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Answers

Frequently asked questions.

What clinicians ask us about Psy, pricing, privacy and running a practice on PsyBird, all in one place.

Psy and your clients

Is Psy a clinician?
No. Psy is an AI companion that works inside the plan a licensed clinician sets, in the tone and limits they choose for each client. Every message is checked for risk before Psy answers; a risk tells Psy to point the person to 988 or 911 and flags the conversation to you. PsyBird is not monitored in real time and is not a crisis service, and clients are told so in the consent they sign.
Does Psy give clinical advice?
No. Psy supports the plan you built: encouraging the work, listening, and reflecting, inside guardrails you set per client (approach, tone, topics to handle gently, topics to avoid). It doesn’t diagnose, doesn’t prescribe, and refers anything acute to you and to crisis resources (988 in the US).
What do my clients see, and what do I see?
Clients see their plan, their chats with Psy, the letters you’ve approved and their messages with you; never your notes, your flags or unapproved drafts, and never your phone number. You get each conversation back as a short summary, with anything concerning flagged. Each client joins with a personal key, QR code or link, and you can remove their access at any time.
What does Psy do with what my client tells it?
Each conversation ends in a short summary for you: new ones appear under New Psy chats on your home page, with anything concerning flagged. You can read the full conversation in the client file. Clients know this, it’s in the consent they sign, and Psy doesn’t pretend otherwise. PsyBird is a window into the week between sessions, not a secret-keeper from you.
Can I use my own frameworks and exercises?
Yes. In mental health, start from a ready-made template (CBT, ACT, DBT-informed work, ERP, trauma stabilization and more), build a plan from fifteen kinds of exercise, or draft one with Psy. A physical therapy program is built from movements, readings and journals. Every plan is yours to edit, per client.
Can someone use PsyBird without a clinician?
No. PsyBird is invitation-only: every client account is created with a personal key from their own licensed clinician. It is practice software, not a consumer mental-health app.
Is PsyBird an emergency service?
No. Psy points anyone in crisis to 988 (call or text) and to emergency services, and this is stated in the client consent. PsyBird supplements care between sessions; it is not crisis coverage.
What devices does it work on?
Clients use the iPhone or Android app, or any modern browser. Clinicians use the Android app or a browser, including Safari on an iPhone; the iPhone app is for clients for now.

Pricing and billing

What does it cost, and how do I get paid?
$10 a month for each connected client, plus $1 for each insurance claim PsyBird files, with no cap. Every client is the same price, whether they pay you directly or you bill their insurance; billing a client through insurance turns on coverage checks, claims and the monthly care report for them and changes nothing about their price. A solo practice is free until its first real client connects, demo clients are always free, and removing a client stops their charge. A clinic pays the same for each client and claim, plus $25 a month for each clinician seat, on one invoice. Private pay clients save a card on Stripe’s own page and pay into your own Stripe account only when you confirm a charge; PsyBird takes no cut. Pricing has a calculator for your own numbers.
When does billing start, and what counts?
A solo practice adds a card at sign-up and is charged nothing until its first real client connects; a demo client is never billed. A client counts for any month they were connected at any point, with no proration, and a removed client stops counting the next month. A clinic’s seat fee counts every month a clinician was a seat on any day, including the months they join and leave. PsyBird invoices on the 2nd for the month just ended.
What does the $1 per claim cover?
Filing a claim with a real payer and posting its answer back, on top of $10 a month for each connected client, for session, visit and RTM claims alike and the same in physical therapy. A correction, a resubmission or a claim to a second plan is a new filing; a void, a test claim or a claim you file yourself is never charged, and coverage checks and the monthly RTM report cost nothing extra. Whether a claim pays depends on your payer, license and coder. You choose a session’s codes; an RTM month’s codes follow the days and minutes it recorded, and file only when you sign its report.
What does a clinic pay for?
$25 a month for each clinician seat in the clinic, on top of each clinician’s own clients and claims. The owner’s login and every staff login are free and never seats, and each person gets only the access you give them; opening a clinician’s records is read-only and logged, apart from marking attendance and editing billing details for a clinician the clinic bills for. The seat covers the clinic’s own app, one invoice itemized by clinician, invite codes, caseload moves, and clinic billing under your group NPI for the clinicians you choose.
Can I bill for what PsyBird records?
Some clinicians can. If your payers cover Remote Therapeutic Monitoring (Medicare, Medicare Advantage, several BCBS and UHC plans), then for each client you bill through insurance, PsyBird records the documentation those codes ask for: engagement days, measured treatment-management time, and the setup record, on a signed monthly report that files the claim. A client you do not bill through insurance has no monthly report. Cigna’s and Aetna’s commercial plans do not cover RTM, Medicaid rarely does, and cash-pay clients bill nothing. We publish the codes and the Medicare amounts on How RTM works with PsyBird, along with the license table, and we deliberately don’t forecast what you would collect: that depends on your payer, your license type and your coder, and it is your determination to make.
Are there limits on the AI?
The AI isn’t billed per message. Daily and monthly limits apply, and it pauses if one is reached. Until your first client connects, a solo practice runs on a smaller preview allowance.

Privacy and security

Is PsyBird HIPAA-compliant?
PsyBird is built for HIPAA-covered practice: you sign a Business Associate Agreement with us as part of the Clinician Services Agreement, and the record of care is stored with our cloud provider, under our BAA with them. A few other services receive client information only for their own task, such as filing an insurance claim or processing a card payment; the Privacy Policy describes what each one gets. The full picture is on the Security page.
Is client data used to train AI?
No. Psy runs on AI hosted inside our HIPAA-covered cloud environment, under a Business Associate Agreement with that cloud provider. Conversations are processed only to generate Psy’s replies and never train a model, ours or the provider’s. Every practice signs a BAA with us too.

Running your practice

Can PsyBird replace my EHR?
For many solo and small practices, yes. PsyBird keeps the clinical record and runs the practice in one place: scheduling, telehealth, session notes you sign, diagnosis codes, plans of care for physical therapy, PHQ-9 and GAD-7 check-ins, documents your clients sign in the app, card payments and insurance claims, RTM, and an export of every record whenever you want it. What it does not do yet: e-prescribing, lab orders, group or couples sessions, and supervisor co-signature, and it is not an ONC-certified EHR. If you need those, PsyBird works alongside the EHR you already use.
Can clinicians join or leave a clinic?
Yes. A solo practice joins with the clinic’s code and brings its clients and records; its seat then moves to the clinic’s invoice, and the clinic can view the practice read-only, apart from attendance and billing details if it bills for that clinician. Leaving goes through the owner, who removes the seat and chooses, client by client, who stays with that clinician; the clinician keeps their account, their records and the clients who stay. A client who moves between practices mid-month is billed for that month once, by the practice they moved to.
What if a clinician leaves, or I hand a client to a colleague?
Both are ordinary operations, not support tickets. A clinician leaves a clinic through its owner, who removes the seat; they keep their account, their records and the clients who stay with them. A client can be handed to another clinician, one at a time or a whole caseload when someone retires, and they keep the same login, their plan, their goals, their progress and their history with Psy. The sending clinician keeps their own notes, their messages and their billing records, because those are their clinical and financial documentation. Handing a client to a separate practice asks the client to authorize the move first. Billing-wise: the month of the move is billed once, by the practice the client moved to.
What happens if a client deletes their account?
Their login is removed, and their chart stays with you: records retention is your professional obligation, and deleting an app login doesn’t destroy a clinical record. If they return, invite them back with a fresh key and they reconnect to the same chart.
What if I close my practice?
You can export everything first (CSV and JSON). Your clients keep their logins, each receives a client-safe archive of their own record, and they can connect to a new clinician with a new key. Your clinical records go with you, not to a successor.

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