The back-office partner for ABA clinics

The partner
built for ABA clinics.
AI-poweredHuman-verified

Claims·RCM·Operations

Stop carrying the back office home with you. We run claims, RCM and operations so you can be fully present with your clients — not stuck on hold with insurance, chasing auths, or worrying about denials.

Oriana Aristizabal, founder of ABA Claims
Today's claims
42/42
all human-reviewed before send
97153 · 60minSent
97155 · 30minReview
97156 · 45minSent
Recovered this month
$48,210
from 117 worked denials
Senior biller
M
Maria L.
Signed off · 2:14pm
Clean rate
98%
AI + human verified
Human-verified Florida-built Senior billers HIPAA compliant Women-owned AI-powered Human-verified Florida-built Senior billers HIPAA compliant Women-owned AI-powered
Florida Medicaid specialist · ABA only

We make Florida Medicaid
easy for ABA.

Florida moved Behavior Analysis into Statewide Medicaid Managed Care in 2025. Now every plan — Sunshine, Aetna Better Health, Humana, Molina, Simply, United, Florida Community Care — has its own portals, modifiers, deadlines, and credentialing. That's our entire specialty.

We keep your authorizations renewed before they expire, your notes audit-ready before AHCA asks, and your team credentialed with every plan you bill. So you can confidently say yes to Medicaid families instead of turning them away.

Sunshine Aetna BH Humana Molina Simply United FL Community Care

Not in Florida? Get on the waitlist — we'll let you know when we open in your state.

Florida map outlined in green with Tampa, Orlando, and Miami marked Tampa Orlando Miami

Your back office,
so you can be in session.

Three things stop ABA clinic owners from being clinicians: billing, paperwork, and payer chaos. We handle all three.

i.

Claims that get paid the first time.

AI scrubs every claim against payer rules. A senior biller reviews and submits. Clean rate 95%+. Days in A/R under 30.

ii.

Denials worked, not filed.

Every denial gets appealed within 48 hours by a human who knows ABA codes. Most get reversed. The rest we tell you why — clearly.

iii.

The whole back office, one partner.

Eligibility, authorizations, credentialing, audits, monthly reviews. Replace 3 vendors with one team that talks to each other.

You take the session.
We take the rest.
How we work

AI does the lifting.
A senior biller signs off.

We say AI-powered, but a real human checks every single claim before it goes to the payer. No black box. No "the algorithm decided." A senior biller you can call by name owns your account.

Software is the muscle. Judgment is the job. That's why our clean rate is 95%+ and our denial rate is under 5%.

Meet the team →
i.
AI · 3 seconds

Codes, validates, flags

CPT codes, modifiers, units, payer-specific rules. Ambiguous cases get queued for human review — never auto-submitted.

ii.
Senior biller · ~2 minutes

Reviews and signs off

Every claim. Every day. A real person on your account who knows ABA codes, your payer mix, and your patients' authorizations. They sign off before submission.

iii.
Senior biller · ongoing

Works denials, posts payments

Denials get appealed within 48 hours by the same person who reviewed the claim. You get a weekly summary and a direct line. No tickets.

Service, not software

You give us access.
We do the work.

This isn't a platform you have to learn or log into. We sign in to your existing system, do the back-office work as your team, and send the results to your inbox. You get outcomes back, not another dashboard to manage.

What you do
  • Give us secure access to your EHR
  • See your patients
  • Read the weekly summary we send
What we do
  • Code, scrub, and submit every claim
  • Track and renew authorizations before they expire
  • Credential your team with every Florida MCO
  • Work denials, post payments, send reports
  • Keep your notes audit-ready for AHCA
  • One senior biller signs off on every claim
Works inside the EHR you already use:
CentralReach Catalyst Rethink
Three tiers, built on each other

Pricing tied to what you actually collect.

Foundation

Revenue Recovery

6%
of collections · $500/mo min
  • Claim processing & submission
  • AI + human review on every claim
  • Denial management & appeals
  • Eligibility verification
See details →
Most clinics

Operations & Compliance

10%
of collections · scope tailored
  • Everything in Recovery
  • Authorization management
  • Credentialing & enrollment
  • Note compliance + audits
Get a quote →
Coming soon

Growth & Strategy

10% + retainer
a fractional CFO who knows ABA
  • Everything in Operations
  • KPI dashboard & benchmarks
  • Fractional CFO
  • M&A advisory
Join the waitlist →
From the blog

Notes from the billing trenches.

Field-tested guides for ABA clinic owners — written by people who actually do the work.

a.
Denials

The 5 Florida Medicaid denials we see every week (and how to beat them).

7 min read · Nov 2024
b.
Authorizations

Authorizations are eating your revenue. Here's a 3-step audit to find the leaks.

9 min read · Oct 2024
c.
AI + Humans

Why we won't ever fully automate claim review (and you shouldn't trust anyone who does).

6 min read · Oct 2024
Read all posts →

Spend more time
with your patients.

Free 30-minute audit. We show you exactly where collections are leaking and what we'd fix in the first 90 days.