Mental Health Billing
Best Mental Health Billing Companies (2026): An Honest Comparison
Eleven mental health billing companies, ours included, compared on what each one publishes on its own website. Three print a billing percentage (Psyquel, TheraThink and us), Psychiatric Billing Associates prints a $300 registration fee, and the other seven don’t print a price.
How This Comparison Works
We wrote this page, and we’re one of the companies compared.
So every fact about another company comes from that company’s own website, and each row links the page it came from. We last checked every entry on October 4, 2026. Nobody gets ranked, starred or scored. The Best For column is our one-line read of who each company’s own site says it serves, not a ranking. Where something isn’t published, the table says so, and that item goes on your list of questions for the sales call.
How We Compared
We picked ten companies that show up in searches for mental health and behavioral health billing, then added ourselves. For each, we used only the company’s own site and recorded five things:
- Behavioral health focus. Which practices the company says it serves.
- Pricing published. Exact numbers only when they’re printed on the site.
- Pricing model. How the fee is calculated, in the company’s own terms.
- Credentialing. Whether the site offers payer credentialing, and the price if it’s listed.
- Minimums and contract terms. Setup fees, monthly minimums, contract length or cancellation terms.
No star ratings, no review scores, no guesses. Websites change and sales reps quote differently, so get the final number in writing.
Side-By-Side Comparison
| Company | Best For | Behavioral Health Focus | Pricing Published | Pricing Model | Credentialing | Source |
|---|---|---|---|---|---|---|
| Credex Healthcare | Practices that want billing, credentialing and licensing from one multi-specialty firm | Mental health assessment centers, telehealth clinicians, solo practitioners and group therapy practices | Not published (free billing audit offered) | Not published | Yes, credentialing and enrollment with Medicare, Medicaid and commercial payers; price not published | Credex Healthcare |
| CureMD | Practices that want billing built around therapy, medication management and telehealth visits | Dedicated mental health billing service | Not published (quote request form) | Not published | Yes, payer credentialing support; price not published | CureMD |
| MediBillMD | Practices that want billing, old A/R recovery and credentialing from a multi-specialty firm | Mental health billing inside a multi-specialty company serving all 50 states | Not published (pricing by call) | Percentage of total monthly collections | Yes, CAQH work, applications, follow-up every two weeks and re-credentialing; price not published | MediBillMD, credentialing |
| Medwave | Behavioral health practices and facilities that want billing, credentialing and payer contracting from one firm | Psychiatrists, psychologists, counselors and clinical social workers | Not published (quote request) | Percentage of money collected; lower percentage at higher claim volume | Yes, priced per provider, per insurance company; figures not published | Medwave, pricing |
| MindEase Billing | Solo psychiatrists and psychiatric NPs, mostly in Oregon | Solo practitioners, primarily in Oregon; expertise in MDs and MHNPs, some openings for psychologists and counselors; no openings for groups or agencies right now | Not published (discovery call) | Not published | Not listed on the pages we read | MindEase Billing, home page |
| Neolytix | Behavioral health groups growing past a handful of providers | Billing operations built around behavioral health group practices | Not published | Fixed fee or incentive-based, buyer’s choice | Yes, credentialing and network management; price not published | Neolytix |
| Plutus Health | Psychiatric practices and behavioral health organizations | Psychiatrists, psychologists, therapists, counselors and social workers | Not published | Not published | Yes, credentialing and enrollment services; price not published | Plutus Health |
| Psychiatric Billing Associates | Solo psychiatrists, psychologists, NPs and social workers who want month-to-month terms and an assigned account manager | Psychiatrists, psychologists, NPs and social workers, since 1994 | Partly: $300 initial registration fee | A percentage of monthly income, or sometimes an hourly fee, negotiated by practice type, volume and scope | Credentialing assistance for an extra fee; amount not published | Psychiatric Billing Associates, about |
| Psyquel | Practices that want an EHR and billing from one behavioral health vendor, priced per claim | Behavioral health specialists exclusively, for more than 25 years | Yes (estimator on its pricing page) | Billing only from 6% of insurance collections; EHR plus billing from $4.00 per claim | Yes; priced by number of providers and payers, figures not published | Psyquel, billing services |
| TheraThink | Therapists and psychiatrists who want a published percentage and month-to-month terms | Mental health insurance billing for therapists and psychiatrists | Yes | 6.5% to 8% of the contracted rate or allowed amount, plus $35 a month per unique tax ID and rendering NPI | Yes: $140 per commercial panel, $270 Medicare, $270 Medicaid | TheraThink, credentialing |
| AdvanceAPractice | Psychiatry, PMHNP, psychology and therapy practices that want billing and credentialing from one team | Psychiatry, PMHNP, psychology and therapy practices | Yes | From 7% of collections for a solo provider down to 4.5% for 26 or more providers, low monthly minimums, no setup fee; Billing Cleanup And A/R Recovery is 20% of what we collect on claims over 90 days | Yes: $500, $600 or $700 per commercial payer for payers one to five, $350 for payers six to nine, $500 per Medicare or Medicaid path | Billing, pricing |
Companies are listed alphabetically. We put ourselves last because we wrote the page.
The Companies, One By One
Credex Healthcare
Credex Healthcare’s mental health billing page names assessment centers, telehealth clinicians, solo practitioners and group therapy practices, and the company bills for dozens of other specialties too. It describes a four-step audit on every claim before submission, and it handles credentialing and enrollment with Medicare, Medicaid and commercial payers. Approved practices can get a free billing audit. Billing prices, minimums and contract terms aren’t published.
CureMD
CureMD has a dedicated mental health billing page built around therapy sessions, medication management and telehealth. Its pricing link goes to a request form. The same page says CureMD assists with payer credentialing. We didn’t find minimums or contract terms.
MediBillMD
MediBillMD is a multi-specialty billing company in Dallas with a mental health billing page and a separate mental health credentialing page. Its FAQ says it charges a percentage of your total monthly collections, and you get the number on a call. Listed services include coding, denial management, old A/R recovery and credentialing, where it builds or reviews your CAQH profile, submits applications and follows up with each payer every two weeks. We didn’t find minimums or contract terms.
Medwave
Medwave’s behavioral health page names psychiatrists, psychologists, counselors and clinical social workers, in private practices and inpatient, outpatient and residential settings. Its pricing page says billing is a percentage of all money collected, lower at higher claim volume, and credentialing is priced per provider, per insurance company. Every contract is quoted individually.
MindEase Billing
MindEase Billing bills for mental health practitioners in solo practice, primarily in Oregon. Its expertise is MDs and MHNPs, with occasional openings for psychologists and counselors, and its home page says it has no openings for groups or agencies right now. The service runs in four steps: benefit checks that estimate what the patient will owe, weekly electronic claims, fixing payments insurers processed wrong, and reporting. Prices aren’t published, and we didn’t see credentialing listed.
Neolytix
Neolytix says it builds billing operations around behavioral health group practices, psychiatry and therapy included. Buyers choose a fixed fee model or an incentive-based model. Credentialing and network management are listed services. Prices, minimums and contract terms aren’t published.
Plutus Health
Plutus Health’s mental health billing page lists psychiatrists, psychologists, therapists, counselors, social workers and behavioral health organizations as the practices it serves. It offers credentialing and enrollment services. Pricing, minimums and contract terms aren’t published.
Psychiatric Billing Associates
Psychiatric Billing Associates has billed for psychiatrists, psychologists, NPs and social workers since 1994, from Mount Sinai, New York. Its FAQ lists a $300 initial registration fee, then a percentage of monthly income or, in some cases, an hourly fee, negotiated by practice type, billing volume and scope. Postage, patient reminder calls and credentialing assistance cost extra. There’s no long-term contract, and you can leave with 30 days’ notice. It verifies benefits and gets preauthorization for initial services when a plan requires it.
Psyquel
Psyquel says it’s served behavioral health specialists exclusively for more than 25 years. Its pricing page runs a live estimator: billing only starts at 6% of insurance collections, and EHR plus full service billing starts at $4.00 per claim, stepping down as monthly claim volume grows. The plans list “No contracts or setup fees.” Credentialing is priced by how many providers and payers you add.
TheraThink
TheraThink charges 6.5% to 8% of the contracted rate or allowed amount of each insurance claim it helps collect, depending on volume, plus $35 a month per unique tax ID and rendering NPI in months claims are submitted. It doesn’t list a startup fee, and it offers a month-by-month contract and a free 30-day trial. Credentialing is $140 per commercial panel and $270 each for Medicare and Medicaid; the pricing page also shows a 2019 schedule with lower figures, so ask which one applies.
AdvanceAPractice
That’s us. Ongoing Billing is priced by practice size, from 7% of collections for a solo provider down to 4.5% for 26 or more providers, with low monthly minimums and no setup fee, and it drops 0.5 point when we also handle your credentialing. Unpaid claims older than 90 days can go to Billing Cleanup And A/R Recovery, where you pay 20% of what we collect and nothing on claims we don’t collect. It covers claim scrubbing and submission, rejection and denial follow-up, payment posting and adjustments, A/R follow-up, reconciliation and reporting. Eligibility and benefits verification and prior authorization need a separate written scope. Credentialing is priced per payer, per provider, and the builder itemizes every line before checkout. You can see billing prices by practice size on our packages page.
How To Choose
We’d want these answered in writing before signing with any company on this list, us included.
Ask What The Percentage Is Taken From
Six percent, 7% and “6.5% to 8%” can’t be compared until you know the base. A percentage of collections is figured on money that actually landed in your account. A percentage of the contracted rate or allowed amount is figured on what the payer’s contract says the visit is worth. Per-claim pricing is a third model entirely. Ask whether copays and coinsurance count toward the base, and whether a monthly fee sits on top.
Ask What’s Included
Submitting claims is the easy part. Ask who works rejections, who appeals denials, who posts ERAs and patient payments, how often A/R gets worked, and whether eligibility checks are in the fee or billed on their own. Then get that list into the contract itself.
Read These Contract Clauses Twice
- Term and renewal. Month to month, or a fixed term that renews on its own? How much notice does leaving take?
- Minimums. Is there a monthly minimum, and is it per provider, per tax ID or per practice? A per-provider minimum adds up fast in a slow month.
- Claims in flight when you leave. Who works claims submitted before termination, and does the company keep its percentage on them?
- Your data on exit. Do you keep admin access to your EHR and clearinghouse, and get an A/R aging report and open-claim list back?
- Extra fees. Setup, per-claim, patient statement and old A/R cleanup fees add up fast.
Settle Credentialing Before Billing Starts
Still getting a provider on panels? Ask whether credentialing is priced per application or per payer, and whether follow-up until approval is included. Billing depends on active enrollment with each payer, so someone has to own that clock.
Common Questions
How Much Do Mental Health Billing Companies Charge?
Of the eleven companies on this page, three publish a billing percentage. TheraThink lists 6.5% to 8% of the contracted rate or allowed amount plus $35 a month per unique tax ID and rendering NPI. Psyquel lists billing only from 6% of insurance collections. AdvanceAPractice lists 7% of collections for a solo provider, dropping by practice size to 4.5% for 26 or more providers. The monthly minimum is $300 for a solo practice. Psychiatric Billing Associates lists a $300 registration fee and negotiates its percentage. The other seven don’t publish a price.
Do Mental Health Billing Companies Also Handle Credentialing?
Ten of the eleven companies here say they offer credentialing; MindEase Billing’s pages don’t list it. Two publish credentialing prices. TheraThink’s credentialing page lists $140 per commercial panel and $270 each for Medicare and Medicaid. AdvanceAPractice prices each commercial payer per provider starting at $500, and each Medicare or Medicaid path at $500 per provider. Psychiatric Billing Associates charges extra for credentialing assistance but doesn’t list the amount.
What’s The Difference Between A Percentage Of Collections And A Percentage Of The Allowed Amount?
A percentage of collections is calculated on money that actually arrives. A percentage of the allowed amount or contracted rate is calculated on what the payer’s contract says the service is worth. Ask which base a company uses and whether patient payments count. The same percentage can produce very different bills.
What Should I Look For In A Billing Company Contract?
Check the term and renewal language, the notice needed to cancel, any monthly minimum and whether it’s per provider or per practice, setup and per-claim fees, who works claims submitted before you leave, and whether you keep access to your EHR, clearinghouse and A/R reports when you go.
See What Ongoing Billing Covers
If we’re on your shortlist, the full Ongoing Billing scope is on one page, including what it leaves out. You don’t have to replace your EHR to start.
What Would Fixing It Cost?
Ongoing Billing, Automation Programs and the Operations Partnership each have a published price and a written scope. Tell us what keeps going wrong, and we’ll point you to the right one.