V O B
Case Study

How Mindful Pathways Counseling eliminated client drop-offs and improved collections by 40%

8 therapists (LMFT, LPC, LCSW) • 150+ client sessions per week • Mix of PPO, BCBS, Aetna, UHC

61%
Fewer client drop-offs
40%
Collection increase
$65K
Bad debt reduced
The Challenge

Clients started therapy, then ghosted after the first bill.

  • • 28% client drop-off rate after learning about out-of-pocket costs
  • • Out-of-network confusion—clients thought they had in-network coverage
  • • Mental health session limits discovered after 10+ sessions
  • • Front desk spending 15+ hours/week calling payers for benefit details
  • • High bad debt from clients who couldn't afford their portion
Therapy Solutions

The Solution implemented

Real-time behavioral health benefit checks at intake, clear OON vs INN status with expected out-of-pocket, session limit tracking per client, and integration with SimplePractice.

The Impact

Clients feel informed, not surprised.

  • • Drop-off rate: 28% → 11% (61% improvement)
  • • Collections rate: Up 40%
  • • Verification time: 15 hrs/week → 2 hrs/week
  • • Bad debt reduced: $65K annually
  • • Clients report "less stressed about costs"
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