SimplePractice Billing Services

For therapy and behavioural health practices on SimplePractice who would rather not spend their evenings on insurance. We work inside your existing account.

What does not change

What we run inside your SimplePractice

Claims out of your existing notes

We work from the documentation you already complete. Nothing is submitted that the note does not support.

Finding who actually pays the claim

Behavioural health benefits are often administered by a different company than the one on the card. We check who the claim really goes to before sending it.

Authorisations tracked against sessions used

Session-limited authorisations run out mid-course. We watch the count and flag it before it lapses, not after a block of visits is denied.

Denials appealed, with the reason recorded

Every denial gets a cause logged, so a recurring one gets fixed rather than reappearing every month.

Client balances handled without you doing it

Statements and follow-up on what the client owes, which is the part most clinicians least want to do themselves.

How the switch works

  1. We look at your recent claims first

    A sample of what you have been submitting shows what is being denied and why, before anything changes.

  2. Access, not migration

    You add us to the SimplePractice account you already have. Nothing moves.

  3. We check your enrolment with each payer

    A common problem for solo and small practices: enrolment that was never completed, or lapsed quietly, for a payer you are still seeing clients under.

  4. New claims come to us straight away

    Current sessions start flowing immediately so nothing stalls while the change happens.

  5. Then anything outstanding

    Old unpaid claims get worked, oldest first, because those are closest to their filing deadlines.

What your staff still do

Where practices like yours lose money

The card in front of you is often the wrong payer

A client hands you an Aetna, United or Blue Cross card, but the behavioural health benefit is frequently administered by a separate company. Send the claim to the medical insurer and it comes back denied - not for anything clinical, but because it went to the wrong company.

Session limits arrive without warning

Authorisations are granted in a number of sessions, and the count runs down while you are focused on the work. The denial arrives after the sessions have already been delivered.

Solo and small practices carry enrolment gaps

Without a billing department, enrolment tends to be done once and never revisited. Lapsed or incomplete enrolment produces denials that look like coding problems and are not.

Parity gives you an argument most practices never use

Federal parity rules require a plan’s behavioural health limits to be no more restrictive than its medical ones. Where a limit looks arbitrary, that is grounds for an appeal, and we raise it where it applies.

Questions we get asked

I am a solo therapist. Is this worth it for one clinician?
It depends on your claim volume and how much time insurance currently takes you. If billing is costing you evenings and you are still writing off denials, it usually is. If you see a handful of insurance clients a month, it may not be, and we will tell you that.
Do we have to leave SimplePractice?
No. We work inside the account you already have.
Do you handle the client-owed balances too?
Yes. Statements and follow-up on patient responsibility are included, and it is usually the part clinicians most want to hand over.
Can you get us enrolled with more payers?
Yes. Credentialing is charged per application, per provider, and for behavioural health practices it is often the first thing that needs attention.
What does it cost?
Billing is 4-8% of collections depending on volume and specialty. All rates are published on our pricing page.

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