Supabill

Frontier RCM agents for high-growth SUD groups

Agents verify benefits, scrub claims, work denials and reconcile every payment. RCM specialists review the judgment calls.

We bill the payers SUD treatment runs on
Optum Behavioral HealthCarelon Behavioral HealthMagellan HealthBlue Cross Blue ShieldAetnaCignaUnitedHealthcareAnthemHumanaMedicare & MedicaidMolinaAmbetterTRICAREKaiser PermanenteOptum Behavioral HealthCarelon Behavioral HealthMagellan HealthBlue Cross Blue ShieldAetnaCignaUnitedHealthcareAnthemHumanaMedicare & MedicaidMolinaAmbetterTRICAREKaiser Permanente
By the numbers

Revenue infrastructure trusted by SUD leaders

3–5%
Denial rate within 90 days
8 min
Average benefits verification
92%
Claims paid with no human touch
+2–3%
Net collections in year 1

Results vary by payer mix, documentation quality, and level of care.

How it works

End-to-end RCM agents for SUD

Verified before admission. Checked before submission. Worked when it denies. Reconciled after it pays.

Get benefits verified in under 8 minutes

Agents read the chart, sign in to the payer portal, hit the eligibility APIs, and call when a call is the only way. A specialist confirms before it reaches admissions.

8 minRequest to verified summary
3,000+Payer integrations

A rushed verification misses a terminated plan, a primary insurer, a day cap, or no out-of-network benefits at all.

Benefits verification · VOB-331800:00
Agent activity
Reading the chartAdmission record · ASAM 3.5Kipu · EHR
Pulling member detailsSubscriber, group, member IDKipu · EHR
Signing in to the payer portalEligibility + behavioral health carve-outAvaility → Optum BH
Reading benefits by level of care270/271 eligibility · residential and detoxAPI
Calling the plan on day limitsPortal did not publish the residential capPayer call · 2m 14s
Specialist confirmationReviewed and pushed back to the EHR
Verified benefits
PatientJ. R. · #48120
Date of birth04 / 1991
Level of careResidential · ASAM 3.5
AdmissionTomorrow, 09:00
PlanOptum BH Active
Member IDOBH-4417-22
Deductible$1,400 of $2,000 met
Out of pocket$3,100 remaining
Residential 3.5Covered · auth required
Detox 3.7Covered
IOP 2.1Covered
Out-of-networkNo benefits
Residential day cap21 days per year
Prior plan on file has terminated - this is the active one
Auto policy is primary for this admission, bill it first
Authorization required before admit, not after
Specialist verified · pushed to Kipu

Keep documentation ahead of payers

Agents read every note against the level of care billed, flag the days not yet supported, and assemble the concurrent-review packet before the payer calls. Specialists take the review call.

100%
of billed days reviewed against the chart
Utilization review · AUTH-88214Day 0 of 21
Agent activity
Reading the chartASAM 3.5 · attending signature on fileKipu · EHR
Matching notes to days billed14 of 14 days documentedProgress notes
Testing continued-stay criteriaDays 15 to 17 not yet evidenced
Assembling the review packetScores, notes and plan update bundledPayer call prep
Authorized stay
Day 7Supported
Day 14Supported
Day 17Pending
Days authorized21
Days documented14
Needs documentation3
Withdrawal scores missing for days 15 to 17
Treatment-plan update due before the review call
Packet ready · specialist takes the UR call

Make 100% clean claims the norm

Level of care against the authorization and the chart. Days against days approved. Diagnosis order, revenue codes, supervision modifiers, place of service, dual-diagnosis bundling. Straightforward fixes are automatic; judgment calls go to a specialist.

92%Paid with no human intervention
24 hrsClaims filed within
Pre-submission scrub · CLM-51204$18,400
Authorization on fileAUTH-88214 · residential 3.5 · approvedPass
Documentation supports the level billedASAM assessment + 14 progress notes presentPass
Diagnosis sequencingF11.20 primary, F41.1 secondaryPass
Level of care matches the authorizationBilled rev 0126 / H0011 — acute detox. Auth and chart are both residential.Flag
Corrected before submission
The claim was coded acute detox. The authorization and the chart are both residential 3.5. As billed, this denies for no authorization on the service.
Billed
rev 0126 / H0011
Approved
rev 1002 / H0019
Recoded to H0019 · $18,400 released
Days billed within days authorized14 of 21 approved daysPass
Dual-diagnosis bundlingNo same-day mental health line to collide withPass
Supervision and rendering providerNPI, taxonomy and modifier priced correctlyPass
Place of service and claim typePOS 55 · institutional UB-04Pass
Checks run8
Auto-corrected1
Released$18,400
To specialist0

Don’t let a single denial slip through

Agents read the remit, pull the authorization, assemble the ASAM assessment and the notes for the days in dispute, and file. Specialists take the payer calls and utilization review.

97%Appeal success rate
3–5%Denial rate within 90 days
Denial worked · CLM-48812$8,400
Agent activity
Reading the remittanceCARC 197 · no authorization on file835 ERA
Pulling the authorization recordAUTH-88214 was approved before admissionOptum BH portal
Assembling the appeal packetClinical record for the days in disputeKipu · EHR
Drafting the appealAuth number, approved span, medical necessity
Specialist review and filingSubmitted within the 90-day window
The denial
Denial reasonCARC 197
At stake$8,400
Service billedH0019 · 6 days
Authorization foundAUTH-88214
Approved spanCovers all 6 days
Appeal packet
ASAM assessment3.5
Progress notes6 days
Authorization recordPDF
Physician certificationSigned
Appeal filed
The authorization existed at admission. The payer adjudicated against the wrong auth number.
$8,400 recovered on first-level appeal
Overturned · no payer call needed

Identify shortpays automatically

A claim can pay cleanly and still land under contract. No denial dashboard catches it. Agents reconcile every paid line against expected allowed, and recover only what the chart supports.

Reconciliation sweep · Q2 · zero denials430 lines
Agent activity
Loading the quarter's remittances430 paid lines · no denials
Matching each line to the contracted ratePer diem by level of care and payer
Comparing paid against expected allowedThree lines landed under contract
Checking the chart for each shortfallRecover only what the notes support
Paid vs expected · residential per diem
H0019·04$1,240
H0019·09$980
H0019·14$1,240
H0018·21$820
H0015·26$620
H0019·30$1,240
Paid short$9,739
Recovered$7,849
Correctly paid$1,890
Specialist confirmed the chart before anything was billed back
Oversight

Frontier agents + experts in the loop

Human RCM experts work alongside the agents on complex edge cases, so your cash is always maximized with Supa.

Agent review · main queue
Expert review · human
CLM-51188
CLM-51194
CLM-51196
CLM-51201
CLM-51207
CLM-51203
In the queue
Needs human review
Cleared
SUD billing

Built for the inherent complexities of SUD billing

A separate crosswalk, authorization rule set and payer playbook for every level you operate.

Level of care
Typical codes
How we handle it
DetoxASAM 3.7 / 4.0
H0008–H0014rev 0116
Step-downs are re-coded the day they happen, so per diem never overruns
ResidentialASAM 3.5+
H0018H0019POS 55
Days are checked against the authorization and the chart before submission
PHPASAM 2.5
H0035rev 0912
Recertification is tracked weekly and filed before the week can deny
IOPASAM 2.1
H0015rev 0905
Session and per-diem contracts are billed to each payer’s own terms
OutpatientASAM 1.0
H00049083490837
Bundled program rates are separated from billable psychotherapy lines
Carve-outs
Behavioral health sits with a different administrator

Many plans carve SUD out to a separate payer entirely. Bill the medical plan and the claim denies for the wrong administrator.

Established at verification
Day caps
Residential days are capped per plan year

A 21-day cap is common and rarely published in the portal. Admit past it and the back end of the stay is unrecoverable.

Confirmed by payer call
Concurrent review
Days have to be justified while the patient is still there

Utilization review runs mid-stay. Miss a call and the remaining days go unauthorized, whatever the chart says.

Specialists take the UR calls
Is this the right fit?

Who we work with

Detox and residential

Per diem claims, revenue codes, and length-of-stay authorization.

PHP and IOP tracks

Recertification and weekly authorization workflows.

MAT and OTP clinics

Medication-assisted treatment and opioid treatment programs.

Dual-diagnosis programs

Same-day mental health and SUD lines bundled correctly.

Out-of-network facilities

Benefit checks, repricing detection, benchmark-backed appeals.

Multi-site groups

Per-facility reporting with one operation across every site.

Adolescent and family programs

Guardian coverage, coordination of benefits, school-based lines.

Detox and residential

Per diem claims, revenue codes, and length-of-stay authorization.

PHP and IOP tracks

Recertification and weekly authorization workflows.

MAT and OTP clinics

Medication-assisted treatment and opioid treatment programs.

Dual-diagnosis programs

Same-day mental health and SUD lines bundled correctly.

Out-of-network facilities

Benefit checks, repricing detection, benchmark-backed appeals.

Multi-site groups

Per-facility reporting with one operation across every site.

Adolescent and family programs

Guardian coverage, coordination of benefits, school-based lines.

Integration

Works on top of your existing software

Your team
Supa agents
Verification of benefitsBenefits, auth, day caps
Documentation & URNotes, concurrent review
ClaimsScrub, correct, submit
DenialsAppeals and reconciliation
EHR
RCM platform
Payer portals
Your systems of record
EHRs we integrate with
01
Week 1
Connect

Read access to your EHR and remittances, your payer list and fee schedules.

02
Week 2
Calibrate

Agents learn your codes, authorization rules and payer playbooks alongside your team.

03
Week 3
Live

Agents run the queue end to end; RCM specialists review the judgment calls.

3 weeksFrom connected EHR to agents working your live queue.
No commitment

Request a free audit

Two quarters of paid claims, reconciled against expected allowed. You keep the findings either way.

Thanks — a specialist will be in touch within 24 hours.
We only need read access to your EHR and remittances.
Questions

FAQs

What services does Supa provide?

Supa offers frontier agents for behavioral health, trained specifically for the complexities of SUD treatment. Supa's unique model combines frontier agents with an experts-in-the-loop model to ensure efficient operations at a lower price.

How long does implementation take?

Typically three weeks. There is no explicit integration - agents log into your existing systems, create a picture of your operations, do an analysis, and can get started.

Which modules do you offer?

Supa offers end-to-end RCM services. Supa can run your entire RCM and billing and guarantee our SLAs, or you can just use the platform with your in-house team.

Do you have to use the whole product, or can I try module by module?

You can try any one module, for example benefits verification, or use the whole platform.

Do we have to change our EHR or billing system?

Nothing changes. Agents work on top of what you already run.

What happens to our billing team?

Their workload drops 60–70%. Agents take the volume; your team moves to the work that needs a person.

What results do you see up front?

Most centres we work with see denials fall into the 3–5% range within a quarter, though results vary by payer mix, documentation quality, and level of care. Agents run rigorous checks at the front end and during claims filing - agents don't mistype, mis-key, or skip a field - and humans pitch in where judgment is required.

Who talks to the payers?

Agents work the portals, the APIs, and the phones. On high-complexity cases, RCM specialists weigh in to support the agents.

How do you price?

A percentage of collections, typically 3–8% depending on your volume. The range reflects the authorization, utilization review and appeal workload a treatment centre actually carries.

Is our data secure, and what access do you need?

HIPAA, SOC 2 Type II and 42 CFR Part 2. We need your EHR and remittance data - the same access your billing team already has.

Supa

Transform your revenue operations