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BUILT FOR THERAPISTS. DESIGNED FOR CARE.

More time for your clients.
Less time on paperwork.

MH Exchange listens to your sessions, writes your notes, suggests codes, checks claims, and tracks payments—so you can focus on what matters most.

7-day free trial · No credit card required · Cancel anytime

HIPAA compliant

BAA on every plan

SOC 2 Type II

Independently audited

256-bit encryption

In transit & at rest

US-hosted

Data stays in the United States

How it works

From first visit to paid claim

Set up your whole practice in under 20 minutes, then let the workflow carry each patient from intake to reimbursement.

  1. 1

    Add the patient

    Create a record in seconds, or import from your current EHR. Set up your whole practice in under 20 minutes.

  2. 2

    Intake & consent

    Send a secure packet. The client completes forms, signs consents, and finishes assessments before they arrive.

  3. 3

    Meet with AI scribe

    Run the session in person or over video. The AI Copilot transcribes and takes structured notes while you stay present.

  4. 4

    Note, plan & codes

    AI drafts the progress note, suggests a diagnosis and treatment plan, and proposes ICD-10 and CPT codes for your review.

  5. 5

    Claim submitted, you get paid

    Validated claims go to the payer electronically. Track status to paid, and collect patient balances by card or ACH.

See MH Exchange work

Click through each step to see how MH Exchange helps you deliver care and get paid.

MH Exchange turns a session into a signed progress note and a paid insurance claim: the transcript on the left, and on the right the note it drafted, the codes it proposed with the confidence behind each one, and the claim it checked before sending.

What you enter

ME

Maya Ellis

MRN 10842

14 Mar 1991 (35) · she/her

Coverage

Aetna PPOActive

Care team

Dana Whitfield, LCSW

What you send

Telehealth informed consent

Version 3 · for Maya Ellis

What the product records

1Created1 Jun, 09:00
2Sent1 Jun, 09:00
3Viewed2 Jun, 14:12
4Signed2 Jun, 14:15

Hash chain 4f9ac0…e71b

What is said

Live transcript

Clinician: How have you been since our last session?

Emily: More anxious lately. Work's been stressful and I'm not sleeping.

Clinician: When did the sleep trouble start?

What the product hears

AI draft

Drafting a progress note in this client’s DAP format.

What it read

Clinician: How have you been since our last session?

Emily: More anxious lately. Work's been stressful and I'm not sleeping.

Clinician: When did the sleep trouble start?

What it drafted

D Reports increased anxiety and sleep disturbance tied to work stress.

A GAD symptoms, engaged and insightful. No safety concerns.

P Continue CBT; sleep hygiene plan. F41.1 · 90837.

F41.1Generalized anxiety disorderHigh confidence in the code F41.1

from “More anxious lately. Work's been stressful and I'm not sleeping.

Z73.3Stress, not elsewhere classifiedMedium confidence in the code Z73.3

from “More anxious lately. Work's been stressful and I'm not sleeping.

G47.9Sleep disorder, unspecifiedLow confidence in the code G47.9

from “When did the sleep trouble start?

What is checked

PassEligibility verified
PassDiagnosis pointers valid
PassCoding consistent with the note

What you get paid

CLM-250522-837PPaid
Total charges$220.00
Reimbursement$132.80
Patient$87.20

Focus on your clients

We handle the admin.

Save 2+ hours

Every single day.

Built for privacy

Secure. Compliant. Trusted.

Get paid faster

Clean claims. Fewer denials.

AI built for clinical work

It drafts. You decide.

Fourteen places the model does the first pass — from a live session to a submitted claim. In every one of them what it produces is a draft with its confidence attached, and nothing reaches a chart or a claim until you accept it.

  • Progress notes drafted in under a minute
  • Codes and diagnoses proposed with a confidence band
  • You review and approve — nothing is filed on its own

AI Copilot

Ask it to summarize the session, suggest a diagnosis, or draft treatment goals — live, without breaking eye contact.

Copilot

Which claims are at risk of missing timely filing this month?

AI assistantAI draft

Four claims are inside 15 days of their filing deadline. Two are unsubmitted; the other two were rejected and not reworked.

3 records cited — every answer links to what it read.

  • Live transcription

    Speaker-attributed transcript of the whole session, captured in real time.

  • Live structured notes

    Presenting concerns, patient statements, clinical observations, and interventions organized as you talk.

Each of these produces a draft. Nothing reaches a chart or a claim until you accept it.

Progress notes

A complete SOAP, DAP, or BIRP note drafted from the transcript in under a minute.

Progress note
AI draftQuality 88/100

Subjective

Reports sleeping better since the last session. Work stress unchanged.

Plan

Continue weekly CBT. Introduce sleep hygiene worksheet before next visit.

Nothing reaches the chart until you accept or edit it.

  • Note-quality score

    Every note scored 0–100 on clarity, clinical relevance, length, and professional language.

  • Chat-to-refine

    Refine any note by asking — tighten the plan, expand the assessment, adjust the tone.

  • Diagnosis suggestions

    Ranked ICD-10 diagnoses with written rationale and a confidence band for each.

  • Risk detection

    Surfaces risk indicators from the session so nothing is missed.

  • Treatment plans

    Goals, measurable objectives, and evidence-based interventions, drafted from the assessment.

  • Guideline alignment

    Checks the plan against evidence-based guidelines and flags gaps.

Each of these produces a draft. Nothing reaches a chart or a claim until you accept it.

Claim validation

Five-point check — eligibility, authorization, diagnosis pointer, coding validity, and charge amount — before you submit.

Claim check
CLM-250522-837P · AetnaAccepted
  • Eligibility verified
  • Diagnosis pointers valid
  • Coding consistent with the note
Charge$220.00
  • Coding agent

    ICD-10 and CPT codes proposed from the note, each with a written rationale and confidence.

  • Eligibility checks

    Automatic coverage verification so you know what a payer will cover before the visit.

  • Denial insight

    When a claim is denied, see why and what to fix — no more guesswork.

Each of these produces a draft. Nothing reaches a chart or a claim until you accept it.

MH Exchange assists — you decide. Every AI suggestion is yours to review, edit, and approve before it reaches a record or a claim. Your data is encrypted and never used to train public AI models.

Everything in one platform

Everything your practice runs on

Scheduling, records, documentation, billing, and payments — one system instead of five, so nothing falls between the tools.

Smart scheduling

Conflict-free booking, a shared team calendar, and reminders that cut no-shows.

Client records

One record per client: demographics, clinical snapshot, risk level, care team, and full history.

Intake & consent

Send a secure link by email or SMS. Clients complete intake, sign consents, and finish assessments before the first session.

Telehealth sessions

Secure video with a live, speaker-attributed transcript, whiteboard, and recording — all captured to the encounter.

Documentation

SOAP, DAP, or BIRP notes drafted from the session in under a minute — with smart phrases, templates, auto-save, and sign & lock.

Claims & revenue cycle

Codes proposed from the note with the model's confidence attached, a five-point check before you submit, 837P through our clearinghouse, and status tracked to paid.

Included in every account

  • Assessments (PHQ-9, GAD-7, PCL-5, WHO-5, ASRS)
  • Treatment plan builder
  • Diagnosis & ICD-10 / CPT coding
  • Note-quality scoring
  • Denial insight
  • Eligibility checks
  • Patient payments (card & ACH)
  • Secure client portal
  • Secure messaging
  • Documents & e-signature
  • Reports & analytics
  • Tasks & to-dos
  • Team & role management
  • Payer management
  • Denial management
  • Payment posting
  • Timely-filing alerts
  • Audit history
See all features

See it on your own notes.

7-day free trial · No charge until it ends · Cancel anytime

Switching is easy

Moving from another EHR?

Bring your practice with you. We handle the migration so you don't lose a client, a note, or a day of billing.

  1. Import your data

    Bring clients, notes, and documents across from SimplePractice, TherapyNotes, and others.

  2. Run in parallel

    Keep your current system live while you settle in. Switch fully only when you're ready.

  3. Guided onboarding

    A real person helps you set up payers, credentials, and templates so day one just works.

Claims

Bill the payers you already work with

Submitted electronically through our clearinghouse, and tracked to paid.

Commercial

  • Aetna
  • Blue Cross Blue Shield
  • Cigna
  • UnitedHealthcare
  • Optum

Government

  • Medicare
  • Medicaid
  • Tricare

…and hundreds more, submitted securely through our clearinghouse.

Pricing

Pricing that follows your caseload

Every feature on every account, and an encounter allowance your whole practice shares. No setup fees, no cut of what you collect. Start free for 7 days.

$79per clinician / month

Includes 100 clinical encounters per clinician each month, pooled across your practice — two clinicians share 200, and either can use the whole balance.

  • Every clinical feature, on every account
  • 100 encounters per clinician, pooled across your practice
  • Billers and front-desk staff at no charge
  • No cut of what you collect
  • Cancel any time

Then $0.75 per additional encounter. Automated insurance billing $2.00 per submitted encounter, only if you use it. Enterprise and API plans available.

Solo clinician$23996 encounters · One clinician, 100 in the pool
Small group$787340 encounters · Three clinicians, 300 in the pool
Established practice$2,147900 encounters · Eight clinicians, 800 in the pool

What clinicians say

MH Exchange has saved me hours every week. Notes, coding, and claims — all in one place. I get to spend that time with clients instead of paperwork.
SJ
Dr. Sarah Johnson, LPCIndividual Therapist
to draft a progress note
< 1 min
to draft a progress note
to set up your practice
< 20 min
to set up your practice
claim check before you submit
5-point
claim check before you submit
free trial, no charge upfront
7-day
free trial, no charge upfront
Security & compliance

A workspace you can rely on

You already saw the certifications. Here is what sits behind them.

A BAA on every plan

The Business Associate Agreement comes with every account — not held back as an enterprise upsell.

Two-factor authentication

2FA, SSO, and scoped API keys to secure every account.

FHIR & HL7 ready

Integrates with your EHR and the tools you already use.

Accessible by design

WCAG 2.1 AA across the product, with contrast verified in CI.

FAQ

Questions, answered

Everything about trials, billing, migrating, and compliance.

Contact

Still have a question?

Tell us about your practice and we'll come back to you — no demo booking, no sales sequence.

  • A person replies, usually within one business day
  • Questions about pricing, migrating, or whether we fit your practice
  • Not a clinical or emergency channel — please leave patient details out
Please don't include any patient information — this inbox isn't a secure clinical channel.

Ready to simplify your practice?

Join clinicians saving hours every week on notes, coding, and claims.

7-day free trial · No charge until it ends · Cancel anytime