How Bomi Recovered $71,600 From Unbilled Therapy Sessions

Bomi recovered $71,600 for a mental health practice from January–June sessions that its previous billing company had never submitted to insurance.

The practice had already provided the care. The missing step was getting those sessions billed to insurance. The recovery was revenue from work the clinicians had already done.

This story is shared with the practice owner’s permission. We have left out practice and patient names.

Paying 6% for billing, with sessions still unsubmitted

The practice was using SimplePractice and paying 6% for billing services. With a biller in place, the owner had reason to expect that completed sessions were being submitted to insurance.

Yet sessions from January through June had never been submitted by the previous billing company. The practice had delivered the care, but the corresponding insurance claims had not been filed.

That gap matters because a session that never becomes a submitted claim cannot move through the payer’s review and payment process. Following up on unpaid claims alone will not account for work that never reached the payer.

What was missing: the submission itself

The finding in this case was specific: completed sessions had gone unsubmitted. Using SimplePractice and hiring a billing service had not prevented that omission. The billing process needed a way to account for every completed session, including those with no claim submission.

Bomi addressed those unsubmitted January–June sessions and recovered $71,600. That figure is recovered revenue from care already provided, rather than the face value of a list of unpaid claims.

What the practice owner told us

When we shared the total, the owner replied:

“That is amazing! I didn't know how large the number was, but it also doesn't go unnoticed. It is almost daily that someone in the practice is singing your praises.”

They also described what the relationship felt like to the team:

“You probably don't realize this in our virtual world, but everyone thinks of you as part of the team.”

The owner offered to share a testimonial, write about the experience, and continue recommending Bomi to other practices. For us, that trust matters alongside the dollars recovered.

Ask about the sessions that never became claims

An unpaid claim and an unsubmitted session need different next steps. A claim can be waiting for a payer’s response. A session that was never submitted has not reached that step.

A useful question for your biller is: “Which completed sessions do not have a matching claim submission?” Then ask how that list compares with the claims that were submitted but remain unpaid.

Keeping those two lists separate gives the practice a clearer picture of where billing stands. It also keeps a broad “outstanding balance” total from hiding the question of whether a claim was filed at all.

For a completed session, ask your biller to show the submission record or explain why it remains unsubmitted. For a submitted claim, ask for the current payer status and the next action. Those are different questions, and a billing fee or an EHR subscription does not answer either one.

In this practice’s case, addressing the unsubmitted sessions led to $71,600 recovered. That is one practice’s result, not a forecast of what another practice will recover.

Want help reviewing billing for your therapy practice? Talk to Bomi.