Ian Harman · Behavioral health founder & advisor

I help behavioral health companies get more people into care, and get paid for it.

At One to One Health, we could hire clinicians and still wait for patients to get through eligibility and onboarding. More staff could not, by itself, get people into care. Since then, I’ve worked on every step between someone asking for help and a practice getting paid for the visit: matching, eligibility, claims, and payment.

I’m Ian Harman. I’m building the administrative and financial infrastructure for behavioral health in the United States, and I work alongside the practices, founders, and operators who deliver that care.

Start a conversation Find where to start

For independent practices

We do your insurance billing.

We do your insurance billing, from the signed visit in your EHR to the payment posted back into it. Claims Native is a billing service run on our own software: we do the billing work, your practice sees each step and gets back paid claims, and your providers keep every clinical decision.

  • Visit to paymentCoverage checks, claim scrubbing, filing, follow-up, posting and deposit matching stay with us.
  • Payment reviewEach payment is checked against the payer’s explanation and your contract.
  • Short paymentsA difference stays open for investigation instead of becoming a patient bill by default.

Claims Native · A billing service, founder-led

Visit Claims Native

For founders and operators

Grow without outrunning the people who deliver care.

Demand can arrive faster than intake, credentialing, or billing can absorb it. Pick the kind of help that fits the decision in front of you, and I’ll stay involved through delivery.

Tell me what you’re building

One to One Health

Hiring clinicians was only part of getting people into care.

When I joined One to One Health, patients valued the care and clinicians enjoyed delivering it. But each new client asked more of a team already relying on manual processes, spreadsheets, and knowledge held by a few people.

Eligibility and onboarding belonged in our product plan alongside clinical care. I set that direction for the full product suite and hired the founding engineers. Building that suite would take time, and clinical and operations staff needed something useful before it could deliver.

So I chose clinical documentation as a place to start. I designed and developed the initial AI infrastructure to prepare clinical notes for provider review. Charting time fell from 22 to 17.5 minutes across all encounters, which gave clinicians back 4.5 minutes on an average encounter, while clinician and patient satisfaction were maintained or improved.

Read the One to One Health story

Selected work

From a first customer to enterprise adoption.

Co-founder · Behavioral health

TheraMatch / TPN Match

Co-founded, built, and sold to TPN.health.

Finding a therapist could leave someone with a list of names and another difficult decision. I co-founded TheraMatch to help people make that first connection, built the matching product and early clinical framework, and led its sale to TPN.health, where it became TPN Match.

$1M ARR · 1M+ lives under care in under 12 months

Enterprise sales · Manufacturing

Paragon Truss

Enterprise sales.

At Paragon Truss, I led the company’s first enterprise deal, including the contracts and client relationship. That meant connecting what the customer needed with what Paragon could commit to delivering.

$500,000 annual contract value

Enterprise leadership

BlueCross BlueShield of Tennessee

Optimizing self service.

Making it easier for members to help themselves also made the health plan less costly to serve. I led digital products serving about 3.5 million members and built the teams behind them. More people used the digital services, while self-service reduced administrative costs.

Digital adoption more than doubled · $500K+ reduction in admin costs

Implementation & growth

PerfectServe

Enterprise scaling and adoption.

Selling to a hospital means making a promise that has to hold up through rollout and daily use. At PerfectServe, I connected hospital implementations with product and commercial decisions, including how to bring the product into new markets.

$3M+ in new-market revenue

TPN.health · VP, Provider Networks & Technology

A question about invoices became a claims platform.

At TPN, I asked what invoicing payers directly was meant to achieve. Answering that question led us to build an internal claims filing and revenue capture platform, and it showed me how much of a behavioral health company’s income depends on claims moving cleanly from provider to payer to payment. Claims Native grows from that lesson, for practices that cannot staff a billing department of their own.

What I asked at TPN

My deepest experience is in healthcare. My advisory work spans manufacturing and health tech.

About Ian

What I’m building

Software for the work between care and payment.

I’m building tools that take on the administrative work between a practice and insurance companies, and I use agents in my own work before I recommend them to anyone else.

Claims Native · A billing service for independent practices

We do your insurance billing.

We do your insurance billing, from the signed visit in your EHR to the payment posted back into it. Claims Native turns each signed visit into a claim, checks coverage before filing, files through the clearinghouse, follows up on every deadline, posts each payment back into your EHR and tells you what the patient owes. Clinical questions always come back to your provider.

Visit Claims Native
Agent workspaces · Internal use

Pick up where you left off.

I’m building workspaces that keep decisions, sources, and unfinished tasks together so I can pick up a task without piecing together earlier conversations.

Explore a sample workflow

Guides & writing

Questions practices and founders bring to me.

Practice guide

Should your cash-pay practice accept insurance?

Four decision gates for demand, economics, operating fit, and a safe way back out before you sign a payer contract.

 Practice guide

Can you accept insurance without hiring a biller?

An ownership test that maps each queue, stop rule, proof, and backup before your first claim goes out.

 Founder guide

How to choose a healthcare CTO and product partner

Engagement types, interview questions, the evidence to ask for, and red flags to catch before you hire.

 Essay

What healthtech founders underestimate about payers

Five operating realities to understand before you sell to or integrate with a health plan, from my years inside one.

 Essay

From clinical matching to a behavioral health operating system

Why a recommendation only begins access to care, and what provider data, navigation, network participation, and reimbursement add.

 Essay

Why automated claims need explicit control states

Explicit state, bounded authority, evidence, and human gates make claims automation something a practice can trust.

Practical guides for practices taking insurance, and essays on building behavioral health companies.

See all writing

How I work

My favorite moment is a question that changes the plan.

At TPN, we were discussing invoicing payers directly, and I asked, “What exactly are we trying to achieve here?” Were we trying to improve throughput? Invoicing? Payouts? Working through the answer together turned a conversation about invoices into a plan for a claims filing and revenue capture platform. I love that turn, when someone supplies a missing detail and a team suddenly sees a more useful thing to build.

Building is part of the fun, too. I built TheraMatch’s app in Elixir and Phoenix, from intake to matching logic, and today I’m building Claims Native. Before we meet, I do my research, and I’ll bring a point of view while leaving room for your team to change my mind.

Home is Chattanooga, Tennessee, where my wife and I are raising three children alongside three dogs and ten chickens, and where I serve on the board of The Mission Chattanooga. I most enjoy working with curious, kind people who can disagree well and still find joy in reaching an answer we can put to use.

How I work with people

Let’s talk

Who is waiting on the next step?

Tell me about your practice or company and what has made the next step difficult, whether that’s intake, insurance, or a product decision you keep coming back to. We can start with what you know, what you’re still trying to understand, and the people who depend on the result.

Start a conversation
Ian@atomandbits.com865.803.5050

Chattanooga, Tennessee

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