Mental Health

Mental Health Billing Cash Flow

You delivered the session and submitted the claim, and now Magellan or Optum Behavioral sits on your money for 60 to 90 days.

The problem

Behavioral health payers are slow on purpose.

Magellan and Optum Behavioral can take 60 to 90 days to pay a 90837 claim, and Cigna Behavioral is rarely faster. Prior authorization requirements and parity reviews stretch an already long adjudication cycle.

While you wait, you are covering clinician pay, rent, and the no-show gaps out of pocket.

Behavioral health payers, days to pay

Magellan82 days
Optum Behavioral64 days
Cigna Behavioral58 days
Aetna47 days

Commercial behavioral health claims routinely sit 60 to 90 days while prior authorization and parity reviews run.

Service-line purchasing

Purchased at the code level, not blended.

Copay prices each claim individually at the service line, using how that specific code performs with your payor, so a 90837 is valued on its own merits rather than a portfolio average.

Every eligible behavioral health code is funded the next business day.

Codes Copay purchases

90834Psychotherapy, 45 minutes with the patientEligible for purchase
90837Psychotherapy, 60 minutes with the patientEligible for purchase
90791Psychiatric diagnostic evaluationEligible for purchase
99213Office or other outpatient visit for the evaluation and management of an established patient, low level of medical decision makingEligible for purchase
How it works

How Copay works for your practice.

Your billing team submits claims exactly as they do today. Nothing changes except when you get paid. Copay reads claim data at the clearinghouse layer, so there is no new software and no retraining.

Connect once, keep your EHR and payor relationships, and let eligible claims fund automatically.

01

Connect

Connect your billing software once. Takes minutes, no IT ticket.

02

Submit

Submit claims through your existing EHR exactly as you do today.

03

Get paid

Capital lands in your account the next business day, by ACH.

Non-recourse

A parity underpayment is our risk, not yours.

Non-recourse means a denied eligible claim is Copay's loss, not yours. When a behavioral health claim is underpaid on parity grounds or denied after the fact, your capital is not clawed back.

See how non-recourse works

Parity underpayment, absorbed

Claim 90837

Optum Behavioral · $172.40

Parity risk

A parity underpayment is exactly the gap Copay closes.

Funded the next business day, before the payor ever resolves the parity review.

Common questions

Mental health billing, answered.

No. Copay is not a loan, not factoring, and not a merchant cash advance. Copay purchases your eligible mental health claims outright and deposits funds the next business day, with no debt and no repayment schedule.

Copay purchases eligible commercial behavioral health claims, including those billed to Magellan, Optum Behavioral Health, and Cigna Behavioral, as well as UnitedHealthcare, Anthem, Aetna, Humana, and Blue Cross Blue Shield plans.

No. Copay advances capital on eligible claims regardless of how slowly the payor adjudicates. Prior authorization delays and parity-law underpayments are exactly the cash flow gap Copay closes.

Non-recourse means a denied eligible claim is Copay's loss, not yours. If an eligible purchased claim is denied or underpaid, Copay absorbs the loss with no clawbacks against your practice.

No. Your billing team submits claims exactly as it does today through your existing EHR, billing software, or clearinghouse. Eligible claims are funded the next business day.

How Copay works for mental health practices

From submitted claim to funded account.

While insurance takes 30 to 90 days, Copay moves in one.

Step 01 · Submit

You submit your claims as normal

Nothing changes about how your billing team works.

Claim #18473

DOS 02/04/24

CPT code90837

Psychotherapy, 60 minutes with the patient

PayerOptum Behavioral
Billed$172.40

Step 02 · Verify & Price

We verify and price in real time

Copay checks payor history and prices the claim at the CPT level.

Underwriting in progress

Step 03 · Approved

Advance approved

Capital is approved and scheduled for next business day deposit.

Advance Approved

$3,800

Net advance

Funds wired to your account, next business day

Step 04 · Funded

Capital in your account

While the payor takes 30 to 90 days, you already have your capital.

Your account

$0

Available balance

Copay reconciles automatically when the payor pays. You do nothing.

Get paid on your mental health claims the next business day.

Copay purchases your eligible behavioral health claims. No loans, no personal guarantee, no workflow change.