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ABA eligibility and Benefit refers to the process of verifying whether a client is eligible for ABA services under their health insurance plan, and what benefits are covered. What do we check? Is the insurance policy active? Is the client listed on the plan as a dependent? is the diagnosis covered under the plan for ABA therapy? We check all places of services for example, home, school, office, community, telehealth. benefit details typically include: Deductibles, copays/coinsurance. Session limits, authorization requirements, network status.

Authorization submission refers to the process of obtaining approval or authorization from an insurance company before providing specific services or treatments to a client. This step is crucial to ensure that the insurance has approval before services are rendered. 

ABA Authorization Submission involves submitting detailed information about the client condition, the recommended treatment plan to the insurance company to review and approve.We help sumit initial ABA authorizations and ongoing Treatment plans for Therapy as well as follow up till the insurance company makes their final decision. If the insurance denies your authorization we will work on an appeal with you to fight for an approval. 

Claim submission is a step by step process followed to bill insurance companies for services provided to clients. 

We will create the claim, submit the claim to the payor, check the clearing house for rejections, and work any rejections. We ensure your claims are billed on time and accurately. 

We process the recording of payments received from the insurance payers into a provider's billing or practice management system. It's a critical step in the revenue cycle to ensure accurate accounting, reconciliation and follow up.

Accounts receivable refers to money owed to a provider by the insurance companies or patients for services that have been delivered but not yet paid for.We have created a process of tracking, resolving, and collecting unpaid claims from payers. The goal is to accelerate reimbursement and reduce financial losses. We provide detailed reports breaking down their accounts receivables.

We offer expert ABA billing consulting services to help ABA providers streamline revenue cycles, reduce claim denials, and stay compliant with payer requirements. From CPT coding guidance to billing system setup, we support your team every step of the way. If you're not ready to hire a billing company but need billing consulting services we are here to help.