Mental Health Insurance Operations & Credentialing

Abstract network of interconnected lines and nodes forming a web-like structure, representing complex insurance systems, credentialing processes, and operational workflows in mental health care.

  • Designed for solo and small group practices seeking structured oversight of insurance workflows and reimbursement performance. Up to 8 hours per month.

    Includes:

    • Review and oversight of claims activity.

    • Targeted denial analysis and resolution strategy.

    • Reimbursement accuracy review.

    • Identification of recurring payer issues.

    • Monthly performance summary.

    • One 30-minute strategy call.

    This tier focuses on strengthening existing systems and improving the consistency of reimbursement.

    Services can be tailored to your practice’s needs, including support with billing workflows, claims management, and payer follow-up.

    Pricing: Custom scope; typically $750-$1000.

  • Designed for multi-clinician group practices seeking higher-level operational partnership and insurance strategy. Up to 15 hours per month.

    Includes:

    • All Core services.

    • Strategic planning related to network participation.

    • Two 30-minute strategy calls.

    • Priority response within one business day.

    This tier is appropriate for practices managing growth, insurer challenges, or structural reimbursement instability.

    Services can be tailored to your practice’s needs, including support with billing workflows, claims management, and payer follow-up.

    Pricing: Custom scope; typically $1500-$1800.

  • Designed for psychotherapy practices setting up or transitioning between practice management or electronic health record (EHR) platforms, this project-based service provides structured oversight of administrative and insurance workflow migration.

    Services may include:

    • Transition planning and project timeline development.

    • Workflow mapping and documentation review.

    • Alignment of billing workflows and payer requirements within the new system.

    • Coordination of clinician onboarding and internal process changes.

    • Review of insurance configurations and claim submission pathways.

    • Stabilization oversight during go-live period.

    This service focuses on operational continuity, reimbursement integrity, and compliance alignment during system transition. It is appropriate for solo and multi-clinician group practices seeking structured leadership through platform migration.

    Final pricing is determined by practice size, number of clinicians, payer complexity, and the scope of data migration.

    Strategic Practice Partnership clients receive priority scheduling.

    Pricing: Custom scope; starting at $4000.

  • This service is for licensed providers and small to mid-sized group practices seeking to credential and enroll with a commercial insurer as an individual, group, or both.

    Pricing: Starting at $200 for one insurer. Discounts available for multiple insurers.

  • This service is designed for providers who want not only credentialing support but also guidance in reviewing and understanding payer contracts. In addition to credentialing and enrollment support, this package includes a contract overview and an advisory discussion to support informed decision-making prior to signing.

    This service is particularly valuable for clinicians leaving platform-based arrangements who want to understand what direct contracting actually means for revenue, compliance, and autonomy.

    Pricing: Starting at $350 for one insurer. Discounts available for multiple insurers.

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