Mentaya offers a platform that automates out-of-network insurance reimbursement for therapy sessions. Therapists can verify client benefits, submit claims, and receive payments through the service, while clients use an instant benefits checker to see potential reimbursements and receive funds directly. The company monetizes via transaction fees (5% per claim) and subscription plans for benefit calculators, with additional processing fees passed through from Stripe.
Funding
Funding not disclosed
Founders
Product
Problem
Many therapy clients with out-of-network insurance benefits do not submit claims due to the complexity and time investment required in navigating paperwork and insurance processes. This results in clients missing out on potential reimbursements and therapists facing challenges in attracting and retaining private pay clients.
Solution
Mentaya automates the out-of-network insurance claim submission process for therapy sessions, enabling clients to effortlessly receive reimbursements. The platform provides an instant benefits checker to determine potential reimbursement amounts and handles all claim-related paperwork. By streamlining the reimbursement process, Mentaya helps therapists attract more cash-pay clients and allows clients to recoup a portion of their therapy expenses with minimal effort. The service ensures claims are submitted promptly and accurately, increasing the likelihood of successful reimbursement.
Target Audience
Mentaya primarily targets therapists seeking to attract and retain private pay clients, as well as therapy clients with out-of-network benefits who want to simplify the reimbursement process.
Features
- Instant benefits checker to quickly estimate out-of-network reimbursement amounts
- Automated claim submission, handling all paperwork and communication with insurance companies
- Optional integration for session payments with competitive processing fees (2.9% + $0.30 for credit cards, 0.8% for ACH)
- Free access to an EHR (in beta) for therapists
- Optional add-on to embed a benefits calculator on therapist websites for lead generation ($29/month)
- Claim denial support and resubmission at no additional cost
- Dedicated support email for insurance-related inquiries