12 feature modules · Built for ABA billing teams

A platform built specifically
for ABA billing intelligence

Payor database, real-time change monitoring, denial analytics, auth workflow, and AI-powered tools — all in one place, built for the complexity of ABA billing.

192
Payors in the full database
18
Commercial plans (of 192 total)
61
Medicaid programs (of 192 total)
Monthly
Top commercial + high-volume Medicaid review cadence
Quarterly
All other payors review cadence
Payor Intelligence192 payors

192-payor database, always current

A structured, searchable database of 192 ABA payor policies — commercial, Medicaid, and government plans. Every record includes prior auth duration, CPT modifier rules, documentation requirements, timely filing deadlines, FBA requirements, and re-eval cadence. Free plan covers the top 10 payors by ABA billing volume.

Browse the database →
What's included
  • Prior auth duration and 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 (Verified / Likely Current / Needs Review) with last-verified date
Change MonitoringReal-time alerts

Know before it hits your denials

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. Watch specific payors and get immediate alerts for breaking changes, or a weekly digest for routine updates.

See the changelog →
What's included
  • Watch individual payors — get alerted on any policy change
  • Breaking-change emails (🚨) for critical severity changes
  • Weekly digest summarizing all changes for watched payors
  • RSS feed at /changelog.xml for external subscribers
  • Public changelog at /changelog with full history
  • "We caught this before it hit your denials" dashboard banner
Denial IntelligenceRoot cause analysis

Turn denial patterns into process fixes

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

Start tracking denials →
What's included
  • Denial log with payor, CPT, amount, and status tracking
  • Root cause tagging: auth, documentation, coding, timely filing, eligibility
  • Link each denial to the specific payor rule that caused it
  • Top Rule Misses chart: see which rules your team keeps missing
  • Denial Intelligence widget on the main dashboard
  • Appeal tracking with outcome logging
AI AssistantAI-powered

Ask anything about any payor

Every payor detail drawer includes an AI Q&A panel trained on that payor's specific rules. Ask "Does Aetna require a new FBA for renewal?" or "What modifiers are allowed for H2019?" and get an instant, sourced answer — no more digging through PDFs.

Try the AI assistant →
What's included
  • Per-payor AI Q&A panel in the detail drawer
  • Answers grounded in the payor's actual policy data
  • Denial root cause AI analysis — suggests likely cause from claim details
  • Contract analysis: AI extracts key terms from uploaded PDFs
  • "Should we sign this payer?" AI analysis with risk scoring
  • Streaming responses with markdown rendering
Authorization TrackerExpiry alerts

Never let an auth expire unnoticed

Track every active authorization across all clients and payors in one place. ABA Insight surfaces expiring auths in your Today's Agenda widget and sends reminders before the deadline — so renewals happen proactively, not reactively.

Track your auths →
What's included
  • Authorization log with payor, client, CPT, units, and expiry date
  • Expiring auths widget on the main dashboard (14-day lookahead)
  • Overdue decision tracker for pending auth requests
  • Status workflow: Pending → Approved → Active → Expiring → Expired
  • Renewal tracking with outcome logging
  • Prior Auth request form with payor-specific field guidance
Submission ChecklistsShareable

Payor-specific checklists, generated instantly

Generate a pre-submission, renewal, or appeal checklist for any payor in one click. Each checklist is built from that payor's actual policy requirements — not a generic template. Share checklists with your team via a public link, no login required.

Generate a checklist →
What's included
  • Pre-submission, renewal, and appeal checklist types
  • Built from the payor's actual auth and documentation requirements
  • Interactive progress tracking with required vs. optional items
  • Print-ready format for paper-based workflows
  • Shareable public link — send to a biller without requiring login
  • Warning banners for high-risk payors (weekly unit tracking, strict FBA rules)
Contract IntelligencePDF analysis

Know what you're signing before you sign it

Upload a payor contract PDF and let AI extract the key terms — rates, auth requirements, timely filing limits, and carve-out clauses. Compare two contracts side by side, or run a "Should we sign this payer?" analysis that scores operational burden, auth complexity, and rate benchmarks.

Analyze a contract →
What's included
  • PDF upload → AI extracts rates, auth terms, timely filing limits
  • Side-by-side contract comparison for the same payor
  • "Should we sign this payer?" analysis with risk score
  • Operational burden scoring: auth complexity, documentation overhead
  • Rate benchmark comparison against ABA Insight dataset averages
  • Contract history stored per workspace
Legislative Tracker50 states

Track state-level ABA coverage changes

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

See the state map →
What's included
  • Active alerts for proposed and enacted ABA coverage legislation
  • Coverage by state: age limits, annual benefit caps, hour caps
  • State coverage map showing mandate status and carve-out details
  • Action-required guidance per alert (e.g., "identify newly eligible clients")
  • Severity tiers: Critical (immediate email), High, Medium, Low
  • Source links to official legislative documents
Payor ComparisonUp to 5 payors

Compare payors side by side

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

Compare payors →
What's included
  • Compare up to 5 payors simultaneously
  • Side-by-side view: auth duration, FBA, documentation, CPT rules
  • Highlight differences across payors automatically
  • Export comparison to CSV for offline use
  • Filter by plan type, state, or confidence tier
  • Save comparison sets for recurring reference
Team WorkspaceMulti-user

Built for billing teams, not just solo billers

Invite your entire billing team to a shared workspace. Role-based access controls let you set permissions for billers, directors, and admins. All watched payors, saved checklists, and denial logs are shared across the workspace — so your whole team works from the same source of truth.

Invite your team →
What's included
  • Shared workspace with role-based access (biller, director, admin)
  • Team-level watched payors and alert subscriptions
  • Shared denial log and auth tracker across all team members
  • Invite team members via email
  • Multi-organization support for MSOs and billing companies
  • Audit log for admin actions
ROI CalculatorFree tool

Quantify the cost of denials

Enter your monthly claim volume, average claim value, and current denial rate to see exactly how much revenue you're losing to preventable denials. The ROI calculator shows your breakeven point and projected annual savings from reducing your denial rate.

Calculate your ROI →
What's included
  • Input: monthly claims, average claim value, denial rate
  • Output: monthly denial cost, annual revenue at risk
  • Breakeven analysis: how many denials prevented to cover subscription cost
  • Projected savings at 10%, 25%, and 50% denial reduction
  • Shareable results link
  • Benchmark your denial rate against ABA industry averages
Data You Can TrustAccuracy guarantee

Confidence tiers, not just data

Every field in ABA Insight carries a confidence tier — Verified, Likely Current, or Needs Review — based on how recently it was verified and from what source. Fields marked Needs Review show a "Verify with payor" reminder so you never submit based on stale data. And if we're wrong, we'll credit your next month.

See our methodology →
What's included
  • Confidence tier (Verified / Likely Current / Needs Review) on every data field
  • Last-verified date with amber/red age warning (>60 / >90 days)
  • "Verify with payor" reminder on Needs Review fields before submitting claims
  • Source label linking to the official payor policy document
  • Community corrections: submit a correction, get credited when accepted
  • Accuracy guarantee: incorrect data → credit your next month

Ready to stop leaving money on the table?

Join ABA billing teams using ABA Insight to reduce denials, stay ahead of policy changes, and submit cleaner claims — starting today.

Free tier includes top 10 payors · No credit card required · Upgrade anytime