ABA & Therapy Billing, Corrected Claims Fast Onboarding
to Results.

Six reasons agencies hand us their billing:

• Reliability. You get a staffed team, not a single biller. Your account has a named US point of contact, and coverage doesn’t stop when someone is out sick or on vacation.
• Speed. Onboarding takes days, not months. Rejections and denials are worked every day, ordered by filing deadline, so claims don’t time out in a queue.
• Effectiveness. Each returned claim goes down the right path the first time: replacement, void, new claim, or appeal. Then we fix the root cause so the same denial stops coming back.
• Security. Only our US-based staff touch your systems or identifiable data. Offshore staff and AI work on data with identifiers removed, and a BAA is signed before we start.
• Therapy focus. We bill practices that work like ABA: time-based codes, prior authorizations, unit caps, and state Medicaid quirks are our everyday work.
• Clear pricing. One monthly price based on claim volume, not provider count, and a monthly summary of what was denied, fixed, paid, and still open.

ABA and autism-services agencies, early intervention programs, speech-language and occupational therapy practices, pediatric clinics, and mental health group practices billing commercial plans, Medicaid, and managed Medicaid. We work alongside an in-house biller or run billing end to end. See all industries.

A corrected claim replaces or cancels a claim the payer already processed. We send a replacement (frequency code 7) when the original went through with an error, such as wrong units, a missing modifier, the wrong rendering provider, place of service, or dates. We send a void (frequency code 8) when it shouldn’t have been billed at all. Claims rejected by the clearinghouse never reached the payer, so those are fixed and sent as new claims. Denials for authorization or medical necessity usually need an appeal, not a correction. We sort each one into the right path.

Every day. Rejections, denials, and underpayments are triaged as they come in, not saved up for a month-end batch, and a correction goes out as soon as the fix is verified. Corrected-claim filing limits vary by payer and are often shorter than the original timely-filing limit, so we prioritize by deadline.

Yes. We start by reviewing your aging and denial reports, sort claims by filing deadline and dollar value, and work the ones closest to timing out first. You’ll see which claims are recoverable, which need an appeal, and which are past the limit.

We track authorized units per CPT code and date range, compare them against scheduled and billed sessions, and flag authorizations that are running low or about to expire so they can be renewed before claims start denying.

For ABA, the adaptive behavior codes 97151–97158 (plus 0362T and 0373T). For speech, OT, and early intervention, the evaluation and timed treatment codes with GN or GO modifiers where required. For mental health, psychotherapy codes such as 90791, 90834, and 90837. For pediatric clinics, office visit, preventive, and vaccine codes. Some state Medicaid programs use their own HCPCS codes and modifiers; we bill to the rules of your state and plans.

Most providers are set up and submitting claims within 3–5 business days. We work in your existing practice management system, review your recent denials and aging, and start on corrections right away.

No. We work in the system you already use, whether that’s an ABA-specific platform or a general PM/EHR. Nothing changes for your clinicians or families.

We sign a Business Associate Agreement (BAA) with every client before anyone on our team gets access, and every vendor that touches PHI, including the AI tools we use, is under a BAA too. Most of our work happens inside your systems with individual, role-based logins. When a task needs files downloaded, our staff process them on company-managed, encrypted laptops and save them only to BAA-covered storage. Before we analyze trends for root causes, identifiers are removed wherever possible. No PHI is used to train AI models. Once an agreement is in place, we share the full list of software we use and their SOC 2 reports. Details on our security page.

Yes. We carry professional liability, errors & omissions (E&O), and general liability insurance. Coverage amounts and certificates are available on request.