Skip to content
MeridianBilling
Modern revenue cycle partner for behavioral health

A calmer operating layer for behavioral health billing.

A boutique, behavioral-health-focused revenue cycle partner. We design clean, observable billing workflows for therapy groups, psychiatric practices, ABA providers, and substance use programs.

Talk to our teamHow it works
Specialized in behavioral health
Works inside your EHR
HIPAA-aligned operations
workflow / claims
Illustrative preview
Eligibility
Verified
Authorizations
Tracked
Reporting
Transparent
Claims workflow
View queue
  • CLM-A
    Commercial
    Paid
  • CLM-B
    Medicaid MCO
    Paid
  • CLM-C
    Commercial
    Submitted
  • CLM-D
    BH Carve-out
    Posting
  • CLM-E
    Commercial
    Scrubbing
Specialized
Focused on behavioral health workflows, not generalist billing.
Modern
A systems-first approach to claims, posting, and AR.
Transparent
Reporting and AR visibility built into how we work.
Boutique
Real humans on every account. Small enough to actually care.

We work inside your EHR

  • SimplePractice
  • TheraNest
  • TherapyNotes
  • AdvancedMD
  • Tebra
  • Athena
  • DrChrono
  • Kareo
The system

One operating layer for the entire revenue cycle.

Each step is owned, instrumented, and measured. No more black-box billing companies sending you a number at the end of the month.

Eligibility

Verified before the visit

Real benefits checks for behavioral health codes, not a generic copay screen. We confirm session limits, authorization status, and patient responsibility upfront.

  • Live payer eligibility on every booking
  • Behavioral health benefit detail (sessions, limits, copays)
  • Authorization tracking and renewal alerts
Claims

Submitted clean, by design

Claims are scrubbed against payer-specific rules for psych, ABA, IOP, and SUD before they leave our system, so we focus on getting it right the first time.

  • Specialty rule set tuned to behavioral health
  • Pre-submission scrub for modifiers, units, and POS
  • Same-day claim release as a working target
Posting and AR

Reconciled and worked, not forgotten

Our workflow posts ERAs and EOBs on a regular cadence, works AR by aged buckets, and approaches denials with payer-specific follow-up.

  • Regular ERA posting and balance reconciliation
  • Aged AR worked on a weekly cadence
  • Denial root cause review built into the cycle
Reporting

Numbers you can act on

A clean monthly report with the metrics that move a practice forward, plus a real human who walks you through what to do next.

  • Provider-level productivity and revenue
  • Payer mix, denial trends, AR aging
  • Monthly review call with your account lead
How we work

A calm, repeatable process from audit to scale.

No mystery. You always know what we are doing this week and what it is moving for your practice.

STEP 01

Discovery and audit

We map your current workflow, payer mix, and denial patterns. You get a written diagnostic of what is leaking revenue and why.

STEP 02

Onboarding

EHR access, payer enrollments, fee schedule load, and clearinghouse routing. We target a 2 to 3 week onboarding window depending on payer timelines.

STEP 03

Daily operations

Charge entry, claim scrubbing, submission, ERA posting, and AR follow-up handled by your dedicated billing pod.

STEP 04

Monthly review

A clear report and a real conversation. We surface what is working, what is not, and what we are changing next month.

Specialties we serve

Built for the behavioral health stack.

Coding, authorization patterns, and payer behavior in behavioral health are unique. We focus exclusively on this work.

Psychiatry and Med Management

E/M coding precision, add-on psychotherapy codes, and prior auth tracking for medication management visits.

Outpatient Therapy

Individual, group, and family therapy across LCSW, LMFT, LPC, and psychologist credentialing.

Applied Behavior Analysis

Concurrent billing for RBT and BCBA hours, authorization unit tracking, and parent-training codes done right.

Substance Use and IOP

Levels of care, per diem and bundled billing, and the documentation rigor commercial payers require.

Telehealth across all of the above

Modifier and POS handling that adapts to each payer's evolving telehealth policy without manual rework.

New practice setup

Credentialing, EIN and NPI hygiene, fee schedule analysis, and a clean go-live before your first claim.

Our approach

How we think about the work.

We are a modern boutique billing firm. Here is the lens we bring to every practice we partner with.

Behavioral-health focused workflows

We are not a generalist billing company. Our workflows, scrub rules, and reporting are built around the realities of psych, therapy, ABA, and substance use practices.

Designed for operational clarity

Charges, payments, AR, denials, and authorizations should never live in someone's head. We design every account around shared visibility and clean handoffs.

Built for modern mental health practices

Cloud-based EHRs, telehealth across multiple payers, blended in-person and virtual schedules. Our approach is built for how practices actually run today.

Ready when you are

Let us take billing off your plate.

A 30-minute call is enough for us to tell you, honestly, whether we can help your practice.

Book a callSee how we work