Axis Insurance Billing and Family Advocacy

Health Revenue Intelligence, operating under the legacy name Axis IRG, is a Salt Lake City medical billing and revenue cycle management company built from the ground up for behavioral health providers. The practice handles the full billing cycle so treatment programs can stay focused on patient care rather than payer complexity. For facilities dealing with chronic denials, underpayments, or payer audits, HRI offers a structured outsourcing model backed by operators who have run these programs themselves. The company covers every stage of the revenue cycle: verification of benefits (VOB), prior authorization, claim construction, payment posting, denial management, and appeals. First-level appeals are included in the standard engagement; second-level and external review are scoped in writing. A proprietary Fix and Revenue Queue system prioritizes claims by value and winnability, directing effort toward the work that recovers the most revenue first. Reporting goes out every Friday, giving providers a current line of sight into authorizations, claims, payments, denials, and payer-level activity. The operating model runs on Microsoft tools combined with AI-assisted workflows, and a person at HRI makes every decision. HRI serves residential treatment centers (RTC), detox facilities, partial hospitalization programs (PHP), and intensive outpatient programs (IOP). These are the providers facing the most demanding payer requirements: medical necessity reviews, behavioral health parity obligations, managed care carve-outs, and payer rules that shift without notice. Partners Christopher Ryan and Peter Busch have billed and recovered claims across Medicaid and managed-care organizations, Medicare, commercial carriers, and state and federal plans. They know the requirements that trip up other billing operations and understand how to navigate payer clawbacks and recoupment demands. What separates HRI from a standard back office BPO arrangement is the payer intelligence layer. Rather than working claims as they arrive, the system surfaces which denials and underpayments are worth pursuing and identifies the root cause of delayed revenue. Ryan and Busch bring more than 30 years of combined behavioral health revenue experience and stay active on client accounts, meaning the people who built the operating model are accountable for results. HRI also maintains 36 published field guides on RTC, PHP, and IOP billing topics, a body of work that goes back to 2013 and reflects how long this team has been working in the specialty. If your facility is looking for a healthcare BPO company in the USA that understands behavioral health billing from the inside, HRI is worth a conversation. Reach out to review your current revenue cycle numbers and find out where the recoverable revenue is.