Substance Solutions
Substance Solutions is a Maryville, TN-based behavioral health revenue cycle management firm that provides billing, utilization review, verification of benefits, reimbursement negotiation, and practice management consulting to mental health and substance abuse treatment facilities across 11 U.S. states on a percentage-of-collections pricing model, supported by a proprietary practice management and reporting software platform.
- Company typePrivate
- Founded2007
- HeadquartersMaryville, United States
- Headcount51–100
- GTM typeB2B
- OfferingServices
What Substance Solutions does
Substance Solutions is a privately held, Maryville, Tennessee-based revenue cycle management firm founded in 2007 that delivers billing, collections, verification of benefits, utilization review, reimbursement negotiation, AR audits, and practice management consulting exclusively to behavioral health treatment facilities — primarily mental health and substance abuse providers — across 11 U.S. states. The company operates a percentage-of-collections pricing model that aligns its revenue with client reimbursement outcomes rather than volume of claims submitted, and delivers service through a sales-led motion anchored by live, interactive product demos of its proprietary practice management and reporting software. The proprietary platform provides real-time P&L reports, patient ledgers, case-by-case Estimated Insurance Value calculations, and revenue cycle forecasting; the operational stack is staffed by Masters-level licensed clinicians performing utilization review and a dedicated negotiation team leveraging more than a decade of payor interaction data. Substance Solutions goes to market via direct sales, a behavioral health billing blog, organic social (Facebook, LinkedIn), and a monthly email newsletter, and has continued to broaden its service portfolio into consulting and reimbursement negotiation on top of its core billing services.
Substance Solutions firmographics
Firmographics- Name
- Substance Solutions
- Legal name
- Substance Solutions Inc.
- Website
- https://substancesolutions.com
- Company type
- Private
- Founded year
- 2007
- Operating status
- Operating
- Headcount range
- 51–100 employees
- Short description
- Substance Solutions is a Maryville, TN-based behavioral health revenue cycle management firm that provides billing, utilization review, verification of benefits, reimbursement negotiation, and practice management consulting to mental health and substance abuse treatment facilities across 11 U.S. states on a percentage-of-collections pricing model, supported by a proprietary practice management and reporting software platform.
- Ownership category
- akta.pro rank
Substance Solutions industry classification
Industry- Product category
- Behavioral Health Revenue Cycle Management
- NAICS
- Claims Adjusting (524291), Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)
- SIC
- Services-Computer Programming, Data Processing, Etc. (7370), Services-Prepackaged Software (7372), Services-Help Supply Services (7363)
- akta.pro primary industry
- Substance Use Disorder (SUD) Benefit Management (HLAEAHAF)
- akta.pro secondary industry
- Patient Financial Engagement (Estimates, Billing Presentment, Payments) (HLACAEAI)
Keywords
Where Substance Solutions is headquartered
LocationHeadquarters
- HQ city
- Maryville
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Substance Solutions business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure
Revenue model
- Percentage of Collections: The company charges a percentage of the amount collected rather than billed, which motivates them to ensure claims are submitted quickly with no errors and to fight for denials to be overturned since their success is tied to their clients' success.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Transaction based/ take rate | Pay-as-you-go | Percentage of collections pricing model |
Go-to-market motion1 record
Distribution channels1 record
Marketing channels3 records
Substance Solutions product offering
Product offeringCore offering
Substance Solutions provides outsourced medical billing, collections, verification of benefits, utilization review, and reimbursement negotiation services for behavioral health and substance abuse treatment facilities. The offering is bundled with a proprietary practice management and reporting software platform that delivers real-time P&L reports, patient ledgers, and Estimated Insurance Value calculations. The company is compensated via a percentage of insurance collections, aligning its revenue with client reimbursement performance.
Product overview
Substance Solutions offers a unified suite of billing and revenue cycle management services specifically designed for behavioral health and substance abuse treatment facilities. The core offering consists of billing and collections services, verification of benefits, utilization review, and reimbursement negotiation, all unified under a proprietary practice management and reporting software platform. The company also provides practice management consulting services and retroactive AR audits as supplementary offerings. The integrated approach combines insurance verification, claims submission, denial management, appeals pursuit, and financial reporting into a single service model for mental health and addiction treatment providers.
Differentiator
Problem solved
Functional benefit
Products and services
- Billing & Collections Services
Quantifiable outcome
- Most clients receive payments within 30-45 days of claim submission
Companies that use Substance Solutions
Customer profileNamed customers2 records
Segments2 records
Ideal customer profiles2 records
Substance Solutions technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature1 record
Substance Solutions partnerships and signals
Strategic signalScale indicators2 records
Recent moves5 records
Expansion highlights5 records
Substance Solutions competitors and assessment
Company assessmentDirect peers
- TherapyBrands: TherapyBrands provides practice management, EHR, and billing/RCM software purpose-built for behavioral health and mental health providers. It is the most directly comparable peer to Substance Solutions, competing for the same outpatient and group-practice customer base with overlapping revenue-cycle workflows.
- Sunwave Health: Sunwave Health delivers behavioral-health-specific billing, utilization review, and revenue cycle management services to SUD and mental health treatment facilities. It competes head-to-head with Substance Solutions for treatment-center clients across the same payor and clinical workflows.
- SimplePractice: SimplePractice offers practice management, billing, and telehealth software tailored to mental health practitioners and small group practices. While more software-led than Substance Solutions, it addresses the same outpatient behavioral health customer base and overlaps on claims and billing functionality.
- Ensora Health (TherapyNotes): Ensora Health, the parent of TherapyNotes and TherapyAppointment, sells EHR, practice management, and billing tools to behavioral health providers. It is a direct peer for the outpatient/private-practice segment that Substance Solutions also serves.
- Sigmund Software (AURA): Sigmund Software provides an EHR and practice management platform specifically for behavioral health and addiction treatment organizations. It competes with Substance Solutions for treatment-center customers and overlaps on documentation, billing, and reporting workflows.
- Medusind: Medusind is a medical billing and RCM services firm that serves behavioral health, dental, and other specialty providers. It is comparable as a multi-specialty outsourced billing competitor pursuing similar treatment-center customers.
- Coronis Health: Coronis Health provides end-to-end RCM and billing services across specialties including behavioral health. It is comparable to Substance Solutions as a third-party billing partner serving treatment facilities and similar provider organizations.
Broad incumbents
- Tebra (Kareo): Tebra (formed from the merger of Kareo and PatientPop) offers practice management, EHR, and billing software to independent practices broadly, including mental health. It is a broader incumbent that overlaps with Substance Solutions on the practice-management and billing side for outpatient behavioral health customers.
- athenahealth: athenahealth provides enterprise EHR, practice management, and RCM services to large provider organizations including behavioral health groups. It is a broad incumbent that competes for larger chains and enterprise treatment-center customers.
Regional players
- BillingsPro / Practice Management Billing Services: BillingsPro and similar regional outsourced billing firms provide specialty billing services to mental health and SUD treatment providers in defined geographies. They are comparable to Substance Solutions as smaller, regional outsourced billing competitors with similar service models.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat4 records
Key risks6 records
Key highlights7 records
Customer concentration
Substance Solutions social profiles
Digital presenceSubstance Solutions financial estimates
Financial estimateRevenue estimate
Valuation estimate
Substance Solutions leadership team
Management profileNumber of profiles
Profiles1 record
Substance Solutions funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Substance Solutions M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Substance Solutions
What does Substance Solutions do?
Substance Solutions provides outsourced medical billing, collections, verification of benefits, utilization review, and reimbursement negotiation services for behavioral health and substance abuse treatment facilities. The offering is bundled with a proprietary practice management and reporting software platform that delivers real-time P&L reports, patient ledgers, and Estimated Insurance Value calculations. The company is compensated via a percentage of insurance collections, aligning its revenue with client reimbursement performance.
Is Substance Solutions a public or private company?
Substance Solutions is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was Substance Solutions founded?
Substance Solutions was founded in 2007. It employs 51 to 100 people.
Where is Substance Solutions based?
Substance Solutions is headquartered in Maryville, United States, in the North America region.
How does Substance Solutions make money?
One revenue line is on record: percentage of Collections.
Who are Substance Solutions's main competitors?
Direct peers on record are TherapyBrands, Sunwave Health, SimplePractice, Ensora Health (TherapyNotes), Sigmund Software (AURA), Medusind and Coronis Health. Broad incumbents are Tebra (Kareo) and athenahealth. BillingsPro / Practice Management Billing Services is listed as a regional player.
Does Substance Solutions have an API?
No public API is recorded for Substance Solutions.
What industry is Substance Solutions in?
Substance Solutions's product category is Behavioral Health Revenue Cycle Management. Its primary akta.pro industry code is HLAEAHAF, Substance Use Disorder (SUD) Benefit Management, with a secondary code of HLACAEAI, Patient Financial Engagement (Estimates, Billing Presentment, Payments). Its NAICS code is 524291 and its SIC code is 7370.