A2Z Billings · TherapyNotes support

The billing side of TherapyNotes, handled without leaving your account.

TherapyNotes combines scheduling, progress notes, and billing in one system built for outpatient therapy. Our team works from inside that same account: coding sessions once a note locks, submitting through the built-in clearinghouse, and posting ERAs as they land. Nothing moves to a separate billing platform.

About the software

An EHR built around the fifty-minute session

TherapyNotes is a cloud-based EHR built specifically for outpatient behavioral health: solo counselors, psychologists, psychiatrists, and group practices that bill by the session rather than the visit. Scheduling, notes, treatment plans, telehealth, and billing sit in one account instead of several.

The system assumes therapy-specific coding from the start, so billing work has to fit around that, not the other way around. It is a one stop solution for a practice of any kind that falls beneath the umbrella term of Behavioral Health.

Built for Outpatient behavioral health
Clearinghouse reach 2,000+ payers
Core modules Scheduling · Notes · Billing
Client portal TherapyPortal
Best fit Solo through group practices
What we handle

Full billing coverage without touching your clinical workflow

Claim submission & scrubbing

We check CPT and diagnosis codes against TherapyNotes' built-in edits before a claim reaches the clearinghouse, so fewer rejections happen in the first place.

ERA & payment posting

Remittances post against the correct claim and session, so your ledger matches what payers actually paid, line by line.

Denial resolution & appeals

Denial codes get traced back to the payer's stated reason, corrected where possible, and appealed inside the timely filing window.

Full revenue cycle oversight

From eligibility check to closed balance, one team follows each claim, so nothing waits on a handoff between departments.

Payer credentialing & enrollment

CAQH profiles, payer applications, and re-credentialing dates are managed so your providers stay in-network without a gap.

Session authorization tracking

Authorization counts and expiration dates are logged against each client, so sessions never bill past what a payer approved.

Custom reporting & dashboards

Production, collections, and denial reports pull from your actual TherapyNotes data, not a spreadsheet someone updates by hand.

TherapyNotes setup & training

New to TherapyNotes, or switching billing companies? We configure fee schedules and payer profiles correctly the first time.

Ongoing billing support

Questions about a stuck claim or a settings change go to a person who already knows your account, not a ticket queue.

How access works

One TherapyNotes account, one place to check on it

Our billers log into your existing TherapyNotes account under a billing-role login that TherapyNotes itself provides. Every claim we touch, every charge we code, and every payment we post shows up in the same screens you already use. If a billing company asks you to log into a separate system to see your own claims, that's worth asking about. We just ask you for the role based access, so that administrative load can be minimized on you. Our coder, billers, and AR Specialist work in a compliant fashion, minimizing any chance for an error.

Inside the account

The parts of TherapyNotes our team runs day to day

Claims clearinghouse

Electronic claims go out the same day a note locks and charges are confirmed, through the clearinghouse already wired into your account.

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TherapyPortal

Client statements, balances, and online payments run through the same portal your clients already use to book sessions.

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ERA auto-posting

Remittance files post automatically, and we reconcile anything that doesn't match before it has a chance to age on the books.

Eligibility verification

Coverage and copay checks run before the first session, not after a claim comes back denied for something we could have caught.

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Claim status tracking

Every claim carries a visible status, from submitted to accepted to paid, inside the same claim log your staff can open anytime.

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Reporting suite

Built-in reports on production, A/R, and denials are the numbers we work from, and the numbers you can pull yourself.

How a claim moves

From a locked note to a closed balance

1

Scheduling & eligibility checks

We verify behavioral health benefits, copays, and session limits before the appointment, so the front desk isn't guessing at intake.

2

Coding & charge capture

Once a clinician locks a note, we confirm the CPT code (90791, 90834, 90837, and similar) and any add-ons match what was documented.

3

Claim scrubbing & submission

Claims run through TherapyNotes' edit checks and ours before they leave the clearinghouse, catching mismatched modifiers or missing NPIs early.

4

Payment posting & denial follow-up

ERAs post against the right claim, and anything denied gets a reason code, a correction, and a resubmission date within the week.

5

Patient statements & AR follow-up

Client balances go out through TherapyPortal, and we follow up on aging accounts before they pass 60 days outstanding.

6

Reporting & credentialing upkeep

Monthly reports go to you, and credentialing files stay current, so a lapsed enrollment never becomes the reason for a denial.

What changes

Numbers we track the same way your practice does

98%

First-pass clean claim rate

21

Avg. days in A/R

9+

Years billing inside TherapyNotes

70+

TherapyNotes practices supported

Fewer authorization-related denials

We keep track of authorization limits and renewal dates, so claims are less likely to be denied because coverage expired or visits ran out.

Faster clearinghouse acceptance

Every claim is reviewed before submission, helping it pass clearinghouse checks without unnecessary delays.

Shorter A/R aging

Claims are followed from submission through payment, which helps outstanding balances get resolved sooner.

Consistent HIPAA-aligned handling

Patient information is handled through secure, role-based access and billing workflows that support HIPAA compliance.

Reports your staff can actually read

Monthly reports focus on collections, denials, and outstanding balances in a format that's easy to review without digging through spreadsheets.

More clinical hours, less paperwork

With billing tasks handled by our team, providers can spend more time with patients instead of managing claims and follow-ups.

Why practices stay

Continuity, correct setup, and years spent inside this one system

Same team

One biller and one backup work your account long-term, so a policy change at a major payer or a modifier update doesn't get relearned by someone new each quarter.

Correct configuration

We've corrected enough misconfigured fee schedules and payer profiles inside TherapyNotes to set yours up right from the first claim, not the fiftieth.

Track record

Years spent inside TherapyNotes specifically, not general medical billing software, mean fewer surprises when a behavioral health payer changes its rules.

Practice types

Built around outpatient behavioral health, not general medicine

A2Z Billings is based in Michigan and works entirely inside the eClinicalWorks systems our clients run day to day.

FAQ

Common questions

Yes. TherapyNotes is your software and your account. We work inside it; we don't replace it.

Yes, for nearly every payer. It's already connected to your account and keeps every claim in one log.

We log approved session counts and expiration dates per client and flag anything close to running out before it's billed.

TherapyNotes receives the remittance file automatically. Our team reviews and posts it, then reconciles anything that doesn't match.

Yes. We check fee schedules, payer profiles, and billing settings first, since most switching problems trace back to setup, not billing.

We apply modifier 95 and the correct place-of-service code per payer, since a few still expect the older in-person code for telehealth.

A rejection means the claim never reached the payer, usually a formatting issue. A denial means the payer received and refused it. We handle both differently.

Yes. Clients see and pay their balance in the same portal they already use for scheduling.

Yes, including CAQH upkeep, payer applications, and re-credentialing dates, so enrollment lapses don't cause denials.

Your practice controls the login and permissions. We access only what a billing role needs, under a signed BAA.