Search payors, sections, states, CPTs, and pages.
You already know the denial rate. ABA Insight tells you why — by payor, by CPT, by root cause — so you can fix the process upstream instead of resubmitting downstream. Built for in-house billing teams at clinical groups.
Every feature is built around the question: where is denial money actually going, and how do we stop it upstream?
Tag every denial with payor, CPT, amount, and root cause (auth, documentation, coding, timely filing, eligibility). Link the denial to the exact payor rule that caused it.
See which payor rules your team keeps missing — by frequency, by dollar amount, by trend. Stop resubmitting the same denial pattern in a loop and fix the workflow instead.
Watch the payors that matter most to your panel. Breaking changes hit your inbox immediately. Routine changes roll up into a weekly digest your team actually has time to read.
Invite billers, directors, and admins with role-based permissions. Shared watched payors, shared denial log, shared submission checklists — everyone works from the same source of truth.
Generate a per-payor pre-submission checklist for any new claim or renewal. Built from the payor's actual rules — what your senior biller remembers, written down and shared with the whole team.
Every workspace change, role update, and admin action is logged. Compliance reviews and team accountability become a non-event.
Critical changes (auth window shrinks, new modifier requirements, FBA mandates) hit your inbox the day we detect them. Routine changes roll into a weekly digest. Every change links back to the source document.
Severity is decided by an LLM against your watched payors — calibrated to surface what actually moves your denial rate.
Auth submission window reduced from 30 days to 14 days. Affects all 97151–97158 codes.
New required modifier (HM) for 97155 supervision codes when delivered in clinic.
Telehealth 97153 coverage confirmed for POS 02 and POS 10.
Per-seat pricing scales with your billing team. No minimum, no contract. Role-based access (biller, director, admin) is included at every tier — no enterprise upcharge for permissions.
Start FreeStart free with 3 anchor payors of your choice. Upgrade to Growth ($29/seat/mo) for full denial intelligence, alerts on all 192 payors, and team workspaces.
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