What this page covers
Rehab and behavioral EHRs share one PA shape: the treatment course is longer than the initial authorization. Authorizations come in blocks (6-12 PT visits, 8-12 therapy sessions, 30-36 TMS sessions), and the operational work is renewal on visit cadence. Flexbone tracks the renewal calendar from inside the EHR and submits re-auth packets before the cap is reached.
Rehab therapy EHRs
WebPT
WebPT is the dominant outpatient rehab therapy EHR (PT, OT, speech) with integrated documentation, scheduling, and billing. Flexbone reads evaluation, progress notes, and visit count, triggers re-authorization at the cap, and submits through the correct MBHO (OptumHealth MSK, Carelon Rehab, ASH, or direct payer).
Raintree
Raintree covers PT, OT, speech, pediatric therapy, and ABA with strong pediatric-therapy workflow. Flexbone integrates for PA on all service lines.
Prompt
Prompt is a modern, cloud-native rehab therapy EHR popular with outpatient PT/OT clinics.
TheraOffice
TheraOffice is an established outpatient rehab therapy EHR with strong position in mid-sized multi-site operators.
Net Health (formerly Casamba)
Net Health Therapy (which consolidated Casamba and other platforms) covers rehab in outpatient, inpatient, and SNF settings. The rehab-in-SNF product aligns with the post-acute EHRs covered at post-acute EHRs for PA.
Get an outside read on your therapy and behavioral ehrs for prior authorization PA stack
In 30 minutes we will map your current PA volume, denial drivers, EHR coverage gaps, and the three highest-ROI automations to ship next quarter, scoped to the payers and procedures you actually run.
Behavioral health EHRs
Valant
Valant serves behavioral health practices with scheduling, documentation, outcome measurement, and billing. Flexbone reads clinical assessments and visit counts for PA and re-authorization.
TherapyNotes
TherapyNotes is a popular behavioral-health EHR for independent practices and small groups. Modern API.
SimplePractice
SimplePractice is the leading behavioral-health EHR for solo practitioners and small groups. Strong scheduling, telehealth, and billing.
Qualifacts
Qualifacts CareLogic and InSync serve community mental health, SUD treatment, and I/DD agencies at scale. Designed for Medicaid billing complexity.
Netsmart myAvatar
Netsmart myAvatar is the dominant community mental health and public behavioral health EHR at state and county agencies. Flexbone integrates for PA and concurrent review for SUD residential, inpatient psych, and community BH.
ICANotes
ICANotes is a behavioral-health EHR known for documentation-heavy note generation. Widely used in private practice.
Credible
Credible (now part of Qualifacts) serves mid-to-large behavioral health and SUD treatment organizations.
Integration and visit-cap renewal workflow
The workflow for therapy and behavioral is distinct from other specialties because the work is renewal-driven. Flexbone monitors authorized visit count against completed visits in the EHR. When the remaining visits hit a trigger threshold (typically 2-3 visits before cap), Flexbone triggers the re-authorization workflow: pulls progress notes, functional-status scores (FOTO, LEFS, PHQ-9, GAD-7), evaluator documentation, and assembles the renewal packet for the MBHO. See behavioral and rehab PA for the workflow detail and MBHO map.
MBHOs and rehab UM vendors
Optum Behavioral Health (UHC), Evernorth Behavioral Health (Cigna), Carelon Behavioral (Anthem/Elevance, formerly Beacon), Aetna Behavioral (or Magellan on some plans), Humana Behavioral, and Magellan (across multiple payers) handle behavioral PA. OptumHealth MSK, Carelon MSK, ASH (American Specialty Health), and eviCore handle rehab PA. Flexbone routes each PA to the correct vendor based on payer and service line.
Payer detail
Full payer rules at commercial payers, BCBS plans, and Medicare and Medicaid.
Cap-hit is the crisis point. A patient who hits the visit cap with no renewal in place cannot be treated and the claim may be denied. Flexbone triggers renewal at T-minus-2-3 visits, which almost eliminates cap-hit incidents. That protects both revenue and continuity of care.