Backlog Book a call

Credentialing & billing for behavioral health groups

Your backlog, cleared.

Backlog gets your clinicians credentialed with effective dates you can schedule against, then runs your billing end to end — claims, posting, denials, appeals — and reports the numbers every month. You run the practice; we make sure the money that's earned gets collected.

Book a 30-minute call

Therapy and psychiatry groups, 6–40 clinicians. Serving Florida; Texas next.

What we commit to, in writing

≥95%net collection rate on insurance, within 120 days
<4%billing-attributable denial rate
<35days in A/R
Zerocredentialing lapses caused by us

Also committed: clean claims ≥95% · credentialing first-pass acceptance above 90% · eligibility-related denials under 1% of claims once verification is live.

These are the commitments written into our services agreement, with a guarantee behind them — if insurance collections fall below your floor for two consecutive months, our rate drops one point until it recovers. Exact definitions and remedies live in the agreement, and the monthly report separates what we own from what the practice owns.

Two free ways to see what we'd find

Both take almost nothing from your team, and both end in a one-page summary with dollars on it — not a sales deck. We sign a Business Associate Agreement before any practice data moves.

Free · 48 hours

The enrollment look

Send us your clinician roster and payer list. Within 48 hours you get a one-page read on where enrollment is costing you: payers your platform doesn't cover, clinicians stuck out-of-network, Medicare and Medicaid gaps, and recredentialing dates that are about to lapse.

Free · one page

The 90-day denial audit

We review your last 90 days of denials and remittances and hand back one page: what was denied, why, what's recoverable, and what it's worth in dollars. If there's nothing worth recovering, we'll say so and you've lost nothing.

What we actually do

Credentialing that ends in effective dates

New clinicians enrolled with commercial payers, Medicare, and Medicaid — including the payers Headway, Alma, or Grow don't cover if you run partly on a platform, and re-credentialing when you move off a platform, started before you leave so the revenue gap is weeks, not months. Applications tracked to acceptance, first-pass acceptance above 90%, recredentialing and expirables watched so nothing lapses.

Full-cycle billing, measured monthly

Eligibility and benefits verification before the first session — including which payer actually owns the behavioral benefit — then claim scrubbing and submission, payment posting, denial work and written appeals, and underpayment flags against your fee schedules. Supervision and incident-to rules for pre-licensed clinicians and NPs are enforced in the scrubber before a claim goes out. Insurance collections end to end; patient balances stay with your front desk. You close the note; everything after that is ours.

One report a month

Collections by payer, denial reasons by category, supervision and incident-to compliance, the committed numbers against actuals, and a paragraph of interpretation written by a person. What we own and what the practice owns, separated — so the conversation is about facts.

An accountable operator

You get a company that answers for outcomes, not a portal login and a shrug. Pricing is simple and stated before you sign: a percentage of what we actually collect for billing, flat per-application fees for credentialing, and a one-time onboarding fee. Commitments live in the agreement, and you get a direct line to a person during business hours — Monday–Friday, 9–5 Eastern — with email answered by the next business day.

All work is done by our own team in Puerto Rico — US jurisdiction, HIPAA-covered, no offshore handling of your data.

Right fit: owner-operated outpatient therapy and psychiatry groups, 6–40 clinicians, 70%+ commercial payers, in Florida (Texas next). Not a fit: hospital-owned programs, residential or inpatient facilities, IOP/PHP programs, and solo practices.

Sebastian Muñoz Acevedo, founder of Backlog

You'll be talking to me

I'm Sebastian, the founder. When something looks wrong with your numbers, you get a person who knows your account — not a support ticket with a number on it.

If you take one thing from this page: ask for the free denial audit. One page, your numbers, and you'll know exactly what's been slipping — whether or not you ever work with us.

Sebastian Muñoz Acevedo · Backlog LLC

Book a call

Thirty minutes on Google Meet. Bring your clinician count and payer mix — or just your frustration — and we'll tell you which free review fits and what we'd expect to find. The Meet link arrives by email as soon as you book.

Please don't include any patient information when booking — names, dates of birth, claim details. Practice and contact information only.