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Claimie

Behavioral Health

Payers treat behavioral health claims differently. Your recovery partner should too.

Behavioral health carries denial burdens most medical practices never see: session limits, documentation standards that shift by plan, and medical-necessity reviews that second-guess clinical judgment session by session.

You, Specifically

You've watched payers demand treatment plans, progress notes, and outcome measures no cardiology practice would ever be asked for — then deny for 'insufficient documentation' against criteria they don't publish. Parity is the law; your denials queue says otherwise.

Most behavioral health practices are small, clinician-owned, and staffed for care, not combat. Which means the denials — often modest individually, relentless in aggregate — simply never get fought.

The Patterns

The denials we see in your world, over and over.

  • Medical-necessity denials second-guessing level-of-care and session frequency
  • Session-limit and concurrent-review denials mid-treatment
  • Documentation denials against unpublished or shifting criteria
  • Parity-suspect patterns: behavioral claims denied where comparable medical claims pay
  • Telehealth place-of-service and modifier denials

50–65%

Denied claims never worked at all — and small behavioral practices skew high1

~2/3

Denied claims that are recoverable2

The Engagement

What working with us looks like.

  1. 01

    Appeals built on clinical documentation, with clinician-informed review of medical-necessity arguments.

  2. 02

    Session-limit and concurrent-review denials tracked as patterns, not one-offs — payer by payer.

  3. 03

    Documentation playbooks so your notes meet the criteria payers actually apply.

  4. 04

    Same BAA-first, read-only-access onboarding as every Claimie engagement.

Pricing

Contingency pricing means modest-dollar behavioral claims are finally worth fighting — we absorb the labor and are paid only from recoveries. Flat-rate available in all states.

See both pricing models →

Know your number before you sign anything.

The Recovery Audit is a $500 analysis — yours free, in writing, with an honest go/no-go. Limited slots each month.

Get Your Free Recovery Audit →
Sources
  1. 1.50–65% of denied claims are NEVER reworked or resubmitted. — MGMA
  2. 2.Roughly two-thirds of denied claims are recoverable. — Advisory Board