Every feature, one chapter at a time.

Authorization windows, modifier requirements, documentation standards, and timely filing deadlines for every commercial, Medicaid, and government payor you bill. Searchable, filterable, and source-linked.

Free plan covers 3 anchor payors of your choice. Growth opens all 192 and adds unlimited swaps.

• Prior auth duration + renewal windows per payor
• CPT code coverage: H-codes, modifiers, unit limits
• Documentation checklist: signatures, start/stop times, treatment plan components
• BH carve-out manager (Optum, Carelon, Magellan, eviCore)
• State-specific BCBA licensure requirements
• Confidence tier on every field with last-verified date

ABA Insight monitors policy changes across all 192 payors and alerts your team the moment something changes — not after you've already submitted a claim. Severity-coded so critical changes don't sit in a digest.

• Watch individual payors — get alerted on any change
• Breaking-change emails for critical severity
• Weekly digest for routine changes
• RSS feed at /changelog.xml for external subscribers
• Public changelog at /changelog with full history
• Dashboard banner: "We caught this before it hit your denials"

Log every denial, tag the root cause, and link it back to the specific payor rule that was missed. ABA Insight surfaces top denial reasons by payor, CPT code, and root cause — so you fix the process, not just the claim.

• Denial log with payor, CPT, amount, status
• Root cause tagging: auth, doc, coding, timely filing, eligibility
• Link each denial to the payor rule that caused it
• Top rule-misses chart by payor
• Denial intelligence widget on the main dashboard
• Appeal tracking with outcome logging

Pre-submission, renewal, and appeal checklists built from each payor's actual policy requirements — not a generic template. Share them with your team via a public link, no login required.

• Three checklist types: pre-submission, renewal, appeal
• Built from the payor's actual requirements
• Required vs. optional items tracked separately
• Print-ready for paper workflows
• Shareable public link — no login needed
• Warning banners for high-risk payors

Monitor proposed and enacted ABA coverage legislation across 50 states. We track bills affecting age limits, annual benefit caps, hour caps, and coverage mandates — so you know which states are expanding or restricting ABA before it affects your clients.

• Alerts for proposed + enacted ABA coverage legislation
• Coverage by state: age limits, benefit caps, hour caps
• State coverage map showing mandate + carve-out details
• Action-required guidance per alert
• Severity tiers: Critical, High, Medium, Low
• Source links to official legislative documents

Select up to 5 payors and compare their auth requirements, documentation rules, and CPT coverage in one table. Identify the most operationally complex payors in your panel and prioritize staff training accordingly.

• Compare up to 5 payors simultaneously
• Auth duration, FBA, documentation, CPT rules
• Differences highlighted automatically
• Filter by plan type, state, or confidence tier
• Save comparison sets for recurring reference

Invite your entire billing team to a shared workspace. Role-based access for billers, directors, and admins. Watched payors, saved checklists, and denial logs sync across the workspace.

• Shared workspace with role-based access
• Team-level watched payors + alert subscriptions
• Shared denial log + auth tracker across the team
• Invite team members via email
• Multi-organization support for MSOs
• Audit log for admin actions

Enter monthly claim volume, average claim value, and current denial rate. See exactly how much revenue is at risk and what reducing your denial rate by 4 points would recover.

• Inputs: monthly claims, avg claim value, denial rate
• Outputs: monthly denial cost, annual revenue at risk
• Breakeven analysis vs subscription cost
• Projected savings at 10% / 25% / 50% reduction
• Shareable results link
• Benchmark vs ABA industry averages

Every field carries a tier — Verified, Likely Current, or Needs Review — based on how recently it was confirmed and from what source. Fields marked Needs Review show a verify-before-submit reminder so you never act on stale data.

• Confidence tier on every data field
• Last-verified date with amber/red age warning
• Verify-before-submit reminder on Needs Review
• Source label linking to the official document
• Community corrections, credited when accepted
• Submit corrections in-app from any record