Most EHRs pretend it is.
DENmaar is the Medicaid-optimized behavioral health operating system for practices building toward scale – combining EHR, billing, credentialing, and Al into one revenue-aligned platform.
DENmaar was built to support the full Medicaid spectrum, not just outpatient therapy, making it a true
solution for Medicaid behavioral health billing and Medicaid mental health billing.
Two Medicaid Claim Types. Very Different Worlds.
CMS-1500 — Professional Claims
Used for clinician-delivered services.
- Individual therapy (90832–90837)
- Family therapy (90847)
- Group therapy (90853)
- Psychiatry & medication management
- Telehealth professional services
Used for clinician-delivered services.
- Provider-centric enrollment
- Outpatient focus
- Session-based billing
- Used by most standard EHRs
Most platforms stop here when offering Medicaid billing services.
UB-04 — Institutional Claims
Used for program-based Medicaid services.
- Adult rehabilitative services
- Children’s therapeutic services
- Substance use disorder programs
- IOP, PHP, Residential treatment
- ACT & day treatment programs
Characteristics
- Program-level enrollment & certification
- Institutional billing logic
- Revenue codes & service units
- Authorization-driven
- State-specific Medicaid compliance
Most EHRs stop at CMS-1500. Medicaid doesn’t.
Schedule a Medicaid Billing & Platform Walkthrough
The Real Challenge: Hybrid Organizations
Many Medicaid providers operate both worlds at once.
The same organization may:
Bill CMS-1500 for therapy and psychiatry
Bill UB-04 for programs or residential services
Serve the same patient under different billing structures
Most systems can’t handle this without:
Separate EHRs
External billing vendors
Manual spreadsheets
Constant claim rework
DENmaar Supports the Full Medicaid Continuum
One Platform. Both Claim Types.
CMS-1500 Professional billing
UB-04 institutional billing
Hybrid organizations billing both
No bolt-ons. No external billing systems.
This is why practices choose DENmaar for behavioral health Medicaid billing services
and mental health Medicaid billing services.
Program-Aware by Design
DENmaar understands that Medicaid services are not interchangeable.
Our platform supports:
- Service-specific documentation
- Program-level enrollment logic
- Claim-type-specific validation
- Authorization-driven billing
- Compliance-aligned workflows meeting Medicaid documentation requirements
The system knows what you’re billing, why, and how it must be submitted — reducing risk and strengthening Medicaid compliance.
Embedded Billing + AI Medicaid Intelligence
DENmaar combines:
- An integrated billing team
- Embedded claim editing
- AI-powered validation before submission
- Enrollment and authorization intelligence
- Denial prevention, not denial cleanup
This approach aligns tightly with Medicaid credentialing services and billing operations.
This is why our clients consistently achieve:
-
98%+
Clean Claims
-
10–20%
Revenue Increase
-
Fewer
write-offs
-
Faster
cash now
Who DENmaar Is For
DENmaar is built for:
- Medicaid-heavy behavioral health organizations
- Multi-provider or multi-program groups
- Practices offering more than outpatient therapy
- Providers planning to grow into higher levels of care
DENmaar is not a fit for solo, private-pay-only practices.
No more mismatches. No more rework. Just accurate claims, faster payments.
Pricing Aligned With
Medicaid Reality
DENmaar is not sold as a per-seat SaaS tool.
No per-provider EHR fees
Billing aligned to collections
Credentialing and enrollment handled in-house
Month-to-month with 30-day notice
We succeed when you get paid.
A Different Kind of
Platform
Most EHRs are built to document visits.
DENmaar is built to run Medicaid operations.
If your organization bills — or plans to bill — both CMS-1500 and UB-04, you need a system that understands the difference and supports Medicaid billing for mental health providers end to end.
Let’s See If This Is a Fit
If you are navigating Medicaid complexity and running multiple services — let’s talk.
Request a Medicaid Revenue Review
DENmaar AI-Driven Medicaid Revenue & Compliance Platform
Frequently Asked Questions
What is DENmaar's EHR system?
Yes. DENmaar natively supports CMS-1500 professional claims and UB-04 institutional claims within one platform.
Is DENmaar built for Medicaid behavioral health programs beyond therapy?
Yes. DENmaar supports program-based services including IOP, PHP, SUD, ACT, residential, and community mental health models.
How does DENmaar handle Medicaid compliance and documentation
The platform enforces service-specific documentation, authorization rules, and claim validation aligned with Medicaid compliance standards.
Does DENmaar provide Medicaid credentialing services?
Yes. Medicaid enrollment, credentialing, and revalidation are handled in-house and integrated directly with billing workflows.
Is DENmaar a fit for solo providers?
No. DENmaar is built for multi-provider and multi-program organizations operating within complex Medicaid environments.
TESTIMONIALS
WHAT OUR CLIENTS SAY
On behalf of everyone at Meadowlark Counseling Services, I want to extend our sincere thanks for the continued improvements you and your team have made to the DENMaar EMR platform. We have been consistently impressed with both the functionality and user-friendly design of the system, which has made a meaningful difference in our day-to-day operations. The intuitive layout and ease of use have allowed our staff to spend less time navigating the system and more time focusing on client care. The regular updates and enhancements reflect your commitment to meeting the evolving needs of providers in the behavioral health and substance use treatment fields. We genuinely look forward to the new features introduced each month and appreciate how responsive the platform has been to the demands of clinical workflows. We have been so pleased with our experience that we’ve taken the opportunity to recommend DENMaar to other professionals in Pennsylvania who are working in the SUD field. Thank you again for your ongoing support and partnership. We are grateful to be working with a company that truly understands the needs of its users. KIndly, Becky Parks on behalf of the entire team at Meadowlark Counseling Services
I referred one of my colleagues Dr Aaron to you he is just starting g his psychology private practice and looking at where to start. I told him hands down you guys are the best billers and have a great EMR and team. He said he reached out just wanted to let you know!
FANTASTIC job keeping things rolling along with any and all of our billing concerns as well as responding to other issues which may well have been out of your wheelhouse. We are VERY grateful to have you and the crew in our corner.
I appreciate you all so much and DENmaar has been such a blessing Donna to our overall operations and success as an expanding company—allowing us to ultimately operate more efficiently, get our claims paid more consistently, ad stay on top of the critical credentialing piece, among other things. Teamwork does in fact, make the dream work. I’ll loop Chris/Isabella in on this message thread too, as I want All of your team to be aware of how much we appreciate our working relationship with DENmaar
Thank you for your diligence!! I appreciate it so much. Thank you Edwina…
Thank you so much Amy! I will be referring to DENmaar as often as I am asked about credentialing services.
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