Now accepting Q3 2026 pilot partnerships. Limited to three behavioral health facilities. Reserve a slot ›
Behavioral Health Revenue Cycle Specialists

The revenue your
facility has already
earned

Verification of benefits and prior authorization built exclusively for behavioral health and substance use disorder treatment. Every level of care. Every major payer. Handled before your patient walks through the door.

Compliance HIPAA 42 CFR Part 2 BAA Standard
Verification of Benefits
VOB-2026-4471
PayerCommercial carve out plan
Level of care requestedPartial Hospitalization
Network statusIn network
Deductible$2,500 · $1,200 met
Out of pocket maximum$6,000 · $3,400 met
Coinsurance20%
Prior authorizationApproved
Concurrent review dueDay 7
Part 2 consent verified and recorded
separately from general PHI authorization
Completed 31h
What we handle

A billing team that speaks your clinical language

Generic revenue cycle vendors treat behavioral health as one more specialty line. It is not. Authorization hinges on medical necessity documentation, ASAM placement criteria, and payer specific concurrent review windows that most billers have never encountered.

Currently offered: Verification of benefits and prior authorization. Denial management, underpayment recovery, and payment posting are on our roadmap and will be available to pilot partners as they launch.

Compliance

Two standards.
Both non negotiable.

Behavioral health billing sits under two distinct regulatory frameworks. HIPAA governs protected health information broadly. 42 CFR Part 2 governs substance use disorder treatment records specifically, with far stricter disclosure rules and materially higher consequences for getting it wrong.

  • Part 2 consent is tracked as a separate, structurally distinct record from general PHI authorization
  • Substance use records are never commingled with standard health records in any workflow
  • Every team member is trained on Part 2 redisclosure restrictions, not generic HIPAA orientation
  • A signed business associate agreement is executed before any protected information changes hands
HIPAA
Protected Health Information

Administrative, physical, and technical safeguards across every system that touches patient data. Access is role limited, activity is logged, and all transmission is encrypted end to end.

42 CFR Part 2
Substance Use Disorder Records

Consent driven disclosure with explicit redisclosure prohibitions. Built into intake and authorization workflows from the first line of process design rather than layered on as a compliance checklist.

Business Associate Agreement
Executed Before Engagement

A signed agreement establishing our obligations, breach notification duties, and permitted uses is standard for every client relationship and is completed before onboarding begins.

Levels of care

The full continuum

From acute medical stabilization through long term outpatient maintenance, we handle verification and authorization at every step of the treatment pathway.

Detoxification
Medically Managed Withdrawal

Acute stabilization requiring twenty four hour nursing and physician oversight. Authorization is typically short, granted day by day, and demands immediate concurrent review to avoid coverage gaps during the most clinically critical phase of care.

Residential
Inpatient Residential Treatment

Twenty four hour structured treatment in a live in setting. Among the most heavily scrutinized levels of care for medical necessity, where documentation quality directly determines approved length of stay.

PHP
Partial Hospitalization

Intensive daily programming without overnight residence. Payers frequently attempt to step patients down prematurely, making the strength of your continued stay justification the deciding factor in authorization.

IOP
Intensive Outpatient

Structured group and individual therapy several days per week. Session limits and frequency caps vary widely between payers and plan tiers, and misreading them is a common source of avoidable denial.

Outpatient
Standard and Medication Assisted Treatment

Ongoing individual therapy, group work, and medication assisted treatment. Lower intensity but higher volume, where verification accuracy compounds meaningfully across a full patient panel.

Mental Health
Psychiatric and Specialty Programs

Psychiatric inpatient, mental health day treatment tracks, and specialty modalities. Frequently routed through behavioral health carve out administrators with entirely separate criteria and submission channels.

How it works

Operational in under two weeks

No software to install and no disruption to your admissions workflow. We work inside the systems and processes your team already uses.

1
Onboard

We map your payer mix, facility identifiers, contracted rates, and program structure. Your team keeps working exactly as it does today while we build the operational picture.

Five to seven business days
2
Verify and authorize

Every admission receives a complete benefit verification, with authorization requests submitted the same business day. Your admissions team knows coverage status before committing a bed.

Ongoing, every business day
3
Protect the authorization

Concurrent review deadlines are tracked and submitted ahead of expiry. Documentation gaps that would trigger a denial get flagged before submission rather than discovered on a remittance.

Continuous through discharge
Why Karepoint

Specialists, not generalists

Behavioral health is the only thing we do, which means it is the only thing we have to be excellent at.

One specialty, entirely

We do not bill orthopedics, cardiology, or primary care. Every person on the team works exclusively in behavioral health and substance use disorder claims, which is why we recognize a payer pattern the first time it appears rather than the fifth.

Verified before admission

Benefit verification is not queued for a weekly batch. Requests are worked the business day they arrive so your admissions team knows exactly what is covered before a bed is committed.

Part 2 native, not retrofitted

Substance use confidentiality is designed into the workflow rather than added as a compliance layer. Consent tracking, disclosure limits, and redisclosure restrictions are handled correctly by default.

Payer level intelligence

Carve out administrators apply different criteria sets than their parent plans, and those differences decide approvals. We track which payers require which documentation and adjust submissions accordingly.

A dedicated team, not a queue

You work with the same people every day, not whoever picks up the next ticket. They learn your programs, your payer mix, and your documentation patterns, and that continuity is what makes the work fast.

Prevention over recovery

The most valuable denial is the one that never happens. We identify documentation gaps and authorization risks before submission, because appealing a denial costs far more than preventing it.

The Hidden Tax

Where a biller's week actually goes.

Every verification and authorization carries a cost your billing software never shows: time on payer phone lines, in portals, and on hold. The rules change every quarter, and no two payers apply them the same way.

~11 hrs of staff time per week lost to phone verification, portal navigation, and status checks, per biller
34%Verification of benefits calls and hold time
28%Prior authorization submission and follow-up
23%Concurrent review tracking across active patients
15%Payer portal navigation and fax coordination

Illustrative distribution based on typical mid-market behavioral health billing operations.

In Development Targeting Q4 2026
The Next Step

Verification on autopilot.
Your team handles approvals.

We are building an AI-powered voice system that calls payers directly, navigates their authorization workflows in real time, and returns structured verification data to your team for review and submission. Your staff focuses on clinical judgment and exceptions. The system handles the calls.

Trained exclusively on behavioral health payer protocols, ASAM criteria documentation requirements, and carve out administrator workflows across our five core markets.

Join early access waitlist
Verification of Benefits Verified · reviewed by A.S.
BCBS Texas PPO · Residential (RTC) · ASAM 3.5
Network statusIn-network
Auth requiredYes, prior to admission
Deductible remaining$620 of $2,000
Out-of-pocket max$3,100 of $6,000
Coinsurance20% after deductible
Concurrent reviewEvery 5 days
Step 01–02 · AI calls the payer, extracts and structures this data
Prior Authorization Drafted, awaiting review
Aetna Behavioral Health · PHP · ASAM 2.5
Requested days14
DiagnosisF10.20, F41.1
Clinical rationaleContinued risk of relapse, ASAM Dimension 5 elevated
Step 03–04 · Your team reviews, edits, and submits

In behavioral health, revenue is not lost at the claim. It is lost at the verification nobody completed and the concurrent review nobody submitted.

The Karepoint operating principle
Questions

Before you reach out

We handle verification and authorization across the full behavioral health continuum: medically managed detoxification, inpatient residential treatment, partial hospitalization, intensive outpatient, standard outpatient, medication assisted treatment, and psychiatric or specialty mental health programs.

Most commercial plans are verified within twenty four to forty eight hours. Government payers and behavioral health carve out administrators typically take forty eight to seventy two hours because of their separate submission channels. Nothing is held in a batch queue. Every request is worked the business day it is received.

Part 2 requirements are built into our intake and authorization design rather than applied as a review step. Substance use disorder consent is tracked as a structurally separate record from general PHI authorization, our team is trained specifically on redisclosure restrictions, and no substance use record content is included in a payer submission without valid, documented consent on file.

All major commercial carriers and their behavioral health carve out administrators, along with Medicaid managed care plans in our core markets of Texas, California, Florida, New York, and Colorado. Carve out administrators frequently apply different medical necessity criteria than their parent plans, and that distinction is where most authorization outcomes are actually decided.

We focus on mid market treatment facilities, roughly eighty to three hundred beds across residential, partial hospitalization, and intensive outpatient programming. Facilities of this size are large enough to need real operational depth but are often deprioritized by enterprise vendors chasing hospital systems.

Flat fee pricing by service volume, with tiers for higher census facilities. We deliberately avoid percentage of collections models, which reward chasing large recoverable claims over the routine verification work that actually prevents revenue loss. Pricing is finalized after a discovery call, once we understand your admission volume and payer mix.

Yes, and we consider it non negotiable in both directions. A signed business associate agreement establishing permitted uses, safeguards, and breach notification obligations is executed before any protected health information is exchanged. Onboarding does not begin until it is in place.

No. We work inside your existing electronic health record and billing systems. There is no software to purchase, no migration, and no change to how your clinical or admissions staff document their work. Onboarding is an operational handoff, not a technology project.

Find out where your
revenue is leaking

Book a thirty minute discovery call. We will review your payer mix, current verification turnaround, and denial patterns, then show you specifically where authorizations are being lost. No obligation and no pitch deck.

Request a discovery call

We reply within one business day.

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