We run claims, Payment Reports, denials, and A/R for behavioral health practices so clinicians can stop chasing reimbursement and get back to clients.
Independent provider. Mental Health Billing is an independent billing and revenue cycle company that supports providers using this software. We are not the developer, owner, or officially affiliated with the software vendor unless explicitly stated. SimplePractice® is a trademark of SimplePractice, LLC.
SimplePractice is a cloud-based EHR and practice-management system built for therapy and behavioral health. It bundles scheduling, documentation, telehealth, a client portal, and insurance billing in one place which is exactly why the billing side gets so much traffic, and why the details matter.
Session-based coding, supervised billing, telehealth, and the client portal are native — not bolted on.
Electronic primary and secondary claims, integrated clearinghouse, status tracking, and Payment Reports (ERAs).
No built-in credentialing, limited advanced reporting, no open API. That's the gap an expert billing partner fills.
We work as an extension of your front and back office, inside your own subscription. Take all of it, or just the parts that keep stalling.
Both SimplePractice enrollment types filing claims electronically and receiving Payment Reports set up and maintained per payer.
Coverage, copay, deductible, and behavioral-health benefits verified before the first billed session.
Locked notes turned into clean claims with correct CPT, add-on codes, modifiers, units, and diagnosis pointers.
Individual and batch claims from Unbilled Appointments, plus CMS 1500 forms where a payer requires paper.
Clearinghouse rejections corrected fast; payer denials diagnosed, appealed, corrected, or voided and rebilled.
Payment Reports and client payments reconciled against each claim so your ledgers stay accurate.
Aging claims and outstanding balances worked by payer and date until they're resolved.
Approved units monitored against sessions rendered, with renewals flagged before care is interrupted.
CAQH, NPI, taxonomy, and payer applications handled separately, then synced to your billing profiles and enrollments.
The work sorts into four phases of the revenue cycle. Here's what happens in each and exactly where we step in.
Everything that has to be right before a claim can exist.
Clients complete demographics, insurance, and consents in the portal. We catch the ID and DOB errors that cause front-end rejections.
Eligibility and behavioral-health benefits confirmed before billing, including whether authorization is required.
The appointment runs on the SimplePractice calendar; the clinician delivers and documents the session.
Turning a locked note into a clean, coded claim.
SimplePractice won't build a claim until the note is signed and locked. We track unlocked notes so no session goes unbilled.
Correct CPT/HCPCS, add-on codes, units, modifiers, place of service, and diagnosis pointers applied from the documentation.
Claim moves to Prepared, populated from the right billing profile and the client's insurance data.
Getting it to the payer clean, and watching it land.
Filed electronically through the integrated clearinghouse individually or in batches or as a CMS 1500 when required.
Front-end rejections surface fast in the claim status. We fix and resubmit before they age.
Every claim monitored through Submitted, Accepted, and Received using its clearinghouse reference number.
Money in, denials worked, balances closed out.
ERAs return, and we post payments and contractual adjustments against the matching claim.
Denied lines get a root-cause fix: corrected claim, appeal, or void and rebill as appropriate.
Remaining client responsibility flows to statements and portal collection with card-on-file.
Unpaid and aging claims worked by payer and date, with results reported back to you.
Most practices use a fraction of what they're paying for. We turn these on and run them properly.
Clean coding, verified eligibility, and note-lock discipline mean more claims paid on the first try.
Consistent follow-up keeps claims out of the 60–90+ day buckets where they get harder to collect.
Captured client responsibility, worked denials, and appealed underpayments recover real revenue.
We operate within SimplePractice's secure, HITRUST-certified environment under a BAA.
First-pass rate, denial rate, and A/R aging the platform doesn't hand you automatically.
Clinicians document and treat. They stop chasing claims and posting payments.
Not a generalist medical biller learning the platform on your dime. We already know the small things that trip practices up.
Your subscription, your calendar, your notes, your client portal untouched. We work behind them on the revenue cycle, and fit around your setup instead of replacing it.
Start with a review of your open A/R, unbilled appointments, and enrollment gaps. We take over new submissions while working down the backlog in parallel.
Book your reviewSimplePractice is centered on mental health and that's exactly where our billing expertise is concentrated.
No. We work inside your existing SimplePractice account with appropriate access. You keep your subscription, calendar, notes, and client portal exactly as they are we take over the billing functions within them.
Yes, both are submitted electronically. When you're enrolled for Payment Reports from the primary payer, secondary claims can auto-populate much of the required information from the primary adjudication, which we verify before sending.
SimplePractice calls them Payment Reports. Once you're enrolled to receive them, remittances return electronically and we post payments and adjustments against the matching claim. Where a payer doesn't support electronic reports, we post from the paper EOB.
No credentialing isn't a SimplePractice feature. We handle credentialing and payer enrollment as a separate service (CAQH, NPI, taxonomy, applications), then keep your SimplePractice enrollments and billing profiles aligned so you can bill each payer once approved.
A rejection happens before adjudication usually a data error caught by the clearinghouse and shows up quickly in the claim status; we correct and resubmit. A denial happens after the payer adjudicates; we diagnose the reason, then file a corrected claim, appeal, or void and rebill. Treating them the same is a common way practices lose money.
Yes. We configure and generate superbills through SimplePractice with complete coding so out-of-network clients can self-submit, and we can file out-of-network electronic claims where that's the better route.
Yes. We complete and maintain both enrollment types filing claims electronically and receiving Payment Reports for each payer, since incomplete enrollments are a frequent cause of claims that can't file or remittances that never post automatically.
We use SimplePractice's Authorization Tracking to monitor approved units against sessions delivered, and flag when a client is approaching their limit so a renewal can be requested before care is interrupted or a claim is denied.
SimplePractice operates in a HIPAA-conscious, HITRUST-certified environment and offers a Business Associate Agreement. We work within that environment under appropriate access controls and BAA coverage, and handle protected health information according to HIPAA requirements.
It depends on your claim volume, payer mix, and enrollment status. We typically start by reviewing your open A/R, unbilled appointments, and enrollment gaps, then take over new submissions while working down the existing backlog in parallel.
We'll review your account, show you where reimbursement is leaking, and take the billing work off your plate inside the platform you already use.
Schedule a free billing review