Billing Model – You Bill

You Bill

• You are the biller of record. Your treating prescriber (PCP/NP/PA) performs the initiating visit and prescribes as needed.
• Profound delivers audit-ready minutes + artifacts; you submit claims (99492/99493/99494 or G0512 for FQHC/RHC).

Pricing: fixed-fee $10 per Active Patient Month (APM); Net 15.
APM definition: a member with ≥1 qualifying CoCM interaction in the calendar month.
Audit-Ready Credit (ARC): if a denial is solely due to our documentation/coding defect, we credit that member-month on the next invoice.
No rev-share: fees are not tied to collections, payer mix, or minutes attained.

Choosing a lane

• CoCM is implemented as You Bill by default; Profound may bill directly only for separate services (e.g., standalone tele-psychiatry visits or other programs) as defined in your SOW.

What you provide

• Treating prescriber designation; roster and EHR/RCM connectivity; ERA/EOB access for denial review.

What we provide

• BHCM care management and psychiatrist panel reviews; measurement-based care workflows; minutes engine; audit-ready artifact bundles; FHIR write-back or DocumentReference fallback.