Does Upheal handle insurance billing? Here's what's included

Yes, Upheal handles insurance billing. Upheal submits insurance claims, checks client eligibility, and matches payments to claims automatically, all from inside the same platform you already use for notes and scheduling. There's no monthly fee for billing. You pay $0.30 per claim submission and $0.15 per eligibility check.

What's included

Claims. Claims populate from the client and session data already in Upheal, so you're reviewing and submitting rather than re-typing everything into a separate system. You can create and submit claims in a batch instead of one at a time.

Eligibility checks. Run a client's insurance eligibility before the session, so you're not finding out about a lapsed plan after you've already provided the service.

Payment matching (ERA). When a payer sends an electronic remittance advice, Upheal matches it to the original claim automatically and shows you expected payment against what actually came in, so a short payment doesn't quietly slip past you.

Denials and appeals. If a claim is denied, Upheal shows the payer's reason code and drafts an appeal letter from the client's chart, so you're editing a draft instead of writing one from scratch under a deadline.

Billing questions, answered in plain language. Upheal's AI assistant can answer billing questions about a specific claim or client in natural language, instead of you digging through a claims dashboard to piece it together.

Insurance billing at a glance

What it costs

There's no monthly fee or setup cost for insurance billing. You pay per action, and claims and eligibility checks are free through the end of September 2026 as part of the launch offer:

What you're still responsible for

Insurance billing through Upheal doesn't replace your own payer contracts or credentialing. You still need to be paneled with the insurance companies you're billing, and you're the one who decides whether to accept a given plan. Upheal handles the submission and tracking, not the underlying business relationship with the payer.

If you run a group practice, billing profiles support multiple office locations and practices. They're not built around routing claims by supervisor, so if you need a workflow tied to supervisor sign-off, this isn't that.

Curious what insurance billing looks like end to end, from claim to payment? See how Upheal's insurance billing works.

Frequently asked questions

Does Upheal handle insurance billing?

Yes. Upheal submits claims, checks eligibility, and matches payments automatically, at $0.30 per claim and $0.15 per eligibility check.

Does Upheal charge a monthly fee for insurance billing?

No. There's no monthly fee or setup cost. You only pay per claim submitted and per eligibility check run.

Can Upheal help with denied claims?

Yes. Upheal shows the payer's denial reason and drafts an appeal letter from the client's chart, which you review before sending.

Do I need to be credentialed with insurance companies to use Upheal's billing?

Yes. Upheal submits and tracks your claims, but you still need your own payer contracts and credentialing in place.

Does Upheal support billing for group practices?

Yes. Billing profiles support multiple locations and practices. They aren't built around supervisor-based billing workflows.

How does Upheal match insurance payments to claims?

When a payer sends an electronic remittance advice, Upheal automatically matches it to the original claim and shows expected payment against what was actually paid.