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
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.
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.
- Kipu · EHRReading the chartAdmission record · ASAM 3.5
- Kipu · EHRPulling member detailsSubscriber, group, member ID
- Availity → Optum BHSigning in to the payer portalEligibility + behavioral health carve-out
- APIReading benefits by level of care270/271 eligibility · residential and detox
- Payer call · 2m 14sCalling the plan on day limitsPortal did not publish the residential cap
- Specialist confirmationReviewed and pushed back to the EHR
- Patient
- J. R. · #48120
- Date of birth
- 04 / 1991
- Level of care
- Residential · ASAM 3.5
- Admission
- Tomorrow, 09:00
- Plan
- Optum BH Active
- Member ID
- OBH-4417-22
- Deductible
- $1,400 of $2,000 met
- Out of pocket
- $3,100 remaining
- Residential 3.5
- Covered · auth required
- Detox 3.7
- Covered
- IOP 2.1
- Covered
- Out-of-network
- No benefits
- Residential day cap
- 21 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
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.
- 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
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.
Works on top of your existing software
Integrates with all major SUD EHRs
& 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.
From connected EHR to agents working your live queue.
Request a free audit
Two quarters of paid claims, reconciled against expected allowed. You keep the findings either way.
FAQs
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.