Therapist billing
Billing services for therapists and counselors
We handle insurance billing for LPCs, LCSWs, LMFTs and psychologists, so you can see clients instead of chasing claims. We submit claims within 24 hours of receiving your session notes or charges, work every denial within 5 business days and get you credentialed with the payers you want.
- Built for solo therapists and small practices
- Intake, psychotherapy and family session codes
- 5 commercial payers credentialed free with billing
Who we help
Therapy billing for licensed clinicians
We work with licensed therapists in solo practice and small practices, whether you already take insurance or are adding it for the first time.
LPCs and LMHCs
Counselor billing, including payers that credential counselors under different network rules.
LCSWs
Clinical social worker billing across commercial, Medicare and Medicaid plans.
LMFTs
Individual and family therapy billing, including 90847 and 90846 family sessions.
Psychologists
Psychotherapy and evaluation billing for doctoral-level clinicians. Testing billing is quoted separately.
Medicare began enrolling marriage and family therapists and mental health counselors in 2024. Eligibility and rules vary, so we confirm current requirements before enrolling you.
Common codes
The codes most therapists bill
Most therapy claims use a small set of time-based codes. Getting the time and the code to match is the single biggest fix for therapy denials.
| Code | What it is | What we watch for |
|---|---|---|
| 90791 | Diagnostic evaluation (intake) | Payer frequency limits; usually once per episode of care |
| 90832 | Psychotherapy, about 30 minutes (16 to 37) | Session time documented |
| 90834 | Psychotherapy, about 45 minutes (38 to 52) | The most common therapy code; time documented |
| 90837 | Psychotherapy, about 60 minutes (53 or more) | Some payers review frequent 90837 use; notes must support the time |
| 90847 | Family psychotherapy with the patient present | Patient present; 90846 when the patient is not |
Codes and time ranges follow current CPT guidance. Rules vary by payer; we check current policy before submission.
What we handle
Your billing, from session to payment
- Benefits checks before the first session, including copays, deductibles and carve-out plans
- Charge entry from your EHR, such as SimplePractice or TherapyNotes
- Claim submission within 24 hours of receiving charges
- Payment posting and ERA reconciliation
- Denial correction, resubmission and appeals within 5 business days
- A/R follow-up on unpaid and underpaid claims
- Superbills for out-of-network clients
- Client statements and balance tracking
- Monthly reports on collections, denials and A/R
Out-of-network
Superbills and out-of-network clients
If you stay out of network with some payers, clients can still ask their plan to reimburse them. A superbill lists the codes, diagnosis, dates and your NPI so the client can submit it. We can prepare superbills so the details are correct the first time.
Out-of-network benefits vary widely by plan, and some plans have none. We can check a client’s out-of-network benefits before they start. For self-pay and uninsured clients, the No Surprises Act generally requires a Good Faith Estimate of expected charges.
Credentialing
Get in-network with the payers you want
Credentialing is $80 per payer, and we credential 5 commercial payers free when you sign up for billing. You get a status update every week.
We set up and maintain your CAQH profile, submit applications and follow up until you have an effective date. Commercial payer credentialing commonly takes a few months, and some panels are closed in some areas. We tell you what we find rather than guess. Opening your own practice? Our guide to starting a private practice as a therapist covers each step in order.
Some clinicians who started on platforms such as Headway, Alma, Grow Therapy or Rula later decide to contract with payers directly and handle their own billing. If you are weighing that move, review your platform agreement first. Our platform transition page explains how we help.
What to expect
What therapists can expect from us
The things therapists and counselors tell us matter most when they choose a billing company.
- A dedicated billing team that knows therapy billing, your payers and your EHR
- Replies to calls and emails within 1 hour during business hours (Mon–Fri, 9am–6pm ET)
- A signed BAA before we access your EHR
- We work inside your EHR and clearinghouse, so patient information stays in your organization’s own systems
- Secondary insurance billed after the primary pays
- Patient statements and balance tracking done in your own system
- A monthly report on collections, denials and A/R, in plain language
- Support in English and Spanish
- No long-term contract: 30 days’ notice to cancel
Solo or small practice? See billing for solo and private practices.
Switching
Switching your billing to RevenueCTRL
Most practices are set up and sending claims within 5 working days.
- 01
Sign the agreement and BAA
This comes first, before we see any patient information.
- 02
Give us access
Add our team as users in your EHR (SimplePractice, TherapyNotes or the one you use) and clearinghouse. There is no new software to install.
- 03
Review open claims
We list claims that are already submitted, unpaid or denied, and agree with you who finishes each one.
- 04
Start billing
Within 5 working days we start sending claims, then within 24 hours of receiving charges.
Billing through Headway, Alma, Grow or Rula today? You first need your own insurance contracts. See moving from a therapy platform to your own contracts.
Pricing
Pricing that works for a solo practice
Billing is 2.5% of collections, or a flat monthly fee. No long-term contract required. A real person answers within 1 hour during business hours, Monday to Friday, 9am to 6pm Eastern.
Common questions
Is it worth outsourcing billing as a solo therapist?
Often yes, if billing takes hours each week or claims sit unpaid. A billing service handles claims, denials and follow-up so you spend that time with clients. Our pricing starts at a percentage of what we collect, so cost scales with your caseload.
What is the difference between 90834 and 90837?
90834 is psychotherapy of about 45 minutes (38 to 52 minutes), and 90837 is about 60 minutes (53 minutes or more). The code must match the documented session time. Some payers review frequent 90837 billing, so notes need to support it.
Do you work in SimplePractice and TherapyNotes?
Yes. We work inside SimplePractice, TherapyNotes and most other EHRs, so you keep your current system and workflow.
Can you help me get on insurance panels?
Yes. Credentialing is $80 per payer, and 5 commercial payers are credentialed free with billing. Government payers such as Medicare and Medicaid are not part of the free enrollments and cost $80 each, like any other payer. We send status updates every week.
Do you create superbills for out-of-network clients?
Yes. We can prepare superbills with the correct codes, diagnosis and provider details, and check a client’s out-of-network benefits before they start.
How long does it take to switch billing companies?
About 5 working days from signing to sending claims. We agree up front how claims already in progress are handled, so nothing is missed.
I use Headway, Alma, Grow or Rula. Can you help me bill on my own?
Yes. We can credential you directly with payers and run your billing. Before moving any clients, review your platform agreement. RevenueCTRL is not affiliated with these platforms.
Guides from our team
Learn more before you decide
Cigna and Evernorth Behavioral Health: Credentialing and Billing for Mental Health Providers
How therapists and psychiatric providers join Cigna’s Evernorth behavioral network, how Cigna EAP differs from regular benefits, and how to fix common Cigna denials.
Read the guide →How to Bill Insurance as a Therapist: A Step-by-Step Guide
How therapists get paid by insurance: verify benefits, code the session, submit the claim, post payments and work denials before filing deadlines.
Read the guide →Optum Behavioral Health (UnitedHealthcare): Credentialing and Billing for Mental Health Providers
How to join Optum’s behavioral health network for UnitedHealthcare members, why UHC medical credentialing is not enough, and Optum denials.
Read the guide →Find out what your claims are leaving on the table
Tell us about your practice. We will review 90 days of claims and show you what is recoverable, at no cost.
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