Clean Claims • Faster Payments • Fewer Denials

Behavioral Health Billing Services Built for Therapy & Psychiatry

We manage end-to-end billing for outpatient behavioral health practices — eligibility checks, clean claim submission, denial management, and AR follow-ups — so you can focus on clients, not collections.

Telehealth + In-Person Authorization & Eligibility Support Accurate Coding & Scrubbing Weekly Reporting

Every Step of Your Billing Process Managed for You

Our team manages the entire billing process for you, including claim preparation, scrubbing submission, tracking, and denial resolution. With proven workflows built for small practices, we help you improve cash flow, reduce errors, and maintain complete visibility into your revenue at every step.

What Sets Us Apart

Behavioral health billing has unique denial triggers — eligibility mismatches, authorization gaps, telehealth rules, POS modifiers, and documentation requirements. We work directly inside your existing EHR/billing workflow (no forced software changes) and track every claim from submission to payment. You get clear visibility into pending claims, payments, allowed amounts, and denials — plus specific guidance to prevent repeat issues. Need credentialing support for new therapists or prescribers? Explore our insurance credentialing services.

Behavioral Health Coding Accuracy

We scrub claims for common BH risk points (telehealth POS/modifiers, rendering/billing NPI setup, and payer-specific rules) to reduce preventable denials.

Authorization & Eligibility Support

We help your front desk verify benefits and auth requirements so visits are billed correctly and patient responsibility is clearer.

Denial Management That Prevents Repeat Issues

Denied claims are corrected and appealed quickly, with root-cause tracking to stop the same denial patterns from happening again.

AR Follow-Up & Recovery

Aged claims are worked consistently with payer follow-ups so clean revenue doesn’t become write-offs. See our AR recovery services.

Full Team Coverage (Not One Biller)

You get a structured team approach with documented workflows — so billing doesn’t stall if one person is out.

Fast, Reliable Communication

Questions and updates are handled quickly with simple reporting that shows what was submitted, paid, denied, and pending.

Payer Rule Guidance for BH & Telehealth

We keep you aligned with payer policies for behavioral health, including telehealth billing nuances and documentation expectations.

Integrated Credentialing + Billing Support

If you’re adding providers or expanding payers, we align billing setup with enrollment status so you don’t bill under the wrong contracts.

How It Works

Our onboarding is designed to be fast and low-friction — typically completed in three to five business days — so your practice keeps running without downtime. We configure billing settings, confirm payer connectivity, and start submitting clean claims immediately.

Practice Intake & Workflow Mapping

We gather core details (providers, locations, payer mix, telehealth vs in-person) and map your current intake-to-claim workflow.

Credentialing & Payer Participation Check

We verify each clinician’s payer participation to prevent out-of-network billing mistakes. If needed, we coordinate with credentialing services.

EHR + Billing Setup

We configure billing/rendering providers, payers, and claim settings inside your system to ensure claims generate correctly.

EDI/ERA & Payment Posting Readiness

We confirm EDI claim routes and ERA posting workflows so payments and EOBs reconcile quickly and cleanly.

Charge Setup & Behavioral Health Rules

We validate your charge setup and billing rules so claims match payer requirements (including telehealth configurations where applicable).

Daily Billing Operations Begin

We submit claims, track responses, work denials, and follow AR — with consistent updates so you always know what’s happening.

Have Other Questions? Get in Touch

Our team is here to help you understand every part of the billing process, from claim submission to reimbursement. Whether you need clarity on workflows, payer rules, or how our services fit your practice, we make the entire experience simple, transparent, and stress-free.

Our onboarding process is completed within 3–5 business days, provided all required information is supplied.

Yes — we work with nearly all popular platforms such as Tebra, OfficeAlly, eCW, Athena, DrChrono, AdvancedMD, SimplePractice, ICANotes, Optimantra, and more.

Our base plan starts at $499/month and includes free credentialing for solo practitioners. Standard billing plans are 3–5% of insurance collections.

Yes — we offer free credentialing, CAQH maintenance, and revalidation support for billing clients.

All PHI is handled in accordance with HIPAA requirements. Our team uses secure, encrypted systems for file storage, communication, and data access. Access to PHI is limited to authorized staff only, based on job responsibilities, and all activity is monitored.

Insurance Companies We Work With

We work with every health plan in the United States, including Medicare, Medicaid, major commercial carriers like Aetna, Cigna, Humana, Blue Cross Blue Shield, UnitedHealthcare, as well as HMO, PPO, POS, state, and regional plans. Our team ensures seamless credentialing and contracting across all payers.

Trusted by Healthcare Providers Nationwide

Rx Credentialing LLC place picture
5.0
Based on 63 reviews
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Emily Elandt profile pictureEmily Elandt
01:24 16 Nov 25
Wonderful customer service and quick Credentialing!
Rx Credentialing LLC did an excellent job helping my practice join the MCOs. Their team made the process seamless and stress-free, answering all my questions promptly. I highly recommend them—their service is efficient, professional, and reasonably priced! 😁
I am a licensed psychotherapist and could not be more pleased with the efficient, professional services from RX credentialing services. No AI or bots here. Instead, RX offers real human beings who understand the needs of solo providers or group practice owners who are spread thin and have to wear many hats. Rx has hired talented individuals, like my account manager, Tyler, who will go the extra mile for you to ensure credentialing goes smoothly. We hit a hiccup on the road to becoming credentialed, but Tyler quickly intervened, advocating for my business so that the issue was resolved and I was approved for various insurance panels--some which have very high bars or administrative requirements. RX handled it all, informing me through each step of the process with clear and concise credentialing updates that put my fears to rest. Their services are kind of like therapy for therapists, because when you worry less about admin burdens, you can better focus on the client, while growing your business capacity. I would highly recommend them to any solo or group practice needing such services.
OGADINMA ONWUKWE profile pictureOGADINMA ONWUKWE
02:45 16 Oct 25
Very reliable.
Steve Walsh profile pictureSteve Walsh
22:16 13 Oct 25
RxCredentialing has been a wonderful partner in helping with my credentialing for my new primary care practice as well as are assisting me with a few other services. They are very knowledgeable and most importantly they are not pushy in working with my needed timeline. Moreover, they are very responsive, and I am looking forward to expanding our relationship to include their other services such as medical billing. I was fortunate to find them while searching the web and so refreshing to deal with an organization that is really focused on helping me establish a medical practice the smart way and not just spend money foolishly on things I do not need until the time is right.
Marilyn Batista profile pictureMarilyn Batista
15:50 03 Oct 25
Adam and his team are excellent at what they do. They walk you through every step of the process. Highly recomend Adam and his team. always responding in quickly.
Attention to detail
Very attentive and efficient
Always available to explain things or answer questions or concerns
John Giovanelli profile pictureJohn Giovanelli
15:14 15 Sep 25
Made things much easier for credentialing
Richard WR Garcia profile pictureRichard WR Garcia
13:59 21 Aug 25
Tyler has been an excellent person to work with. He kept us (our clinic) informed of our status throughout the credentialling process. They did the "heavy lifting" tracking down and following up so we didn't need to. Because this company handled our credentialling process, it allowed our company to focus on our number one priority--patient care. Thanks for taking care of us!!
Ahmad Elherfa profile pictureAhmad Elherfa
14:32 20 Aug 25
they handled the issue quickly and professionally. I truly felt supported and confident in their assistance.
Stacy Antwi profile pictureStacy Antwi
18:31 15 Aug 25
I can’t say enough great things about RX Credentialing! From the beginning, they’ve been incredibly efficient, responsive, and always a pleasure to work with. Anytime I had a question or needed assistance, they got back to me quickly with clear, helpful answers. They made the entire credentialing process smooth and stress-free! It truly feels like they care about their clients and go the extra mile to make sure everything is handled correctly and on time. I would highly recommend RX Credentialing to anyone looking for a credentialing partner who delivers every time!
Keisha Asante profile pictureKeisha Asante
17:37 12 Aug 25
David is wonderful very responsive and on top his work. Great experience.
Nicole Ciffone profile pictureNicole Ciffone
20:58 08 Aug 25
Making the decision to use Rx Credentialing for my billing service was a game changer for my practice. Solo practice as an NP and lipid specialist has been challenging for sure. Rx Credentialing has provided the professional knowledgeable support I needed. I am so grateful to be partnering with them for my billing and credentialing needs.
Takeisha Judkins profile pictureTakeisha Judkins
18:40 04 Aug 25
The staff is great and very helpful. I have been with them for 2 years with no complaints. I am very satisfied with their service.
Ehab Waly profile pictureEhab Waly
22:44 31 Jul 25
Tyler is doing good work
Kassandra Barthelemy profile pictureKassandra Barthelemy
05:31 24 Jul 25
I have been working with this company for over a year and I have no complaints…They are really the best at what they do.
Victoria Boateng profile pictureVictoria Boateng
18:42 23 Jul 25
Trusting a third party with your sensitive information can be difficult. I encountered this challenge while seeking credentialing services for my business with various insurance providers. Although I received numerous proposals from credentialing firms, I was uncertain about the security of my personal data. A trusted colleague recommended Rx Credentialing LLC, based on her positive experience. I decided to engage their services, and I’m pleased to report that they handled my information securely. Moreover, their expertise and competitive pricing make them an excellent choice for anyone needing credentialing support.
DaniCare Psychiatry profile pictureDaniCare Psychiatry
16:03 21 Jul 25
great service, highly professional. thank you!
Tamara Gordon profile pictureTamara Gordon
23:43 17 Jul 25
Adam is very professional and kind, always responsive when I need assistance. I have billing service through this company which has been going good so far. I was lucky enough to get a wonderful virtual assistant from Adam, I don’t know what I would do without her.
Daniel Montenegro profile pictureDaniel Montenegro
19:21 15 Jul 25
Rx Credentialing did a phenomenal job assisting with credentialing for my Ophthalmology practice start-up. Tyler is responsive and kept me up to date throughout the entire process. I would recommend Rx Credentialing to anyone hands down the best. Dr. Montenegro.

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We serve all 50 states.

Rx Credentialing provides medical billing services to clients across the United States