Behavioral health billing is uniquely complex. Medfuel AI understands session-based coding, concurrent review requirements, and payer-specific authorization rules — so you get paid for every session delivered.
From CPT 90837 time-based therapy sessions to 90834 individual psychotherapy, our AI is trained on the coding and payer rules specific to behavioral health.
Automatic validation of session duration against CPT requirements (90832, 90834, 90837) to prevent upcoding flags and ensure accurate reimbursement for every minute documented.
Automated prior authorization requests, concurrent review tracking, and continued stay submissions — with alerts before sessions expire so you never lose approved visits.
Each payer has different rules for behavioral health coverage. Medfuel AI applies payer-specific logic for medical necessity documentation, session limits, and modifier requirements.
Correct place-of-service codes, telehealth modifiers (95, GT), and originating site documentation for virtual behavioral health visits across all major payers.
Real-time visibility into remaining authorized sessions per patient per payer, with automatic re-authorization triggers.
Correct coding for group therapy sessions (90853) including participant count validation and individual vs. group modifier application.
Automated utilization review submissions for substance use disorder treatment including ASAM criteria documentation support.
Monitor provider credentialing status by payer and alert before expiration to prevent claim rejections from lapsed enrollments.
See how Medfuel AI helps behavioral health providers reduce denials, streamline authorizations, and collect more — without adding billing staff.