A side-by-side comparison of 11 behavioral health billing companies by pricing, ratings, and specialty fit, so you can shortlist a partner without wading through self-ranked "best of" lists.
Behavioral health billing is rarely as straightforward as submitting a claim and waiting for payment. It involves unique codes, authorizations, credentialing, documentation, and payer requirements.
According to SAMHSA's 2024 National Survey on Drug Use and Health (NSDUH), the financial side of behavioral health treatment remains a significant challenge.
Here are the top 11 behavioral health billing companies, and platforms to consider for treatment settings like mental health, psychiatry, ABA, and substance use disorders in 2026.
Why Generalist Billing Fails Behavioral Health Practices?
A behavioral health billing services company should have knowledge of requirements that are less likely to come up in a general medical billing company, such as:
- Time-based psychotherapy codes (90832, 90834, 90837) and related requirements regarding documentation and services billed.
- ICD-10-CM coding, documentation, and billing requirements specific to the payer.
- Behavioral health payer and carve-out requirements, including potentially separate credentialing or contracting processes from the patient's medical plan.
- 42 CFR Part 2 requirements (for substance abuse-related records).
- Billing requirements for specific program and service types like IOP, PHP, residential treatment, and various levels of care.
- ABA-specific billing requirements and practices, including authorization, units of service, coding, and payer-specific requirements.
- Telehealth billing requirements, which can vary by payer, service type, program, and setting.
The point here is not that a general medical billing company cannot have this expertise, but rather that practices should ensure that their potential billing partner has this expertise with the specific services, codes, payers, and practices relevant to their own behavioral health practice.
Quick-Glance Comparison: 11 Behavioral Health Billing Companies, Rated & Priced
This comparison takes into account the specialization in behavioral health, scope of services, availability of reviews from public sources, degree of openness in pricing, technology proficiency, among others. The companies are not evaluated exclusively based on their public score.
| # | Company | Best For | Public Rating / Review Availability | Pricing Model |
|---|---|---|---|---|
| 1 | BillingParadise | Practices seeking broader full-service RCM with behavioral health support | Public reviews available on Clutch and Yelp | Publicly reported as percentage-based; custom quote recommended |
| 2 | BehavioralProz | Practices seeking a dedicated behavioral health billing specialist | New to major review platforms; client testimonials available | % of collections, custom quote |
| 3 | Sirius Solutions Global | Practices interested in AI-assisted claim workflows | Early-stage public review presence | % of collections, custom quote |
| 4 | Med USA (MedusaRCM) | Larger practices and health systems | Limited major software-platform review presence | Percentage-based, tiered service options |
| 5 | MediBillMD | Multi-specialty organizations with behavioral health service lines | Public reviews available | % of net collections |
| 6 | TherapyNotes | Solo and group therapy practices wanting software with billing tools | Public reviews available on G2 | Subscription pricing |
| 7 | Kareo / Tebra | Small clinics seeking an all-in-one practice platform | Public reviews available | Custom quote; managed billing options may be available |
| 8 | AdvancedMD | Mid-size to large multi-provider organizations | Public reviews available on G2 | Per-provider platform pricing and add-ons |
| 9 | Ensora Health (TheraNest/Therabill) | Counseling and group therapy practices | Public reviews available | Subscription-based |
| 10 | TheraThink | New psychotherapy or psychiatry practices needing billing and credentialing support | Limited major review-platform presence | Percentage-based |
| 11 | Valant | Practices seeking tightly integrated behavioral health EHR and billing workflows | Public reviews available on Capterra and G2 | Custom pricing; third-party estimates available |
Comparing the Best Behavioral Health Billing Companies
1BillingParadise – Best for Full-Service RCM With Behavioral Health Depth
Best for: Behavioral health providers seeking broad outsourced RCM support, including billing, credentialing, denial management, and AR follow up
BillingParadise is a multi-specialty medical billing and RCM company, with specific credentials and experience in behavioral health.
Why it is good
- BillingParadise offers behavioral health specialists with experience handling the entire revenue cycle, including credentialing, enrollment, claim submission, follow-up, denial management, and collections.
- It has the resources to serve small practices, as well as national multi-specialty groups.
- The service has positive public reviews on platforms like Clutch and Yelp.
Pricing: The company has a customized pricing model, which should be requested by practices interested in its services. On some third-party websites, however, the company reports billing companies using a percentage-based model, which can vary depending on the service, the specialty, and the number of claims being billed.
Rating: The company appears to have a strong reputation on some platforms, like Clutch and Yelp, where reviews are publicly available.
I would recommend BillingParadise to my peers.
— Yelp reviewer
However, practices should keep in mind that this billing company typically works with larger practices or national networks, and should keep that in mind when viewing the reviews.
2BehavioralProz – Best for Practices That Want a Specialist, Not a Generalist
Best for: Mental health, ABA, and substance use billing practices seeking a specialty-specific billing partner rather than multi-specialty companies
BehavioralProz specializes in medical billing for mental health, ABA, and substance use disorders.
Why it is good
- The service covers billing for behavioral health services, and has particular expertise in time-based psychotherapy billing, with ABA and behavioral health specific coding support, and credentialing and revenue cycle support.
- Their solutions are built on the billing industry's behavioral health-specific requirements and payer expectations and address the nuances of ABA treatment and billing.
- "Revenue jumped 28% within six months of partnering with them," one client reports on their website.
Pricing: In terms of pricing, the company utilizes a percentage of collections, but the specific rate would need to be requested.
Rating: Overall, this solution is great for practices seeking a behavioral health-specific billing provider as opposed to multi-specialty companies, and offers competitive rates for their services.
Revenue increased 28% in just 6 months.
— client testimonial, BehavioralProz
However, the company does not appear to have many third-party reviews from major platforms, so practices considering the service should ask for references, and verify what services they would receive.
3Sirius Solutions Global – Best for AI-Assisted Claim Scrubbing
Best for: Practices seeking to implement AI-assisted claim-scrubbing solutions with access to billing outsourced services.
Sirius Solutions Global offers AI-assisted claim and billing solutions to healthcare providers, including mental and behavioral health practices.
Key factors
- AI-assisted claim scrubbing and workflow;
- Focus on pre-submission claim edits;
- Human-assisted revenue cycle management (RCM) services;
- Offers behavioral-health-specific billing services.
The company promises high first-pass claim rates; practices need to analyze the metric based on their own payer concentration and ask how the figure was attained. Practices can negotiate prices on a percentage basis; Sirius does not publish rates online.
Overall rating: The company's reputation is still growing on review sites.
Extension of their in-house team.
— John Matthews, WestPoint Cardiology, via Trustpilot
Also reviewed on: GoodFirms
4Med USA (MedusaRCM) – Best for Larger Practices and Health Systems
Best for: National providers seeking to leverage RCM, analytics, credentialing, and operations expertise.
Med USA targets integrated systems and large national practices, offering behavioral health revenue cycle management and billing services as part of its healthcare RCM services.
Key factors
- Variety of service levels for different practice sizes;
- Includes analytics/reporting;
- Offers credentialing and billing services;
- Has experience with integrated systems and large health networks.
Pricing: May depend on the level of service; can be percentage-based.
Overall rating: The company has yet to build a robust review presence on software review sites.
Practices should rely on referrals and check what specific services, including behavioral health-specific ones, are available at different service levels.
5MediBillMD – Best Multi-specialty Option with Behavioral Health Line
Best for: Multi-specialty groups that provide behavioral or mental health services as well as those seeking assistance in multiple medical specialties.
MediBillMD offers billing services to medical companies that specialize in mental and behavioral health and provides services for other specialties as well.
Highlights
- Dedicated billing services for behavioral health
- Integration with popular behavioral health practice-management systems
- Coding and claims expertise
- Multi-specialty revenue cycle management capabilities
The company publishes such metrics as clean claim rates, collection rates, and others, but practices need to cross-check them to ensure that they align with their own services since the figures may represent aggregated data across networks.
MediBillMD has been a reliable partner for our medical billing and credentialing needs.
— GoodFirms reviewer
6TherapyNotes – Best for Therapists Wanting To Use Software and Billing Services
Best for: Therapists who want to use one platform for managing their practice as well as for handling treatment notes, scheduling, and billing.
Unlike most of the other practice-management and billing companies on the list, TherapyNotes is positioned more as a practice-management platform than a billing company.
Highlights
- Clinical documentation and notes tailored for therapists
- Ability to manage scheduling and insurance billing
- Option to use telehealth services
- Practice-management features specific to the needs of behavioral health providers
Easy to use, powerful, and meets the needs of my practice.
— G2 reviewer
This approach means that TherapyNotes represents an alternative to outsourcing revenue cycle management functions to third-party companies, and practices considering using it should evaluate if in-house management of their billing processes is an option.
Also reviewed on: ChoosingTherapy
7Kareo / Tebra – Best EHR and Billing for Small Clinics
Best for: Small-scale behavioral health and multi-specialty practices looking to utilize a practice-management, billing and potential managed billing platform.
Tebra offers EHR, scheduling, practice-management and billing solutions.
Why it is good
Offers integrated practice technology, billing and revenue cycle solutions options and practice management tools designed to support independent practices. Depending on products selected may also offer managed billing services.
While billing services can be selected, it is important to remember to think about Tebra as first and foremost an EHR and practice-management platform, not an outsourced billing company.
Tebra is very user-friendly and helps new business owners.
— Trustpilot reviewer
Also reviewed on: EMRFinder
8AdvancedMD – Best EHR and Billing for Medium and Large Behavioral Health Groups
Best for: Multi-provider and multi-location behavioral health practices looking for a comprehensive EHR and practice-management, revenue cycle and billing platform.
AdvancedMD offers EHR, scheduling, practice-management, billing and revenue cycle solutions.
Why it is good
Offers comprehensive configurable dashboards and reporting features, eligibility and practice-management, multi-provider and multi-location options, and optional billing and revenue cycle services. As with other solutions noted above, AdvancedMD should be considered based on how practices want to structure their billing operations – in-house billing services, outsourced billing services, or a combination thereof.
Also reviewed on: Business.com
9Ensora Health – Best for Counseling and Group Therapy Practices
Best for: Counseling, psychotherapy, and group therapy practices that need behavioral-health focused software and billing services.
Overview: Ensora Health offers products that are specifically designed to address the billing and administrative needs of counseling and group therapy practices.
Why it's a good fit
- Behavioral-health focused documentation
- Billing-specific features
- Scheduling and patient management tools
- Practice management features designed for therapy-specific workflows
This is a technology-focused company, not an outsourcing company (though some competitors offer both billing and outsourcing services).
10TheraThink – Best for New Practices that Need Credentialing Support
Best for: New or small psychotherapy and psychiatry practices that need billing support and help with credentialing.
Overview: TheraThink provides billing and administrative support services to mental health practitioners. Unlike many competitors, they specialize in helping with credentialing.
Why it's a good fit
- Psychotherapy and psychiatry-specific billing expertise
- Credentialing assistance
- Percentage-based pricing (this is common for companies that offer outsourcing services)
- Administrative support services
11Valant – Best EHR for Practices to Integrate Billing Systems Tighter With EHR
Best for: Behavioral practices that seek to connect billing, EHR, and practice management into one solution
Valant is an EHR and practice-management software that specializes in behavioral health with built-in billing.
Key features
- A behavioral-health specific EHR
- Billing and revenue reporting built into the platform
- Features covering clinical and practice-management needs
- Reporting on aging balances and payer mix
Valant is an EHR-based software for practices looking to bind their billing services more closely to the EHR rather than relying on an outsourced RCM vendor.
Valant feels like a return to how business used to be done — simpler, more intuitive.
— Latoya B., via Capterra
Also reviewed on: GeniusFirms
How Much Do Behavioral Health Billing Companies Cost?
| Pricing Model | Typical Range | Used By |
|---|---|---|
| Percentage of collections for full-service RCM | Often quoted as a percentage of collections; exact rates vary by service scope | BehavioralProz, BillingParadise, Sirius Solutions Global, Med USA, MediBillMD |
| Percentage of paid claims | Percentage-based and may vary by practice size or claim volume | TheraThink |
| Flat software subscription | Monthly or per-user pricing | TherapyNotes, Ensora Health, Valant |
| Per-provider platform + add-ons | Varies by provider count and selected modules | AdvancedMD |
| Custom / usage-based | Varies by product and services | Tebra |
Before signing with any behavioral health billing services company, get a complete breakdown of what is included. Setup fees, credentialing, patient statements, software integrations, authorization support, denial appeals, and AR follow-up may not always be included in the headline price.
Fees vary based on specialty, claims volume, payer mix, technology requirements, and service scope. Request a written proposal and clarify which services are included before signing.
Buying Checklist: Questions to Ask Before You Sign
- Do you specialize in behavioral health, or do you offer billing services for multiple specialties?
- Which billing services for behavioral health do you offer? Do you bill for mental health, psychiatry, ABA, SUD, PHP, IOP, or residential treatment services?
- Do you offer outsourcing revenue cycle management or do you provide billing software?
- What is your clean claim rate and average days in A/R and how do you calculate them?
- Can you describe the documentation and billing guidelines relevant to the psychotherapy or behavioral health services that my practice offers?
- How do you handle behavioral health carve-outs and separate credentialing requirements when applicable?
- Do you have 42 CFR Part 2 experience when billing for substance use disorder services?
- How do you help practices navigate prior authorization requirements, units of service, expiration dates, and renewal dates?
- Will I have a dedicated account manager or will I be working with a rotating team of representatives?
- What practice management or EHR software do you work with?
- What is included in your pricing, and what are considered add-on services?
- How do you stay up to date on payer-specific telehealth, modifiers, and place of service requirements?
Beyond the Rankings: Finding the Right Billing Partner For Your Behavioral Health Practice
The best behavioral health billing services company will be determined by particular circumstances, including the specialty of the practice, its size, the complexity of the payers it works with, the technology it utilizes, as well as the choice between outsourcing and managing in-house. This nuance is critical in distinguishing one from another in this list, as different priorities are set for each case.
Therefore, it is vital to independently analyze the current offers, contracts, fees, feedback, and other aspects before finalizing the choice, as the listed data may be outdated. It is also essential to keep in mind that the given information is for reference only and should not be considered as legal, compliance, financial, or professional billing advice.
Frequently Asked Questions About Behavioral Health Billing Companies
01What is a behavioral health billing company?
A behavioral health billing company can manage some or all elements of the revenue cycle for mental health, psychiatry, ABA, SUD, or other practices. The services may include eligibility checks, coding, claim submission, prior authorization follow-up, denial management, accounts receivable, payment posting, credentialing, and reporting.
02Why are mental health claims denied?
The most common reasons for claim denials include coding mistakes, documentation errors, authorization issues, credentialing problems, incorrect patient or payer information, and telehealth billing errors. The reasons can vary depending on the specific specialty and the payer's guidelines.
03How is behavioral health billing services different from generic medical billing?
Behavioral health billing typically includes specialty-specific documentation, psychotherapy and other behavioral health-related CPT codes, payer-specific carve-outs, credentialing, and authorization follow-up, as well as unique requirements for PHP, IOP, ABA, and SUD services.
04How much does it cost to outsource behavioral health billing?
Reputable full-service billing companies usually operate on a percentage-based model, whereas software companies charge monthly or user-based fees. The cost is determined by several factors, including the number of claims, the size and complexity of the practice, the services rendered, and the billing company's overhead.
05Can a billing company handle telehealth claims?
Many companies can, as a qualified billing partner must understand the payer- and service-specific telehealth requirements relevant to their practice. Medicare's telehealth guidelines, in particular, differ significantly from those of commercial payers.
06What should I look for in a billing company for my mental health practice?
You should look for experience in your particular area of practice, value transparency, have an understanding of your payers, EHR compatibility, predictable costs, and a billing partner who takes responsibility for their performance.
07Is it worth outsourcing behavioral health billing for a small practice or solo therapist?
It depends on the practice's needs. In many cases, outsourcing billing can actually save time by eliminating the need to handle billing tasks in-house. However, for solo practices and small group practices, a software-based approach may make more sense.
08How can I ensure that the billing company I'm considering has expertise in behavioral health?
Ask them to describe the services their company offers relevant to your specific behavioral health practice. A reputable billing company should be able to discuss psychotherapy, psychiatry, ABA, SUD, or other services in detail, as well as any specific requirements related to coding, authorization, documentation, and credentialing.
