Our services

Full-service behavioral-health billing & RCM.

Our billing engagement is HRI Managed. We price it from your numbers, and you decide how much of the work we take on. We report every claim to you each Friday.

Updated October 2026

Request a Billing Review → See how HRI Managed works →

Full-service billing We run your billing from verification through appeals: eligibility, authorizations, claim prep, submission, follow-up, posting, denials, and first-level appeals where the record supports them. Hybrid Your team keeps the steps it already runs well and we take the rest. One written list names the owner of each step before we start.

Program scaling, operations and development, plus credentialing, licensing, and recovery work, are priced on their own.

What we handle

Full-service billing, step by step.

We cover the whole cycle, from the first benefit check to the last dollar posted. The other services can be added to an engagement or ordered on their own.

Inside every engagement

Benefit verification and eligibility before the first claim is built.
Authorizations and utilization review, including the peer-to-peer calls.
Benefit conversations with patients and families, handled by our team.
Claims prepared, scrubbed, and transmitted, then followed until they pay.
Rejections corrected and resubmitted, with payer follow-up on every open claim.
Payments posted and reconciled to your deposits.
Denials worked to the cause, and first-level appeals filed where the record supports them.
Second-level and external review scoped in writing.
Reporting by carrier and by period, in a form you can decide from.

In Hybrid, your team and ours divide these steps, and one written list names the owner of each before we start.

Available on their own

No billing engagement required; each is priced per service.

CAQH set-up and maintenance.
Insurance credentialing and re-credentialing, per provider, per payer.
Payer contracting and enrollment, including the EDI and ERA set-up.
State licensing support.
Accreditation readiness.
Program scaling, operations and development for a new facility or a program entering insurance.
Recovery projects on aged A/R, from a written claim list.

Every Friday, every claim, in writing

Status, age, payer response, blocker, owner, deadline, next action.

Each invoice arrives with a reconciliation tying payer payments to your deposits, so you can check our fee against the money that landed.

Pricing and exit terms

Priced from your numbers, and a fair way out.

How the price is set

Every quote is built from your numbers. The quote prints your fee terms and scope, set from your program. Work never starts on a verbal price. Payers pay you directly, and we never receive payer money. Anything extra is quoted before it starts.

How you leave

The agreement runs annually with a written notice window, and it carries an early performance gate: if we miss our own standards there, you can leave without a fee. Any exit ends with a closing report of every claim in flight, and your data is returned or destroyed. The exact terms are printed in the agreement you sign.

Get a quote built from your numbers →

Final pricing is individualized on each quote and confirmed in the signed service order. Payer coverage, allowed amounts, adjudication, payment timing, and revenue lift are never guaranteed.

From first call to live work

How an engagement starts.

Nothing starts and nothing bills before you have seen it in writing.

01
A billing review
You tell us your levels of care, your payers, and where claims stall. Findings come back on a date we set with you, and they name what we would take over and what we would fix first.
02
A quote from your numbers
The quote prints your fee terms and scope, set from your program. Work never starts on a verbal price.
03
One signing package
The master services agreement, your service order, and the business associate agreement arrive together as one package, read once by counsel and signed once.
04
Setup confirmed in writing
We confirm liability coverage, system access, payer routes, records, and the handoff from your current biller before work begins. Until then, we touch no patient data.
05
A written Live Work Notice
Live claim work begins only on that notice. Friday reporting starts as the first claims are worked.

Start with the billing review →

Also on their own

Three doors that do not need a takeover.

Each is priced separately.

Program scaling, operations and development

We build the whole revenue operation for a cash-pay program entering insurance or a new facility, from the first payer route to a running claim cycle. We also rebuild a service line that never worked. The assessment comes first and produces a written scope and a fixed price. The build rolls out in stages, and we prove it on real claims. The finished operation runs under HRI Managed. For a program that has not opened yet, the steps are on billing and credentialing before you open.

Plan a program engagement →

Credentialing, licensing, and accreditation

Insurance credentialing. We credential each provider with each payer, keep CAQH set up and current, and track the re-credentialing dates.
Payer contracting and enrollment. Network contracts, provider and payer enrollment, and the EDI/ERA setup that lets claims and payments flow.
State licensing support. We assemble the applications and documentation and track the deadlines.
Accreditation readiness. We organize the documentation and operational standards reviewers expect before the survey.

Facilities add these to an engagement or order them alone. Individual clinicians and group practices come to us directly.

Start a credentialing request →

Recovery on aged A/R

We work denials nobody re-filed and underpayments nobody compared against the contract, and we track down checks that went to a patient or the wrong entity. Every open balance gets scored for what is still collectible, and we fix and re-file the correctable claims while the payer's filing and appeal windows are open. We measure underpaid claims against the contract and dispute them. Recovery runs stand-alone or inside HRI Managed, always from a written claim list with the price agreed first.

Ask what is recoverable →

Licensing and accreditation work is preparation and support, not legal advice, licensure representation, or a guarantee of state approval or Joint Commission / CARF accreditation.

How we work the claim

The details that decide whether you get paid.

Two examples.

Intensive outpatient is not one code
IOP is usually paid by the program day, and the payer decides the codes. A commercial claim may run S9480 with revenue code 0905 where the payer wants that pair. Medicare bills IOP by component under condition code 92, and S9480 is not on its list for those claims. We confirm each payer's codes before the first claim goes out.
Some claims never arrive
A clearinghouse can route on its own four-digit CPID rather than the payer ID. One wrong digit and the claim goes nowhere. We confirm it cleared within 72 hours and follow up inside two weeks.

Featured service

First-level appeals included.

Second-level and external review are scoped in writing when the record supports them. Every appeal runs through Parity, our behavioral-health appeals workspace.

Explore the Appeals service →

01First-level review
02Second-level appeal
03External / independent review

Why it matters

Every treatment day ends up on a claim.

When it stalls, the program goes unpaid for that day.

Systems

We work in the tools you already use.

Claims and eligibility run through established clearinghouses, and our team is fluent in the major behavioral-health EHRs.

Stedi Availity Office Ally + major behavioral-health EHRs

Built and led by behavioral-health operators. Our operators run the work and answer for it, with thirty-plus years combined in behavioral-health revenue cycle.

Before you sign

The questions buyers ask us first.

What is HRI Managed?

HRI Managed is our billing engagement, offered two ways. In full-service billing, we run it from verification through appeals. In Hybrid, we split the steps with your team on one written list of who owns what.

Do you credential individual providers?

We do. CAQH setup and maintenance, insurance credentialing and re-credentialing, payer contracting, state licensing support, and accreditation readiness are all available on their own, each priced in writing. Individual clinicians and group practices hire us for those without a billing engagement.

Can you help us get licensed or accredited?

Yes, as their own priced services. We assemble the applications, organize the documentation, and get the operational side ready for review. Approval decisions belong to the state and the accreditor. Readiness is the part you can control, and that is the part we handle.

Can you build our insurance billing from scratch?

Yes. We build the revenue operation end to end for programs entering insurance, new facilities, and operations that need a rebuild. It starts with an assessment that sets the written scope and a fixed price. We then roll the build out in stages your team can absorb, and once the operation is running it moves into HRI Managed.

What does a full-service behavioral-health billing firm handle day to day?

The whole revenue cycle, from the first benefit check to the final dollar collected, run by one accountable team. It covers nine connected functions, from benefit verification and authorizations through claims, payment posting, denials, and reporting by carrier and by period.

Will your team talk to our patients and families about their benefits?

We do. Our team handles the benefit conversations with patients and families directly, so your staff doesn't have to. It's one of the nine core functions of the engagement, worked by behavioral-health specialists.

Do we have to switch our EHR or clearinghouse to work with you?

No. You keep your EHR and your clearinghouse, and we do the work inside them. Our claims and eligibility checks run through clearinghouses such as Stedi, Availity, and Office Ally.

Are appeals included, or billed separately?

First-level appeals are part of the billing work itself: when a claim's record supports an appeal, we file it. Second-level and external or independent review are scoped in writing before they start, so nothing arrives as a surprise line item. We work every appeal in Parity, our behavioral-health appeals workspace.

What kind of reporting will we get?

A Friday report on every claim, showing its status, age, payer response, blocker, owner, deadline, and next action. Reimbursement is broken out by carrier and by period, and a monthly reconciliation ties payer payments to your deposits.

Can you recover money on old or denied claims, or is that gone?

Sometimes, yes. Denied and underpaid claims stay workable while the payer's timely-filing and appeal windows are open, and those vary by payer and contract, which is why we check before anything gets written off. We score the aged A/R for what is still collectible, correct and re-file the claims worth working, and track down payments that went to a patient or to the wrong entity. Balances a previous biller gave up on are not automatically gone.

How long is the commitment, and how do we exit?

The agreement runs annually and renews unless either side gives written notice ahead of the term; the notice window is printed in the agreement you sign. It also carries a performance gate early in live billing: if we materially miss our own standards there (clean claims out on time, the weekly report delivered), you can end the engagement without an early-exit fee. Either side can end it for uncured material breach, and ending early outside those paths carries an early-exit fee set out in the agreement. On any exit there is an orderly wind-down: you get a closing report of every claim in flight, and your data is returned or destroyed; it does not stay with us.

The smallest entry points are the billing review, a stand-alone recovery project on your aged A/R, and credentialing for a single provider. Each can grow into HRI Managed. Bringing the leadership team along? Take the one-page overview (PDF).

Not sure what you need first?

Start with a billing review.

The billing review starts from the levels of care you bill and where claims keep getting stuck. It costs nothing, and you leave knowing what to fix first, whoever you hire. Payer filing windows close, and older balances are harder to recover.

Request a Billing Review → See how we work →

A Business Associate Agreement is in place before any PHI is exchanged. For addiction-treatment programs, we also sign a 42 CFR Part 2 qualified service organization agreement before handling any records. Security & Compliance

Last updated: October 25, 2026