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.
Revenue infrastructure trusted by SUD leaders
Results vary by payer mix, documentation quality, and level of care.
End-to-end RCM agents for SUD
Verified before admission. Checked before submission. Worked when it denies. Reconciled after it pays.
01Benefits verification
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.
A rushed verification misses a terminated plan, a primary insurer, a day cap, or no out-of-network benefits at all.
02Documentation & UR
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.
03Claims
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.
- Billed
- rev 0126 / H0011
- Approved
- rev 1002 / H0019
04Denials and appeals
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.
05Underpayments
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.
Frontier agents + experts in the loop
Human RCM experts work alongside the agents on the complex edge cases, so your cash is always maximized.
Built for the inherent complexities of SUD billing
A separate crosswalk, authorization rule set and payer playbook for every level you operate.
Detox
ASAM 3.7 / 4.0- Patient moves 3.7 → 3.5 on day four
- The claim still reads detox
- Every day after the move denies
- The chart agrees with the payer
- Step-downs re-coded the day they happen
- Per diem never overruns the level delivered
Residential
ASAM 3.5+- Plans cap residential days per year, often unpublished
- Admit past the cap and those days are unrecoverable
- Behavioral health often carves out to another payer
- Bill the medical plan and it denies CO-109, plan not covered
- Days checked against the authorization
- And against the chart, before submission
Partial hospitalization
ASAM 2.5- Review runs while the patient is still there
- Miss the call and the rest of the stay is unauthorized
- The chart cannot fix it after the fact
- Recertification tracked weekly
- Filed before the week can deny
- Review packet ready before the payer calls
Intensive outpatient
ASAM 2.1- H0015 pays per session with one payer
- Per diem with the next
- Bill it wrong and it underpays quietly
- No denial, no dashboard — just less money
- Billed to each payer's own contract terms
- Not one house rule applied to everyone
Outpatient
ASAM 1.0- A bundled rate can swallow a billable session
- Nothing denies, so nothing flags it
- Revenue you earned and never charged for
- Bundled rates split from billable therapy lines
- Before the claim goes out, not after it pays
Who we work with
Per diem claims, revenue codes, and length-of-stay authorization.
Recertification and weekly authorization workflows.
Medication-assisted treatment and opioid treatment programs.
Same-day mental health and SUD lines bundled correctly.
Benefit checks, repricing detection, benchmark-backed appeals.
Per-facility reporting with one operation across every site.
Guardian coverage, coordination of benefits, school-based lines.
Per diem claims, revenue codes, and length-of-stay authorization.
Recertification and weekly authorization workflows.
Medication-assisted treatment and opioid treatment programs.
Same-day mental health and SUD lines bundled correctly.
Benefit checks, repricing detection, benchmark-backed appeals.
Per-facility reporting with one operation across every site.
Guardian coverage, coordination of benefits, school-based lines.
Works on top of your existing software
KKipu
LSLightning Step
AAlleva
ICICANotes
BNBestNotes
CHCandid Health
NSNetsmart
CRCredible
CMCollabMDKKipuLSLightning StepAAllevaICICANotesBNBestNotesCHCandid HealthNSNetsmartCRCredibleCMCollabMD& many more& many moreRead access to your EHR and remittances, your payer list and fee schedules.
Agents learn your codes, authorization rules and payer playbooks alongside your team.
Agents run the queue end to end; RCM specialists review the judgment calls.
Request a free audit
Two quarters of paid claims, reconciled against expected allowed. You keep the findings either way.
FAQs
What services does Supa provide?
Supa offers frontier agents for behavioral health, trained specifically for the complexities of SUD treatment. Supa's model pairs those agents with experts in the loop, so the judgment calls still get a person.
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.
