Medical Billing for Mental Health

Welcome to Covault

We are specialized billers dedicated to serving one community: Mental Health Providers.

That’s our sole focus.

See how we can help your practice below.

THE EXTRA MILE

We go above and beyond to make sure you get paid. We follow up diligently on unpaid claims. We check insurance before every session. We make sure your accounts are tidy and accurate so you never have to deal with a tangled mess of numbers.

YOUR PERSONAL EXPERT

Got questions? We have answers. At Covault, we focus on one specialty. We know MH billing inside and out and use that expertise to benefit your practice.

DISCOUNTS

We provide flexible pricing options that save you money based on claim volume, location, payer mix, and more.

YOU SET THE PACE

We don’t require long-term contracts because we believe our work speaks for itself. Our clients stay with us month after month, driven by results—not obligations.

FLEXIBILITY

We can work directly in your EHR of choice. This keeps everything in one place for your practice, and gives complete transparency to the work we do for you.

OUR CLIENTS

We serve practices of all sizes, from solo practitioners to larger behavioral health groups.

OUR ADVANTAGE

Covault stands out by specializing exclusively in mental health. We keep a close eye on the industry and know the billing challenges that therapy practices face. We get you paid reliably, because the problems you face, we solve every day.

FREE CONSULTATION

Seems like a good match? Only one way to find out! Shoot us an email or use the contact form below for your free consultation. We will provide you with actionable things you can do to improve your practice’s billing.

THE EXTRA MILE

Unpaid claims don’t stand a chance when Covault is on the case. We conduct thorough eligibility checks on a client’s insurance before each session to ensure that no surprises arise later. We investigate every denial, appeal decisions, and fight to ensure you get paid. If accounts aren’t balancing due to complex insurance adjustments or hidden errors, we dive into the details to fix it, so you don’t have to deal with a tangled mess of numbers. Our dedication to accuracy and persistence is at the heart of everything we do at Covault.

Our entire brand is built on one core principle: we will do what it takes to get you paid. Whether it’s clearing backlogs of unpaid claims, chasing down overdue insurance payments, or optimizing billing workflows to prevent issues before they arise, we’re here to make sure you get your money. That’s why our clients trust us—and keep coming back.

YOUR PERSONAL EXPERT

Whether its pre-authorizations, changing “medical necessity“ requirements, coding updates, changes to appointment limits, network carveouts, provider exclusions, supervisory billing guidelines—the list goes on. It has become quite a lot. Many insurance companies have created independent subsidiaries, like Evernorth or Optum, just to handle mental health separately.

And that is where we come in. At Covault, we specialize exclusively in mental health billing—one specialty.

We know this work inside and out. Each insurance has its own quirks, and we’ve mastered how to navigate them. When you work with us, our expertise becomes yours. Every hurdle we’ve overcome, every workaround we’ve developed to secure payment in the face of denials, and every lesson we’ve learned is now at your disposal. With Covault, knowledge is power.

DISCOUNTS

That’s right, we offer discounts. We believe in rewarding practices for their unique circumstances and contributions to a smoother billing process. Here are some of our most common ones:

  • Premium Payers. Contracted with payers who reimburse well? You qualify for a discount.

  • High Volume. Generating bulk claim volume or significant revenue? Discount.

  • Med Mgmt. Employing a psychiatrist or other prescriber? Discount.

  • EHR Synergy. Using an EHR that streamlines our work? You guessed it—discount.

Our rates are competitive, ranging from 5-9%, and your specific situation determines how much of a discount we can apply. Your savings will increase as your practice grows, and the more revenue we manage for you, the more you keep in your pocket.

We know running a practice is no small feat, and our goal is to maximize your collections while keeping your costs fair. When you partner with us, you're not just getting expert billing services—you’re getting exceptional value.

Let us show you how we can make your billing stress-free and cost-effective.

NO LONG-TERM CONTRACTS

At Covault, we believe you should be able to partner with who you want, when you want. We don’t lock our clients into 6mo/1yr/2yr commitments like others because we just don’t need to. Our clients stay with us by choice.

SOFTWARE FLEXIBILITY

We adapt to your workflow, not the other way around. Whatever EHR or system you’re already using, we can use it to ensure there’s no disruption to your operations. We understand the importance of sticking with what works for you, which is why we bring experience with most mental health EHRs to the table. From day one, it’s plug and play—we jump right in, fixing and streamlining your billing without delay.

OUR CLIENTS

At Covault, we partner with practices of all shapes and sizes—from bustling groups with dozens of practitioners to solo therapists pursuing their passion part-time. No matter where you are at in your practice, we provide services designed to meet your unique needs and challenges.

Are you just starting out and need help navigating the complex world of credentialing with payers? We’ve got you covered. Maybe you’re struggling with old claims that seem impossible to clear—we’ll tackle it head-on. Perhaps you’re facing unclear policy changes and need expert guidance to stay compliant while maximizing revenue. Or maybe you simply want someone you can trust to handle the financial side of your practice, so you can focus on delivering excellent care and growing your business.

We bring clarity. With Covault, you get more than just a billing service—you gain a trusted partner who understands the demands of running a mental health practice. From ensuring your claims are paid promptly to helping you scale smoothly, we’re here to make your success our mission.

Whether you’re building from the ground up or refining an established practice, Covault is ready to help you take the next step with confidence.

COVAULT’S ADVANTAGE

So what truly sets us apart? Simple: we specialize. Every single one of our clients runs a therapy practice. That means we deal with the same payers, the same challenges, and yes—the same shenanigans—day in and day out. When new complexities arise, we meet them head-on, because we know your bottom line depends on having a biller who gets it done.

When one client encounters a problem, we solve it once—and it’s solved for everyone.

Take Meridian, for example. When they rerouted claims to an external processer, denying a full month’s worth of claims, we got to work. We called reps, dug through policy documents, and figured out the fix. Once we did, every Covault client was prepared and protected.

Or consider telehealth. When the future of telehealth in 2025 was uncertain, we stayed ahead of the CMS rulings, reassuring our clients with dependable insights. And when the final ruling confirmed that an exception would be made for behavioral health, our clients could breathe a collective sigh of relief.

What about supervisory billing for limited license practitioners? Many payers allow it—it’s just buried in the documentation under different names. We know where to look and how to make it work.

Denied 90791s for medical necessity? We know it’s often because another therapist rendered the service in the past six months. Getting the first session paid but weirdly not the rest? That’s likely a payer covering the initial visit as a preventive service. Having trouble billing 90837s to UHC? We’ve been through it.

We’ve faced the pitfalls so you don’t have to. We’ve fought the battles—sometimes stretched and tested—but we came out the other side with the knowledge to win.

Our focused experience in mental health billing gives us an unparalleled edge. We’re not just billers; we’re problem-solvers, advocates, and partners in your success. With Covault, you can trust that your revenue is in the hands of experts who’ve been there, done that, and conquered the challenges so you can thrive.

GET IN TOUCH!

Whether you’re looking for a biller, need help clearing out a backlog of old claims, or just want some advice on a tricky billing issue, we’ve got you covered.

Send us a message today, and let’s discuss how we can support your practice and help you thrive. With Covault, you’re never alone in navigating the complexities of mental health billing.