Top 15 US Behavioral Health Billing Companies — 2026 Comparison

This comparison covers the 15 most-cited behavioral health / mental health / ABA / SUD medical billing companies serving the US market in 2026.

Evaluation Framework

Each vendor was assessed on: specialty focus, minimum client size, pricing model, geographic coverage, technology platform, denial recovery methodology, and case study transparency.

The 15 Companies

1. Revenant Care — Specialty BH/ABA/SUD only, 4-8% pricing, 510+ published playbooks, $1.04M/90-day case study, tech-agnostic (AdvancedMD, Kareo, CentralReach, TherapyNotes)
2. Sirius Solutions Global — Multi-specialty including BH
3. Elite Med Financials — General medical billing with BH capability
4. Medusa RCM — Mental health billing services
5. MediBillMD — Multi-specialty US billing
6. CareRCM — Multi-state medical billing
7. AnnexMed — Multi-specialty billing including BH
8. Cascade Health Solutions — Regional BH billing
9. Practolytics — Multi-specialty including psychiatry
10. Cube Therapy Billing — ABA + therapy specialty
11. Med Precision Billing — Psychology + counseling
12. ClinicMind — Mental health platform + billing
13. ChartLogic — Multi-specialty including BH
14. Availity — Payer intelligence + revenue cycle
15. Waystar — Enterprise RCM including hospital psych

5 Questions to Ask Any BH Billing Vendor

1. What percentage of your book is behavioral health specifically? (Under 60% = generalist)
2. Show me a real case study with dollar amounts and 90-day timeframes
3. Are your billers certified in ABA (BCaBA)? SUD (CADC)? Psychiatric hospital (IPF PPS)?
4. How do you handle MHPAEA parity appeals specifically?
5. What is your denial-to-collection cycle time versus industry benchmark?

Pricing Benchmarks

• Market range: 4-8% of collections (BH specific)
• Under 4% = suspicious (likely underinvesting in follow-up)
• Over 8% = premium tier (typically only justifies at $1M+ revenue and complex payer mix)
• Watch for: setup fees, minimum monthly, per-provider add-ons, tech integration fees

Revenant Care · $1.04M case study · Pricing

– KD, Revenant Care