Flexible, Honest Pricing for Mental Health Practices
CareVixis publishes its pricing openly because we are a Trust Organization. No bait-and-switch. No "call for pricing." A monthly platform fee per provider, plus 6% to 8% of collected billing depending on which services your practice uses. Work it out yourself with the calculator below.
What Could CareVixis Be Worth to Your Practice?
Tell us a little about your practice and we'll show you your estimated CareVixis cost, and what even a small improvement in collections could mean for your practice. Nothing is sent to us and no email is required.
Tell us about your practice
For example, $25,000 collected in a typical month.
Estimated CareVixis cost
An estimate based on the information you entered. Your actual rate is set during the free practice assessment.
Now let's look at what may be getting missed.
What would just 12% mean to your practice? A few percentage points can represent a significant amount of revenue over the course of a year.
The national average initial denial rate is 12% of claims denied on first submission, up from 9% in 2016.1 On HealthCare.gov plans, insurers denied 19% of in-network claims in 2023, and consumers appealed fewer than 1% of them.2 The slider starts at 12% because that is the best documented national figure in this area.
A denial rate is not a recovery rate, and not every denied claim is lost revenue. Beyond that national figure, and based on situations we commonly see, practices may have opportunities in the 10% to 25% range. That range is our own observation rather than a published statistic, and we say so plainly. Move the slider to see what an improvement at any level would mean based on your current collections.
We commonly see opportunities within this range, but every practice is different. This slider represents a hypothetical improvement in your collections. It is not the CareVixis fee, which is the separate platform fee plus 6% to 8% of collected billing shown above.
The comparison above is not the whole picture
A CareVixis relationship is more than recovered billing revenue, and we are not going to pretend the opportunity figure is money CareVixis automatically generates. Depending on the services you selected, the same investment also covers:
- Revenue cycle management
- Billing
- Rejection and denial management
- Root cause analysis
- Accounts receivable management
- Credentialing management
- Reporting and visibility
- EHR and practice technology
- Clearinghouse
- Website and SEO
- Telecom and SMS
- Customer support
- Practice operations support
Adding a provider?
Practices on CareVixis revenue cycle management pay $150 per payer, per provider, which is half our standard initial credentialing rate of $300, and ongoing credentialing management is included. Credentialing is a one time cost and is not part of the monthly figure above.
Your practice
Your CareVixis solution
Potential opportunity
Want to know the real number?
The calculator shows you what a small improvement could mean. The next step is finding out what's actually happening inside your practice. CareVixis can review your current revenue cycle, identify where opportunities may exist, and show you what we find.
Or talk with us for 15 minutes. No presentation. No pressure. No BS.Sources
- Change Healthcare, 2022 Revenue Cycle Denials Index. Average denial rate reached 12% of claims denied on initial submission in 2022, up from 9% in 2016. Based on an analysis of approximately 441 million hospital claim remits valued at $500 billion in total charges across more than 1,500 US hospitals, processed July 2021 through June 2022. Note that this is hospital claim data, not physician practice data.
- KFF, Claims Denials and Appeals in ACA Marketplace Plans in 2023. HealthCare.gov insurers denied 19% of in-network claims in 2023. Of 86 million in-network denied claims, consumers appealed 376,508, an appeal rate below 1%.
The 10% to 25% opportunity range is CareVixis's own observation from practices we work with. It is not drawn from either source above and we do not present it as an industry statistic.
Results are estimates for illustrative purposes only. The slider opens at 12% because that is the published national average initial denial rate, cited above. A denial rate is not a recovery rate, and starting the slider there is not a claim that CareVixis recovers that amount. The 10% to 25% range reflects opportunities CareVixis commonly sees in practice scenarios. It is an observation, not a published industry statistic, and it is not a guarantee of increased collections, recovered revenue, savings, or financial performance. Actual results depend on the practice, payer mix, documentation, existing processes, patient volume, reimbursement, and other factors.
Calculator results are estimates for illustrative purposes only and are based on information you provide. Estimated improvement does not represent guaranteed additional revenue, collections, savings, or financial performance. Actual results vary by practice. CareVixis reviews your practice before establishing any performance baseline or guarantee.
Any CareVixis Performance Guarantee is established separately only after CareVixis reviews the practice, establishes a baseline, and agrees in writing on the applicable performance measure. Typical or past results do not guarantee future performance. See the CareVixis Performance Guarantee Terms.
Our published pricing reflects standard practice scenarios. Every practice is different. If your needs, provider volume, service mix, or circumstances don't fit our standard pricing, talk with us. We're open to discussing our published pricing to find an arrangement that works for both sides.
What CareVixis Covers, Every Line Item
Most billing services charge a percentage and that covers claim submission and maybe some denial follow-up. CareVixis covers up to the entire practice back-office depending on the level of service your practice needs. Your rate reflects which of these services are included. Here is every available service, broken down by category.
Billing and Revenue Cycle Management
- CPT and ICD-10 coding for all services you provide
- Specialty-specific code validation (time-based therapy codes, testing codes, E/M with add-ons, psychiatric evaluations)
- Claim submission within 48 hours of service
- Real-time eligibility and behavioral health benefits verification before each session
- Behavioral health carve-out payer routing (Optum, Carelon, Magellan, ComPsych, and others)
- Prior authorization submission and tracking
- Session limit monitoring with proactive alerts
- Same-day denial management and appeals
- AR follow-up on all outstanding claims every 14 days
- Patient billing statements and payment plan management
- Patient balance collections (automated and manual)
- Telehealth billing with correct modifiers (95, 93) per payer
EHR and Telehealth Platform
- Purpose-built mental health EHR with specialty-specific documentation templates
- Therapy session documentation (individual, group, family, crisis)
- Psychiatric evaluation and medication management templates
- Psychological testing documentation workflows
- Practice-branded telehealth platform (your domain and logo, not a third party)
- HIPAA-compliant scheduling and patient portal
- Secure session recording and messaging
- E-prescribing for psychiatrists and PMHNPs
- Or: integration with your existing EHR at no additional cost on our end
Patient Communications
- Automated appointment reminders (SMS and voice) 48 and 24 hours before session
- Automated payment reminders with secure online payment links
- HIPAA-compliant two-way SMS messaging for patient communications
- Intake form digital delivery and electronic collection
- Session satisfaction and clinical outcome surveys
- Business phone system for your practice
- Voicemail-to-text with message routing
- All 10DLC registration and TCPA consent management handled by CareVixis
Marketing and Practice Growth
- Professionally designed therapy practice website built on your domain
- Local SEO to rank for your specialty and service area in search results
- Patient acquisition campaigns targeting clients actively searching for your services
- Psychology Today and Zocdoc profile optimization
- Content strategy and blog management to build authority in your area
- Online reputation monitoring and review management
- Social media strategy for mental health practice visibility
Operations and Reporting
- KPI dashboards (collections, denial rate, AR aging, payment cycle)
- Per-clinician revenue reporting for group practices
- Group-level financial reporting and payer mix analysis
- Payer performance comparison and contract analysis
- Denial reason tracking and trend analysis
- Monthly financial reports delivered to practice owners
- Proactive alerts for approaching session limits, expiring authorizations, and credentialing deadlines
- Custom reports built for your specific practice metrics at no extra cost
Proprietary Technology and Custom Development
- Proprietary coding engine that validates every claim before submission
- Proprietary billing process with pre-submission documentation review
- Daily regulatory intelligence, CMS, payer policy, and code set updates monitored continuously
- Custom development for your practice's specific technology needs, included at no extra cost
- All systems hosted in US-based data centers
- HIPAA, HITECH, and SOC 2 compliant at every layer
- Role-based access controls and comprehensive audit logging
The Guarantee, and Why We Can Make It
Most billing services say they will improve your collections. CareVixis does not make that promise before looking at how your practice actually runs. We review first, measure, and then guarantee.
First We Look. Then We Measure. Then We Guarantee.
Before making a performance promise, CareVixis reviews your current billing, revenue cycle and related business operations, establishes where you stand today, and agrees the measures with you. If your practice qualifies, we put our fees behind our recommendations. If we cannot identify and document at least $500 in measurable financial opportunity in your first 30 days, we credit $500 to your CareVixis Growth Account, a service credit with no cash value. If we do not achieve the improvement we agreed within 90 days, we refund the eligible CareVixis fees you paid for the guarantee period.
Not every practice qualifies. See Guarantee Terms.
Claims Scrubbed Before Submission
Every claim is scrubbed against payer-specific rules before it is submitted, so errors that would cause a rejection or denial are caught before the payer sees them. Less rework, fewer preventable denials, and fewer interruptions to your cash flow.
14-Day Average Payment Cycle
Claims are submitted electronically and routed to the correct payer the first time. Open AR is followed up every 14 days rather than left to age, which is where in-house billing most often loses ground.
What CareVixis Does Not Charge Extra For
Most billing services and practice management vendors charge separately for services that CareVixis includes in your custom rate. Here is a direct comparison of what other companies bill as add-ons versus what CareVixis includes based on the level of service your practice selects.
| Service or Feature | Other Companies | CareVixis |
|---|---|---|
| Denial management and appeals | Extra fee or not included | Included |
| EHR / practice management software | $100 to $500/month per provider | Included |
| Telehealth platform | $50 to $200/month | Included |
| Appointment reminders and SMS | $30 to $150/month | Included |
| Practice website and hosting | $100 to $500/month | Included |
| Digital marketing and SEO | $500 to $3,000/month | Included |
| KPI dashboards and reporting | Extra fee or basic only | Included (per-clinician reporting included) |
| Custom development for practice needs | Not available or expensive | Included at no extra cost |
| Setup fee and contract | Often both | One or the other, your choice |
| If you choose the contract option | 1 to 3 year contracts common | No setup fee |
What About Credentialing?
Credentialing is the one service CareVixis handles as an optional add-on at any service level. Here is why, and what you actually get.
Why Credentialing Is an Add-On
Not every practice that partners with CareVixis needs credentialing from scratch. Many practices are already credentialed with their payers and simply need their existing enrollment maintained. Charging every practice for credentialing whether they need it or not would mean building that cost into the base fee, which would make the fee less fair to practices that already have complete credentialing.
The solution is to make credentialing available as an add-on for practices that need it, and to include a complimentary credentialing assessment for every practice partner so you always know exactly where your enrollment stands before any decisions are made.
What the Complimentary Assessment Covers
Every new CareVixis practice partner receives a free, no-obligation credentialing assessment that covers:
- Current enrollment status with all payers relevant to your practice
- Behavioral health carve-out enrollment verification (Optum, Carelon, Magellan, ComPsych)
- Identification of any credentialing gaps causing potential revenue loss
- Re-credentialing deadline review
- CAQH profile status and accuracy review
- License and DEA expiration review (for prescribers)
After the assessment, you receive a clear picture of your credentialing status and a recommendation for any enrollment or re-credentialing work that would benefit your practice.
What the Credentialing Add-On Includes
If credentialing or enrollment work is needed, the CareVixis credentialing add-on covers:
- Initial credentialing applications with commercial payers (Cigna, Aetna, United, BCBS, and others)
- Behavioral health carve-out enrollment (Optum, Carelon, Magellan, ComPsych, and others)
- Medicare and Medicaid enrollment by state
- CAQH profile creation and maintenance
- Ongoing re-credentialing management
- License, certification, and DEA expiration tracking and proactive renewal coordination
- New provider onboarding for group practices adding clinicians
Initial credentialing is priced per payer, per provider. Practices on CareVixis revenue cycle management pay $150 per payer, per provider, which is half our standard rate of $300, and ongoing credentialing management is included. Estimate yours with the calculator on this page.
Complex enrollments can fall outside a standard scope. Where that happens we say so during the free practice assessment rather than after, and we price the actual work.
Frequently Asked Questions About Pricing
Straight answers about how CareVixis pricing works. No ambiguity, no sales language.
A CareVixis rate has two parts: a monthly platform fee of $150 per provider on the CareVixis system or $350 per provider keeping your own EHR, plus 6% to 8% of collected billing depending on which services your practice uses. The percentage applies to what your practice is actually paid, not to what is billed out to payers. Revenue cycle management is 6% and is always included. Website and SEO adds 1%. Telecom and SMS adds 1%. Your rate is confirmed during the initial practice assessment. Choose the structure that fits your practice: a setup fee with no contract, or a contract with no setup fee. If we do not collect, you do not pay the collections fee. Use the calculator on this page to estimate both parts.
CareVixis offers a full range of practice services. Every practice starts with billing and revenue cycle management, coding, submission, denial management, AR follow-up every 14 days, patient billing, payment plans, eligibility verification, prior authorization, and reporting. Additional services include EHR with specialty-specific templates, practice-branded telehealth, patient portal, business phone and SMS, practice website and digital marketing, operations reporting, custom development, and direct access to decision makers. Your rate reflects which services your practice uses. Credentialing is an optional add-on, every partner receives a complimentary assessment.
Credentialing and panel enrollment is an optional add-on at any service level, not included in the base fee. This is because many practice partners are already credentialed and do not need enrollment work. Every partner receives a complimentary credentialing assessment to identify any gaps. If credentialing work is needed, the add-on pricing is discussed as part of that assessment.
No. CareVixis publishes its pricing openly because transparency is fundamental to how we operate. There are no hidden fees, no per-location fees, no cancellation fees, and no fees for custom development work. Your custom rate covers all services included in your agreement. The only additional cost is the optional credentialing add-on, which is clearly identified as separate and priced transparently during the free assessment.
No. Your rate stays the same regardless of practice size, provider count, location count, or service volume. Adding providers, adding locations, or adding new service lines does not trigger a rate change or a renegotiation. As your practice grows, the dollar amount scales proportionally with your collections, but the percentage stays the same.
No minimum commitment. CareVixis operates on a month-to-month basis. We earn your continued partnership by delivering results, not by locking you in with penalty clauses. If at any point you want to make a change, there is no cancellation fee.
A Trust Organization. Not Just a Vendor.
CareVixis operates as a Trust Organization. Every commitment we make is one we are prepared to be held to. Transparency, ethics, and openness are not marketing language, they are operating principles.
Pricing Published Publicly
We publish our pricing openly because we have nothing to hide and because practices deserve to know the cost before they have a single conversation. No "call for pricing." No bait-and-switch rates. The rates published here are the rates you pay.
Performance Guarantee, In Writing
Where a practice qualifies, the measures are agreed in writing before the clock starts, and our fees stand behind the result. The conditions are published rather than buried. Not every practice qualifies, and we say so up front.
100% US-Based Team
Every member of the CareVixis team is in the United States. All data is hosted in US-based data centers. There is no offshore processing. When you call, you speak with experts who know behavioral health billing, not a call center reading from a script.
Direct Access to Decision Makers
You are a partner, not a ticket number. When you have a question, you reach someone with the authority to answer it and act on it. Founder Jeff Norton's promise: nothing is off the table. Ever.
"Mental health practices deserve a billing partner who is transparent about what they charge, honest about what they deliver, and accountable for the results. CareVixis publishes its pricing because that is what a Trust Organization does."- Jeff Norton, Founder, CareVixis
Start With a Free Practice Assessment
The free practice assessment is where everything begins. We learn about your practice, identify your billing gaps and credentialing gaps, and give you a clear picture of what CareVixis would mean for your specific situation, including an honest estimate of the revenue increase you can expect. No pressure. No commitment. Just real information about your real practice.
No credit card. No obligation. Just an honest conversation about what is possible for your practice.