Home Specialties Behavioral Health
Behavioral Health Specialists

Medical Billing & Credentialing
for Mental Health Providers

Helping solo therapists, growing group practices, and ABA clinics get paneled faster, overcome closed networks, and maximize reimbursements across all 50 states.

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45 Days
Avg. Credentialing Timeline
98%
First-Time Claim Acceptance
50
States Telehealth Paneling
100%
CAQH & PECOS Compliance
Specialties We Serve

Tailored Credentialing for Every Mental Health Specialty

Expert administrative solutions designed exclusively for behavioral health practitioners — from solo therapists launching telehealth practices to multi-location group practices and ABA clinics.

Solo Therapists & Telehealth — Multi-state paneling, Medicare enrollment, and CAQH maintenance for LMFT, LCSW, LPC, Psychologists
Group Practices & Supervisors — Adding pre-licensed associates under supervisor NPI, negotiating group contracts, high-volume billing
ABA Clinics & Psychiatry — BCBA credentialing, autism center paneling, PMHNP prescriber enrollment, addiction counselor licensing
Facility Credentialing — IOP, PHP, and residential substance abuse facilities
Who Needs This:
LCSWs LPCs / LMHCs LMFTs Psychologists BCBAs PMHNPs Psychiatrists Group Practices
Complete Behavioral Health Credentialing & Revenue Cycle

From CAQH ProView & Medicare PECOS setup to payer contract negotiation — we handle every step so you can focus on your clients.

98%
Approval Rate
45
Avg Days
50
States
500+
Payers
In-Network Paneling for: Optum, Magellan, Aetna, BCBS, Tricare & Medicare
Starting from $100/application · No hidden fees
Explore our 4-step payer enrollment process
Average Timeline: 45–60 days (vs. 90–120 industry standard)
Service 02

Solving the Toughest Behavioral Health Billing Challenges

Most credentialing companies give up when a payer says "no." We don't. Our team consists of former payer employees who know the exact internal workflows.

Overcoming Closed Insurance Panels — We specialize in closed-panel appeals, leveraging your unique sub-specialties (EMDR, bilingual services, child psychology) to prove network inadequacy
Multi-State Telehealth Licensing — We navigate cross-border credentialing and Medicare MAC jurisdictions for telehealth billing in other states
EAP and Medicaid Paneling — We navigate the specific applications required for Employee Assistance Programs (EAPs) and state Medicaid networks
Key Capabilities:
Closed Panel Appeals Network Inadequacy Telehealth Credentialing EAP Enrollment Medicaid MCO Paneling CAQH Re-Attestation Fee Schedule Negotiation Incident-To Billing PECOS Enrollment
We Don't Take No For An Answer

Our credentialing experts know the exact verbiage and workflows required to bypass standard rejections and push your file to approval.

Every Month Without Credentialing:
$10,000–$15,000 in lost revenue per uncredentialed provider
CPT Codes We Protect:
90837 60-Min Psychotherapy
90791 Psychiatric Intake
90847 Family Therapy
97153 ABA Therapy
90834 45-Min Psychotherapy
99213 E/M Office Visit
Our Closed-Panel Toolkit:
Network adequacy & access-to-care appeals
Sub-specialty leverage (EMDR, DBT, bilingual)
Medicare MAC jurisdiction navigation
Our Process

The 4-Step Behavioral Health Credentialing Process

1

CAQH & NPI Optimization

We audit and update your CAQH ProView profile, ensuring your NPI Type 1 and NPI Type 2 are properly linked.

2

Payer Submission

We submit pristine applications to commercial networks (BCBS, Aetna), behavioral carve-outs, and state Medicaid (MCOs).

3

Aggressive Follow-Up

We call payer representatives weekly to push your file through committee reviews, cutting approval times by weeks.

4

Contracting

Once credentialed, we secure your network contract, reviewing the fee schedule to ensure maximum reimbursement rates.

Nationwide Coverage, State-Specific Expertise

Behavioral health credentialing rules change the second you cross state lines. Because we operate nationwide, we understand the exact nuances of your local payers.

Get Started Nationwide
Insurance Networks

In-Network Paneling for Major Behavioral Health Payers

We navigate the complex specific requirements for the nation's largest behavioral health networks, commercial carve-outs, and EAPs.

Optum
United Behavioral Health
Evernorth
Cigna
Magellan Health
Behavioral Carve-Out
Carelon
Formerly Beacon Health
Tricare
Military & Veterans
Aetna
CVS Health
BCBS
Blue Cross Blue Shield
MultiPlan
PHCS Network

Beyond Paneling: Fee Schedule Negotiation & Contracting

Getting approved by an insurance panel is only half the battle. We also handle the contracting phase. This ensures that your specific behavioral health CPT codes (like 90837 for 60-minute psychotherapy or 90791 for psychiatric intake) are reimbursed at a profitable rate. We help group practices leverage their size to negotiate better fee schedules with major payers.

FAQ

Mental Health Credentialing FAQs

Common questions about our behavioral health services.

How long does it take to get credentialed as a therapist?

While the industry standard is 90-120 days, our aggressive follow-up process typically gets mental health providers paneled in 45-60 days depending on the specific commercial payer or Medicaid program.
Absolutely. We manage the complex billing rules for pre-licensed associates (like LSWs or AMFTs) billing under a fully licensed clinical supervisor.
Yes. We handle your initial CAQH ProView setup and take over your 120-day re-attestations so your profile never expires and your claims are never frozen.
Yes. If you are an out-of-network provider treating a patient whose insurance lacks specialized providers (like specific eating disorder or EMDR specialists), we can negotiate a Single Case Agreement so you get paid at in-network rates.
Yes. Beyond solo practitioners, we manage facility credentialing for Intensive Outpatient Programs (IOP), Partial Hospitalization Programs (PHP), and residential substance abuse facilities.
If you are a solo practitioner (Sole Proprietor), you only need an NPI Type 1. If you are incorporated as an LLC, PLLC, or S-Corp, you must obtain an NPI Type 2 (Group NPI) and link your Type 1 to it. We handle this entire setup for you.
Yes. Many mental health providers choose to officially "opt-out" of Medicare while still paneling with commercial payers like Aetna or Cigna. We can file the formal opt-out affidavits to keep you compliant.
Yes, we secure paneling for clinical psychologists and psychometrists, ensuring that complex testing codes and prolonged service modifiers are properly contracted with payers.

Ready to Simplify Your Mental Health Practice?

Stop fighting with insurance portals and spending your evenings on hold with payer reps. Let Exp Credentialing Services handle your paneling and revenue cycle.

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