Top 10 Psychiatry Billing Companies in the U.S. (2026 Rankings)

Rating: ★★★★★ 5.0

Transcure is a medical billing and revenue cycle management company that has operated since 2002 and bills psychiatry among 40+ specialties. Its 1,100+ AAPC-certified billers and coders handle evaluations, medication management, psychotherapy add-ons, telepsychiatry, and credentialing. No specialist firm on this list has a team of that size.

Transcure reports a 98% first-pass clean claim rate, 24 average A/R days, and a 48-hour claim turnaround. The company reports more than $500 million in claims processed across 2.7 million claims. Its billing audits reportedly uncover 20% to 30% in underpayments, and seven AI agents cover eligibility, coding, claim scrubbing, denials, and A/R follow-up.

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Transcure’s psychiatry team applies coding rules for 90791, 90792, and 90832 to 90838, including add-on psychotherapy billed with E/M visits. Telepsychiatry claims carry the correct GT, 95, and audio-only 93 modifiers, and Medicaid managed plans get rule checks before submission. Practices keep their current EHR, since Transcure works inside 30+ platforms.

Rating: ★★★★★ 4.1

Metro NeuroHealth (MNH) is a Missouri-based billing agency built around psychiatry, TMS, and Spravato. Its team includes former TMS clinic owners who handle patient intake, prior authorizations, benefit checks, billing, and collections. MNH submits claims within 48 hours of receiving a superbill and works inside the EHR you already use.

MNH reports a high collections rate and increase in collections among clients. Pricing is performance-based on a sliding scale, so fees fall as collections rise. Its narrow focus on psychiatry, TMS, and Spravato makes it a better fit for interventional psychiatry practices than for general-purpose billing needs.

Rating: ★★★★★ 4.2

Psychiatric Billing Associates (PBA) has billed for mental health providers since 1994 from Mount Sinai, New York. Founder Randee Silberfeld managed a psychiatric practice for ten years before starting the firm. Each staff member has more than 15 years of mental health billing experience, and clients span several states.

PBA verifies benefits by phone before the patient is seen. It prepares claims, posts payments, follows up on unpaid claims, bills patients, and gives clients online access to more than 30 financial reports. Fees are a percentage of monthly income after a $300 registration fee, with 30 days’ notice to cancel.

Rating: ★★★★★ 4.0

Resilience Billing is a Woodstock, Illinois firm that specializes in outpatient mental health billing and practice consulting. It started in January 2019 inside a group practice with 23 providers. Co-founder Grant Bidwell is an AAPC-certified professional biller with more than 25 years of organizational leadership.

The company handles billing and credentialing in-house for practices outside New York and New Jersey. Fees are a percentage of net collections, quoted after a consultation. Having started inside a 23-provider group practice, Resilience built its workflows around the day-to-day realities of running a behavioral health group.

Rating: ★★★★☆ 3.9

MindEase Billing is a Clackamas, Oregon firm that has billed for mental health providers since 2008. Its stated expertise is serving MDs and psychiatric nurse practitioners in solo practice, mostly in Oregon. It sometimes opens spots for psychologists and counselors as well.

Its 4-Step Service Cycle covers benefit verification, claim submission, payment tracking, and denial resolution. MindEase also appeals underpaid claims and offers consultations for clinicians who bill on their own. New clients start with a discovery call, and the team works remotely.

Rating: ★★★★★ 4.7

Sawgrass Behavioral Resources is a Fort Lauderdale, Florida firm founded in 2017 that bills only for mental health practices. The small team handles billing and credentialing together, so practices deal with a single vendor instead of two. Credentialing covers state, federal, and commercial plans, plus EFT, ERA, and payer portal enrollment for new practices.

The billing fee is 6% of total monthly collections, with minimums and an onboarding fee starting at $99. Practices get 24/7 access to a practice management platform used to submit claims and track payments. Sawgrass reports a 97% net collection rate and 14 days in accounts receivable, though both figures are self-reported.

Rating: ★★★★★ 4.3

ePsych Billing is a Las Vegas, Nevada firm that works only with mental health professionals nationwide. It handles insurance verification, prior authorization, claim submission, denial management, and patient billing for therapists, psychologists, psychiatrists, and counselors. Each client gets an assigned billing manager, and new clients start with a 30-day free trial.

ePsych posts EOBs and ERAs within 24 hours and files same-day denial appeals. It follows up weekly on balances past 30 days and reports that 95% of claims pass the first time. Pricing is percentage based on collections, with no setup fee, and no long-term contract.

Rating: ★★★★☆ 3.8

TheraThink is a Seattle firm that has billed only for licensed mental health professionals and groups since March 2014. It files claims daily, checks eligibility within two business days, and manages denials and patient statements. Clients track claim status and payments in a secure online portal built for mental health professionals.

TheraThink bills EAP, Medicare, Medicaid, and TRICARE claims for therapists and psychiatrists in all 50 states. Fees run 6.5% to 8% of the allowed amount, charged only on paid claims. A $35 monthly fee applies per tax ID and rendering NPI in months with claims.

Rating: ★★★★★ 4.4

Psyquel is a San Antonio, Texas company that has served only behavioral health providers since 1997. It combines full-service billing with its own EHR, scheduling, and a patient portal for intake forms and payments. Full-service billing includes a named specialist who handles insurance verification, rejections, denials, appeals, and EOB posting.

Billing alone starts at 6% of insurance collections, while billing with the EHR starts at $4.00 per claim. Per-claim rates fall as monthly volume grows, and the pricing page lists no contracts or setup fees. Unlimited phone and email support is included during business hours, along with initial setup and training.

Rating: ★★★☆☆ 3.0

Cascade Therapy Billing is a Bainbridge Island, Washington firm that works only with therapists and mental health clinics. Its services include claim processing, denial and underpayment management, appeals, payment posting, and patient balance reminder calls. Clients also receive monthly and annual financial reports, plus practice analysis reports broken down by provider.

Cascade positions itself as an outside billing company that works like an inside biller for each practice. Staff keep tracking each payment until it is fully paid, which the company calls aggressive follow-up. A secure connection to the practice’s EHR keeps both teams working from the same records.