Mental health providers spend hours every week fighting denied claims, chasing slow insurance payments, or fixing coding mistakes. That paperwork takes time away from patient care and makes the practice lose money and sleep. When accounts sit in A/R for weeks or months, cash flow suffers and stress grows. A specialist billing partner stops those problems at the source. They verify benefits and get authorizations before the first visit, so you don’t lose days of treatment to uncovered claims. They submit clean claims on time and follow up promptly on any denials, then file appeals when necessary, which results in fewer rejections and faster payments. They also provide clear reports, so you know what money is coming in and why any claims are being stalled. In short, the right mental health billing services handle the paperwork that steals your time, cut down A/R, and get you paid faster so you can focus on patients.
Quick-Glance Comparison Table of the Top-Rated Mental Health Billing Companies in USA 2026
MedCare MSO is a large company that helps therapists, psychologists, psychiatrists, and other mental health professionals get paid. It has over 1,200 billers and coders and generates approximately $105.7 million annually. MedCare MSO provides mental health billing services and solutions for both small and large practices. MedCare MSO collaborates with over 80,000 providers, ranging from doctors to nurse practitioners, and utilizes its proprietary software, Maximus, to manage claims and payments. They are highly rated with 5 stars on Google, Yelp, and Clutch.
Experience: 13+ Years
Location: United States
What makes MedCare MSO stand out is fast, accurate work and smart software. They get a 98.5% first-pass clean claims rate, cut A/R by about 35%, and have a 96% collection ratio. They do revenue cycle management, insurance contract talks, credentialing, verification of benefits, coding checks, claims filing, follow-up, denial appeals, and EHR integration. They also help with rules like HIPAA and mental health parity, so you stay safe. These focused services make them a top choice when you search for billing companies for mental health or billing services for mental health.
Sawgrass Behavioral Resources, LLC is a small, focused company that helps therapists and clinics get paid. They have been working with mental health providers since 2017 and have over 7 years of billing experience behind their team. Sawgrass has fewer than 25 employees and brings in less than $5 million in annual revenue. They offer mental health billing solutions for private practices and growing outpatient clinics. As one of the mental health billing companies, they provide billing for mental health services, and would find a hands-on, local-feeling partner in them. They are highly rated with 4.5 stars on Google, Yelp, and Clutch
Experience: 7 Years
Location: United States
What makes Sawgrass stand out is their fast, personal work and strong results. They maintain an average days in A/R of 14 days, a 97% net collections rate, and a first-pass pay rate of approximately 95%. Their services include revenue cycle management, benefits verification, claim filing and follow-up, credentialing, payer enrollments (EFT/ERA/portals), and extra support hours. Sawgrass employs a small-team approach, ensuring each client receives more personalized attention than at larger billing companies for mental health services. Their focused playbook and aggressive follow-up help practices recover lost revenue and improve cash flow.
Psychiatric Billing Associates (PBA) is one of the trusted mental health billing companies that has helped therapists and clinics since 1994. PBA is based in Mount Sinai, New York, but serves practices across the country. They help psychiatrists, psychologists, nurse practitioners, and social workers get paid by insurance and patients, so clinicians can focus on care. PBA can work inside your EHR or let you log in to their web system for full access to your money data. The company has under 25 employees and earns less than $5 million a year. They offer easy-to-understand mental health billing solutions for small and growing practices. They are highly rated with 4.2 stars on Google, Yelp, and Clutch.
Experience: 25 Years
Location: United States
What makes PBA stand out are simple, hands-on tools and long experience in billing for mental health services. They do claims processing, payment posting, patient billing, and call payers to follow up or file appeals. You can run more than 30 financial reports at any time with online access. PBA also verifies benefits before the first visit, helps with practice management tasks like appointment reminders, and handles tricky payers like Medicare, Tricare, and EAP plans. Their team knows coding and rules for therapy and evaluations, so practices see better collections and less work. If you are searching for billing companies for mental health billing services near me, PBA offers clear, full-service billing services for mental health that aim to boost revenue and save time.
Cascade Therapy Billing is one of the trusted mental health billing companies that only works with therapists and mental health clinics. They have locations across the United States and act like part of your team. Cascade has fewer than 25 employees and under $5 million in yearly revenue. They do mental health billing services and mental health billing solutions like electronic claims processing, daily claims submission, multi-level payer handling, and payment posting. You can connect Cascade to your EMR and get online access to your financial data. They are highly rated with 4.0 stars on Google, Yelp, and Clutch.
Experience: 8 Years
Location: United States
What makes Cascade stand out is fast work, deep mental-health focus, and strong HIPAA help. They send claims every day, manage denials and underpayments, and refile appeals so you get more money back. Cascade says 98.8% of payments are reclaimed. They also build custom HIPAA systems, do yearly staff training, run security risk analyses, help with breach determination and mitigation, and give audit support. Their clear reports, online transparency, and hands-on denial and appeals work make them different from bigger, general billing companies for mental health, and a solid choice for billing services for mental health.
Behavioral Health Billing is a full-service company that helps treatment centers and mental health providers get paid by insurance. They serve programs like detox, residential treatment (RTC), partial hospitalization (PHP), intensive outpatient (IOP), and general outpatient care. The team verifies benefits, gets authorizations, files claims, and tracks payments in a secure portal so you can see what is happening in real time. The company has fewer than 25 employees and an annual revenue of less than $5 million. As one of the trusted mental health billing companies, they offer clear mental health billing services that work for both in-network and out-of-network care. They are highly rated with 3.5 stars on Google, Yelp, and Clutch.
Experience: 7 Years
Location: United States
What makes Behavioral Health Billing stand out is hands-on help for the hard parts of billing. They verify coverage as soon as you have a client’s card and then start authorization requests, so days are not left uncovered. They submit claims every week, do utilization reviews, handle concurrent reviews and peer reviews, and appeal denials to get more money back. They keep detailed records of past out-of-network payments, attach EOBs to each claim, and give you clear updates in their portal. These focused services make them different from larger billing companies for mental health and a strong partner for billing for mental health services.
Looking for Revenue Impact?
Collection Ratio
HIPAA-Compliance
Medical Billing Services
Choose a company that protects patient data, can show strong KPIs (clean-claim rate, days in A/R, net collections), and actually offers the services you need (VOBs, prior authorizations, claims filing + follow-up, appeals, credentialing, and EHR integration). Ask for a live portal demo, client references, and a clear fee example based on your revenue; watch for hidden fees, long lock-in contracts, and poor communication. Lastly, run a short pilot (a few providers or payers) to test responsiveness and results before you move everything over.
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