Bill Pop turns your session records into clean, compliant claims — so your clinicians can stay with patients instead of paperwork.
Join the waitlistPsychedelic therapy can't be just for the rich. Access takes insurance — and insurance takes billing that's easy for everyone involved.
Preparation, dosing, and integration sessions each bill differently — and some can't be billed at all. Our coding follows the legal and payer guidance specific to psilocybin-assisted therapy, so every claim is defensible.
Most clinicians in this field have never been paneled with a payer — often on purpose. Send us one packet of documents and we do the rest: NM Medicaid enrollment, CAQH, plan applications, and contracting. It takes months, so we start before you open.
Upload visit records through a simple, secure portal. We check eligibility, request corrections in plain language, draft prior authorizations, submit claims, post payments, and work denials and appeals.
Automation drafts; a billing specialist reviews and approves each claim, authorization, and appeal before anything goes out. Hard guardrails mean nothing is ever billed that shouldn't be.
Fair. Insurance has earned its reputation. Here's what changes when someone else does the billing — and what the numbers actually look like.
It is. That's why it's our whole job, not a corner of yours. Your front desk uploads visit records to a portal; credentialing, coding, claims, denials, and appeals are ours. You see patients.
Denials are process failures, not weather. Our console blocks records that would deny before they're ever submitted, a billing specialist approves every claim, and every denial and underpayment that does happen gets worked — not written off.
Look at the table below. A preparation session pays $203–228. Dosing-day clinical monitoring pays $796–887. A full course of treatment collects $1,500–1,600 per patient — per payer contract, in writing. And NM Medicaid now pays behavioral-health codes at a minimum of 150% of Medicare.
Keep the administration fee — it's never billable anyway. Insurance covers the clinical course around it, so revenue per course holds while the patient's cost drops from thousands to a fee plus copays. Cash-only caps your practice at people who can write that check; insurance is how this care reaches everyone else.
| Payer | Screening | Prep session | Dosing-day monitoring | Integration session | Full course* |
|---|---|---|---|---|---|
| NM Medicaid (Turquoise Care) | $133 | $228 | $796 | $218 | $1,605 |
| BCBS New Mexico | $145 | $213 | $887 | $152 | $1,611 |
| Presbyterian Health Plan | $138 | $203 | $844 | $148 | $1,536 |
* One screening, two preparation sessions, six hours of dosing-day clinical monitoring by a licensed clinician, and one integration session, billed with standard E/M and psychotherapy codes. Figures are provisional fee-schedule rates for illustration; your contracted rates are set during credentialing. NM Medicaid psychotherapy rates reflect the state's minimum of 150% of the 2024 Medicare fee schedule, effective January 2025. The psilocybin administration itself cannot be billed to insurance — it's routed to the state Equity Fund or transparent self-pay, and we track it so it never touches a claim.
Insurance doesn't replace the cash model — it adds to it. The administration fee stays a direct charge, while insurance recoups the clinical course around it, including $796–887 for your most expensive day. Three credentialed clinicians completing twelve courses a month collect roughly $18,000–19,000 in insurance revenue a cash-only clinic never sees — predictable, contracted, and growing with your panel. Bill Pop's credentialing fees arrive before your first claim; our collection percentage means we only do well when you do.
Most of a course — screening, preparation, dosing-day medical care, integration — is billed to the insurance patients already have, Medicaid or commercial, like ordinary behavioral health. No specialized benefit or new insurance product required — patients pay their normal copays instead of thousands in cash. Only the psilocybin administration itself falls outside insurance, and patients are told exactly what that costs before their first visit. No surprise bills, ever.
You got into this work to serve your community — including the people who could never pay cash. The numbers work. We get you paid.
We're onboarding a small group of New Mexico clinics for our December 2026 launch. Join the waitlist and we'll reach out to talk through your billing setup.