blueBriX mental health billing services are built for the re-authorization cadence and payer complexity this specialty runs on — across outpatient therapy, PHP, and IOP programs — inside the EHR you already use.
Concurrent utilization review and session limits monitored payer by payer.
Coders trained on BH-specific codes and payer rules, not generalists.
Step-ups and step-downs between IOP and PHP billed without a gap.
Audio-only and modifier rules checked on every claim.
Behavioral health carve-outs billed to the right payer, not missed.
Prior auth and level-of-care transitions tracked case by case.
Billing form varies here more than in almost any other specialty — outpatient therapy and psychiatric care bill professional claims on CMS-1500, while PHP can also require institutional enrollment on UB-04 depending on the facility. Getting the form right is half the battle.
Psychiatric practices, substance use disorder treatment, group private practice, telepsychiatry-only practices, or another behavioral health setting not listed above — tell us about your program.
Schedule a consultation →Real results from behavioral health organizations we've worked with — read the full case studies.
If something specific to your program isn't listed above — a payer relationship, a reporting need, a piece of the revenue cycle that doesn't fit neatly into a category — tell us about it directly.
Schedule a consultationPHP and IOP both bill per-diem codes tied to a level of care, with concurrent utilization review required to keep authorization active as treatment continues. Outpatient therapy bills time-based CPT codes per session, with visit limits rather than concurrent review as the main constraint.
It can. Outpatient therapy is billed as a professional claim on a CMS-1500. Some PHP programs, depending on facility licensure, also require institutional enrollment and billing on a UB-04, while IOP typically stays on a CMS-1500 — we confirm which applies to your program and bill accordingly.
We track the transition date and bill each level of care correctly on either side of it, so a step-up or step-down doesn't create a billing gap or an authorization lapse.
We track authorization status in real time as treatment continues, so the next period's authorization is requested before the current one lapses, rather than discovering a gap after a claim is denied.
Many health plans route behavioral health benefits through a separate managed behavioral health organization rather than the medical insurer directly. We identify the correct carve-out payer for each patient and route claims there, instead of defaulting to the medical plan and risking a rejection.
Yes. Re-authorization deadlines and requirements vary by payer, and tracking them is part of our standard behavioral health revenue cycle process, not an add-on service.
Talk to our team about where re-authorizations, unit tracking, or carve-out payer routing are costing your practice revenue — and what handling it, in full or in part, could look like.