Our Services

Claims

Navigating the complexities of insurance contracting is essential for the long-term viability and expansion of your behavioral health practice.

Claims

Claims can be difficult to understand and need to be submitted correctly in order for insurances to pay for services. This means that all client information, diagnosis codes, billing codes, etc. need to be accurate. With our diligent claims team, your claims will be submitted weekly to expedite your insurance payments.
Once the claims are submitted we track them regularly to ensure that the insurance is processing all claims correctly. There can be various reasons for claim denials which we are able to acknowledge quickly because of our regular follow ups. Each one of your client’s claims will be entered into our secure portal so you can see everything that is happening with your payments.
After the insurance has processed a claim then we update the claim information in our portal so you know when to expect payment. Our system makes viewing your payment information easy with a detailed breakdown of how a claim was processed. We will also include a copy of the insurance EOB (Explanation of Benefits) attached to each claim for your reference.
Common mistakes we see on claims include:
Insurance plan terminates without notifying the member
Insurance fails to recognize an authorization or diagnosis
Insurance does not pay the correct amount for a claim
Members have not updated their coordination of benefits
Members provided incorrect information such as date of birth or address
Provider’s change of address without notifying the insurance

All of these mistakes and more are quickly resolved with the help of our dedicated claims team. We will make sure everything is up to date and relay all necessary information to you so you can inform your client. If a claim denies or does not pay correctly then we will appeal that claim on your behalf.

Our mission is to get you paid the maximum amount from insurance as quickly as possible.

Insurance Claims Submission and Management

Insurance claims can be complex. Accurate submissions are crucial for timely payments.Simplify your insurance claims process. Our dedicated team will accurately submit your claims weekly, ensuring timely payments. We'll handle all the details, including client information, diagnosis codes, and billing codes.

Regular Tracking and Monitoring

Our team diligently tracks your submitted claims to minimize processing delays, ensure they are processed correctly by the insurance companies and proactively address any claim denials, leveraging our expertise to secure your payments. Monitor your clients’ claim status in real-time through our secure portal.

Transparent Claim Updates

Upon processing of your insurance claim, we will promptly update our portal with the latest

Our system provides an easy to navigate clear breakdown of your payment and claim details of how each claim was processed.

We’ll also include a copy of the Explanation of Benefits (EOB) so you can review the details of your claim.

Common Claim Issues

Common mistakes that can lead to claim denials include

Insurance plans terminate without notifying the member
Authorization or diagnosis not recognized by the insurance
Incorrect payment amounts for claims
Members not updating their coordination of benefits
Incorrect client information (e.g., date of birth or address)
Provider address changes not communicated to the insurance

Our dedicated claims team will expeditiously address these issues and, if necessary, appeal any denied or underpaid claims on your behalf.

Our Commitment

Our primary goal is to expedite your insurance reimbursements and simplify the claims process.By entrusting us with your claims management needs, you can alleviate the administrative burden and dedicate more time to your core competencies. Our team of experts is committed to navigating the complexities of insurance regulations, ensuring accurate and timely claim submissions. We’ll tirelessly advocate for your clients’ best interests, maximizing their reimbursements and minimizing any potential delays or denials

Explore Other Services

Verification of Benefits

As soon as a potential client provides their health insurance card, we begin verifying that your services are covered.

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Authorizations

When the VOB confirms services will be covered, we begin working on an authorization request. Our team consists of trained therapists who understand the

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Contracting

We work with the insurance companies to get you contracted for the highest pay rate possible. This is upon request, if there is an insurance you want to be contracted with just let us know and we will take care of it for you.

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