we’re heads held high billing
Heads Held High Billing was created to make the business side of behavioral health practice feel a little less overwhelming—and a lot less mysterious.
Built by a therapy practice owner, HHHB was designed to address the challenging realities of running an insurance-based practice. We understand that billing, credentialing, and practice operations do not happen in a vacuum. They affect cash flow, staffing, client access, and whether a practice feels sustainable for the person running it or not.
We support behavioral health providers in three ways: by doing the work for you through billing and credentialing services, teaching you how to do it yourself through individual and group billing education, and helping you build the business around it through private and group practice coaching.
A Different Approach to Billing
Insurance can be complicated. We do not believe it needs to be made more complicated by the people you hire to help with it.
Our approach is transparent, practical, and educational. Whether we are managing your billing or teaching you how to manage it yourself, we want you to understand what is happening with your practice and why.
We are not interested in gatekeeping information or convincing providers that billing is too complicated to understand without us. Our goal is to give you clear information, realistic options, and the support you need to make informed decisions for your practice.
Built for Behavioral Health
HHHB works specifically with behavioral health providers, including therapists, group practices, and psychiatric providers.
Behavioral health billing comes with its own unique challenges—from psychotherapy CPT codes and telehealth requirements to credentialing, payer policies, supervision structures, and the financial realities of insurance-based practice. Our experience working within these systems allows us to offer support that is tailored to the practices we actually serve rather than applying a general medical billing model to behavioral health, as other billers might.
Support That Meets You Where You Are
There is no single right way to build a private practice.
Some providers want someone else to manage billing from start to finish. Others want to understand every part of the process themselves. Some are preparing to leave a group practice or a large platform, while others are managing established teams and trying to figure out what comes next.
We meet practice owners where they are.
Our work is grounded in clear communication, nonjudgmental support, queer-affirming and anti-racist values, and an understanding that different brains, businesses, and lives require different systems. We focus on helping providers build practices that work for them—not forcing every practice into the same model.
At the end of the day, our goal is simple: make the systems behind your practice easier to understand, easier to manage, and more sustainable.