Nationwide · HIPAA Business Associate

Full-Service Behavioral Health Billing.
All 50 States.

From credentialing to collections — Meridian Billing manages your entire revenue cycle so you can stay focused on patient care. No contracts. No setup fees. You only pay when you get paid.

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HIPAA Compliant
Month-to-Month
No Setup Fees
BAA Included
Behavioral Health Only
60
Payer Networks
50
States Served
95
First-Pass Rate %
25
Avg Revenue Lift %
10
Years Experience
12
License Types
Why Meridian Billing

Why Practices Choose Meridian Billing

We exclusively serve behavioral health providers across all 50 states. We know your payers, your license boards, and your billing codes — because this is all we do.

Behavioral Health Expertise

We exclusively serve psychotherapists, psychologists, and psychiatric providers — nationwide. We know the payers, state Medicaid programs, and licensing boards wherever you practice, because behavioral health is all we do.

Behavioral Health Only

We exclusively serve psychotherapists, psychologists, and psychiatric providers. We speak your billing language — 90791, 90837, dual diagnosis codes, EAP, telehealth modifiers.

Aligned Incentives

You only pay us when we collect for you. Percentage-of-collections pricing means we're not billing by the hour — we win when you win. No hidden fees, ever.

60+
Payer Networks
<5%
Average Denial Rate
20–25%
Avg Revenue Increase
50
States Covered
Meridian Billing specialists reviewing behavioral health claims
Our Commitment

We're Your Billing Department —
Not a Vendor.

Meridian Billing specialists work exclusively in behavioral health. We understand why a 90837 and 90834 differ, how UHC behavioral health routes separately from the medical plan, and how Counseling Compact privileges interact with Medicaid enrollment across all 50 states. This is not general medical billing knowledge — it's deep specialist expertise built over a decade in this vertical.

No offshore billing teams
Dedicated account specialist
Named contact for every client
Talk to a Specialist →
What We Do

Complete Revenue Cycle Management. One Team.

From your first NPI to your last EOB — we handle every step of the revenue cycle so you never have to think about billing again.

Medical Billing & RCM

End-to-end revenue cycle management from charge entry through collections and AR follow-up.

  • CPT/ICD-10 coding review & audit
  • Electronic claim submission (EDI 837P)
  • ERA/EOB payment posting
  • Denial management & appeals
  • AR aging analysis & follow-up
  • EAP billing (Cigna, Optum, ComPsych)
  • Telehealth modifier compliance
  • Monthly performance dashboards

Insurance Credentialing

Panel credentialing and re-credentialing across 60+ commercial, Medicare, and Medicaid payers.

  • CAQH ProView setup & maintenance
  • Commercial payer applications
  • Medicare PECOS enrollment
  • Medicaid enrollment (all states)
  • Re-credentialing & re-attestation
  • Status tracking & weekly updates
  • Network participation verification
  • Roster management

Multi-State Licensure

Interstate license acquisition for telehealth expansion — all 50 states, Counseling Compact, and PSYPACT.

  • Licensure by endorsement applications
  • Counseling Compact privileges (LPC/LMHC)
  • PSYPACT authority (psychologists)
  • ASWB Social Work Compact (when available)
  • State board coordination
  • License renewal management
  • CE compliance tracking
  • Supervised experience review

Payer Contracting

Fee schedule analysis, rate optimization, and contract negotiation to maximize your reimbursements.

  • Fee schedule vs. Medicare benchmark
  • Rate renegotiation support
  • Contract review & redlining
  • Medicare Advantage enrollment
  • EAP rate analysis
  • Medicaid MCO contracting
  • Out-of-network analysis
  • Value-based care contract review

Practice Start-Up Package

Everything a new practice needs to get from "just licensed" to "getting paid" — fast.

  • NPI-1 & NPI-2 registration (NPPES)
  • CAQH ProView profile setup
  • EIN enrollment guidance
  • First 3 payer credentialings
  • Custom fee schedule development
  • Superbill template creation
  • HIPAA policy templates
  • ERA/EFT banking setup

MICRA-BEV™ AI

Our proprietary AI platform reads insurance card images and verifies benefits in real time — before the session starts.

  • AI insurance card image reading
  • Real-time EDI 270/271 verification
  • Dual clearinghouse resilience
  • Deductible, copay, coinsurance report
  • REST API for EHR integration
  • Results in under 60 seconds
  • CPT-specific benefit breakdowns
  • 95%+ confidence threshold
Learn More
Pricing

Transparent Pricing. No Surprises.

Rates applied only to collected insurance payments — never billed amounts. Month-to-month. No contracts. No setup fees.

Solo Starter
5.5%
of collected · min $199/mo
  • Up to 75 claims/month
  • Full RCM — end to end
  • 1 payer credentialing/yr
  • Monthly AR reporting
  • Denial management
  • ERA/EOB payment posting
Get Started
Group Essential
5.0%
of collected · min $399/mo
  • 76–300 claims/month
  • Full RCM — end to end
  • 2 payer credentialings/yr
  • EAP billing included
  • Telehealth modifier compliance
  • Dedicated account support
Get Started
Group Pro
4.5%
of collected · min $699/mo
  • 301–800 claims/month
  • Full RCM — end to end
  • 4 payer credentialings/yr
  • Prior auth tracking
  • Dedicated account manager
  • Custom reporting
Get Started
Enterprise
4.0%
of collected · min $999/mo
  • 800+ claims/month
  • Full RCM — end to end
  • Unlimited credentialing consult
  • Custom reporting dashboard
  • MICRA-BEV included free
  • Priority support SLA
Contact Us

Rates applied to collected insurance payments only. Month-to-month · No setup fees · 30-day cancellation notice. State Medicaid percentage-based fee restrictions may apply — your billing specialist will advise.

ServiceFee
New payer credentialing application (per payer)$195
Medicare Part B enrollment (PECOS)$295
Medicaid enrollment (per state)$295
CAQH ProView profile setup & attestation$149
Annual CAQH re-attestation (per provider)$79
Re-credentialing (per payer, every 3 years)$149
Credentialing status monitoring (monthly, per provider)$49/mo

Typical timelines: 60–120 days for commercial payers · 30–60 days for Medicare · 30–180 days for Medicaid (state-dependent). RCM billing clients receive 1–4 included credentialings per year based on plan tier.

ServiceFee
Single-state licensure by endorsement application$495
Counseling Compact privilege-to-practice (per state)$295
PSYPACT authority application (per state)$295
Multi-state bundle — 3 states$1,195
Multi-state bundle — 5 states$1,795
Multi-state bundle — 10 states$2,995
License renewal management (annual, per state)$149/yr
CE compliance tracking (annual, per provider)$99/yr

State licensing board fees are additional and paid directly to the board. NY LMHC licensure by endorsement requires 5 years post-licensure experience — we'll assess your specific situation during consultation. Fees shown are for our service only.

Launch Ready
$1,495
one-time flat fee
  • NPI-1 & NPI-2 registration
  • CAQH ProView setup
  • EIN enrollment guidance
  • First 3 payer credentialings
  • Custom fee schedule
  • Superbill template
Get Started
Launch Plus
$2,495
one-time flat fee
  • Everything in Launch Ready
  • Medicare PECOS enrollment
  • 2-state licensure endorsement
  • HIPAA policy templates
  • EHR selection consultation
  • ERA/EFT banking setup
Get Started
Proprietary Technology
MICRA-BEV™ — Patent Pending

Stop spending 25 minutes per patient on manual benefit verification.

MICRA-BEV™ — our Medical Insurance Card Reader API — automates the entire pipeline: AI card scan → dual-clearinghouse EDI 270/271 → structured benefit report. In under 60 seconds. Available as a staff web portal, a white-label embedded widget, or a full REST API integration.

99.3%
Field Accuracy
<60s
Avg. Turnaround
3
Delivery Tiers
25
Payer Sweep Max
AI Card Extraction

Payer-specific OCR models extract 20+ fields from both sides of any card. Three confidence tiers gate quality.

Dual Clearinghouse EDI

Availity + CLAIM.MD in parallel. Real-time 271 response with BH-specialized benefit parsing — session limits, carve-outs, prior auth.

Patient Self-Service

Embeddable widget + SMS intake links let patients scan their own card. No app. No login. Staff never has to touch it.

REST API + 9 Webhooks

Full JSON API, HMAC-signed webhooks, three branded PDF deliverables per patient. Integrates with any EHR.

Included free for RCM clients — Meridian Billing RCM subscribers receive MICRA-BEV at no additional charge on their plan's monthly verification allotment. Standalone plans start at $99/mo.
Full Product Details Request Demo
Service Area

Serving Behavioral Health Providers Nationwide

Nationwide Coverage
50
States + D.C.

We credential, license, and bill in all 50 states. No geographic restrictions — wherever your practice is located or wherever your patients are.

  • Medicaid enrollment (all states)
  • Medicare PECOS (all MACs)
  • Commercial credentialing (60+ payers)
  • Telehealth billing — all states
  • Multi-state licensure (all 50)
License Types Supported
LCSWLICSW LMSWLMHC LPCLPCC LMFTPhD / PsyD MD / DOAPRN / NP CADC / LADCPMHNP

Counseling Compact — Now Active

The Counseling Compact (launched Sept 2025) lets LPCs/LMHCs practice across 40+ member states without a second license. Over 40 states are now member states — and growing. We process Compact privilege-to-practice applications for any member state.

Payer Networks (60+)
Blue Cross Blue Shield Aetna UnitedHealthcare Cigna Humana Harvard Pilgrim Tufts Health Plan Optum Beacon Health Options Magellan Health ConnectiCare Anthem MVP Health Care Horizon BCBS Tricare Medicare Part B Medicaid (all states) AmeriHealth Cigna EAP Optum EAP ComPsych EAP Lyra Health Aetna EAP
Client Experiences

What Our Clients Are Saying

"

"Meridian Billing transformed our revenue cycle. We went from 18% denial rates with our previous biller to under 4% in 90 days. Their knowledge of behavioral health coding is second to none."

Group Practice Director
8-Provider Outpatient Clinic · Boston, MA
"

"I was spending 6 hours a week on billing and credentialing. Now I spend zero. Meridian handles everything and I get paid faster than I ever did before. They also got me credentialed in two new states in under 90 days."

Licensed Clinical Social Worker
Solo Telehealth Practice · Hartford, CT
"

"The MICRA-BEV platform cut our front-desk verification time from 20 minutes per patient to under 2 minutes. Our no-show and billing surprise rates dropped significantly. It's become indispensable."

Practice Manager
12-Provider Group Practice · New York, NY

Testimonials represent client experiences. Individual results may vary.

Ready to Stop Leaving Money on the Table?

Most practices see a 20–25% revenue increase within 90 days. Get your free audit and find out what you're leaving behind.

Get a Free Revenue Audit (617) 890-9461
FAQ

Frequently Asked Questions

You pay a percentage of what we actually collect from insurance on your behalf. If a claim isn't paid, you don't pay us for it. Our fee is calculated against collected insurance payments only — never your billed amounts. We're completely aligned with your revenue — we only win when you win.

No. All plans are month-to-month with 30-day written notice to cancel. There are no termination fees, no setup fees, and no long-term commitment. We earn your business every month.

We work with all major behavioral health EHRs including TherapyNotes, SimplePractice, Valant, TheraNest, Kareo, Jane App, and others. We access your EHR directly (with your permission) or accept exported superbills. If you're evaluating EHR options, we offer an EHR selection consultation as part of our Practice Start-Up Package.

Commercial payers typically take 60–120 days from completed application. Medicare (PECOS) takes 30–60 days. Medicaid varies significantly by state (30–180 days). We track all applications and send weekly status updates so you always know where things stand. We also advise on temporary billing arrangements while credentialing is pending.

CAQH ProView is the centralized provider database used by most commercial insurance payers to verify your credentials. Nearly all credentialing applications begin with an up-to-date CAQH profile. Payers require re-attestation every 120 days. We set up your CAQH profile and manage all ongoing re-attestation so you never lose network status from an expired attestation.

Yes — multi-state credentialing and licensure is one of our specialties. We handle applications across all 50 states, including traditional licensure by endorsement, Counseling Compact privilege-to-practice, and PSYPACT applications for psychologists expanding into telehealth. No geographic restrictions.

The Counseling Compact (launched September 2025) grants LPCs and LMHCs a privilege to practice in 40+ member states without obtaining a second full license. Connecticut, Massachusetts, New York, New Jersey, Vermont, New Hampshire, Rhode Island, Maine, Maryland, and Delaware are all member states. LCSW and LMFT licenses are not currently eligible for the Compact — those providers must pursue state-by-state licensure by endorsement.

Yes to both. We enroll providers in Medicare Part B via PECOS and manage Medicare claims including telehealth billing and MIPS/QPP reporting guidance. We also handle Medicaid fee-for-service and managed care organization (MCO) billing nationwide. Note: Medicaid percentage-based billing restrictions may apply in some states — your billing specialist will advise on the applicable arrangement.

MICRA-BEV is our proprietary AI platform that reads insurance card images and performs real-time benefits verification. Staff photograph or scan the patient's insurance card — MICRA-BEV reads the card data using computer vision, submits an EDI 270 eligibility query to the payer electronically, and returns a structured report showing deductible, copay, and coinsurance for the specific CPT codes you bill. All in under 60 seconds, without calling a payer hotline or logging into a portal.

Yes. Meridian Billing Services is a HIPAA Business Associate. We sign Business Associate Agreements (BAAs) with all clients before accessing any PHI. Data is encrypted at rest (AES-256) and in transit (TLS 1.3). We carry cybersecurity liability insurance and conduct annual security risk assessments. PHI is never stored in application logs. Download our standard BAA →

Our clients typically average below 5% initial denial rates, compared to an industry average of 10–15%. We track denial reasons and proactively prevent recurring patterns through ongoing coding audits and payer-specific rule management. All denials are worked within 48 hours.

Electronic claims typically pay in 14–30 days for commercial payers. Medicare typically pays within 14 days. Medicaid varies by state. We monitor AR aging in real time and initiate follow-up on all unpaid claims at the 30, 60, and 90-day marks, with appeals filed as needed.

We track prior authorization requirements and flag CPT codes that require PA for specific payers in our billing workflow. Full prior authorization submission and management services are available as an add-on for practices with high PA volume — contact us to discuss your specific needs.

Licensure is your professional license issued by a state board — it authorizes you to practice in that state. Credentialing is the process of enrolling your license with insurance payers so that they recognize you as an in-network provider and will reimburse your claims. You need both: a state license to practice legally, and payer credentialing to get reimbursed. Both services are part of our core offering.

We love working with new practices. Our Practice Start-Up Package handles everything from NPI registration and CAQH setup through your first payer credentialings, fee schedule development, and HIPAA policy templates. Most new practices see their first claims paid within 90 days of engaging us. Contact us for a free consultation — we'll map out a realistic timeline based on your specific situation and license type.
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Meridian Billing Services LLC

Office Address

101 Arch Street, 8th Floor
Boston, MA 02110

Business Hours

Monday – Friday
8:00 AM – 6:00 PM ET

HIPAA BAA Available: Meridian Billing Services is a HIPAA Business Associate. We sign Business Associate Agreements with all clients prior to accessing any PHI. Download our standard BAA →