The Platform
One intelligent system
for every dollar
you're owed.
AI agents that read, code, submit, and follow up on every behavioral health claim — wired into the EHR and clearinghouse you already use.
Capabilities
Four pillars,
one revenue engine.
Mindful RCM is not a workflow tool with AI bolted on. It's an operating system for behavioral health revenue — built from the first claim to the final appeal around how payers actually behave.
Eligibility & Benefits
Real-time verification across 270+ payers. Behavioral-health-specific benefit parsing — IOP day limits, PHP authorization windows, deductible resets, out-of-network rates.
AI Charge Capture & Coding
Agents read session notes and assessments, then assign CPT, HCPCS, modifiers, and POS tuned for IOP, PHP, residential, and telehealth — with payer-specific overrides.
Claim Scrubbing & Submission
Every claim is checked against the live medical policy of the receiving payer before it leaves the building. 94%+ first-pass clean-claim rate.
Denial Intelligence & Appeals
Predictive denial scoring routes at-risk claims for human review. When denials happen, appeals are auto-drafted with the payer's own policy citations.
How It Works
From session note
to posted payment.
Ingest
Bi-directional sync with your EHR and clearinghouse. Session notes, demographics, authorizations, and remits flow in continuously. No double entry, no batch uploads.
Adjudicate
AI codes the encounter, applies modifiers, and validates the claim against the receiving payer's live medical policy. At-risk claims are routed for review; clean claims submit automatically.
Recover
Denied or underpaid claims hit a prioritized work queue. Appeals are pre-drafted with payer-specific citations. Follow-up cadences run on their own until cash posts.
Works With
The Outcomes
The numbers our
operators care about.
Security & Compliance
Built for protected health information from day one.
Every Mindful RCM environment is single-tenant, encrypted in transit and at rest, and audited end-to-end. PHI never leaves your jurisdictional boundary, and every AI decision is fully traceable.
See It In Action
See Mindful RCM
in action.
A 30-minute walkthrough on your own data. We'll show you the leakage, and exactly how the platform closes it.