Billing scope 02 of 06

Claims that move on the first pass.

Every claim is scrubbed for errors before it ever reaches a payer, submitted through the right clearinghouse or portal, and tracked from submission to payment — not filed and forgotten.

Other billing scopes

The process

From encounter to accepted claim.

01

Scrub

Every claim is checked against payer edits and formatting rules before it's sent — catching errors before a payer ever sees them.

02

Submit

Claims go out through the correct clearinghouse or payer portal — including Grow Therapy, Alma, Headway, Talkspace, and RULA.

03

Track

Submission and acceptance status is logged for every claim, so nothing silently disappears into a payer queue.

04

Escalate

Anything rejected or stuck is routed straight into denial management, not left to expire past a filing deadline.

Where claims actually go

Submitted where your patients are actually billed.

Behavioral health practices increasingly bill through managed-care platforms rather than traditional clearinghouses alone. We submit and track claims directly inside the portals mental health practices use most.

Grow Therapy

Claims typically submitted within two weeks of the first booked appointment.

Alma

Submission windows up to 41 days after the appointment, with manual verification.

Headway

Manual verification before billing, typically with stronger payout rates.

Talkspace & RULA

High-volume and appointment-level billing, handled at scale.

Why clean claims matter

A rejected claim isn't just delayed — it's expensive to fix.

Rework costs more than the claim

Correcting and resubmitting a rejected claim takes staff time that a clean first submission never needed.

Filing deadlines don't wait

Most payers give a limited window to file — a claim stuck in rework can quietly age past that deadline.

Cash flow follows claim speed

The faster a clean claim goes out, the faster it comes back as revenue — compounding across every visit, every week.

Full visibility

You always know where every claim stands.

Weekly and monthly reports show what's been billed, what's pending, and what's been paid — so claims management never feels like a black box you have to ask about.

Included with

Medical Billing

Claims management is part of our full Medical Billing service — 2.5% to 5% of collections, no flat monthly fee.

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Common questions

Claims Management FAQ

How are claims submitted?

Claims are scrubbed for errors, then submitted electronically through the appropriate clearinghouse or payer portal, with confirmation tracked for every submission.

How quickly are claims submitted after a visit?

Most go out within days of the visit, though timing depends on the platform — Alma, for example, allows submission windows up to 41 days after the appointment.

What happens if a claim is rejected before it reaches the payer?

Front-end clearinghouse rejections are corrected and resubmitted the same day they're caught, since they usually point to a data error rather than a coverage issue.

What if a claim is denied after the payer reviews it?

That moves into Denial Management — reviewed, corrected where possible, and appealed with supporting documentation.

Next step

What happens when a claim doesn't go through clean.

Explore Denial Management →