10 Best Mental Health Billing Companies in the USA

In 2025, medical practices across the United States are under increasing financial strain. According to the Medical Group Management Association (MGMA), operating expenses have surged by an average of 11.1% compared to 2024. For mental health providers, these rising costs are compounded by the complexities of billing codes, insurance verification, reimbursement delays, and ever-changing regulatory requirements.

That’s why partnering with a specialized mental health billing company is no longer a luxury. It’s a strategic necessity. These companies do more than submit claims; they improve cash flow, minimize denials, and ensure compliance, freeing up clinicians to focus on what matters most: delivering high-quality care.

This blog will spotlight the top mental health billing companies in the USA that combine industry expertise with cutting-edge technology to streamline revenue cycle management. Whether you’re a solo therapist or part of a larger behavioural health practice, choosing the right billing partner could be the difference between barely breaking even and thriving in today’s healthcare economy.

Why Specialized Mental Health Billing Is Essential for Your Practice?

Specialized mental health billing isn’t just a convenience; it’s a critical component of running a financially healthy and legally compliant practice. Unlike general medical billing, mental health billing involves unique service codes, evolving insurance policies, session-based billing structures, and strict regulatory requirements like HIPAA and the Mental Health Parity and Addiction Equity Act.

Outsourcing to a company that focuses exclusively on mental health billing offers several key benefits:

These advantages improve your day-to-day operations and strengthen your practice’s financial foundation, helping you thrive in an increasingly complex healthcare landscape.

Is Outsourcing Mental Health Billing Worth It?

10 Best Mental Health Billing Companies in the USA

1. MediBill RCM LLC

MediBill RCM LLC offers highly specialized behavioral and mental health billing services to maximize reimbursements while minimizing claim denials. Tailored specifically for psychiatrists, therapists, and behavioral health clinics, our HIPAA-compliant solutions support everything from ABA therapy billing to telehealth claim management.

With flat-rate pricing as low as 3.9% (learn how mental health billing costs are structured), MediBill RCM team handles the complexities of coding, compliance, and denial management so you can stay focused on patient care. MediBill RCM LLC serves solo practitioners, therapy clinics, and behavioral hospitals across the U.S., delivering custom solutions based on the scale and structure of your practice.

MediBill RCM LLC ensures efficient billing processes that support financial growth and regulatory peace of mind, from revenue optimization and EHR integration to real-time analytics and audit-ready documentation.

Key Features & Benefits

2. TheraThink

TheraThink offers dedicated, therapist-focused mental health insurance billing services built to eliminate your administrative burden and maximize reimbursements. Designed specifically for solo and small group practitioners, they handle everything from claims submission to denial management with complete transparency, a free trial, and no long-term contract required. Whether you are billing Medicare, Medicaid, EAPs, or private payers, their HIPAA-compliant workflows and real-time support ensure your claims get paid quickly and accurately. With a small percentage-based fee only on paid claims and no hidden charges, TheraThink makes private practice billing simple, affordable, and secure.

Key Features & Benefits

• Free 30-Day Trial: Experience our full service at no cost, no commitment required
• Percentage-Based Fee: Only pay on paid claims, with transparent pass-through fees
• Daily Claim Submission: Claims are filed and followed up on every business day
• Eligibility & Benefits Checks: Completed within 48 hours, ensuring upfront clarity
• Assigned Billing Admin: A dedicated human contact you can call, text, or email anytime
• Denial Management: Fast handling of rejections, denials, and appeals
• EOB & Payment Posting: They track payments and reconcile every claim
• Appointment Tools Included: SMS/email reminders and a synced calendar to reduce no-shows
• EAP, Medicare, Medicaid, TRICARE Support: Billing for all major payer types
• Credentialing & Network Verification: Add new plans or providers with ease
• No Long-Term Contract: Month-to-month flexibility with free account setup
• HIPAA-Compliant Portal: Secure claim and reporting access via encrypted servers

3. Resilience Billing

Resilience Billing delivers expert mental health billing solutions tailored exclusively for psychotherapy and psychiatric practices. With a deep understanding of behavioral health care and the unique billing challenges providers face. They offer sustainable, end-to-end revenue cycle management to support your practice’s growth. Whether you are a solo clinician or managing an extensive group practice, their team helps you streamline billing operations, reduce denials, and increase reimbursements, all while staying compliant with payer and HIPAA regulations. From ERA/EFT handling to KPI-based reporting and consultative support, Resilience Billing equips mental health professionals with the tools they need to thrive in a changing healthcare environment.

Key Features & Benefits

• Specialized for Behavioral Health: 100% focus on therapy and psychiatric billing, no distractions, no generic solutions
• HIPAA-Compliant Systems: End-to-end secure infrastructure protecting PHI across workflows
• Solo Practices: Personalized billing support, simplified claims, and transparent service structure
• Group Practices: Scalable RCM services to reduce redundancy, cut costs, and support multi-clinician operations
• Medicaid, Medicare & Private Payers: Seamless navigation of payer-specific rules and documentation requirements
• ERA & EFT Management: Real-time electronic payment posting with complete EOB reconciliation
• Metrics Reporting: Actionable KPIs to identify trends, improve collections, and support strategic growth
• Practice Consultation: Expert guidance to streamline billing workflows and reduce rejections
• Denial Management: Fast follow-up and appeals support to recover lost revenue
• Nationwide Coverage: Broad experience across state-specific payer rules and provider networks
• All Major Insurers Supported: Optum, Blue Cross, Cigna, Aetna, Medicaid, Medicare, and more
• Teletherapy-Ready: Designed for virtual practices with CPT code and modifier accuracy
• EHR Compatible: Works seamlessly with TherapyNotes, SimplePractice, AdvancedMD, Office Ally, and more

4. Psychiatric Billing Associates

Psychiatric Billing Associates is a full-service mental health billing company serving psychiatrists, therapists, and behavioral health providers since 1994. With over three decades of experience, their mission is to maximize insurance and patient collections so you can stay focused on care delivery and practice growth. From claims processing and appeals to patient statements and eligibility checks, they handle every step of the revenue cycle. PBA offers flexible integration with your EHR or provides secure web access to their billing system, ensuring real-time visibility into your financial performance.

Key Features & Benefits

• 30+ Years of Experience: Trusted by mental health providers nationwide since 1994
• EHR Integration or Web Access: Work in your system (e.g., TherapyNotes, TheraNest) or access their system at your choice
• Claims Processing: Fast electronic claim submissions, secondary filing, and automatic crossovers
• Patient Billing Services: Statement generation, toll-free support, and optional collections handling
• Payment Posting: ERA/EOB reconciliation, copay posting, and adjustment management
• Financial Reporting Suite: 30+ detailed reports including aging summaries, payer analysis, and revenue trends
• Follow-Up & Appeals: Persistent tracking of unpaid claims, refiling, denial reviews, and appeal submission
• 24/7 Online Access: Real-time dashboard to monitor claim status, balances, and run reports anytime
• Benefit Verification: Upfront VOBs to check eligibility, copays, authorizations, and deductibles before visits
• Practice Management Tools: Appointment calendar and optional reminder texts/calls to reduce no-shows
• HIPAA-Compliant Infrastructure: Secure workflows that ensure patient data privacy and audit readiness
• Nationwide Support: Serving practices across all 50 states with multi-payer expertise

5. Plutus Health

Plutus Health offers end-to-end mental health billing and coding services designed to maximize clean claims, reduce denials, and accelerate reimbursements. With a team of AAPC-certified coders and over 15 years of experience in mental health revenue cycle management, Plutus Health customizes its billing solutions for therapists, psychiatrists, psychologists, social workers, and behavioral health clinics. Their services cover everything from pre-billing audits, CPT validation, denial management, and automated patient collections. By combining data-driven workflows, real-time eligibility verification, and payer-specific coding expertise, Plutus Health ensures that practices get paid accurately and on time, without compromising compliance or transparency.

Key Features & Benefits

• Certified Mental Health Coders: AAPC-certified team with expertise in CPT, HCPCS, and ICD-10 coding
• End-to-End RCM: Billing, coding, AR management, denial handling, and collections under one roof
• High Clean Claim Rate: Achieves a 95%+ clean claim submission rate for mental health clients
• Fast Turnaround Time: Average claims processing within 48 hours
• Denial Rate Control: Reduces denial rates to 5% with proactive claim review and appeals
• A/R Days Optimization: Brings A/R days down to an average of 25 for faster revenue cycles
• Eligibility & Benefits Verification: Full benefit checks before service, including payer type and prior auth requirements
• Contracted Value Collection: Collection rate of 98% of contracted payer value
• Automated Patient Collections: 35%+ collection success rate from co-pays and deductibles pre-visit
• Customizable Billing Services: Designed for psychiatrists, psychologists, therapists, LCSWs, counselors, and group practices
• Specialized Denial Resolution: Corrects common issues like incorrect CPT codes, invalid provider enrollment, and overlapping claims
• HIPAA-Compliant Systems: Secure billing workflows with 24/7 access and full audit support
• One-Click Support: 24/7 support, 365 days a year, for immediate issue resolution and client assistance

6. Ensora Health

Ensora Mental Health offers streamlined, full-service billing solutions tailored exclusively for mental health professionals. Designed to eliminate the burden of insurance claims and maximize revenue. Ensora’s Managed Billing service gives solo providers and group practices the ability to offload complex billing tasks to a team of experienced mental health billing specialists. From claim scrubbing to denial resolution and payment posting, Ensora handles every step of the revenue cycle with precision and care. With a dedicated billing expert assigned to each account and built-in support for 2025 CPT code updates, providers can finally reclaim their time, reduce billing errors, and boost cash flow, without sacrificing control or transparency.

Key Features & Benefits

• Mental Health Focused: Services explicitly built for therapists, counselors, and behavioral health clinics
• Claim Validation: Software-based claim scrubbing to reduce errors and ensure faster approvals
• End-to-End Submission Support: Just document your sessions, and Ensora handles the entire billing process
• Rejection & Denial Follow-Up: Dedicated team investigates, corrects, and resubmits denied or rejected claims
• Payment Posting & Reconciliation: Accurate remittance tracking and client ledger management
• Dedicated Billing Specialist: Personalized support with regular meetings and real-time insights
• Time-Saving Automation: No more calling payers, training in-house staff, or chasing denials on weekends
• Improved Cash Flow: Tighter billing cycles mean quicker payments and fewer missed reimbursements
• Latest CPT Code Compliance: Up-to-date with all 2025 mental health coding changes
• TheraNest Integration: Seamless workflow for existing users of TheraNest practice management software

7. CureMD

CureMD offers tailored mental health medical billing services that combine cutting-edge technology with specialized expertise to streamline your revenue cycle and accelerate reimbursements. Explicitly designed for behavioral health providers. CureMD’s customizable billing solutions support therapy, medication management, telehealth, and more, scaling from solo practitioners to multi-location clinics. With HIPAA-compliant systems, expert denial prevention, and real-time analytics, CureMD empowers mental health practices to reduce administrative burdens, enhance cash flow, and reclaim focus on patient care.

Key Features & Benefits

• Specialized for Mental Health: Custom billing services for psychiatrists, therapists, and behavioral health clinics
• Personalized Support: A Dedicated account manager ensures smooth billing operations and hands-on support
• Claim Scrubbing & Submission: Proactive claim validation leads to a 98% clean claim rate
• Real-Time Analytics: Transparent, easy-to-understand financial reports and claim tracking
• HIPAA-Compliant & Secure: Advanced encryption and audit-ready records protect patient data
• Advanced Denial Prevention: Constant monitoring of payer rules to avoid common billing errors
• Insurance Verification & Credentialing: Pre-appointment eligibility checks and credentialing support reduce delays
• Cost Reduction: Eliminate the overhead of in-house billing and software management
• Seamless EHR Integration: Works with existing EHR systems to ensure a smooth workflow

8. BellMedEx

BellMedEx provides end-to-end behavioral health billing services designed specifically for mental health professionals, psychiatric practices, substance abuse treatment centers, and therapy providers. Their specialized billing team understands the complexities of psychiatric CPT, DSM-5, and HCPCS coding. It offers fully integrated EMR and revenue cycle management (RCM) solutions. From eligibility checks to payment reconciliation, BellMedEx empowers behavioral health practices to enhance collections, reduce administrative overhead, and maintain regulatory compliance, all while allowing providers to focus on patient care.

Key Features & Benefits

• Full-Spectrum Mental Health Billing: Coverage includes psychiatric evaluation, therapy billing, substance use disorder billing (e.g., H0001, H0050), CoCM billing (99492, 99493, G2214), behavioral health specialist services (0362T, 0373T), and more.
• EMR + Billing Integration: Custom-built behavioral health EMR integrates with billing for streamlined operations, including telehealth, patient portals, clinical decision support, and analytics.
• Expert Coding Team: Experienced coders handle all relevant behavioral health coding types: ICD-10, DSM-5, CPT, HCPCS, and HBAI, minimizing errors and maximizing reimbursement.
• Revenue Cycle Management (RCM): Comprehensive RCM support from patient intake through final payment. Services include eligibility verification, claims submission, denial management, and payment tracking.
• Payment Collection Optimization: Proactive insurance verification, patient responsibility calculation, and automated statements accelerate cash flow and reduce write-offs.
• Behavioral Health Specialization: Expertise in unique billing challenges related to psychiatric medication management, psychotherapy, group therapy, ABA, and integrated care.
• Compliance & Accuracy: Processes designed to reduce risk and ensure billing accuracy, backed by a deep understanding of payer guidelines and behavioral health-specific documentation requirements.
• Dedicated Support: Responsive customer service, transparent reporting, and customizable solutions tailored to the scale and scope of your mental health or substance abuse practice.

9. Psyquel

Psyquel offers specialized mental health billing services that simplify insurance claims and administrative tasks for behavioral health professionals. With a strong focus on streamlining operations and improving patient access, Psyquel handles the full billing cycle from insurance verification to denial management so providers can focus on care, not paperwork. Their all-in-one platform includes scheduling, EMR, HIPAA compliance, and patient engagement tools. With a legacy dating back to 1997 and a five-star client reputation, Psyquel is a trusted partner for mental health practitioners seeking reliability, efficiency, and patient-centered support.

Key Features & Benefits

• Complete Mental Health Billing Support: Insurance benefits verification, claim submissions, denial resolution, and authorization tracking are all handled by experts.
• All-in-One Platform for Practice Management: Built-in features include a patient scheduling portal, appointment reminders, EMR, and credit card processing—everything in one system.
• Improved Access & Adherence: By removing financial and billing obstacles, Psyquel helps patients stay in treatment longer and encourages timely access to care.
• Stronger Patient-Provider Relationships: Minimized billing disputes reduce tension and enable therapists to focus on building therapeutic alliances instead of discussing finances.
• Full HIPAA Compliance: Ensures data security and regulatory compliance for all billing and practice management processes.
• Enhanced Revenue Collection: Faster claims turnaround, proactive denial management, and expert follow-ups improve cash flow and revenue reliability.
• Trusted by Providers Nationwide: With decades of experience and positive client testimonials, Psyquel has a reputation for responsive service and dependable billing performance.

10. Transcure

Transcure delivers specialized psychiatry and mental health billing services built to enhance your practice’s revenue while eliminating administrative burdens. Designed for psychiatrists, therapists, and behavioral health providers, our end-to-end solutions ensure accurate claims, reduced denials, and faster reimbursements. From coding compliance and pre-authorizations to A/R follow-up and insurance verification, their expert team handles every step. Transcure works with solo providers, group practices, and multi-specialty clinics nationwide, integrating seamlessly with your existing EHR. With results-driven workflows, a 99% claim acceptance rate, and complimentary financial audits, Transcure empowers your practice to thrive. At the same time, you stay focused on patient care.

Key Features & Benefits

• Guaranteed Revenue Boost: Up to 5–8% revenue improvement and 30% A/R reduction
• 99% Clean Claim Rate: High first-pass accuracy powered by RPA technology
• No Software Switching: Full EHR/EMR compatibility Epic, Kareo, NextGen, Athena, eCW, and more
• Solo Providers: Personalized support, simplified billing, and faster payments
• Group Practices & Clinics: Scalable RCM systems, claim analytics, and pre-auth assistance
• Dedicated Team Support: 4–5 billing experts assigned to each practice
• HIPAA-Compliant Workflows: Fully secure and compliant processes from start to finish
• Psychiatry-Specific Coding: Accurate CPT/ICD-10 coding for psychiatric evaluations, therapy sessions, and medication management
• Verification & Authorization: Benefit verification, eligibility checks, and pre-authorization management
• Denial Management: Real-time tracking and rapid denial resolution to protect cash flow
• 24/7 Billing Services: Around-the-clock claim processing for optimal efficiency
• Complimentary RCM Audit: Identify hidden revenue gaps with our free 21-KPI performance audit ($2,000 value)

Frequently Asked Questions About Mental Health Billing Companies

1. What are the best mental health billing companies in the USA?

The USA’s top mental health billing companies include MediBill RCM LLC, TheraThink, Resilience Billing, and others known for HIPAA compliance, high clean claim rates, and behavioral health specialization.

2. Why should I outsource mental health billing services?

Outsourcing improves revenue cycle efficiency, reduces claim denials, ensures compliance with mental health regulations, and frees up time for clinicians to focus on patient care.

3. What should I look for in a mental health billing company?

Key factors include specialization in behavioral health, clean claim rate, EHR integration, denial management, real-time reporting, and transparent pricing.

4. Do these companies support telehealth and ABA therapy billing?

Many top billing providers like MediBill RCM LLC and BellMedEx support telehealth billing, ABA therapy (CPT 97153, 97155), and modifier compliance (95, GT).

5. Are these billing services compatible with my EHR system?

Most top-rated mental health billing companies integrate with leading EHRs like TherapyNotes, SimplePractice, Kareo, Office Ally, and AdvancedMD.