Running a mental health practice involves far more than patient sessions. Providers face payer rules that change every quarter, prior authorization backlogs, and reimbursement rates that never seem to keep up with administrative effort. Time that could be spent supporting patients often gets lost in billing follow-ups, coding adjustments, and appeal letters.
Unlike most medical specialties, mental health billing demands a level of documentation and time-based precision that leaves little room for error. Every session length, modifier, and note must match exactly, or reimbursement gets delayed or denied. For many behavioral health groups, outsourcing has become the most practical way to keep operations sustainable.
The right billing partner doesn’t just submit claims; it brings structure, compliance, and peace of mind. Below are ten trusted companies known for behavioral-health billing excellence. The list begins with AnnexMed, a nationally recognized RCM partner with proven results across therapy, psychiatry, and behavioral care.
Top 10 Mental Health Billing Companies
1. AnnexMed
AnnexMed is a leading name in healthcare revenue cycle management with nearly twenty years of experience. The company specializes in mental health billing and behavioral health revenue cycle management, helping therapy and psychiatric practices turn complex insurance processes into consistent, compliant reimbursement.
AnnexMed’s certified coders understand the specific demands of behavioral health billing. They manage time-based CPT codes accurately and ensure each claim matches clinical notes and payer requirements. The team handles pre-authorizations, eligibility checks, and payer follow-ups so that therapy sessions are reimbursed promptly.
The company supports a wide range of providers, from solo therapists to multi-location behavioral health groups. AnnexMed offers end-to-end RCM services, including denial management, AR cleanup, and credentialing. Practices receive transparent performance reports, dedicated account managers, and HIPAA-compliant operations that protect patient data.
Clients often report clean-claim rates above 95 percent and 20–30 percent reductions in AR days after implementation. AnnexMed’s model is designed to integrate with each practice’s workflow, functioning as a true partner rather than an outside vendor. Their focus on reliability, accuracy, and long-term revenue stability, allowing positions them among the top Mental Health Billing so providers get to spend more time on patient care and less time on billing.
2. MentalHealthBill.net
MentalHealthBill.net is one of the longest-standing companies devoted exclusively to mental health billing. Its focus is clear, help therapists, counselors, and psychologists navigate insurance billing without having to become experts in coding and payer policies themselves.
The company offers full-service claim management, including claim submission, posting, appeals, and credentialing. Their team is familiar with the unique coding requirements of therapy services. Clients appreciate the firm’s straightforward communication and reliable turnaround times.
Beyond billing, MentalHealthBill.net helps providers track patient authorizations and monitor visit limits, reducing the risk of unpaid sessions. Their reporting tools give visibility into outstanding claims, denials, and patient balances, a level of clarity many solo practices struggle to maintain internally.
3. PsyWell Group
PsyWell Group blends billing expertise with consulting support, helping mental health professionals understand not just what went wrong with claims, but why. Their model combines day-to-day claim handling with periodic performance analysis, allowing providers to adjust documentation or scheduling patterns to improve cash flow.
The company handles claim submission, eligibility checks, payer communication, and monthly reports. Their billing specialists are trained in time-based CPT codes and modifiers specific to mental health, including telehealth-related codes that many payers still treat inconsistently. PsyWell also offers credentialing and insurance-panel assistance for growing practices.
Where PsyWell excels is in education, they equip clinicians with insights that prevent recurring issues, not just fix them. Their customer service approach is proactive, helping providers avoid rejections through better note alignment and verification steps.
4. Cipher Billing
Cipher Billing positions itself as a detail-oriented billing partner for behavioral-health and outpatient therapy providers. Their focus is on claim accuracy, compliance, and timely follow-up, three pillars that define efficient RCM.
The company provides comprehensive services, including billing for therapy and psychiatry, AR recovery, payment posting, and denial appeals. They are particularly attentive to payer-specific edits and data integrity, using technology to flag incomplete or mismatched claims before submission.
Cipher also provides HIPAA-secure portals and detailed performance dashboards, ensuring clients stay informed at every step. Their team’s responsiveness and commitment to clean billing make them a steady choice for providers who can’t afford errors or lag time.
5. Indigo Billing
Indigo Billing offers a strong mix of experience and adaptability for behavioral-health practices. Serving therapy groups and substance-use programs across the country, Indigo has earned a reputation for being responsive and transparent.
Their team handles psychotherapy and group-therapy billing, pre-authorizations, credentialing, and denial management. They specialize in multi-provider environments, where each therapist may have different credentials or payer enrollments, a scenario that often confuses in-house billers.
Indigo also provides optional administrative training, helping front-office staff understand eligibility verification and documentation best practices. This proactive support prevents claim rejections downstream.
6. Therapeutic Billing Co.
Therapeutic Billing Co. is known for its personal approach and commitment to small practices. The company works closely with licensed therapists, social workers, and counselors, managing insurance billing, ERA posting, and patient statements with reliability and clarity.
They focus on removing day-to-day billing stress for clinicians who often handle administrative work themselves. Their team ensures accurate use of therapy codes, tracks patient deductibles, and monitors payer reimbursement timelines.
Clients praise their fast response times and simple communication. For many therapists, Therapeutic Billing Co. becomes a trusted back-office partner who knows their caseload and practice patterns well enough to keep billing seamless.
7. ClearMgt
ClearMgt serves as both a billing service and an operations partner for behavioral-health and wellness organizations. Its offerings go beyond claims, providing financial management, insurance verification, credentialing, and integration with major EHR platforms like TheraNest and SimplePractice.
Their billing team is experienced in multi-specialty behavioral-health environments, from individual therapy to group sessions and intensive outpatient programs. With transparent financial reporting, clients gain visibility into key metrics like AR days, reimbursement trends, and denial reasons.
ClearMgt’s value lies in how it blends business intelligence with billing accuracy, making it a fit for practices that are scaling or require structured financial oversight.
8. Go Nexsys
Go Nexsys combines technology with billing expertise, offering practice management tools alongside full RCM services. Its behavioral-health division supports therapy groups, substance-use programs, and psychiatric practices across the U.S.
The company uses workflow automation to handle claim submission, payment posting, and AR tracking. Its dashboard helps identify denial trends and payer delays early, reducing lost revenue. Go Nexsys also offers patient billing and collection tools to simplify out-of-pocket tracking.
Their adaptability stands out, they integrate with most EMRs and customize billing rules per payer, a key factor for multi-state behavioral-health groups.
9. HealthQuest Billing
HealthQuest Billing serves healthcare providers nationwide with strong experience in behavioral-health billing. Their team of certified billers manages claim processing, follow-ups, and AR resolution with an emphasis on transparency and communication.
They specialize in handling complex payer rules for therapy and psychiatric services. Their data-driven process helps practices understand reimbursement trends and identify where claims are getting delayed or denied.
HealthQuest’s customer support team is proactive, sending regular performance summaries and collaborating with practices on coding improvements.
10. Aloha Care Medical Billing
Aloha Care Medical Billing may be based in Hawaii, but its client base spans the continental U.S. The company offers medical and mental-health billing, credentialing, and payment posting with a personal, relationship-driven approach.
Their team works closely with therapists to ensure every session note aligns with payer requirements. They assist with telehealth billing, ERA reconciliation, and patient invoicing, ensuring practices maintain a healthy cash flow without added stress.
Clients appreciate their responsiveness and willingness to adapt workflows to match each provider’s preferences.
Challenges in Mental Health Billing and Why Outsourcing Helps
Mental-health billing requires precision and time that many practices simply can’t spare. Each session must match exact CPT codes, modifiers, and documentation length. A single mismatch can trigger denials, and with multiple payer systems and telehealth policies, errors multiply quickly.
Therapists also face pre-authorization hurdles and visit caps unique to behavioral health. Managing these manually drains time that should go to patient care.
Telehealth has expanded access but increased complexity, each payer handles modifiers, place-of-service codes, and parity differently. For growing practices, managing multiple clinicians’ credentials, authorizations, and claims often overwhelms in-house staff.
The U.S. medical billing outsourcing market was valued at USD 6.28 billion in 2024 and is projected to grow at a CAGR of around 12%.Mental health billing companies play a major role in this growth, helping practices improve compliance, accelerate collections, and reduce claim denials.
The best billing partners don’t just file claims, they build a workflow that keeps every reimbursement on schedule while ensuring compliance. For most therapy practices, that partnership is the difference between steady growth and constant backlogs.
Mental-health billing is more than data entry; it’s a process of accuracy, interpretation, and follow-through. Choosing a billing partner that understands the nuances of therapy coding and behavioral-health compliance can stabilize revenue and reduce administrative burnout.
All ten mental health billing companies listed here have proven strengths in the behavioral-health space. Each offers dependable service, solid communication, and niche expertise. Among them, AnnexMed stands out for its experience, scalability, and balanced approach, combining technology, certified expertise, and the responsiveness of a dedicated team.
The right billing partner should make billing invisible, letting your team focus fully on patient outcomes while revenue cycles run smoothly in the background.
Focus on Care. Leave the Billing to Experts.
Outsourcing behavioral health billing brings calm back to your operations, fewer denials, faster payments, and full visibility into every claim. AnnexMed’s dedicated behavioral health billing team understands the nuances of therapy coding, prior authorizations, and payer compliance, helping practices of all sizes stay financially healthy and patient-focused.
FAQs in Mental Health Billing
Behavioral-health billing involves time-based CPT codes and detailed documentation that must align exactly with claims. Authorization limits and parity laws add another layer of complexity.
Absolutely. Outsourcing gives smaller teams access to certified coders and faster reimbursements without adding internal staff or overhead.
Most practices see improvements in cash flow and reduced AR within 60–90 days.
Yes. Many payers require telehealth modifiers (95, GT) or specific place-of-service codes. Experienced mental health billing companies ensure compliance with each payer’s rules.
Behavioral-health experience, certified coders, transparent reporting, credentialing assistance, and strong denial management capabilities.
AnnexMed offers certified behavioral-health coders, dedicated AR teams, transparent dashboards, and consistent communication, delivering reliable billing performance for therapy and counseling providers.
