BUILT FOR BEHAVIORAL & MENTAL HEALTH
Behavioral and mental health claims are denied at 85% higher rates than other specialties. Over half are never appealed. We recover that revenue. You pay nothing unless we collect.
The problem
Insurance companies deny behavioral health claims at 85% higher rates than other specialties (APA, 2024). Most practices write off the revenue because they lack the staff and expertise to appeal. Yet 44% of appealed claims are overturned on the first attempt (KFF, 2023).
How it works
Export your 835 files from your clearinghouse or PMS. Drag, drop, done.
Each claim is categorized by CARC code, scored for appealability, and matched to the optimal recovery strategy.
Payer-specific letters are generated, submitted, and tracked. You keep 85% of everything recovered.
Coverage
Typical recovery
Based on 15–25% denial rates for behavioral health (APA, 2024) and 44% first-appeal overturn rate (KFF, 2023). Actual results vary by practice, payer mix, and claim volume.
A standard electronic file your clearinghouse sends after claims are processed. It lists every claim, what was paid, and what was denied. Export it from your PMS or clearinghouse in 30 seconds.
Never. The entire process is written correspondence — appeal letters submitted electronically or via secure fax. No phone calls, no hold queues.
Soft denials (coding errors) resolve in 2–4 weeks. Hard denials (medical necessity) take 30–60 days through formal appeal. Every claim is tracked in your dashboard.
You pay nothing. Our fee is 15% of recovered revenue only. Failed appeals cost you $0. Refer other practices to lower your rate to as low as 10%.
Fully HIPAA compliant. AES-256 encryption, signed BAAs, field-level encryption for PHI, and a complete audit trail of every data access.
Behavioral and mental health exclusively — psychologists, psychiatrists, therapists, social workers, counselors, and substance abuse treatment facilities.
Upload one month of ERA files. Recovery report in 60 seconds. No account needed.