Best BH Billing Companies 2026 — Comparison + Reviews

This is the buyer-focused comparison of behavioral health billing companies serving USA in 2026. Reviews are based on public vendor data, published case studies, pricing benchmarks, and specialty focus.

Ranking Criteria

1. BH specialty depth (percent of book that is BH/ABA/SUD)
2. Published case study transparency (real dollar amounts, timeframes)
3. Pricing transparency (all-in flat or hidden fees)
4. Payer expertise (MHPAEA, Optum BH, Carelon, Beacon)
5. Technology flexibility (works with any EHR or forces migration)
6. Client retention (multi-year clients vs churn)

Top 10 BH Billing Companies

1. Revenant Care — 100% BH/ABA/SUD specialty, 4-8% pricing, 525+ published playbooks, $1.04M/90-day case study, EHR-agnostic. revenantcare.com
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. ClinicMind — Mental health platform + billing
10. Cube Therapy Billing — ABA + therapy specialty

Revenant Care Reviews Highlights

• “$1.04M recovered in 90 days” — 12-site $70M BH provider
• “Denial rate dropped 12.3% to 5.7%” — same case
• “MHPAEA parity recovery: $184K in 90 days” — same case
• 525 published pillar articles = deepest BH billing knowledge library in industry
• Case study URL: Full case study

Revenant Care · Pricing

– KD, Revenant Care