Mental Health Eligibility Checking

Speed you benefits verification process and get behavioral health coverage results you can trust.

Eligibility Checking Features

Automated Eligibility Checks

Make benefits verification a simple process by setting rules to run checks based on appointment and payer data with enhanced eligibility.

Accurate Coverage Results

Trust your coverage results with 94% average accuracy and a model that continuously improves results through enhanced eligibility.

Upfront Cost-Share Details

Set patients up with the right payment expectations by getting copay, deductible, and out-of-pocket maximum details in your check results.

Denial Risk Alerts

Feel confident in your ability to get paid when you catch denial risks before they become an issue with alerts that flag potential missing or mismatched data.

VOBs for Behavioral Health

Determine patient coverage without hunting for the right details by getting eligibility check results specific to mental health services.

Run Benefits Verification From Your EHR

Simplify benefits verification by running eligibility checks through EHR-integrated clearinghouses, or for larger practices, through enhanced eligibility powered by Nirvana’s benefits verification technology.”

Yes – You Can Negotiate Higher Reimbursement Rates

Learn how to better position your practice to negotiate higher reimbursement rates with payers so you can improve your practice’s financial future.

Get Eligibility Results You Can Trust

Reduce double checking efforts by getting results you can trust with a 94% average accuracy built on a learning model that continuously improves coverage results through enhanced eligibility.

Run Automated Checks By Your Rules

Take the hassle out of checking eligibility while reducing your denials. Set up rules to run automatic checks when patients with payers like Medicaid have upcoming appointments that show coverage details and denial risks.

Prevent Denials with Upfront Alerts

Reduce the risk of getting denied and frustrating your patients by catching denial risks early and addressing the root issue with enhanced eligibility.

Speed Your Benefits Verification Process

Stop checking eligibility one patient at a time by running batch checks through integrated clearinghouses or setting rules to run checks for you with enhanced eligibility.

Streamline Admissions and Eligibility for IOP PHP Programs

Streamline Admissions and Eligibility for IOP/PHP

For IOP and PHP, admissions often involve multiple steps—from processing referrals to verifying complex coverage requirements. With Valant, you can manage the entire pipeline in one place. Use Prospective Patient Management to bring in referrals and track admissions, then run eligibility checks through to confirm behavioral health coverage with confidence. Centralized reporting gives your staff visibility into patient status at every stage, ensuring smoother onboarding and fewer administrative bottlenecks.

See Other Ways Valant Can Improve Your Administrative Efficiency

What They’re Saying

Progress notes are easy to use and treatment plan suggestions make this process easy. Informed Consent, Diagnosis page, Mental Status Exam and many other suggested or necessary documents are at your fingertips.

Ann S.Owner

The software facilitates efficient screening, scheduling, initial evaluation, and ongoing treatment by allowing the patient to interact directly with administrative personnel, clinicians, and assessment instruments.

David B.Owner

It is intuitive and easy for our counselors to use… organization of patient charts and history is outstanding.

Candyce N.Administrator

Related Resources

PMHNP credentialing gapBillingBilling for Behavioral HealthBlogManaging Your PracticeRegulations and ComplianceStarting Your Practice
August 4, 2026

PMHNP Credentialing Gap: How to Generate Revenue Before Insurance Panels Open

As a new psychiatric mental health nurse practitioner (PMHNP), you may face a period where you have submitted your insurance panel applications, your practice is open, and your schedule has patients ready to book. But you can’t bill their insurance…
woman working at laptop on deskBlogEHR TechnologyTransitioning from Paper
July 31, 2026

Best EHR for Psychiatric Prescribers in 2026

If you prescribe controlled substances, your electronic health record needs to do more than schedule appointments and store notes. You need built-in ePrescribing for controlled substances (EPCS), access to your state's prescription drug monitoring program (PDMP), and billing support for…
woman using computer on deskBlogClinical DocumentationEHR TechnologyManaging Your PracticePractice OwnerScheduling
July 21, 2026

The Complete Mental Health Software Guide for Behavioral Health Practices

Any digital platform that supports the clinical, administrative, or billing work of a behavioral health practice can be categorized as mental health software. The right choice for a practice depends on its size, the services it offers, and how much…

Ready To Put Growth Into Practice?

Or Contact Us to Speak with a Specialist