Outpatient Services
Mental health contracting services for therapy practices, psychiatric clinics, and intensive outpatient programs. Expert knowledge of CPT codes and billing requirements.
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About us
Experience and operating facts
Our story
Behavioral health providers do critical work, but too often they accept reimbursement rates that don't reflect the value of their services. Insurance contracts are complex, and most providers don't have the time or expertise to negotiate effectively on their own.
That's why Behavioral Health Contracting exists. We handle the contracting side so providers can focus on patient care. Our team brings experience from both the provider and payer sides of the table, and we've helped over 50+ providers across the country secure better rates and stronger network positions.
We use real market data to inform every negotiation, and we've built strong relationships with decision-makers across major insurance networks. Our approach is straightforward: know the numbers, know the people, and identify rate and contract opportunities for providers.
Our mission
We believe that behavioral health providers should spend their time helping patients, not wrestling with insurance paperwork. Our mission is to eliminate the barriers that prevent quality mental health and substance use disorder treatment from reaching those who need it most.
Our Northern Virginia-based organization helps providers and institutions across the country to reach more patients, grow their business, and focus on the treatment they provide.
Every provider we help get in-network means more patients can access the care they need. That's what drives us every day.
A world where every behavioral health provider can easily join insurance networks, and every patient can access the care they need without barriers.
Who you work with
Senior attention on every engagement, from the people who actually do the work
Experts in behavioral health contract optimization who know every nuance of payer agreements across all major networks.
Experts who build and maintain strong payer relationships to expand network access and improve contract terms.
Getting providers and facilities credentialed with commercial payers, state Medicaid programs, and the MCOs that administer them.
Benchmarking what you are paid against fee schedules by CPT code and level of care, so a negotiation starts from evidence rather than a guess.
Practice details
Mental health contracting services for therapy practices, psychiatric clinics, and intensive outpatient programs. Expert knowledge of CPT codes and billing requirements.
Rehab center insurance contracting expertise for residential facilities, including detox, rehabilitation, and long-term treatment programs.
Substance use disorder contracting for MAT programs, dual diagnosis treatment, and specialized therapeutic interventions.
Operating principles
Our team brings deep knowledge of the behavioral health industry, understanding the unique challenges and opportunities that providers face every day.
With experience across 50+ contract negotiations, we have the background and relationships to support your practice.
We don't believe in one-size-fits-all solutions. Every practice is unique, and we tailor our approach to meet your specific needs and goals.
Our relationship doesn't end when your contracts are signed. We provide ongoing support for renewals and reimbursement opportunities.
Our approach
Effective payer contract negotiation for behavioral health requires more than just submitting paperwork. It demands strategic thinking, deep relationships, and an unwavering commitment to our clients' goals. Here's how we work:
We don't guess at rates. We know them. Our proprietary database tracks reimbursement rates across all major payers and regions, providing useful context in negotiations. When we approach in-network contracting for behavioral health providers, we come armed with data that demonstrates the value of your services.
Payer contracting is a process with real people behind it, and knowing how provider relations departments are structured is most of the battle. We handle escalations directly rather than routing them through a queue, and we follow up until there is an actual answer.
The insurance landscape moves constantly. New billing codes, revised fee schedules, state Medicaid rate changes. Whether it's behavioral health Medicaid contracting or a commercial payer negotiation, we track what changed before it affects your rates.
We don't just work for you. We work with you. Our approach to treatment facility payer contracting involves understanding your unique strengths, challenges, and goals. We become an extension of your team, invested in your long-term contracting goals.
Our values
Deep industry knowledge and specialized experience in behavioral health contracting.
Clear communication, honest timelines, and no hidden fees or surprises.
Experience identifying in-network, rate, and contract-term opportunities for providers.
We are invested in your long-term contracting goals, not just a one-time transaction.
How engagements work
Mental Health Clinic
Usually a rate review across every commercial payer you are already contracted with, plus credentialing for the ones you are not. Group practices tend to have the most room here, because rates get set once at contracting and then never revisited.
Residential Treatment
New facilities need network access before they can fill beds, and that means contracting with multiple payers at once while the licensing and accreditation work is still in progress. Sequencing matters more than anything else here.
SUD Treatment
Medicaid MCOs are where most of the volume is, and every state runs its program differently. Different MCOs, different rate structures, different rules about who is eligible to be credentialed.
Trusted by 50+ Providers
Let's discuss how our expertise can support your network participation goals and identify new opportunities for growth.