When you sign-up with Behave Health you get a new Artificial Intelligence team member, Behave Bot, that will enhance your billing team with machine learning insights to guide your team to success!
Receive immediate electronic verification of benefits
Capture detailed results of the verification confirmation call that flows into claims
Our process covers eligibility, policy restrictions, authorizations required, provides our recommendations, and more.
Coverage of benefits analysis directly in the Behave EHR patient record
Eligibility and covered benefits
Coinsurance and copays
Deductibles and out-of-pocket amounts
Limitations and restrictions
Pre-Authorization requirements
Reimbursement rates, if applicable
Your Utilization specialists will use our software to help your team understand your patients’ insurance benefits.
Your clinical team will document treatment sessions accurately in the same place your UR team will use communicate medical necessity criteria.
We empower your UR team with digital insights that guide them through the process to ensure maximum authorizations.
Authorization report is accessible immediately after completion in the Behave EHR
Level of care authorized
Number of days authorized
Date of next progress review
Care manager analysis
The Behave Insurance RCM Software is seamlessly integrated into the Behave EHR.
When your clinical team completes the attendance roster and clinical notes in Behave EHR we are ready to start billing.
Our streamlined process reduces human error and billing delays often experienced by customers of other vendors.
Behave Insurance RCM sets a new standard in behavioral health
Accurate, clean claims on every submission, less rejections equals faster reimbursements.
Billing information flows to the Behave EHR and gives you deep insight into your claims at every stage of the process.
Curated database of behavioral health codes across all payers yields actionable business intelligence.
Behave EHR gives you real-time visibility into the billing cycle saving you time, money, and stress.
Instant payment posting to give you accurate financial snapshots of your business
Automate patient responsibility collections via directly to patients or financial fiduciary.
Integrated online collections workflows enable your patient and families to pay seamlessly.
Track all outstanding payments owed to your facility by patient, fiduciary, and insurance.
Electronic records to demonstrate proof of deductible, copay collections, and attempts.
Extensive digital reports showing balances and progress toward collections.
Surface information within your claims.
Easily track that services received are covered under member’s plan
Confirm members have not exceeded limits within their specific plan.
Gather all necessary information to support the appeal and submit all documentation
Monitor denials and appeals directly in your Behave EHR
View all denials and appeals in your aging report
Check the status of each denial and appeal from submission to adjudication.
Get immediate notification of successful appeals
