Outpatient behavioral health
EHR for multi-program workflows

Appointment scheduling, group documentation, attendance-driven billing, and concurrent review tracking configured to how your outpatient, IOP, and PHP programs deliver care, connected in one clinical record.

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Close the gaps between care and revenue

Protect revenue from attendance gaps

Catch IOP/PHP attendance shortfalls before they result in missed or reduced billing.

Keep authorizations from becoming revenue gaps

Prevent payer authorization lapses with concurrent review tracking built around each program's cadence.

Give clinicians their time back

Reduce documentation burden by connecting group and individual notes to the same treatment workflow.

Simplify billing across programs

Manage outpatient, IOP, and PHP billing rules across payers without forcing every program into one model.

Workflows designed for outpatient, IOP, and PHP care

From scheduling and group documentation to attendance-based billing and concurrent reviews, every capability fits the workflows your teams manage every day.

Schedule appointments, cohorts, and groups while connecting attendance directly to billing.

Appointment-based outpatient scheduling

Provider calendars, self-scheduling, reminders, no-show tracking, and calendar sync in one workflow.

Roster-based IOP & PHP scheduling

Build daily cohort schedules around group therapy, individual sessions, and structured programming.

Group scheduling with attendance capture

Capture attended, partial, no-show, and excused status with actual hours logged per patient.

Attendance-driven billing

Flag IOP/PHP attendance below configured daily billing thresholds before claims are generated.

Document every session type and group workflow around the way each outpatient program delivers care.

Program-specific documentation

Configure note templates, required fields, signatures, and workflows by program and level of care.

Group-to-individual documentation

Capture one group narrative and individualized participant notes linked to each patient's treatment plan.

Multi-group documentation workflow

Move through three to five daily groups with streamlined documentation built for high-volume IOP/PHP care.

Session-specific clinical notes

Support individual, group, family, psychiatric evaluation, intake, and discharge documentation in one workflow.

Build treatment plans around each program's goals, review cadence, level of care, and clinical requirements.

Program-specific treatment plans

Configure treatment plans for outpatient, IOP, and PHP with program-specific goals, interventions, and review requirements.

PGOI treatment planning

Structure Problem, Goal, Objective, Intervention plans with configurable review intervals and multi-provider signatures.

Condition-specific pathways

Connect depression, anxiety, SUD, trauma, and co-occurring disorder pathways to measurable treatment goals.

Level-of-care transitions

Update treatment plans as patients move from PHP to IOP or outpatient while preserving the clinical record.

Turn assessment scores into ongoing clinical insight, treatment decisions, and measurable outcomes.

200+ validated assessment instruments

Use PHQ-9, GAD-7, C-SSRS, CAGE, MDQ, SDOH tools, and 200+ validated instruments.

Longitudinal score tracking

Trend assessment scores over time so clinicians can identify changes between sessions.

Assessments tied to treatment plans

Connect assessment scores to treatment goals and document progress against measurable criteria.

No-code form builder

Build custom screening tools, satisfaction surveys, and outcome instruments without development resources.

Run distinct outpatient, IOP, and PHP programs with workflows, rules, and requirements configured for each.

Program-specific workflows & rules

Configure scheduling, documentation, billing, authorization, enrollment, and payer rules independently by program.

Multi-location program management

Manage local payer contracts and scheduling resources while maintaining shared clinical standards.

Program enrollment & status tracking

Manage program rosters, enrollment statuses, and configurable age, diagnosis, and ASAM-level criteria.

Connected level-of-care transitions

Move patients between PHP, IOP, and outpatient while keeping their record, treatment plan, and care history connected.

Stay ahead of payer review cycles with patient-, program-, and payer-specific authorization tracking.

Payer-specific review cadence

Track concurrent review schedules by patient, payer, and program with each next-review date.

Deadline alerts before lapses

Surface upcoming review deadlines early so teams can prepare documentation before authorization expires.

Review documentation in context

Access treatment progress, assessments, attendance, and clinical justification within the review workflow.

Prior authorization tracking

Track submission timestamps, payer responses, and escalation windows aligned with CMS-0057-F requirements.

Support session-based outpatient billing and attendance-based IOP/PHP billing in one system.

CPT billing for outpatient sessions

Support psychotherapy, psychiatric evaluation, E/M add-on, and telehealth billing codes by payer.

Attendance-based IOP/PHP billing

Tie HCPCS per-diem claims to documented attendance and configured program billing thresholds.

CMS-1500 & UB-04 claims

Generate professional and institutional claims from the same system with program-specific configurations.

Denial tracking & pattern analysis

Analyze denials by payer, program, reason code, and CPT/HCPCS code to identify recurring issues.

See revenue, clinical outcomes, attendance, and productivity by program, location, provider, and payer.

Program-level financial reporting

Track revenue, collections, denials, AR, and payer mix across individual programs.

Clinical outcomes reporting

Analyze PHQ-9, GAD-7, and other assessment trends to support quality and payer reporting.

Attendance & utilization insights

Monitor group attendance, daily hours, no-shows, and below-threshold days by program.

Provider productivity reporting

Track sessions, groups, documentation completion, and billing timeliness by provider.

Keep patients, families, and care teams connected across programs, levels of care, and every touchpoint.

Continuous & visible patient journey

Keep one clinical record as patients move between outpatient, IOP, PHP, and other programs.

Patient & caregiver access

Give patients and authorized caregivers visibility into appointments, care updates, messaging, and discharge planning.

Between-visit engagement

Extend care with assessments, care-plan check-ins, secure messaging, and patient tasks between sessions.

Multilingual portal & telehealth

Deliver secure patient access to records, appointments, messaging, and telehealth in 36 languages.

Connect clinical, prescribing, laboratory, pharmacy, claims, and analytics workflows across your ecosystem.

FHIR R5 & HL7 interoperability

Exchange data securely with HIEs, payers, labs, and referring providers using FHIR R5 and HL7.

ePrescribing with EPCS

Support electronic prescribing, controlled substances, and PDMP connectivity within clinical workflows.

Clearinghouse connectivity

Automate claim submission, ERA/EOB processing, and remittance posting through connected clearinghouses.

BI & data integration

Connect external BI tools, data warehouses, and reporting platforms through APIs and data exports.

AI built to support behavioral health, not replace the people who deliver it

Surface insights, automate routine work, and bring the right information forward — while clinicians make the final call.

Who we serve?

A purpose-built Behavioral Health EHR designed to meet the unique needs of your organization—whether you're a solo practitioner, a large-scale enterprise, a CCBHC, or a virtual care provider. Our configuration-first approach ensures tailored workflows that align seamlessly with your care delivery setting. 

Residential programs

Every bed. Every claim. Accounted for.

QRTP PRTF

Turn bed-level activity into per-diem billing, real-time census visibility, and FFPSA compliance—without rebuilding the story at month-end.

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Scale programs without multiplying systems.

SUD Group homes IDD

Add residential programs with ASAM placement, 42 CFR Part 2 & program specific billing without creating separate patient records or systems.

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Outpatient programs

Built for the breadth of CCBHC care.

CCBHCs CMHCs

Connect quality measure reporting, crisis documentation, peer support, and cost-report data in one clinical workflow.

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See the full behavioral health EHR

All care settings

Explore the full platform across residential, outpatient, PHP/IOP, SUD, CCBHC, and more.

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Real-world outcomes

These behavioral health organizations chose blueBriX. Here’s what changed — in their words, their numbers, and their outcomes.

Laurel Life Company
Behavioral health Category

Higher revenue. Reduced admin work.

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15% Less operational costs
20% Increase in appointment utilization
20% Increase in reimbursements and revenue
20% Less administrative workload
With blueBriX as their EHR partner, Laurel Life improved appointment utilization, streamlined clinical and administrative workflows, strengthened revenue cycle performance, accelerated payments, and enhanced patient access and care delivery.
Laurel Life Company
Behavioral health Category

Higher revenue. Reduced admin work.

Read case study
15% Less operational costs
20% Increase in appointment utilization
20% Increase in reimbursements and revenue
20% Less administrative workload
With blueBriX as their EHR partner, Laurel Life improved appointment utilization, streamlined clinical and administrative workflows, strengthened revenue cycle performance, accelerated payments, and enhanced patient access and care delivery.
Blackbird Company
Behavioral health Category

Higher revenue. Reduced admin work.

Read case study
83% More claim payments
150% More appointments
60% More encounters
40% Faster patient intakes
With blueBriX as their care coordination and EHR partner, Blackbird Health improved provider efficiency, streamlined revenue cycle and scheduling workflows, strengthened care coordination, enhanced patient access, and used data-driven insights to improve treatment outcomes.

Stay connected

Delve into our insights page for detailed analyses, expert opinions, and comprehensive articles on the latest advancements and trends in healthcare.

Blog

10 important behavioral health clinic metrics to track in 2026

CCBHCs, outpatient clinics, and community mental health centres are all operating under tighter payer scrutiny in 2026. The metrics that used to be optional reporting are now tied to reimbursement, certification, and contract performance. Here are the ten KPIs your clinic needs to be tracking — and the federal benchmarks to measure them against.

Read blog
Article

Behavioral health deserves better: why generic EHRs don’t work—and what actually does

Behavioral health isn’t generic—so why settle for generic systems? Laurel Life didn’t. The result: faster workflows, better billing, and more time for healing. Their transformation with blueBriX shows what’s possible when tech truly fits the mission.

Read article
Blog

10 important behavioral health clinic metrics to track in 2026

CCBHCs, outpatient clinics, and community mental health centres are all operating under tighter payer scrutiny in 2026. The metrics that used to be optional reporting are now tied to reimbursement, certification, and contract performance. Here are the ten KPIs your clinic needs to be tracking — and the federal benchmarks to measure them against.

Read blog
Article

How purpose-built EHRs can slash no-shows in behavioral health

No-shows cost the U.S. healthcare system about $150 billion every year. We may not be able to completely eliminate no-shows. But there are ways to keep no-shows in check. In this article, we’ll share practical strategies to help you reduce no-show rates and make sure your patients get the care they need, right when they need it.

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Outpatient documentation follows a session-based model — one note per visit (individual therapy, psychiatric evaluation, family session). IOP and PHP documentation follows a program-day model — multiple sessions per day with a group narrative and individualized progress notes per participant. blueBriX supports both documentation models, configured per program, within one system. Clinicians working across programs use templates and workflows that match the documentation cadence of the program they are documenting for.

Each program is configured with its billing-eligible hour threshold (typically three hours per day for IOP, four to six hours for PHP). Attendance is captured per session with actual hours recorded. The system calculates total attended hours per patient per day and flags any day that falls below the configured minimum. This happens before the day reaches claim generation, so billing teams catch short-attendance days before they become denied claims or audit findings.

Yes. Concurrent utilization review cadence is configured per payer, per program. If one commercial plan requires review every five days and another every seven, each patient's authorization tracks against the correct payer-specific schedule. Upcoming review deadlines surface automatically with configurable alert timing — typically three to five days before the review is due.

Yes. Outpatient session-based claims generate on CMS-1500. IOP and PHP per-diem claims generate on UB-04 with configurable revenue codes, HCPCS codes, and type-of-bill codes per payer. Organizations running outpatient and IOP/PHP programs generate both claim types from one system without separate billing infrastructure.

The clinician creates a group session note documenting the session's theme, interventions, and clinical observations. Within that session, the system generates individual progress notes for each participant. Each participant's note links to their active treatment plan goals. Attendance is captured at the group level and flows into billing. The workflow is designed to handle clinicians facilitating three to five groups per day without requiring duplicate documentation.

Yes. blueBriX maintains a continuous patient record across programs. When a patient transitions from PHP to IOP or from IOP to standard outpatient, the transition is documented with clinical justification, the treatment plan updates to reflect the new level of care, and the billing configuration shifts to the new program's rules — all within one workflow. No re-intake, no separate chart, no data migration between systems.

Yes. HIPAA-compliant video sessions are embedded in the clinical workflow for individual, family, and group telehealth. Attendance tracking for telehealth IOP and PHP sessions applies the same minimum-hour requirements as in-person services. Place-of-service codes (POS 02, POS 10) and telehealth modifiers configure per payer to match current billing rules.

Outpatient CPT code validation covers time-based psychotherapy codes (90834, 90837), add-on codes for E/M with psychotherapy (90833, 90836, 90838), psychiatric evaluation codes (90791, 90792), and payer-specific telehealth modifiers. The system applies code validation at the point of billing and flags time-threshold discrepancies before claim submission.

Reporting covers HEDIS behavioral health measures, HIPAA compliance documentation, 42 CFR Part 2 consent tracking for programs treating SUD patients, and state-specific reporting requirements. The custom report builder supports ad hoc compliance reporting, and BI tool integration connects to external analytics for organizations with centralized quality teams.

blueBriX is built on FHIR R5-native architecture with HL7, open API, and CCDA support. It connects with clearinghouses, labs, pharmacies, HIEs, and BI tools. ePrescribing with EPCS and PDMP integration is included. Data migration from an existing EHR is supported with a full-service migration process.