Behavioral Health Billing Services Built for Mental Health
Outsourced billing for therapists, psychiatrists, psychologists, and behavioral health groups. We handle the telehealth modifier maze, MCO behavioral carve-outs, and parity-law denial appeals that generic billers don't even try to fight.
Why behavioral health billing is a different game
Behavioral health has its own modifier rules, its own credentialing requirements, and its own payer mix dominated by behavioral carve-outs like Optum/UBH, Carelon, and Magellan. Telehealth policy keeps shifting (POS 10 vs 02, modifier -95 vs GT), and parity-law violations require persistent appeals. Generic medical billers don't fight these. We do.
- •Telehealth claims denied for the wrong POS code or missing -95 / GT modifier
- •MCO behavioral carve-outs billed to the medical plan and rejected
- •Repeat-session prior-auth denials because nobody tracks visit counts
- •Parity-law denials (more restrictive than medical benefit) never appealed
- •Add-on psychotherapy with E/M (90833) not captured with the right base code
What our medical billing service includes
A full revenue cycle, owned end-to-end by a Carevonix billing team trained on your specialty, your EHR, and your payer mix.
Clean claim submission
We code, scrub, and submit claims to commercial and government payers within 24 hours of the encounter. Average clean-claim rate: 94%.
Daily denial management
Every denial is worked within 48 hours, corrected, appealed, or written off with documentation. No more stale AR over 90 days.
Insurance eligibility verification
We verify benefits, copays, deductibles, and prior-auth requirements before the patient walks in, so claims aren't denied on day one.
Patient billing and statements
We send patient statements, handle balance questions, and offer payment plans, keeping collection rates high without straining the front desk.
Payer underpayment audits
We compare every EOB against your contracted rates and appeal underpayments. Most practices recover 3-7% they didn't know they were losing.
Monthly reporting that means something
Clean claim rate, days in AR, net collections rate, denial rate by payer, delivered monthly with a real human to walk you through what's working.
What practices see after switching
Average results across Carevonix billing clients within the first 90 days.
94%
Clean claim rate
67%
Reduction in AR over 90 days
12 days
Average days in AR
3-7%
Revenue recovered from underpayments
Why practices choose Carevonix for medical billing
There are plenty of medical billing companies. Most of them treat your practice like a row in a spreadsheet. We don't.
- Dedicated US-based billing team with the same people every month, not a rotating call center
- We work in your EHR and PM system. No data migrations, no parallel logins.
- Transparent monthly reporting with a named account lead, not a ticket queue
- HIPAA-aware workflows and a signed BAA before any PHI changes hands
- Flat monthly pricing with no per-claim percentages that punish growth
Built for Behavioral Health practices
Behavioral health billing rewards persistence. Our team works behavioral carve-outs every day, fights parity-law denials, and keeps individual provider credentialing current so claims actually pay.
Behavioral health codes we work daily
90791 / 90792
Psychiatric diagnostic evaluation (without / with medical)
90832 / 90834 / 90837
Psychotherapy 30 / 45 / 60 minutes
90846 / 90847
Family psychotherapy without / with patient
99202-99215 + 90833 / 90836 / 90838
E/M with psychotherapy add-on
H0001 / H0004 / H0005
SUD assessment, individual, group counseling
Modifiers -95, GT, HF, HQ
Telehealth, SUD program, group session
Where behavioral health revenue leaks
- •Telehealth POS / modifier mismatches triggering 100% claim denials
- •Behavioral carve-out claims routed to the wrong payer entity
- •Out-of-network parity-law denials never appealed
- •Group therapy and intensive outpatient (IOP) codes underbilled
- •Credentialing lapses on individual NPIs causing silent denials
Behavioral health payers we handle
- Optum / United Behavioral Health (UBH)
- Carelon Behavioral Health (formerly Beacon)
- Magellan Healthcare
- BlueCross BlueShield behavioral plans
- Aetna, Cigna Behavioral, and Medicaid MCO behavioral carve-outs
Frequently asked questions
Real questions practice owners ask before they switch.
Ready to see what Carevonix can do for your practice?
Book a 20-minute demo. We'll walk through your current workflows, your numbers, and exactly what would change.