SaaS-Based Cloud RCM Software for Behavioral Health Billing

A cloud-based, AI-ready revenue cycle management platform for behavioral health providers, streamlining claims, VOB, and billing operations across 140+ facilities with automation, APIs, dashboards, and mobile access.

Healthcare
Business & Workflow Automation
Java
Angular
Mobile Application
SaaS
Web Application
React Native
project information

Project Overview

This advanced revenue cycle management (RCM) platform was purpose-built for a behavioral health billing provider supporting over 140 facilities, including mental health centers, rehab programs, and substance abuse clinics. Designed to replace outdated Google Sheets and AppScript workflows, the cloud-based revenue cycle management software enables end-to-end automation and visibility across the entire medical billing lifecycle. It supports dual workflows: one for billing facilities managing standard claims and another for boost facilities handling denied or rejected claims. Integrated with 277 and 835 payer APIs, the platform offers real-time access to insurance updates, VOBs, and claim statuses. Both internal staff and external facility users can securely access the system through web and mobile interfaces, enhancing visibility, reducing manual errors, and accelerating the entire revenue cycle management in medical billing lifecycle.

RCM Challenges in Behavioral Health Billing

RCM Challenges in Behavioral Health Billing
Error-Prone Spreadsheet Workflows

Error-Prone Spreadsheet Workflows

Reliance on spreadsheets and AppScript created frequent data mismatches, duplicate entries, and versioning conflicts, increasing the risk of claim rejections and significantly delaying the overall revenue cycle management process.

Lack of Centralized Visibility

Lack of Centralized Visibility

With no unified view across 140+ facilities, teams struggled to filter, search, or track claim statuses efficiently—leading to oversight, poor accountability, and inconsistent billing practices across the organization.

Manual Insurance Data Bottlenecks

Manual Insurance Data Bottlenecks

Insurance verifications and claim updates were manually handled, often resulting in outdated or incorrect information, reduced reimbursement rates, and increased administrative workload for billing and verification teams.

No Mobile Access or White-Labeling

No Mobile Access or White-Labeling

The absence of mobile support restricted field team operations, while lack of white-labeling limited facility branding, undermining platform usability, client ownership, and modern digital accessibility expectations.

Inefficient Collaboration & Role Management

Inefficient Collaboration & Role Management

Teams faced delays due to unclear claim reassignment processes, missing audit trails, and lack of granular role-based access—hindering transparency, productivity, and effective communication across stakeholders.

Our Approach/Solution Provided

Our Approach/Solution Provided

Discover how modern tech—from Angular apps to AI logic—transformed outdated billing workflows into an automated, scalable, and user-friendly RCM solution for 140+ behavioral health facilities.

From Spreadsheets to Scalable Web Apps

From Spreadsheets to Scalable Web Apps

Replaced error-prone spreadsheets with a robust Angular 14 web app, powered by a Java backend and SQL database, enhancing workflow speed, data consistency, and RCM process automation at scale.

Role-Based Dashboards for Real-Time Insights

Role-Based Dashboards for Real-Time Insights

Developed interactive dashboards using D3.js and PrimeNG, tailored for both executive and non-executive roles—delivering claim analytics, task tracking, and revenue trends at a glance.

White-Labeling for Facility Branding

White-Labeling for Facility Branding

Enabled white-label onboarding and branding, allowing individual facilities to maintain their own visual identity while using the shared platform—enhancing client ownership and brand consistency.

Seamless API Integrations for Insurance Clarity

Seamless API Integrations for Insurance Clarity

Integrated HL7, 277, 835, 837P/I, and 270 APIs to automate claim status checks, payments, submissions, and eligibility—offering real-time updates and improving billing transparency and speed.

Mobile Access for Facility Collaboration

Mobile Access for Facility Collaboration

Launched a mobile app using React Native to empower on-the-go users with role-based access and full dashboard visibility, ensuring timely actions and better facility-wide coordination.

AI-Enabled Foundation for Smart Automation

AI-Enabled Foundation for Smart Automation

Integrated early-stage AI logic into the RCM workflow to enable future automation of claim prioritization, denial prediction, and faster processing—positioning the platform for continuous innovation.

Key Features That Power RCM

Key Features That Power RCM
VOB Management Made Effortless

VOB Management Made Effortless

Automates verification of benefits (VOB), insurance coverage checks, and authorization tracking—reducing delays and errors while ensuring patients are eligible and services are reimbursable before claims submission.

Smart & Scalable Claims Management

Smart & Scalable Claims Management

Supports bulk uploads via CMD or CSV, detailed history tracking, and seamless claim reassignment—aligning with healthcare standards to handle both standard and rejected claims efficiently.

Role-Based Dashboards for Actionable Insights

Role-Based Dashboards for Actionable Insights

Delivers executive, master, and facility-level dashboards with visual analytics to monitor claim performance, identify bottlenecks, and manage workflows for every stakeholder involved in the revenue cycle.

Detailed Reporting for Compliance & Audits

Detailed Reporting for Compliance & Audits

Generates claim logs, audit trails, and billing census reports for real-time monitoring and compliance—ensuring transparency and readiness for payer audits or internal reviews.

Secure HL7 Data Exchange

Secure HL7 Data Exchange

Enables interoperability with EMRs and third-party systems through HL7 integration, ensuring seamless, secure, and compliant data exchange across healthcare providers and payers.

Smart Filters for Personalized Workflows

Offers custom column views, multi-layered filters, and role-specific displays that empower users to organise, prioritise, and navigate vast claim datasets with speed and precision.

Technology Stack:

Technology Stack:
PrimeNG

PrimeNG

Java

Java

SQL Server 13.0

SQL Server 13.0

React Native

React Native

Tangible Outcomes

Tangible Outcomes

Full-Scale Digital Transformation

Successfully replaced outdated spreadsheets by digitizing the entire RCM workflow, enabling streamlined billing processes and centralized operations across 140+ behavioral health and rehabilitation facilities.

60% Faster Reconciliation Time

Automated insurance data syncing and claim updates, cutting manual reconciliation time by over 60% and allowing teams to focus more on patient care and less on paperwork.

Unified Platform for All Roles & Facilities

Created a multi-role, multi-facility interface that promotes seamless collaboration, faster claim handling, and operational consistency—regardless of team size or billing model.

Empowered Users with Mobile & Dashboards

Equipped both internal staff and external facility users with mobile access, personalized dashboards, and white-label branding, increasing engagement, accountability, and real-time decision-making.

Improved Accuracy & Revenue Recovery

Enhanced claim tracking and automated triggers, audit logs, and data validation tools helped boost claim visibility, reduce denials, and increase overall revenue recovery across the billing cycle.

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