Behavioral health billing support for practices working with Optum and affiliated insurance programs.
Optum behavioral health billing can involve multiple administrative steps, including eligibility verification, claims submission, authorization requirements, claim follow-up, payment posting and denial management.
Mental health practices shouldn't have to manage these processes alone.
Mental Health Medical Billers provides specialized revenue cycle management for behavioral health providers and practices.
Who We Help
Our billing services can support:
- Psychiatrists
- Psychologists
- Therapists
- Licensed clinical social workers
- Licensed professional counselors
- Marriage and family therapists
- PMHNPs
- Behavioral health group practices
- Telehealth practices
Optum Behavioral Health Billing Services
Eligibility Verification
Insurance eligibility should be verified before services are billed. We help practices confirm relevant coverage and benefits information as part of the billing workflow.
Claims Submission
Claims are reviewed and submitted using the appropriate billing workflow.
Claim Follow-Up
We track outstanding claims and investigate claims that have not been paid.
Denial Management
When claims are denied, we review the payer response and determine the appropriate next action.
A/R Follow-Up
Outstanding balances are monitored based on aging and claim status.
Payment Posting
Payments and remittance information are reviewed and posted so the practice can maintain accurate financial records.
Authorization Support
Certain behavioral health services may involve precertification or authorization requirements. Requirements should always be verified for the member's specific plan.
Why Behavioral Health Billing Requires Attention
Behavioral health billing is not simply a matter of entering a CPT code and submitting a claim.
A claim can be affected by:
- Provider network status
- Member eligibility
- Benefit limitations
- Authorization requirements
- Rendering provider information
- Place of service
- Telehealth requirements
- Coding
- Documentation
- Timely filing
- Coordination of benefits
Optum and UnitedHealthcare provider resources provide tools for claims, billing, payment and behavioral health-related workflows.
Don't Let Behavioral Health A/R Sit Unworked
A claim that hasn't been paid should have a reason.
Our billing workflow focuses on identifying whether a claim is:
Submitted → Accepted → Pending → Denied → Corrected → Appealed → Paid
Rather than allowing unpaid claims to remain in an aging report indefinitely, we work toward determining what needs to happen next.
Optum Behavioral Health Billing for Telehealth
Telehealth requirements can vary depending on the specific plan, state, service and provider arrangement.
For Medicare telehealth, CMS currently recognizes POS 02 for telehealth other than the patient's home and POS 10 for telehealth provided in the patient's home.
Commercial payer requirements should be verified separately rather than assuming Medicare rules apply.
Need Optum Behavioral Health Billing Help?
If your practice is experiencing:
- Increasing A/R
- Repeated claim denials
- Unpaid Optum claims
- Eligibility problems
- Authorization issues
- Difficulty keeping up with billing
- Limited time for insurance follow-up
we can review your current billing process.
[Schedule a Free Billing Assessment]
[Talk With a Billing Specialist]
Last reviewed: September 2026. Optum/UnitedHealthcare requirements vary by plan, state, network and provider agreement. Verify current payer requirements before submitting claims.