For LPCs, LCSWs, LMHCs, and other licensed therapists
Therapist billing that follows every session to your bank.
You see the same clients every week, so a billing mistake doesn't happen once. It repeats every session until someone catches it. Remitra follows each session from the claim to the deposit, so you can see what's paid and what's stuck.
- SessionMon, 4:00 · 53 min · 90837
- Bill sentwhen the note is signed
- Insurance said noplan ended Dec 31 · update & resend
- In your bank$112.80 — not yet
Illustrative example. Remitra flags the session that got stuck, before the next six are billed the same way.
Does this sound familiar?
A full caseload. A bank account that doesn't show it.
- “I do my notes and billing at night after back-to-back sessions.”
- “In January, half my clients' plans changed and I found out from denials.”
- “I don't want to ask for the copay at the end of a hard session.”
Where the money goes
Where therapy practices lose money.
Weekly sessions mean every problem repeats. Here's where counseling and social work practices most often lose money.
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The session length doesn't match the code.
90834 and 90837 are billed by time. If the time in the note doesn't support the code, the claim is denied, and the same mistake goes out every week until someone notices.
How Remitra shows it
One list of every denied claim with the reason in plain English, so a repeating error gets fixed once instead of every week.
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Coverage changes in January.
New year, new plan, new deductible. If insurance was only checked at intake, weeks of sessions can be billed to coverage that ended.
How Remitra shows it
Insurance is checked before every session, not just the first one, so a change shows up before the appointment.
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Copays nobody asks for.
Asking for money at the end of a session feels wrong, so a $25 copay gets skipped. By spring, the client owes hundreds.
How Remitra shows it
The client's balance is on screen at check-in and can be paid by card in seconds. Statements and payment links go out automatically, so you don't have to ask.
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Claims that time out.
Insurers give you a limited window to send and fix claims. Sessions that slip through the cracks during a busy month can pass that deadline.
How Remitra shows it
Money you're still owed, sorted by how old it is, so the oldest gets handled first.
Follow one session
A weekly therapy session, from the couch to the deposit.
How a typical 90837 session moves through Remitra. The dollar amounts are illustrative.
- 1Before the sessionInsurance is checked automatically, and the copay is shown at check-in.
- 2SessionA 53-minute session. The note is signed and the claim is built from it.
- 3BillThe claim goes to the insurer the same day, with no re-typing.
- 4Insurance payment$112.80 paid, $25 is the client's share and was collected by card.
- 5Bank depositThe payment is matched to this session in your books.
For whoever does the billing
Therapy billing codes you use most.
The codes behind most counseling and social work claims, and the snag that most often trips each one up.
| Code | What it means | Common snag |
|---|---|---|
| 90791 | Diagnostic evaluation, usually the first session. | Some insurers limit how often it can be billed for the same client. |
| 90832 · 90834 · 90837 | Individual therapy: 16–37, 38–52, or 53+ minutes. | The time in the note doesn't support the code, especially 90837. |
| 90846 · 90847 | Family therapy without or with the client present. | Billed under a family member who isn't the client with the diagnosis. |
| 90839 · 90840 | Crisis therapy: the first 60 minutes, then each extra 30 minutes. | The note doesn't show why it was a crisis session. |
| 90785 | Add-on for interactive complexity, such as when a parent or caregiver in the room makes the session harder to manage. | Billed without notes that show what made it complex. |
Codes are CPT® codes from the American Medical Association. Insurer rules vary, so check each payer's policy.
Questions
Therapy billing questions.
Does Remitra work for LPCs, LCSWs, and LMHCs?
Yes. Remitra is built for licensed therapists who bill insurance, whatever the license. Claims go out under the clinician who saw the client.
Can counselors bill Medicare now?
Yes. Since January 2024, licensed professional counselors, mental health counselors, and marriage and family therapists can enroll in Medicare and bill for their services. Social workers could already bill Medicare.
Is insurance checked before every session?
Yes. Eligibility is checked before every appointment, not just at intake, so a plan change shows up before the next session is billed.
Do I have to ask clients for their copay?
Remitra shows what the client owes at check-in so it can be paid by card, and sends statements with payment links automatically. You can also have us handle client bills on the Billing plan.
Can I sign up today?
Remitra is in private preview and working with a small group of mental health practices. Book a 30-minute demo call and we'll walk through how billing works at your practice today.
30 minutes · Free · No commitment
See how Remitra would work for your therapy practice.
Book a short video call. We'll learn how billing works at your practice today, and show you a session tracked all the way to the bank deposit.
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