Who we are
Most billing companies check boxes. We flip the whole system.
At Pivotal, we don’t just submit claims — we solve revenue problems. From cleaning up aging A/R to navigating tricky out-of-network reimbursement, we bring the strategy, sweat, and systems your practice actually needs. Behavioral health billing isn’t just what we do — it’s all we do. That’s why it works.
FAQs
What kind of providers do you work with?
We specialize in behavioral health — that means DTXs, RTCs, PHPs, IOPs, OPs, therapy groups, psych testing providers, case managers, and anyone billing behavioral health services. If you’ve got a mental health mission, we’re probably a match.
Do you only work with out-of-network providers?
Mostly, yes. That’s our bread and butter. We know the OON game inside out — Aetna, Cigna, UHC, BCBS, you name it. But if you're a hybrid or planning to go INN, we can still help!
What’s the onboarding process like?
We keep it simple. You’ll get a short setup call, a checklist of what we need, and we’ll dive right in. No drama, no red tape.
Is there a contract or commitment?
Yes, but it's fair and flexible — just like us. We'll talk through it together so you're never locked into anything you don't believe in.
How much does it cost?
Our pricing is customized based on your volume, needs, and services. But spoiler alert: we’re worth it — and you’ll make back more than you spend. Want a custom quote? Contact us now!
Can you fix our current billing mess?
Short answer: yep. Long answer: we love a good mess. Denials, aging claims, inconsistent reimbursements, poor documentation workflows — we’ll get in there, fix what’s broken, and rebuild your system so it actually works.
What billing software do you use?
We work directly with your current EMR or billing system — but we’re fluent in all the big names. We can also recommend upgrades if your current tech is holding you back.
Do you offer eligibility and benefits checks?
Absolutely. We verify benefits up front so your team isn’t blindsided mid-treatment by coverage surprises.
Do you handle appeals?
Yes — and we don’t just resubmit. We actually write real appeals, find out why you got denied, and fix the root cause so it doesn’t happen again. (You’re welcome.)
What makes you different from other billing companies?
We care. We communicate. And we actually get you paid. We're not some faceless team overseas or a call center ghosting your claims — we’re hands-on, in the weeds with you, and obsessed with behavioral health billing.
Contact us
Have questions? Overwhelmed by billing chaos? Just want to know if your claims are as bad as they feel? We’re here for all of it.
Whether you're ready to get started or just exploring options, drop us a message — we’ll get back to you fast, human-to-human, no bots or BS.