Real insight. Better revenue.
HRI runs the full revenue cycle for RTC, detox, PHP & IOP programs, from benefits to appeals. We apply payer intelligence at every stage.
The difference
Find what
others miss.
DETOX · RTC · PHP · IOP
Specialized behavioral health
What we do
We run every stage ourselves. We catch a problem where it starts.
We verify coverage and set up each patient before the first claim is built.
We manage auth and UR end-to-end: preparation, scheduling, documentation, deadlines and peer-to-peer coordination.
We run claims through defined clean-claim controls before submission and work follow-up through to resolution.
We post and reconcile payments line-by-line against contracted rates. We catch short payments at this step.
We resolve denials at the root cause. We work appeals and stalled aged AR in priority order.
We run structured reporting and underpayment detection, with payer intelligence behind every decision.
Opening a program?
HRI plans credentialing, payer enrollment and billing setup for residential, PHP and IOP programs in the months before they open. Nothing has to be finished. We just need to know where each item stands.
Your organizational NPI, 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.
Behind every claim
The money we chase pays for sessions and beds. We run the billing, and your clinical team stays with patients.
A paid claim keeps a program open.
From the field
Dated notes from the people working the claims. 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
Health Revenue Intelligence pairs behavioral-health billing experience with payer intelligence to find the root causes of claim denials and revenue leakage before they compound.
Detox, RTC, PHP and IOP billing is all we work.
We find what caused the denial 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 answers when you call.
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 cadence that compresses A/R instead of waiting on remittance.
Not sure where your revenue is leaking?
There is no charge for the review, and you do not need to send patient data. Send a few lines about your program and we will show you where to focus first: which claim issues are worth correcting now, and what they are likely worth.
Last updated: September 29, 2026