50%
lower billing operational costs
98%
of clinics report improved efficiency
10,000+
clinicians trust mdhub
The Billing Challenges Specific to Mental Health
Psychotherapy codes, telehealth rules and payer edits add steps that general medical billing does not have. Each one is a place a claim can come back denied.
Complex CPT code sets
Psychotherapy codes are time-based, and add-on codes like 90833 need an E/M code on the same claim. One missing detail sends the claim back.
High denial rates
A lapsed plan, a missing modifier or the wrong place of service gets a claim denied. Each denial costs staff time to fix and resubmit.
Telehealth and payer rules
Each payer sets its own place-of-service codes and modifiers for telehealth. Your team has to track which payer wants what.
No revenue-cycle visibility
Without one view of claims, payments and denial reasons, unpaid claims sit until someone goes looking for them.
The AI billing specialist made for behavioral health
Eric is mdhub's AI billing specialist. It runs in the same platform as scheduling, intake and clinical notes, so your billing team works from one patient record.
Checks eligibility and benefits in real time when insurance is added and when a session is billed.
Scrubs every claim against the payer rules your clinic sets before it goes out.
Submits electronic claims (837P) and posts ERA payments and adjustments automatically.
Shows the payer's denial reason codes on the claim, with edit and resubmit on the same screen.
HIPAA-compliant • No card required
Made for the Way Mental Health Clinics Bill
From psychotherapy add-on codes to telehealth modifiers, Eric handles the claim work your front office does by hand today.
Psychotherapy & psychiatry codes
Set claim rules for time-based codes, add-on codes (90833/90836/90838) and modifiers. Eric checks every claim against them before it goes out.
ERA payment posting
Each 835 updates the claim status, paid amount and adjustments. It adds the payment to your transactions and patient ledger, and flags payments below your contracted rate.
Denial reason codes
Denied lines show the payer's CARC and RARC codes on the claim, with an edit-and-resubmit button next to them.
Prior authorization
Eric attaches the matching authorization to each claim by CPT code and date, and counts each use so your team can see what is left.
Eligibility checks
Coverage, copay, coinsurance and deductible come back in real time. You can set the check to run before every appointment.
Telehealth billing
Set payer rules once, such as POS 02 and modifier 95 for telehealth sessions, and Eric applies them to each claim.
What Eric Does and What Your Team Does
Eric takes the repeat work off each claim. Your billing team sets the rules and handles the claims that need a person.
Task
Eligibility check
Claim rules
Claim scrub
Claim submission
ERA posting
Denials
Prior auth usage
Eric
Runs when insurance is added and when a session is billed
Applies them to every claim
Before every submission
837P through the clearinghouse
Posts status, payment and adjustments
Shows CARC and RARC codes
Counts each submitted claim
Your team
Reviews the benefits
Sets them per payer
Fixes what gets flagged
Reviews and sends
Checks underpayment flags
Edits and resubmits
Requests new authorizations
Verify
Eric checks eligibility and benefits when insurance is added and again when the session is billed. Turn on the automation to run it before every appointment.
Prepare & scrub
Your team creates the billing item from the signed note. Eric checks the claim against your payer rules and attaches the matching prior authorization.
Submit & post
Electronic claims (837P) go out through the clearinghouse. When the ERA comes back, the payment, adjustments and claim status post on their own.
Recover
Denied lines show the payer's reason codes on the claim. Your team edits and resubmits from the same screen.
Results That Show Up in Your Revenue
We’ve upleveled with mdhub. No more using my teams on menial billing tasks. Eric touches our claims, while my lean team supervises. They’ve been phenomenal partners.
VP Revenue Cycle, Multi-state Psychiatry Provider
Eligibility used to be a constant fire drill, with patients showing up on lapsed coverage. Now Sarah and Eric verify every plan before the appointment.
Clinic Administrator · Behavioral Health Center
Mental Health Billing Software FAQ
What is behavioral health billing software?
It's software that handles the insurance work specific to mental health practices: psychotherapy and psychiatry CPT codes, telehealth rules, prior authorizations and denials. mdhub's AI billing specialist, Eric, checks eligibility, scrubs claims, submits them electronically and posts ERA payments. It runs in the same platform as your notes and scheduling. For where the revenue cycle breaks, see our guide to behavioral health revenue cycle management.
How is mdhub different from generic medical billing software?
mdhub runs billing in the same platform as scheduling, intake and clinical notes, so the billing team works from the patient's chart. The diagnosis search lists the codes already on the chart first. Eligibility runs when insurance is added, and ERA payments post to the patient ledger without re-entry.
Does mdhub check insurance eligibility?
Yes. Eric checks eligibility and benefits in real time, including copay, coinsurance and deductible. It runs when insurance is added and when a session is billed, and clinics can set it to run before every appointment.
Does mdhub handle medical coding?
Partly. Your team picks the CPT code from the clinic's services and the diagnosis from the patient's chart, which the search lists first. Eric then checks the claim against your payer rules before it goes out.
Does mdhub track prior authorizations?
Yes. Each authorization is stored on the patient's insurance with its CPT codes, dates and allowed uses. Eric attaches the matching one to each claim and counts it on submission, so your team sees the uses left.
Is mdhub HIPAA compliant?
Yes. mdhub is HIPAA compliant and SOC 2 Type II certified, with a Business Associate Agreement included.
Does mdhub work for psychiatry billing?
Yes. mdhub works for therapy and psychiatry practices. Add-on codes like 90833 must sit on the same claim as an E/M code. Clinics set claim rules for them, and Eric checks every claim against those rules.
Why are behavioral health claims denied more often than general medical claims?
Behavioral health claims carry rules general medical billing does not. Psychotherapy codes are time-defined, so the note has to prove the session length. Add-on codes need their primary code on the same claim. Telehealth adds place-of-service and modifier rules that differ by payer. Many denials trace back to documentation, so the note has to support every code on the claim.
What is the difference between billing software that flags errors and billing software that prevents them?
Flagging tells you a claim already failed. Preventing means checking it before submission. Eric checks every claim against the payer rules your clinic sets, so a missing modifier or the wrong place of service is caught first. A claim can still pass a scrubber and be denied if the note does not support the code. The note has to carry the session time.
Can behavioral health billing software verify insurance before the session?
Yes. Real-time eligibility verification confirms whether a plan is active and what it covers before the appointment. That stops the most avoidable denial there is: a session billed to a dead plan. mdhub runs the check when insurance is added and when the session is billed, and clinics can set it to run before every appointment. It confirms coverage, though an unmet deductible can still change what the patient owes.
What does a denied claim actually cost a behavioral health clinic?
More than the value of the claim. Someone has to identify the denial, correct it, resubmit and track it, and payment is delayed by weeks. For clinics that hit denials routinely, the staff time costs more than the claims themselves.
Where can I see billing in mdhub step by step?
The mdhub Academy covers it: Managing billing, claims and transactions, Adding patient insurance and Automatic patient billing rules.
