Our services
One engagement, HRI Managed, priced from your numbers. We report every claim to you each Friday, and you decide how much of the work we take on.
Both carry the Friday claim report and a monthly reconciliation tying payer payments to your deposits. Program build-outs, credentialing, licensing, and recovery work are priced on their own.
What we handle
Full-service billing covers the whole cycle from the first benefit check to the last dollar posted. The rest can be added to an engagement or ordered on their own.
In Hybrid, your team keeps the parts it does well and we take the rest. Who owns each step is written down before we start.
No billing engagement required. Each is priced per service, in writing, before it starts.
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.
Coding and reimbursement outcomes vary by payer, plan, state, contract, and date of service.
Priced from your numbers
Every engagement carries a monthly minimum set from your program. Where we run the billing, we bill that minimum or a percentage of what we collect, whichever is greater, never both. If your operation is ready as it stands, there is no setup fee. Anything extra is quoted before it starts.
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
Nothing starts and nothing bills before you have seen it in writing.
No cost. Tell us your levels of care, your payers, and where claims stall. Findings come back on a date we set with you, and you leave knowing what we would take over and what we would fix first.
Your minimum, rate, and scope are set from your program and printed on the quote. Work never starts on a verbal price.
The master services agreement, your service order, and the business associate agreement arrive together, so counsel reads once and everyone signs once.
Liability coverage, system access, payer routes, records, and the handoff from your current biller are confirmed before work begins. Until then, we touch no patient data.
Live claim work begins only on that notice. Friday reporting starts as the first claims are worked.
Also on their own
Each is priced and approved before it starts. Nothing gets done, and nothing gets billed, without your written yes.
A cash-pay program entering insurance, a new facility, a service line that never worked. We build the whole revenue operation, from the first payer route to a running claim cycle. The assessment comes first and produces a written scope and a fixed price; we build in stages your team can absorb, prove it on real claims, then run it under HRI Managed. Opening a new program? See billing and credentialing before you open.
Plan a program build →Facilities add these to an engagement or buy them alone; individual clinicians and group practices come to us directly.
Start a credentialing request →Denials nobody re-filed, underpayments nobody compared against the contract, checks that went to a patient or the wrong entity. Every open balance is scored for what is still collectible, correctable claims are fixed and re-filed while the payer's filing and appeal windows are open, and underpaid claims are measured against the contract and disputed. 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
Most denials in behavioral health trace back to a small detail a general biller never learned to watch. Two of the places revenue quietly leaks:
A commercial claim runs S9480 with revenue code 0905, but chemical-dependency IOP uses H0015 with 0906, and Medicare will not take S9480 at all. Send the wrong one and it comes back denied.
A clearinghouse routes on a four-digit CPID, not the five-digit payer ID everyone knows. One wrong digit and the claim goes nowhere. We confirm it cleared within 72 hours and follow up inside two weeks, long before most billers notice.
Featured service
Full-service billing carries first-level appeals built in. Second-level and external review are scoped in writing when the record supports them, all of it run through Parity, our behavioral-health appeals workspace.
Explore the Appeals service →Why it matters
Every service we run exists so treatment keeps happening next week.
Systems
Claims and eligibility run through established clearinghouses, and our team is fluent in the major behavioral-health EHRs, so partnering with HRI does not mean ripping out your stack.
Before you sign
Our engagement for facilities that already have billing running. You pick how much we take on: hand defined billing functions to us, or split the work with one written list of who owns what. Both carry the Friday claim report and a monthly reconciliation.
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.
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.
Yes. Programs entering insurance, new facilities, and operations that need a rebuild get the whole revenue operation built end to end. The assessment comes first, because no two programs need the same machine; it produces a written scope and a fixed price. The build rolls out in stages your team can absorb, and the finished operation runs under HRI Managed.
Every quote is built from your numbers. HRI Managed carries a monthly minimum set from your program; where we run the billing, we bill that minimum or a percentage of what we collect, whichever is greater, never both. Program builds are priced after the assessment, credentialing and licensing are priced per service, and extra work runs only on a written scope at a set hourly rate.
The whole revenue cycle, from the first benefit check to the final dollar collected. In practice that means six connected functions run by one accountable team: benefit verification, benefit conversations with patients and families, utilization review and authorizations, coding and claims with payment posting, reporting, and revenue-cycle operations consulting. Appeals are worked at every level, scoped to the engagement.
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 six core functions of the engagement, worked by behavioral-health specialists.
You keep your stack. Claims and eligibility run through established clearinghouses like Stedi, Availity, and Office Ally, and our team is fluent in the major behavioral-health EHRs. We work in the tools you already use.
First-level appeals are part of the Operator 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. Every appeal, at every level, runs through Parity, our behavioral-health appeals workspace.
Structured reporting with claim, authorization, collection, and payer-level visibility. Reimbursement comes broken out by carrier and by period, in a form ready for real decisions.
Often it can still be collected. 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.
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.
You don't have to start with a takeover. The smallest doors in: the no-cost billing review, a stand-alone recovery project on your aged A/R, or credentialing for a single provider. Each can grow into HRI Managed when you're ready. Bringing the leadership team along? Take the one-page overview (PDF).
Not sure what you need first?
Tell us which levels of care you bill and where claims keep getting stuck. The review costs nothing, and you leave knowing what to fix first, whoever you hire. Payer filing windows don't wait; the sooner we look, the more is still recoverable.
Last updated: August 29, 2026