Ketamine clinic billing software built to get you paid.

Generic billing tools were never built for this.

Ketamine clinics live in the gaps that general practice-management and EHR billing modules leave behind. IV/IM ketamine is usually off-label and cash-pay; Spravato runs through insurance; and most clinics do both at once — often entirely out-of-network, where every claim means chasing EOBs payer by payer and payments sometimes go straight to the patient instead of the practice. Coding leans on infusion codes, drug codes, modifiers, and place-of-service rules that are easy to get wrong.

So teams patch the gaps by hand — spreadsheets for claims and prior auths, one-off superbills, payer-by-payer chasing, and underpayments that quietly slip through. At $400–800 a session and $3,000–6,000 a series, even a few leaked claims a month is real money. Billing done right, for ketamine specifically, is the whole point of Statelayer.

Already have a biller you like? Keep them — and finally see what they see.

Statelayer doesn't replace your external biller or billing team — it gives them a better place to work than a shared spreadsheet. Your biller works claims through clear submit, EOB, and denial queues, and your practice gets real-time visibility, tracking, and analytics on top of the collections they're already doing.

• ✓One queue per stage — submit, EOB, denial — so nothing sits forgotten in a spreadsheet row.
• ✓Real-time visibility — see exactly where every claim stands without asking your biller for a report.
• ✓Analytics for free — because the data is structured, payer performance, aging, and collections reporting come built in.

Move your billing out of the spreadsheet — history included.

Most ketamine clinics run billing on a spreadsheet — sometimes two, one for the office and one with the EOBs attached. It works until it doesn't: no statuses, no follow-up dates, and month-end means crawling every row by hand. Statelayer replaces the spreadsheet with a structured workflow, and we help migrate your existing data in so day one isn't a blank slate.

• ✓We migrate your data — your spreadsheet history comes with you, so reporting works from day one.
• ✓A status on every claim — submitted, underpaid, denied, paid — instead of a column someone remembers to update.
• ✓Patient balances tracked — when out-of-network payers pay the patient, see who owes what and when you last followed up.

Keep your EHR. Statelayer handles the billing alongside it.

The biggest reason clinic-software deals stall is the fear of migrating off the system of record. Statelayer sidesteps that entirely: it's the billing layer that works next to whatever EHR you already run, so you can be live in days, not months.

• ✓No migration. Your EHR stays your EHR; Statelayer takes the billing.
• ✓Integrates with your stack — EHRs like Osmind and CRMs like Salesforce sync visits and patient data automatically.
• ✓Built only for ketamine clinics — IV/IM and Spravato, cash and insurance, in- and out-of-network.
• ✓Pairs with scheduling. See ketamine clinic scheduling software →

The ROI is easy to quantify.

With high revenue per claim, tightening billing is one of the most direct ways a ketamine clinic protects margin. Statelayer is built to move three numbers your owner and office manager already watch:

• ✓Fewer leaked claims — catch underpayments and missed auths before they cost you.
• ✓Faster days-to-pay — clean claims and a clear pipeline get money in sooner.
• ✓Less admin — fewer spreadsheets and manual workarounds eating staff hours.

Ketamine clinic billing, answered.

How does Statelayer handle ketamine CPT coding?

Ketamine billing involves CPT coding, modifiers, and a separate drug code, and the exact codes depend on the treatment type (IV/IM versus Spravato), your documentation, and each payer's rules. Statelayer is built around ketamine-specific coding so the right codes and modifiers are applied consistently and kept current as payer rules change. Clinics should always confirm coding with their own payers.

Is ketamine treatment covered by insurance?

IV/IM ketamine is generally used off-label and is often cash-pay, while Spravato (esketamine) tends to have better insurance coverage. Most clinics run a mix of cash and insurance. Statelayer is designed to handle both — cash-pay superbills and insurance claims — in one billing workflow.

Does Statelayer replace my EHR?

No. Statelayer handles billing alongside the EHR you already use. There's nothing to rip out or migrate — it slots in next to your system of record, which is the no-rip-and-replace approach that makes it fast to adopt.

Can it handle both cash-pay and insurance billing?

Yes. Ketamine clinics typically mix cash-pay (especially for IV/IM) with insurance (often Spravato and some IV cases). Statelayer handles superbills, claims, prior authorizations, and patient responsibility together, instead of forcing your team to juggle separate tools and spreadsheets.

How does Statelayer reduce claim denials and underpayments?

By applying ketamine-aware coding up front, tracking prior authorizations from request to approval, and giving your team one view of every claim from submitted to paid — so underpayments and aging claims surface instead of slipping through. The goal is fewer leaked claims, faster days-to-pay, and less manual rework.

Does Statelayer handle out-of-network billing?

Yes — out-of-network is the norm for many ketamine clinics, and Statelayer is built for it. Every claim and EOB is tracked payer by payer, underpayments surface instead of slipping through, and when a payer sends payment directly to the patient, Statelayer tracks the outstanding balance and your follow-ups until it's collected.

We already have an external biller — does Statelayer replace them?

No. Statelayer supplements your biller rather than replacing them. Your biller works claims through Statelayer's submit, EOB, and denial queues instead of a shared spreadsheet, and your practice gets real-time visibility, tracking, and analytics on top of the collections work they already do well.

Can we move our billing spreadsheet into Statelayer?

Yes. We help migrate your existing spreadsheet data into Statelayer, so your claim history, EOBs, and balances carry over and reporting works from day one. From there, every claim has a status and a queue instead of a row someone has to remember to update.

Have more questions? Reach out →