Specialty billing guide
Best Medical Billing Companies for Mental Health
The short answer
Twenty-three firms state mental health billing focus on their own sites, listed alphabetically with no rankings. Below: the authorization traps and what to ask vendors.
Mental health billing runs on sessions and authorizations, not procedures, which makes it feel simple until the denials start. The codes are few but the payer rules around them are dense: session limits, telehealth modifiers, and authorization windows that vary by plan.
This page also covers the behavioral health firms in our directory, including ABA therapy specialists. ABA billing is its own heavy lift, with high unit counts per week and re-authorization calendars that punish any lapse in attention.
Twenty-three firms in our directory state mental health or behavioral health billing focus on their own websites, listed below in alphabetical order. Nothing is ranked, reviewed, or paid for. After the listings we cover the traps that cost therapy practices money and the questions worth asking.
Medical billing companies for mental health
Matched by specialty focus stated on each firm's own site. Listed alphabetically; featured slots are paid and labeled.
23 firms listed
Specialty-focused revenue cycle management, serving behavioral health, mental health, and gastroenterology practices.
Behavioral Health
Revenue cycle outsourcing for billing companies, hospitals, software firms, and select practices.
Scottsdale, AZ
Dermatology · Orthopedics · Cardiology
Billing services for ABA therapy providers.
Behavioral Health
Billing and credentialing services for ABA therapy providers.
Brick, NJ
Behavioral Health
ABA revenue cycle management, combining practice software with billing services.
Behavioral Health
Billing and credentialing services for ABA therapy providers.
Dover, DE
Behavioral Health
Psychiatry and behavioral health billing, including TMS.
Lansdowne, VA
Behavioral Health
Billing services for behavioral health and ABA therapy providers.
Behavioral Health
Medical billing company offering billing, enrollment, eligibility verification, and denial management; serves rehab, behavioral health, and urgent care.
Behavioral Health
Home health billing and credentialing; also serves internal medicine, cardiology, orthopedics, mental health, pediatrics, physical therapy, chiropractic, and surgical practices.
St. Petersburg, FL
Orthopedics · Cardiology · Pediatrics
Mental health billing services.
Behavioral Health
Billing services for ABA therapy providers.
Behavioral Health
Billing for behavioral health, I/DD, and substance use disorder providers.
Melville, NY
Behavioral Health
Billing and coding for physicians, dentists, chiropractors, behavioral health, ABA, and physical and occupational therapy providers.
Portland, OR
Behavioral Health · Dental · Physical Therapy
Revenue cycle management for ABA and behavioral health providers.
Behavioral Health
Personalized revenue cycle management serving cardiology and behavioral health practices.
Florida
Cardiology · Behavioral Health
Billing for podiatry, dermatology, allergy and immunology, cardiology, pain management, psychology, orthopedic surgery, and physical therapy practices.
Voorhees Township, NJ
Dermatology · Orthopedics · Cardiology
Billing services for behavioral health and psychology practices.
Behavioral Health
Billing services for behavioral health providers: therapists, psychologists, counselors, and psychiatrists.
Austin, TX
Behavioral Health
End-to-end billing, coding, eligibility, denials, accounts receivable, and credentialing across 15+ specialties.
Brentwood, TN
Orthopedics · Cardiology · Pediatrics
Multi-specialty revenue cycle management.
Davis, CA
Orthopedics · Cardiology · Pediatrics
ABA practice software with billing services.
Behavioral Health
Revenue cycle management for behavioral health providers.
Behavioral Health
23
firms in our directory stating mental health or behavioral health focus
Source: BillingFirms directory data (verified 2026-10-01)
90-120 days
time payer credentialing and panel enrollment commonly takes
Source: credentialing industry guides
4-10%
percentage-of-collections range most billing vendors advertise
Source: billing vendor pricing guides
Authorizations are the whole game
Most therapy denials trace back to authorization problems: expired auths, sessions delivered beyond the authorized count, or authorizations never obtained for an assessment code. ABA practices face this at higher volume, with dozens of weekly units per client and re-auth deadlines that cannot slip.
Your biller's most valuable skill here is calendar discipline: tracking auth windows across your whole caseload and flagging expirations before they cost you sessions. Ask vendors how they do this and what happens when one lapses. Vague answers are a red flag, because this is the most mechanical and most consequential part of behavioral health billing.
In-network versus superbills
Many therapists work out-of-network and hand clients superbills to submit themselves. That model still needs billing support: correct coding on the superbill, ERA and EOB reconciliation, and patient statements that do not confuse people who are already stressed.
If you are in-network, the biller's job shifts to panel management and contract rates, which vary wildly for therapy codes. Either way, confirm the vendor has done your exact model before, not just therapy billing in general.
Telehealth and place of service
Telehealth made therapy accessible and billing messier. Place-of-service codes and telehealth modifiers differ by payer, and parity rules vary by state. These details decide whether a video session pays at the in-person rate or gets cut.
A biller serving therapy practices should be able to explain exactly how they code your video sessions for your top three payers, without looking it up. If they hedge, they are learning on your claims.
What to ask a behavioral health billing vendor
Use these questions on every sales call. The answers reveal whether the vendor has actually lived in therapy billing.
- How do you track authorization windows across a full caseload?
- What is your process for ABA re-authorizations specifically?
- How do you code telehealth sessions for my top payers?
- Do you handle superbill generation and patient statements?
- Can I speak with two current therapy or ABA clients?
Frequently asked questions
How much does mental health billing cost?
Mental health billing vendors commonly advertise 4 to 10 percent of collections, with solo and small practices often offered flat monthly fees instead. ABA practices with high unit counts sometimes negotiate lower percentages at higher volume. Ask whether superbills, eligibility checks, and authorization tracking are all included, since unbundled fees add up fast.
How long does insurance credentialing take for therapists?
Payer credentialing and panel enrollment commonly take 90 to 120 days from a clean application to approval, and some panels take longer. This is why practices should start credentialing months before they need the revenue. Ask any vendor how they track application status and what they do when a payer goes quiet.
What is a superbill and who creates it?
A superbill is an itemized receipt with diagnosis and procedure codes that out-of-network clients submit to their insurer for reimbursement. Your biller should generate these with correct coding for every session. Sloppy superbills get rejected and create extra work for your clients, so confirm superbill support is included before you sign.
What causes the most therapy claim denials?
Authorization problems cause the most denials: expired authorizations, sessions beyond the authorized count, and missing authorizations for assessments. Eligibility errors run second, especially when a client's plan changes mid-treatment. A good behavioral health biller prevents most of these with auth tracking and eligibility checks, not just appeals.
Is ABA billing different from regular therapy billing?
Yes, substantially. ABA involves far more units per week, detailed treatment plans tied to authorizations, and re-authorization cycles that require fresh clinical documentation on schedule. The volume and the paperwork make ABA the most operationally demanding corner of behavioral health billing. Only consider vendors who can name current ABA clients.
How this list was made
Firms on this page are matched from the BillingFirms directory's verified data. A firm appears when mental health or behavioral health billing focus is stated on the firm's own public website, matched by our specialty taxonomy or specialty keywords. Listings are alphabetical. Nothing is ranked, reviewed, or vetted, and no firm currently holds a Featured placement.
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