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Medical & Behavioral Health Billing
End-to-end claim submission, payment posting, and follow-up for mental health and substance abuse treatment facilities. We fight for every dollar you're owed.
Learn More →Named after a fighter who never gave up, BC Billing Solutions is a New Jersey-based behavioral health billing company that battles insurance companies daily so your mental health and substance abuse treatment facilities receive timely reimbursements. Complete transparency. Warrior spirit. Real results.
From initial claim submission to final collection, BC Billing Solutions manages every phase of your revenue cycle so you can focus on patient care.
End-to-end claim submission, payment posting, and follow-up for mental health and substance abuse treatment facilities. We fight for every dollar you're owed.
Learn More →Expert clinical reviews to secure and extend insurance authorizations, ensuring your patients receive the full course of treatment they need.
Learn More →Aggressive, multi-level appeal strategies that overturn denied and underpaid behavioral health insurance claims. We don't accept "no" as a final answer.
Learn More →Professional management of all insurance company records requests, ensuring timely and compliant responses that protect your claims from denial.
Learn More →Dedicated collections specialists who pursue aging receivables with tenacity. Every dollar on your aging report gets the attention it deserves.
Learn More →Our proprietary platform gives executives real-time visibility into every claim, authorization, and collection note. Total transparency at your fingertips.
Learn More →BC Billing Solutions built Claim Tracker because we believe transparency is not optional — it's foundational. Gone are the days of billing companies hiding your own information from you and waiting for reports to be sent.
Log in and see exactly where every claim stands in the payment process — no waiting for monthly reports.
Monitor every utilization review authorization, extension, and expiration date from a single dashboard.
Every call, every follow-up, every collection activity is documented and visible to you instantly.
Give your leadership team and board of directors the visibility they need without waiting for curated presentations.
BC Billing Solutions was born from watching a fighter never give up. That same spirit lives in how we handle your revenue. Insurance companies count on billing teams that quit. We never do. Every denied claim is a battle we're built to win.
We believe your billing company should never hide your own information from you. Our proprietary Claim Tracker gives you real-time access to every claim, authorization, and collection note. No waiting. No wondering. Total visibility.
We specialize exclusively in mental health and substance abuse treatment billing. From ASAM criteria to parity laws, we understand the unique battlefield of behavioral health reimbursement — and we know how to win.
BC Billing Solutions gets its name from Bennett Cole — the ownership's son, who was born prematurely and spent months fighting in the NICU before he could finally go home with his parents.
During those months, ownership split every day between the hospital and the office — driving back and forth, sitting beside an incubator watching their son fight for every breath, then returning to work because operations never stop. Watching Bennett's resilience through those long NICU days changed everything. It was in those hospital hallways that BC Billing Solutions was truly born.
The name carries Bennett's warrior spirit into everything we do. Your facility needs someone in its corner fighting relentlessly for your claims and your revenue — just like Bennett fights day in and day out. That fight, that refusal to give up, that heartbeat that keeps going no matter what — that's the soul of BC Billing Solutions.
"Your facility needs someone in their corner fighting for your claims and revenue, just like Bennett fights day in and day out."
A symbol with deep spiritual meaning — representing regeneration, resurrection, and perfection. It reflects renewal, new beginnings, and the pursuit of excellence in everything we do.
The beat of a heart that continues to fight. Bennett's heartbeat. Your facility's pulse. The relentless rhythm that drives BC Billing Solutions to never stop pushing for what you're owed.
BC Billing Solutions exists to be the relentless advocate that behavioral health treatment facilities deserve. We fight insurance companies with the same warrior spirit that inspired our name — pursuing every claim, every authorization, and every dollar owed to your facility. We do this with complete transparency, giving you real-time visibility into every action we take through our Claim Tracker platform, because your information should never be hidden from you.
We envision a world where behavioral health facilities never have to wonder where their revenue stands. Where billing companies operate with full transparency as the baseline — not the exception. Where the warrior spirit of fighting for what's right runs through every claim submission, every appeal, and every collection call. BC Billing Solutions is building that standard, one facility at a time.
BC Billing Solutions works with the full continuum of behavioral health treatment providers including detoxification centers, residential treatment centers (RTC), partial hospitalization programs (PHP), intensive outpatient programs (IOP), and outpatient mental health and substance abuse clinics. Whether your facility treats addiction, depression, anxiety, trauma, or co-occurring disorders, our billing team has the expertise to maximize your reimbursements.
Traditional billing companies send you periodic reports — often weekly or monthly — that are already outdated by the time you read them. Claim Tracker is our proprietary, real-time platform where executives and board members can log in at any time to view the live status of every claim, every authorization, and every collection note. It eliminates the information gap between your billing company and your leadership team.
BC Billing Solutions works with all major commercial insurance carriers including Aetna, Blue Cross Blue Shield (BCBS), Cigna, United Healthcare, Humana, Optum, Beacon Health, and many more. We also handle Medicaid and Medicare billing for behavioral health providers in applicable states.
BC Billing Solutions operates with a 24-hour turnaround policy. Once we receive your encounter data, claims are scrubbed for errors, coded accurately, and submitted electronically within one business day. Rapid submission is critical for behavioral health claims because delays give insurance companies reasons to deny or reduce payments.
We don't accept denials as final. Our appeals team reviews every denied claim, identifies the reason for denial, and files aggressive multi-level appeals backed by clinical documentation, medical necessity evidence, and regulatory compliance arguments. We pursue first-level, second-level, and external review appeals when necessary.
Partner with BC Billing Solutions and let our behavioral health billing experts fight for every dollar your facility is owed. Complete transparency. Aggressive collections. Proven results.
End-to-end revenue cycle management built exclusively for mental health and substance abuse treatment facilities. We submit clean claims fast, post payments accurately, and chase down every dollar owed to your facility.
Get a Free Revenue Analysis →Behavioral health billing is fundamentally different from general medical billing. Mental health and substance abuse treatment facilities face unique reimbursement challenges that generic billing companies simply aren't equipped to handle. From navigating complex medical necessity criteria to understanding the nuances of authorization-based treatment levels, the margin for error in behavioral health claims is razor thin.
Insurance companies have built entire departments designed to find reasons to deny, delay, or underpay behavioral health claims. They employ clinical reviewers, prior authorization gatekeepers, and appeals teams whose sole purpose is to reduce their financial exposure. Your billing company needs to understand their playbook — and know how to counter it at every turn.
BC Billing Solutions was founded with one mission: to be the billing partner that behavioral health treatment facilities deserve. Every member of our billing team is trained specifically in mental health and substance abuse reimbursement. We understand CPT and HCPCS coding for behavioral health services, ASAM criteria and level-of-care designations, parity law compliance and enforcement, single case agreements and out-of-network negotiations, as well as authorization and continued stay requirements for every major payer.
We integrate with your EHR or accept encounter data in your preferred format. Our team reviews every encounter for completeness, ensuring that diagnosis codes, procedure codes, and modifiers are accurate before a single claim is submitted.
Every claim passes through our multi-layer scrubbing process that checks for coding errors, missing information, timely filing compliance, and payer-specific requirements. Clean claims are submitted electronically within 24 hours.
When payments arrive, our team posts every ERA and EOB with precision. We reconcile payments against contracted rates and flag any underpayments, incorrect adjustments, or unexpected denials for immediate follow-up.
Denied and underpaid claims enter our structured follow-up workflow. Every claim is worked systematically — from initial payer outreach to multi-level appeals — until it is resolved. Nothing falls through the cracks because every action is tracked in Claim Tracker.
Log into Claim Tracker at any time to view real-time claim status, collection notes, and financial reporting — all accessible to your executive team and board of directors.
Our billing team handles claims across the entire continuum of behavioral health care. We bill for detoxification programs at every ASAM level, residential treatment centers providing 24-hour clinical care, partial hospitalization programs offering intensive day treatment, intensive outpatient programs delivering structured therapy schedules, outpatient therapy including individual, group, and family sessions, and medication-assisted treatment (MAT) for opioid and alcohol use disorders.
We work with every major commercial insurance carrier, including Aetna, Blue Cross Blue Shield, Cigna, United Healthcare, Humana, and Optum, along with Medicaid and Medicare where applicable. Our payer-specific knowledge ensures claims are submitted according to each carrier's unique requirements, reducing denials and accelerating payment timelines.
Claims scrubbed and submitted within one business day of receiving encounter data.
Multi-layer scrubbing catches errors before they become denials.
Every unpaid claim is worked systematically until resolved.
Monitor every claim and payment through Claim Tracker.
Get a free analysis of your current billing performance and discover how much revenue you may be leaving on the table.
Get Started →Our utilization review specialists secure initial authorizations and fight for continued stay approvals so your patients receive the full course of treatment they clinically need — and your facility gets paid for every authorized day.
Discuss Your UR Needs →Utilization review is the gatekeeper between your patients and their insurance coverage. In behavioral health treatment, nearly every level of care — from detoxification to residential treatment to partial hospitalization — requires prior authorization and ongoing concurrent review. Insurance companies use the utilization review process to limit treatment days, step patients down prematurely, and deny coverage for clinically necessary care.
A weak utilization review process directly impacts your bottom line. Every denied authorization day is revenue lost. Every premature step-down means shorter lengths of stay and reduced reimbursements. At BC Billing Solutions, we treat utilization review as a revenue protection function, not just an administrative task.
Our UR team includes clinicians who understand behavioral health treatment, ASAM criteria, and medical necessity documentation inside and out. They speak the language that insurance company reviewers respond to, present clinical information strategically, and know how to counter common denial tactics.
Before treatment begins, we verify insurance benefits, confirm coverage for the requested level of care, and secure initial authorization. This eliminates billing surprises and ensures your facility has coverage confirmation before the patient walks through the door.
Throughout the patient's treatment, our UR specialists conduct concurrent reviews with the insurance company to extend authorizations. We present clinical documentation strategically using ASAM criteria and medical necessity language that supports continued treatment.
When an insurance company's clinical reviewer denies additional days, we arrange and support peer-to-peer reviews between your treating clinicians and the payer's medical director. Our team prepares your clinicians with the right talking points and documentation.
Every authorization — initial and continued stay — is tracked in real time through Claim Tracker. Your team can see authorization dates, approved days, upcoming review deadlines, and UR notes without making a single phone call.
Behavioral health utilization review is not the same as medical/surgical UR. Insurance companies evaluate behavioral health claims using specific clinical frameworks like ASAM criteria for substance use disorders and medical necessity guidelines for mental health conditions. Presenting clinical information in the wrong framework — or failing to use the right clinical language — gives payer reviewers easy grounds for denial.
Our UR specialists are trained in the documentation standards that insurance companies expect for each level of behavioral health care. They understand how to present biopsychosocial assessments, treatment plan updates, and discharge criteria in a way that demonstrates ongoing medical necessity and supports authorization extensions.
Our team uses ASAM criteria fluently to support authorization requests for substance abuse treatment.
Every additional authorized day directly protects your facility's revenue and your patients' recovery.
We track review deadlines and initiate concurrent reviews before authorizations expire.
Monitor every authorization status, approved date range, and UR note in real time.
If your current billing company is losing authorized treatment days, let us show you a better way.
Contact Us →Insurance companies deny behavioral health claims at alarming rates. BC Billing Solutions files aggressive, clinically supported, multi-level appeals that overturn denials and recover the revenue your facility has earned.
Recover Lost Revenue →Behavioral health claims face higher denial rates than almost any other medical specialty. Insurance companies deny mental health and substance abuse treatment claims for a variety of reasons: failure to meet medical necessity criteria, lack of prior authorization, insufficient clinical documentation, out-of-network status, timely filing violations, and coding errors. Many of these denials are overturned on appeal — but only if the appeal is filed correctly, on time, and with the right supporting evidence.
The reality is that many billing companies treat denied claims as write-offs. They might file a token first-level appeal, but when that gets denied, the claim goes to collections or gets adjusted off the books. At BC Billing Solutions, we don't accept "no" as a final answer. Our appeals team pursues every denied claim through multiple levels of appeal until every administrative and regulatory avenue has been exhausted.
Before writing a single appeal letter, we analyze the denial reason, review the original claim, examine the clinical documentation, and identify exactly why the insurance company denied the claim. This root cause analysis determines our appeal strategy.
Our first-level appeal includes a detailed appeal letter citing relevant medical necessity criteria, supporting clinical documentation, and any applicable regulatory requirements including Mental Health Parity and Addiction Equity Act provisions.
If the first-level appeal is upheld, we escalate with additional clinical evidence, peer-reviewed research, and stronger regulatory arguments. We often involve your facility's clinical leadership for peer-to-peer reviews with the payer's medical director.
When internal appeals are exhausted, we pursue external review through independent review organizations (IROs) and file complaints with state insurance departments for parity law violations. Insurance companies are far more responsive when regulatory bodies are involved.
The Mental Health Parity and Addiction Equity Act (MHPAEA) requires insurance companies to cover behavioral health treatment at the same level as medical and surgical treatment. Despite this federal mandate, parity violations remain widespread. Insurance companies routinely apply more restrictive medical necessity criteria to behavioral health claims, impose stricter prior authorization requirements, and set lower reimbursement rates for mental health and substance abuse services.
BC Billing Solutions actively uses parity law as a tool in our appeal strategy. When we identify potential parity violations — such as an insurance company denying continued residential treatment that would be approved for a comparable medical condition — we incorporate parity arguments into our appeal letters and escalate to state regulators when necessary.
We pursue denials through first-level, second-level, external review, and regulatory complaints.
We identify and leverage MHPAEA parity violations as a powerful appeal strategy.
Every appeal is backed by specific clinical evidence, not generic template language.
Every appeal filing, response, and outcome is visible in real time.
If you have denied claims that your current billing company has written off, we may be able to recover that revenue through our appeal process.
Let's Talk Appeals →Insurance companies routinely request medical records to validate behavioral health claims. BC Billing Solutions manages these requests professionally and promptly to protect your claims from denial due to missing or late documentation.
Protect Your Claims →Medical records requests are one of the most common — and most dangerous — tactics insurance companies use to delay or deny behavioral health claims. When a payer sends a records request, they are looking for any reason to deny the claim: incomplete documentation, missing treatment plans, unsigned notes, or clinical records that don't adequately support the medical necessity of the treatment provided.
Failing to respond to a medical records request within the payer's deadline is an automatic denial. Responding with incomplete or poorly organized documentation gives the insurance company ammunition to deny the claim for insufficient evidence of medical necessity. This is why medical records request management is not a clerical task — it is a claims protection function.
Every records request is logged in Claim Tracker with its received date, response deadline, and associated claim information. Our team tracks deadlines aggressively to ensure no request goes unanswered past the payer's submission window.
We work directly with your clinical team to collect the specific records requested by the insurance company. Before submitting, we review the documentation for completeness, ensuring treatment plans are signed, progress notes support medical necessity, and all required elements are present.
We don't just send a stack of records. We organize and present clinical documentation strategically, highlighting the elements that support medical necessity and the patient's need for the level of care provided.
After submission, we confirm receipt with the insurance company and follow up to ensure the claim progresses through adjudication. If the payer requests additional information, our team responds promptly to prevent further delays.
The connection between strong clinical documentation and successful behavioral health billing cannot be overstated. Insurance companies use records requests as an opportunity to audit your claims and your clinical practices. When documentation is thorough, organized, and clearly supports medical necessity, claims are paid. When documentation is missing elements, disorganized, or fails to align with the authorized level of care, claims are denied.
BC Billing Solutions bridges the gap between your clinical team and insurance company requirements. We understand what payers are looking for in behavioral health medical records, and we help your facility present documentation that protects both your claims and your clinical reputation.
Every records request deadline is tracked in Claim Tracker to prevent automatic denials.
We review all records for completeness before submission to the insurance company.
Documentation is organized to highlight medical necessity and support your claims.
We confirm receipt and follow up to ensure claims proceed through adjudication.
If your facility is losing claims because records requests aren't being managed, let us protect your revenue.
Get Help Now →BC Billing Solutions built Claim Tracker because we believe every behavioral health treatment facility deserves complete, real-time visibility into their billing operations. No more waiting for reports. No more hidden information. Just login and see everything.
Launch Claim Tracker →Transparency and visibility are the moral foundation that BC Billing Solutions was built on. For too long, billing companies have operated as black boxes — facilities send their encounter data in and wait for periodic reports to come back. In between, there's no visibility into what's happening with their claims, their authorizations, or their aging receivables.
We built Claim Tracker to eliminate that opacity. Our proprietary software gives executives, owners, and board members of behavioral health treatment facilities direct access to see the status of every claim, every authorization, and every collection note — in real time. Gone are the days of billing companies hiding your own information from you.
Every claim submitted on behalf of your facility is visible in Claim Tracker. See which claims are pending, which have been paid, which are in appeal, and which are being actively worked by our collections team. No waiting for weekly or monthly reports that are already outdated by the time you receive them.
Monitor every insurance authorization in one place. See approved date ranges, upcoming review deadlines, authorized levels of care, and utilization review notes. Know exactly when authorizations are expiring and when our UR team is scheduled to request extensions.
Every phone call, every follow-up, every collection activity performed by our team is documented in Claim Tracker and visible to you. See exactly what our collectors are doing to pursue your aging receivables, when they last contacted the insurance company, and what the payer's response was.
Claim Tracker includes summary dashboards designed for executive and board-level review. See total receivables, aging breakdowns, collection rates, denial percentages, and revenue trends — all updated in real time.
Claim Tracker was designed specifically for the people who need billing visibility the most: facility owners, C-suite executives, and board of directors members. The interface is intuitive and requires no technical training. If you can log into a website, you can monitor your entire revenue cycle through Claim Tracker.
We also built Claim Tracker with security and compliance in mind. Access is role-based, data is encrypted, and the platform meets the privacy standards required for handling behavioral health billing information.
See the status of every claim from submission through payment or resolution.
Track every UR authorization, extension, and expiration in real time.
Every collection call, note, and follow-up is documented and accessible.
Secure, role-based access for executives, directors, and board members.
See Claim Tracker in action. Schedule a live walkthrough with our team and experience true billing transparency.
Request a Demo →Whether you're looking for a new billing partner, need help with denied claims, or want to see Claim Tracker in action, our team is ready to help your behavioral health facility maximize revenue.
Our team responds to all inquiries within 24 hours.