Mental health software built for behavioral health workflows

Mental health software for therapy practices, digital mental health companies, and behavioral health organisations: teletherapy, HIPAA and 42 CFR Part 2 records, intake, outcomes, and billing built around how clinicians actually work.

  • HIPAA-compliant teletherapy platforms with video, messaging, and clinical notes in one system

  • Patient scheduling and waitlist management with automated intake and insurance verification

  • Standardised outcome tracking with PHQ-9, GAD-7, and PCL-5 built into the clinical workflow

  • Insurance billing and claims with ERA processing and patient balance management

What you can count on

Retention

3+ years

Average client relationship across active accounts

First milestone

Week 1

A straight read on what to keep and what to rebuild

Pricing

Fixed price

Scope and cost agreed before work starts

Team

No handoffs

The senior engineers who scope the build also ship it

4.9
on Clutch
See our work

The problem

Sound familiar?

  • Therapists spending 20% of their clinical hours on documentation because your notes system isn't built for mental health workflows?

  • New patients sitting on a waitlist for weeks while your scheduling and intake process runs on email and spreadsheets?

Short answer

RaftLabs builds custom mental health software for therapy practices, digital mental health companies, and behavioral health organisations. Deliverables include HIPAA and 42 CFR Part 2 teletherapy platforms, clinical notes and EHR, scheduling and intake, standardised outcome tools (PHQ-9, GAD-7), e-prescribing, group sessions, crisis workflows, and insurance billing. A focused v1 launches in about 12 to 16 weeks at a fixed cost agreed before work starts.

01 Diagnosis

Problems we solve for mental health practices

  1. 01
    Problem

    Intake paperwork slowing first-session onboarding and delaying the start of care

    Solution

    When intake forms arrive as PDFs by email, clients complete them on paper or not at all. The first session starts with an admin review rather than a clinical conversation. Therapists enter intake data manually after the session. The onboarding experience sets the tone for the entire care relationship. A paper-based process sets the wrong one.

  2. 02
    Problem

    Billing and insurance claim errors causing delayed payment and unpredictable revenue

    Solution

    Mental health billing requires correct CPT code application by session type, duration, and modality, including telehealth modifiers. When billing runs manually or in a system not built for mental health, coding errors produce claim rejections. Payment timelines stretch weeks past service delivery. That cash-flow gap is a direct cost of the wrong tool.

  3. 03
    Problem

    Progress notes stored in disconnected systems with no structured search or clinical continuity

    Solution

    When session notes live in separate documents, shared drives, or a generic EHR not built for mental health, therapists can't find what they need before the next session. Continuity of care depends on the therapist's memory rather than a structured clinical record. In Tebra's 2025 Physician Burnout Survey, 77% of therapists reported mental fatigue, the highest rate of any specialty surveyed, and documentation and charting was the single most-cited driver. Supervision and audit reviews become manual searches through unstructured files.

  4. 04
    Problem

    Teletherapy sessions conducted on consumer video tools that aren't HIPAA-compliant

    Solution

    Zoom, FaceTime, and Google Meet aren't HIPAA-compliant without a signed BAA and specific configuration. Practices using general-purpose video tools for therapy sessions carry regulatory risk they may not have assessed. Clients also see a fragmented experience: one tool for video, another for scheduling, another for the clinical record. That friction costs no-shows and early drop-offs.

02 What we ship

Mental health software we ship

  1. Teletherapy and online therapy platforms

    End-to-end teletherapy platforms with HIPAA-compliant video sessions, in-platform secure messaging between sessions, session scheduling, and integrated clinical notes. Video infrastructure that meets HIPAA requirements, not a general-purpose tool bolted onto your records system. Patients get mobile and web apps for session access, appointment management, and between-session journaling. The therapist workflow is built around the session: pre-session notes review, in-session tools, and post-session documentation without switching systems.

  2. HIPAA-compliant clinical notes and EHR

    Clinical records built to HIPAA standards with encrypted storage, role-based access, audit logging, and BAA-compliant infrastructure. Mental health-specific note templates cover progress notes, SOAP notes, intake assessments, treatment plan documentation, and discharge summaries, built for the note types your clinicians actually write. Voice-to-text transcription for session notes includes clinician review and approval before the record is finalised. Structured note fields handle ICD-10 diagnostic coding, treatment modality, session type, and presenting concerns. For prescribers, e-prescribing with EPCS support handles the controlled substances common in psychiatry. Substance use disorder records are segmented to meet 42 CFR Part 2 consent-to-disclose rules, not just HIPAA. Secure document management covers releases, consent forms, and referral correspondence.

  3. Patient scheduling and waitlist management

    Scheduling built for therapy practice logistics: provider availability by session type and modality, recurring appointment management, and cancellation and rescheduling with automated patient notification. Waitlist management sorts by urgency, insurance, and wait time, not a manual email list. Automated intake delivery at the point of scheduling sends consent forms, insurance information requests, intake questionnaires, and standardised measures before the first session. Insurance eligibility verification is built into the scheduling workflow so you know coverage status before the appointment.

  4. Outcome measurement tools

    Standardised outcome measures, including PHQ-9, GAD-7, PCL-5, Columbia Suicide Severity Rating Scale, and your custom instruments, are delivered to patients on a defined schedule and collected digitally before or after sessions. Scoring is automatic, with trend visualisation in the clinician's dashboard. Outcome data appears in the session note workflow so the clinician sees current scores alongside historical trends when writing notes. Population-level outcome reporting supports practices reporting to payers, accreditation bodies, or commissioners. Alert logic flags clinically significant score changes: PHQ-9 item 9 positive responses and GAD-7 severity threshold breaches surface automatically.

  5. Group session management

    Group therapy management covers distinct session types, group composition management, and per-session attendance tracking. Group note templates support individual member progress notation within a shared session record. Billing logic applies correct CPT codes, manages group versus individual rates, and tracks insurance pre-authorisation for group treatment. Waitlist management for popular groups sends automated notification when a spot opens. Co-facilitation support handles groups with two clinicians and separate documentation responsibilities.

  6. Insurance billing and care coordination

    Mental health billing with correct CPT code application for session types, modalities, and durations, including telehealth modifier requirements. Electronic claim submission includes real-time status tracking and ERA processing for automatic payment posting. Pre-authorisation management covers session limits and treatment plan reviews. Patient billing handles statement generation and online payment. Care coordination tools for multidisciplinary teams include secure provider messaging, referral management, and shared care plan documentation. Crisis escalation workflows include documented safety planning, emergency contact notification, and higher-level care referral pathways.

03 How we work

How we build mental health software

  1. 01

    Discovery

    We spend the first two weeks mapping your current intake process, scheduling workflow, note documentation, billing cycle, and any telehealth setup you have in place. We interview the practice manager, a therapist, and a billing administrator. The output is a documented requirements list and a gap analysis against any platforms you already use. You get what your clinical team actually needs, not a general healthcare template.
  2. 02

    Architecture

    We design the data model around your clinical record structure, note types, and billing logic before writing any application code. This step defines how HIPAA-compliant storage is structured, how teletherapy video connects to the clinical record, how outcome measures are scheduled and collected, and which external systems integrate. You review and sign off on the architecture document before development begins.
  3. 03

    Build

    Development runs in two-week sprints with a working demo at the end of every sprint. We start with the scheduling and client portal layer, then build the clinical notes and EHR workflow, then the billing and outcome measurement modules. You test with real data as each module completes, not at the end of the project when changes are expensive.
  4. 04

    Launch and support

    Go-live is phased: a small group of therapists run on the new system alongside the existing process for the first week. When data integrity and billing accuracy are confirmed, the full practice cuts over. We monitor the first month actively, fix any production issues at no additional cost, and hand over documentation and training materials. Post-launch changes are quoted and agreed as discrete pieces of work.

Trusted by

Vodafone logo
Aldi logo
Nike logo
Microsoft logo
Heineken logo
Cisco logo
Calorgas logo
Energia Rewards logo
GE logo
Bank of America logo
T-Mobile logo
Valero logo
Techstars logo
East Ventures logo
TuneClub logo

04 How we build

How we build mental health software

Part 2 designed in from sprint one
HIPAA + 42 CFR
Weeks to a validated v1
12-16
Shipping production software
Since 2015
Cost, agreed before we start
Fixed

06 Client voices

What our healthcare clients say

Three-year average engagement. Founders and operators describing the work in their own words. No marketing varnish.

D
Dr. Smith
USA flagUSA
Primary Care Physician

PDC has been a great addition to our clinic. It is easy to navigate, and it helps us stay connected with patients who cannot visit regularly.

07 Why us

Why choose us?

  • 01
    We've seen your problem before
    Across dozens of industries and 100+ products, we recognise your situation fast, then frame the fix around your margin and your operations, not a generic template.
  • 02
    We own the number, not the ticket
    We measure success the way you do: hours saved, revenue earned, margin recovered. We stay through launch and growth, so the result is ours to own.
  • 03
    Serious businesses trust us
    Vodafone, T-Mobile, Cisco, Energia, Aldi, Nike. Building since 2015, 100+ products in production. Serious businesses keep coming back because we stay accountable long after launch.

08 Questions

Frequently asked questions

Established platforms handle core scheduling, notes, and billing well for most independent and small group practices. Custom software earns its cost in a few specific situations. You deliver care across modalities and locations that platform configurations can't support. You need outcome measurement built into the clinical workflow rather than bolted on. You're building a digital mental health product that reaches patients outside a traditional practice model. You need crisis escalation workflows connected to clinical records. Or your billing complexity runs past what the platform handles: multiple payers, group therapy authorisation, and employee assistance programme billing. For a solo therapist or standard group practice, established platforms are the right answer. For behavioural health organisations with clinical complexity, custom development pays for itself in staff time and clinical quality.

HIPAA compliance for mental health software requires the same technical foundations as general healthcare: encrypted storage, role-based access, audit logs, BAA-compliant infrastructure. Mental health records carry stricter disclosure protections in many US states, so we design for that additional sensitivity from the first sprint. We build on HIPAA-eligible AWS or Google Cloud infrastructure with executed BAA agreements, implement encryption in transit and at rest, maintain full audit logs, and design access controls so clinicians see only the records they're authorised to access. For teletherapy video, we use HIPAA-compliant video infrastructure rather than general-purpose tools. We're not a HIPAA compliance consultant. Your legal and compliance team should review the full requirements. Our architecture provides the technical foundation; your policies and training complete the programme.

Yes. Integration scope depends on what APIs your existing system exposes. We've integrated with EHR platforms that provide FHIR-compliant APIs and with practice management systems that offer data export. Outcome measurement integration, delivering PHQ-9 and GAD-7 to patients and pulling scored results back into your clinical record, can be built as a standalone module that integrates with your current system or as part of a broader platform build. The specific approach depends on your current stack and what you're trying to avoid replacing. We scope the integration feasibility during discovery before committing to what's possible.

A focused v1 teletherapy platform with HIPAA-compliant video, scheduling, and clinical notes launches in about 12 to 16 weeks and typically runs $45,000 to $80,000. A full platform adding EHR, outcome measurement, group session management, and insurance billing runs $90,000 to $160,000 and continues as an ongoing build. Organisations with complex multi-site or payer requirements are scoped individually. Every project is priced at fixed cost, agreed before development starts, with no hourly billing.

Talk to us about your mental health software project.

Tell us the clinical workflow challenge, scheduling, documentation, outcomes, billing, or teletherapy. We'll tell you what we'd build and how.

  • Scope and cost agreed before work starts. No surprises. No obligation.
  • Working prototype within 3 weeks of kickoff.
  • Pay by milestone. You see progress before each invoice.
  • 60-day post-launch warranty. Bug fixes, UI tweaks, and deployment support. No retainer.
  • All conversations are NDA-protected.

Stay on topic

More on healthcare