Behavioral health
Denied ~85% more often. Guaranteed anyway.
Mental-health claims are denied roughly 85% more often than comparable medical claims. Your therapists carry the payment uncertainty, your billing team carries the rework, and your patients carry the surprise bills. Undersign clears the session before it happens — and if the payer denies it anyway, we pay the contracted value in 30 days.
Verification tells you the patient was eligible when you checked. A guarantee means the session gets paid.
more frequent denials than comparable medical claims
denial rates across behavioral health — highest of any outpatient specialty
days to guaranteed payment on cleared-then-denied sessions
In your workflow
Where the guarantee plugs in.
One call from intake
Your intake flow calls POST /v1/clearance with payer, member, and CPT — 90837, 90791, the IOP codes. The ones that actually get denied.
Cleared, with a signature
cleared comes back with a guarantee_id. The session is underwritten. Tell the patient their coverage is confirmed — and mean it.
Our check, our appeal
Eligibility, coverage, or auth denial: we pay you the contracted value within 30 days and run the appeal ourselves. Your team never opens the work queue.
Behavioral Health, visualized
A week of sessions, underwritten.
Booked sessions clear one by one — the moment your schedule becomes revenue, not risk.
What changes
Three lines on your P&L, rewritten.
Stop eating the variance
Denial risk on cleared sessions moves off your P&L and onto ours. Your revenue per session becomes a number, not a distribution.
Cash faster
Cleared encounters don't sit in appeals. Guaranteed value pays in 30 days even when the payer drags.
Give clinicians certainty
Payment uncertainty is a quiet driver of therapist churn. “This session is guaranteed” is a retention tool.
Fair questions
Asked by every behavioral health operator we talk to.
“We already use an eligibility vendor.”
Keep it if you like — they're good at what they sell. But their 96% accurate leaves the 4% with you. We're not selling a better check. We're selling the outcome of the check.
“What about carve-outs and plan churn?”
That's precisely what the underwriting engine prices. Payer, plan, CPT, region, recency — every clearance is priced on live loss data, not a static payer list. When we can't price it, we say step_up or declined instead of guessing with your money.
“What does it cost?”
Basis points of guaranteed claim value — priced like risk transfer, because it is. No per-check fees, no seats.
The API is in development
Be first on the ledger.
Behavioral health is our first market — shadow-mode measurement is running now. Join the list for pilot access.