
We follow claim statuses, scrub errors, clearinghouse responses, rejections and denials in one place.
We read insurance and client payments, adjustments, balances and Payment Reports side by side.
Each service covers one stage of the cycle, from the first eligibility check to a closed claim.
We study how billing is set up in your account and where it leaks.
We confirm coverage and behavioral health benefits before a session is billed.
We keep track of the enrollments that let your account file claims and receive reports.
We go through finished sessions and find the ones missing billing details.
We compare codes with the note and with each payer's requirements.
We prepare and send primary claims, then secondary claims once the primary payer finishes.
We read each error, fix the data and file a corrected claim when needed.
We match electronic remittances to claims and to what each payer should have paid.
We confirm automatic postings and post by hand from EOBs when a report never arrives.
We find out why a payer denied a claim and pick the right fix.
We track unpaid claims and contact payers about the slow ones.
We watch authorized services and settle client balances after insurance pays.
A fixed sequence keeps every claim owned by someone from start to finish.
We review your payer mix, open A/R, billing volume and current habits.
We sign a BAA, set up individual logins and agree on who does what.
We check coverage, benefits, plan details and authorization rules.
We look at completed encounters and whether they are ready to bill.
We check CPT codes, diagnoses, modifiers, units and provider data.
We file electronically and watch what the payer and clearinghouse send back.
We compare Payment Reports, ERAs, EOBs and deposits with the claims.
We research denials, appeal when the record allows and chase unpaid claims.
We review billing activity, denial patterns and open insurance balances with your practice.
Documentation, coding and payer rules differ by provider type, and our workflow follows those differences.
A virtual visit needs the right place of service, modifier and location details, and each payer sets its own combination for the date of service.
We check the payer's policy before a claim is filed, which catches the mismatches that lead to rejections and denials.
Talk through your telehealth billing →Coding and payer quirks in mental health billing are specific, and we work in them every day.
We work with psychiatry, psychology, therapy and behavioral health programs.
We check psychotherapy time rules, add-on codes and documentation against each claim.
Every claim, rejection, denial and unpaid balance moves through the same review.
You work with a person who knows your practice and how it bills.
You see aging balances, denial causes and billing activity.
Your clinicians keep using SimplePractice, and nothing has to move.
We set privacy and access rules before billing starts and spell out responsibilities during onboarding.
A Business Associate Agreement is signed before we get authorized access to PHI.
Each team member gets only the access their assigned duties need.
PHI moves through secure workflows and never through personal email accounts.
Team members complete documented privacy and security training.
Where substance use treatment records fall under these confidentiality rules, we plan the workflow around them.
Access, reporting and communication expectations are agreed during onboarding.
Answers about outsourcing SimplePractice billing and insurance work.
Yes. With authorized access and a signed BAA, we work in your account on Billing hub queues, claims, Payment Reports and payer billing tasks. What we can see and do depends on your subscription and the roles you assign.
No. We work in the system your practice already uses. Appointments, clinical records, the client portal and your subscription stay as they are.
Yes. We confirm active coverage, behavioral health benefits, copayments, coinsurance, deductibles, network status and authorization rules with the tools and payer sources available to us.
Yes. We review appointments waiting to be billed, find the missing information, work through corrections with your practice and prepare superbills for out-of-network clients when needed.
Credentialing sets up a provider's participation with a payer. In SimplePractice, a claim filing enrollment and a Payment Report enrollment are separate steps for electronic claims and remittances. Most payers do not require a claim filing enrollment, and each NPI can have one of each per payer.
Yes. Without a Payment Report enrollment for a payer, a submitted claim only updates as far as Accepted, so we check that enrollment first. Then we compare reports with claims, review adjustments and client responsibility, research missing reports and post by hand from EOBs when no report comes.
Yes. We file primary claims and coordinate secondary claims once the primary payer has finished and the remittance details are available.
Yes. We watch recorded authorization numbers, approved units and validity dates against scheduled and billed sessions. An authorization on file does not guarantee payment.
Yes. We support solo clinicians, group practices and multi-provider organizations, and we review billing profiles and enrollment needs for each provider.
Begin with a free billing review. We assess your payer mix, open A/R, unbilled appointments and workflow. After we agree on scope and responsibilities, we sign a BAA and set up authorized access.
Let our behavioral health billing specialists look over your current workflow, find unbilled appointments and examine open insurance balances. A free review shows where your revenue cycle needs attention.
Request your free billing review →