Behavioral Health Billing

Behavioral Health Billing That Captures Every Dollar You've Earned

Time-based add-on accuracy, multi-credential enrollment, and a dedicated OON negotiation layer built for behavioral health — so every session is reimbursed at the level it deserves.

Up to 6×
OON Recovery
Medicare Rate
100%
Add-On Accuracy
Time-Based
98%+
Clean Claims
First Pass
🧠 The Challenge

The Behavioral Health
Billing Challenge

Behavioral health billing requires precise time-based add-on code documentation, where session length determines reimbursement levels. Credentialing complexity is higher than most specialties — LCSWs, LPCs, and psychologists each have different payer enrollment pathways. OON situations are extremely common in behavioral health, and many payers apply restrictive medical necessity criteria that lead to high denial rates.

Our Approach

What REL1EF Does Differently

Time-based add-on code accuracy for every session
Multi-credential provider enrollment (LCSW, LPC, PhD, MD)
OON negotiation for behavioral health's high OON exposure
OON Upside

The OON Opportunity
in Behavioral Health

Behavioral health has one of the highest OON rates of any specialty due to narrow networks and low in-network reimbursement. REL1EF's dedicated negotiation layer recovers up to 6× Medicare rates on behavioral health OON claims — the same sessions that payers routinely underpay or deny without active negotiation.

Behavioral Health OON Reimbursement — Same Session
Medicare Baseline
Unmanaged OON0.8–1.2×
REL1EF Negotiated OONUp to 6×
Based on UCR benchmarking & Fair Health data. Results vary by payer and geography.
Scope

Services Included

Time-Based Add-On Codes Psychotherapy Coding Psychiatric Evaluation Billing Psychological Testing Group Therapy Billing Telehealth Behavioral Health OON Negotiation Credentialing Support Denial Management A/R Recovery
Get Started

No-Win, No-Fee
Behavioral Health Billing

Start with the free A/R recovery trial to see our work firsthand — or contact us directly about behavioral health billing services.

No-win, no-fee A/R recovery trial
HIPAA compliant · BAA signed before access
Multi-credential enrollment included
Works with 50+ EHR systems
Request Your Free BH Billing Assessment
🔒 HIPAA compliant · BAA signed before any data access
Behavioral Health FAQ

Behavioral Health
Billing Questions

Common questions about behavioral health billing, credentialing, and OON negotiation.

Start Free A/R Trial
Time-based add-on codes (such as +90837) are billed based on the duration of the psychotherapy session. Accurate documentation of session start and stop times is critical — undercoding by even one time bracket costs practices significant revenue per session. REL1EF ensures every session is coded to the correct time-based level with supporting documentation.
Each license type has different payer enrollment pathways. LCSWs and LPCs may not be paneled with all commercial payers, psychologists have separate credentialing requirements for testing services, and psychiatrists follow standard physician enrollment. REL1EF manages multi-credential enrollment across all payers to ensure every provider in your practice can bill independently.
Behavioral health has one of the highest OON rates of any specialty because many payers maintain narrow behavioral health networks, reimbursement rates for in-network behavioral health are often below sustainable levels, and credentialing barriers prevent many licensed providers from joining panels. REL1EF's OON negotiation layer recovers significantly higher reimbursement on these claims.
Start Free A/R Trial Call Us