Real insight. Better revenue.
We run the full revenue cycle for RTC, detox, PHP & IOP programs, from benefits to appeals. We apply payer intelligence at every stage.
The difference
Claims worked
to the cause.
DETOX · RTC · PHP · IOP
Specialized behavioral health
What we do
One team runs all six stages, so a problem gets caught at the stage where it starts.
Before the first claim is built, we verify coverage and set up each patient.
We manage authorization and utilization review (UR): preparation, scheduling, documentation and deadlines. We also coordinate the peer-to-peer, the call between your clinician and the payer's reviewer.
We run claims through defined clean-claim controls before submission and work follow-up through to resolution.
Payments are posted and reconciled line-by-line against contracted rates, which is where short payments get caught.
We resolve denials at the root cause, then work appeals and stalled aged AR (accounts receivable) in priority order.
Structured reporting flags the underpayments we find.
Opening a program?
HRI plans credentialing, payer enrollment and billing setup for residential, PHP and IOP programs in the months before they open. Tell us where each item stands, finished or not, and we plan the rest around it.
Your organizational NPI (National Provider Identifier), tax ID and state license go into the application. Each payer then runs on its own clock.
Payer applications go in as soon as each has what it needs. EHR and clearinghouse setup run alongside.
One rule is fixed: no claim goes to a payer until that payer confirms enrollment and an effective date.
Sample claims are built and checked against payer rules before any real claim goes out, and claim status reporting starts from day one.
Your program
We run the billing, and your clinical team stays with patients.
From the field
Dated notes from the people working the claims, posted when we find something worth passing on. No client is named.
Jul 19, 2026
PB
On out-of-network residential claims we keep finding UnitedHealthcare-administered plans, UMR included, either parking claims in post-service review or issuing payment to the member instead of the facility. If the portal says paid and no deposit ever landed, ask the family before you write an appeal — the check may be sitting in their mailbox.
Our approach
We use our behavioral-health billing experience to trace claim denials and revenue leaks to their causes before they compound.
Detox, RTC, PHP and IOP billing is the work we know best.
When a claim denies, we find what caused it before another claim goes back out.
We spot problems upstream, before they cost you a month of cash flow.
The team knows your census and gets back to you within one business day.
From the Insights desk
Guidance on denials, appeals, coding and payer behavior, written from our behavioral-health billing work.
How medical-necessity denials work, what documentation matters, and how to build a stronger appeal.
The per-diem codes, revenue-code pairings and authorization rules behind clean IOP claims.
A claims follow-up schedule that shortens how long claims sit unpaid in A/R, instead of waiting on the payer's remittance.
Not sure where your revenue is leaking?
There is no charge for the review, and you do not need to send patient data. A few lines about your program are enough for us to show where to focus first: which claim issues are worth correcting now, and what they are likely worth.
Last updated: October 25, 2026