We work with private practice psychotherapists seeking consistent, reliable insurance billing support. Our services are designed for small group practices or solo therapists who are licensed and practicing within a single state and using a practice management system.

We support

• Clinical social workers (e.g., LCSW, LICSW, ACSW)

• Licensed psychologists (non-prescribing)

• Master’s-level counselors and therapists (e.g., LPC, LCPC, LMHC, MHC, MFT, LCADAC)

At this time, we do not support

• Psychiatrists or prescribing providers (e.g., PNPs, CNSs) billing for medication management or E/M services

• Applied Behavior Analysis (ABA) providers or services

• Supervisory billing or provisionally licensed clinicians billing under a supervisor's contract and NPI

If you’re unsure whether your practice is a fit, you’re always welcome to reach out. We’re happy to take a look and let you know.

This service is a good fit if you

• Bill commercial insurance companies regularly (or want to)

• Use a practice management system

• Have a steady flow of client sessions

• Want help staying on top of claims, follow-ups, and payments

We typically support practices with up to about 150 claims per month (on average).

We manage the day-to-day insurance billing work, including

• Submitting claims on a biweekly schedule (every other week)

• Verifying eligibility and mental health coverage

• Tracking and following up on denials

• Resubmitting corrected claims when needed

• Monitoring unpaid or stuck claims

• Monthly billing summaries so you know what’s happening

You’ll still be responsible for

• Initial Practice Management System setup

• Billing government carriers including Medicare, Medicaid, and TRICARE

• Collecting copays, coinsurance, and private-pay fees

• Sending superbills to out-of-network clients

• Completing clinical documentation

• Ensuring sessions are documented accurately in your EHR

Most likely, yes.

We regularly work in platforms like

• SimplePractice

• TherapyNotes

• Sessions Health

If you use something different, we’re usually able to adapt but may need additional onboarding time (at no extra charge).

Not at this time. For now, we focus on commercial insurance billing only.

We do not handle credentialing or payer enrollment, but we’re happy to work alongside your existing setup once you’re in-network.

We adapt to your current insurance billing workflow and submit claims on a consistent biweekly schedule.

From there, we

• Track claim statuses

• Follow up on unpaid or denied claims

• Resubmit when needed

• Keep you updated with monthly reporting

You won’t be left guessing.

You’ll always have full visibility in your existing billing system, and we stay actively on top of claims in the background so nothing falls through the cracks.

We also tailor communication to what works best for you. Depending on your preference, we can provide

• Biweekly email summaries of issues and claim updates

• Monthly reports highlighting claims status, trends, and anything that needs attention

• Or a customized communication rhythm based on your workflow and preferences

Our goal is to keep you informed without overwhelming you, so you always know what matters, without needing to manage the details day to day.

We track denials, investigate them, and work to resolve them.

That includes

• Reviewing denial reasons

• Fixing and following up on claim-related denials when appropriate

• Following up with payers when needed

• Altering you when a denial involves a clinical review process requiring your expertise and follow-up

The goal is to reduce revenue loss and keep your billing moving.

SteadyStream Billing can support therapists practicing in multiple states on a case-by-case basis.

Because billing requirements may vary based on licensure, payer enrollment, client location, and state-specific regulations, clients remain responsible for ensuring compliance with all applicable laws, payer requirements, and telehealth regulations in each state where services are provided.

SteadyStream Billing provides administrative billing support only and does not verify licensure, credentialing, client location, or legal compliance. We rely on the information provided by your practice for accurate claim submission.

We’re happy to discuss your practice setup during a discovery call to determine whether we’re a good fit.