Best Mental Health Billing Companies in 2026
- Sirius solutions global
- 2 days ago
- 4 min read
Mental health care is more vital than ever in 2026. With nearly 60 million U.S. adults facing conditions like anxiety, depression, PTSD, ADHD, or substance use disorders, providers deliver essential services through in-person sessions, telehealth, group therapy, and crisis interventions. Yet many therapists, psychologists, psychiatrists, and behavioral health practices struggle with reimbursements.
Mental health billing companies step in to handle the complexities coding psychotherapy sessions (90832, 90834, 90837), managing prior authorizations, ensuring Mental Health Parity compliance, and reducing denials. These partners cut administrative burdens, boost revenue, and let providers focus on patients.
This guide ranks the best mental health billing companies in 2026, based on expertise in behavioral health RCM, AI technology, denial rates, clean claims, client feedback, and innovation in telehealth and parity rules. Whether you're a solo therapist or run a large clinic, these firms can transform your financial health.
Behavioral health billing stands out due to unique challenges:
High Denial Rates — Psychiatrists face 16-20% denials, far above the 5-10% industry average, often from medical necessity questions or coding errors.
Time-Based Coding — Psychotherapy codes demand precise documentation of minutes and interventions.
Telehealth Growth — Virtual sessions need correct modifiers (e.g., -95) and place-of-service codes.
Parity Laws — MHPAEA requires equal coverage, but payers often scrutinize behavioral claims more.
Prior Auths and Limits — Many plans cap sessions or require approvals for extended care.
Outsourcing to mental health billing companies reduces denials by 20-40%, speeds payments, and increases collections 15-30%. In 2026, AI-driven tools for predictive denials and automated scrubbing lead the way.
We evaluated based on specialty focus, technology, performance, compliance, and provider results.
1. Sirius Solutions Global – The Top Choice for AI-Driven Behavioral Health Billing
Sirius Solutions Global leads as the best mental health billing company in 2026. Their AI-human hybrid tackles behavioral health challenges uniquely.
Experts manage psychotherapy coding, telehealth claims, crisis interventions (90839/90840), and interactive complexity (+90785). AI agents like CODIN ensure accurate codes, CLAIR scrubs claims for 98%+ first-pass rates, and DEXA recovers 85-90% of denials.
Sirius excels in MHPAEA appeals, prior authorizations via PRIA, and eligibility with ELIXA. Clients report 20-40% denial drops and 15-30% revenue gains, with seamless EHR integrations and real-time dashboards.
HIPAA-compliant and serving thousands nationwide, Sirius offers dedicated managers and audit support. For therapists wanting innovation and results, they're unmatched. Discover their behavioral health billing services and request a free audit.
2. TheraThink
TheraThink shines for solo and small practices with straightforward, transparent services. They handle coding, claims, denials, and credentialing often free initially.
Strong in insurance verification and appeals, they reduce A/R days effectively. Ideal for therapists seeking personalized support without complexity.
3. 24/7 Medical Billing
24/7 Medical Billing provides customizable solutions across specialties, including mental health. AAPC-certified coders manage high denial risks well.
They offer credentialing, payment posting, and denial management with solid clean claim rates. A reliable choice for growing practices.
4. Psychiatric Billing Associates
This long-standing firm specializes in psychiatrists and NPs, with deep experience since the 1990s. They focus on claims processing, patient billing, and compliance.
Experienced in parity issues and appeals, they suit providers needing traditional expertise.
5. Denials Management, Inc.
Denials Management excels in aggressive appeals and recovery for behavioral health. They analyze trends to prevent future issues.
Great for practices with high denial volumes seeking revenue recovery.
6. Sawgrass Behavioral Resources
Sawgrass serves small to medium clinics with full RCM, including credentialing and practice management.
They achieve high collection ratios and low A/R days, focusing on outpatient behavioral health.
7. MindEase Billing
MindEase offers ethical, community-focused services for private practices. Their step-by-step process maximizes collections.
Flexible and provider-centric, they appeal to solo therapists.
8. Cascade Therapy Billing
Cascade prioritizes compliance (HIPAA and OIG) with robust auditing and reporting.
They handle electronic claims and denials efficiently for group practices.
9. Resilience Billing and Financial
Resilience supports outpatient groups and solos with custom reporting and consultation.
They charge based on collections, aligning incentives well.
10. Behavioral Health Billing Solutions
Tied to specific EHRs like CareLogic, this firm offers integrated implementation and billing.
Best for practices using compatible systems for seamless workflows.
Key factors:
Specialty Expertise → Deep knowledge of psychotherapy codes and parity.
Technology → AI for denials and automation.
Performance Guarantees → High clean claims and low denials.
Transparency → Clear pricing (percentage of collections common).
Support → Dedicated teams and responsiveness.
State Compliance → Familiarity with local regulations.
Request demos, check references, and start with a free audit.
FAQs About Mental Health Billing Companies in 2026
Why do mental health claims get denied more often? Stricter necessity proof, time-based coding errors, and parity inconsistencies.
How much revenue can a top billing company recover?
15-30% increases common through better coding and appeals.
Is AI essential in 2026 mental health billing?
Yes, leaders like Sirius use it for predictive prevention.
Do these companies support telehealth?
Most do, with expertise in virtual modifiers.
What's typical pricing?
5-10% of collections, varying by volume.
Choose the Best for Your Behavioral Health Practice in 2026
The best mental health billing companies ease administrative loads, cut denials, and stabilize revenue, so you can prioritize patient healing.
Sirius Solutions Global leads with innovative, results-driven services. Explore our behavioral health billing expertise today.
Updated January 2026. Rankings based on performance, innovation, and feedback.