About Health Revenue Intelligence Salt Lake City, Utah

Built by behavioral-health operators.
Modernized for complex revenue cycles.

Our partners bring thirty-plus years of combined experience in behavioral-health billing, authorization, claim management, appeals and revenue recovery. We built that work under the Axis IRG name and carry it forward as Health Revenue Intelligence (HRI). HRI adds payer intelligence and reporting you can measure against.

Company history → Security & compliance → Industry benchmarks →

Built by

Behavioral-health RCM operators

Specialty

RTC · Detox · PHP · IOP

Payers

Medicaid and its managed-care plans, Medicare, commercial carriers

Health Revenue Intelligence is a full-service behavioral-health billing and revenue-cycle management company. We run the day-to-day billing while payer intelligence and claim prioritization surface the denials and underpayments worth chasing first. HRI serves RTC, detox, PHP, IOP and specialized behavioral-health providers.

Leadership

Meet Chris and Pete.

HRI is led by partners who have run behavioral-health programs and recovered revenue.

Christopher Ryan

Partner · Revenue Intelligence Systems

Chris spent more than 15 years running behavioral-health programs and revenue operations before building Health Revenue Intelligence. At a high-volume applied behavior analysis (ABA) center he led operational turnarounds that recovered six figures and cut uncollected revenue sharply. He oversaw administration for programs generating millions in annual revenue. He negotiated five payer network agreements that added millions a year. At Health Revenue Intelligence he built the operating model: the payer intelligence, the Fix & Revenue Queue logic that sets the order claims are worked in, and the Microsoft + AI workflow architecture the company runs on.

Background and prior-role results are separate from Health Revenue Intelligence client outcomes and do not represent them.

15+ yrs healthcare ops
5 payer network agreements
Teams to 90+
B.S. Mathematics, U of Utah

Chris on LinkedIn

Peter Busch

Partner · Operations & Provider Relationships

Pete has worked the behavioral-health revenue cycle from every side since 2005: first as a health and life insurance broker, then in operations at a startup treatment center he helped establish. In 2014 he co-founded the revenue cycle firm that became HRI. For the past twelve years he has billed and recovered claims across detox, residential, PHP, IOP, and outpatient care, working in depth with Medicaid and its managed-care organizations, Medicare, commercial carriers, and other state and federal plans. He has negotiated single-case agreements at contracted day rates, stood up payer enrollments and electronic claim lanes from scratch, turned mass rejections into paid-in-full claims, and walked facilities through dozens of payer clawback and recoupment demands. Facilities bring him their hardest payer problems. He knows the requirements insurers enforce and the pitfalls facilities hit trying to meet them.

Background and prior-role results are separate from Health Revenue Intelligence client outcomes and do not represent them.

20+ yrs behavioral-health revenue
Co-founded the practice, 2014
Detox through outpatient
Payer contracting & enrollment

Pete on LinkedIn

Our approach

We treat a denial as a question: what went wrong, and what keeps it from happening again.

Behavioral health and substance use disorder billing has its own rules: levels of care, medical-necessity reviews, parity law, carve-outs and payer behavior that changes without notice. We built this practice around them.

Our partners stay on your account, making the decisions and answering for the results. Reporting covers the whole cycle: authorization, claims, payment, denials and payer-level activity.

Documented workflows and controlled automation keep the work consistent, and payer intelligence keeps it prioritized. A person at HRI still makes every call.

30+

Years of Combined Experience

That experience covers program administration and payer contracting, plus billing and claim recovery across detox, residential, PHP, IOP and outpatient care.

Published Guides & Field Answers

We have written on RTC, PHP and IOP billing, authorization, denials and payer rules for more than a decade. Each guide carries a label showing its status, and we keep the current ones reviewed and up to date.

One team with yours

We work alongside your front office.

Your numbers are our starting point, and we own the outcome with you.

What we stand on

Principles behind the work.

/01

Behavioral health first

Each level of care, from detox to IOP, is billed the way that program runs.

/02

Root cause, always

We fix the claim and the reason it failed.

/03

Full transparency

Every Friday you get a report on every claim we work.

/04

Provider-first

Your team stays with patients while we carry the billing work.

Next step

Start with a billing review.

A billing review looks at your denials, payer friction, underpayments or aged A/R (older unpaid balances) and hands back a clear first step.

Request a Billing Review → See our services →

Last updated: October 25, 2026

Built by behavioral-health operators.Modernized for complex revenue cycles.